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16 Cards in this Set

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  • Back
A PTA classifies a patient's posture as lordotic after completing a postural assesment. Which muscle group would you expect to be shortened based on the results of the postural assessment?

A) Intercostals
B)Hip flexors
C) Scapula retractors
D) Abdominals
B)Hip flexors

the hip flexors is a muscle group (including the iliopsoas which passes through the pelvis) that acts to flex the femur onto the lumbo-pelvic complex.

The hip flexors include:
Tensor fasciae latae
Sartorius muscle
Pectineus muscle
Adductor longus muscle
Adductor brevis muscle
A PTA examines a patient diagnosed with rotator cuff tendonitis. During the examination the PTA identifies weakness in several scapular stabalizers. Which muscle plays an active role in upward rotation of the scapula?

a) Serratus anterior
b)rhomboid major
c)rhomboid minor
d)pec minor?
a) serratus anterior

The serratus anterior is occasionally called the "boxer's muscle" because it is largely responsible for the protraction of the scapula--that is, the pulling of the scapula forward and around the rib cage that occurs when someone throws a punch. The serratus anterior also helps to stabilize the scapula. In addition, it assists in rotating the scapula (glenoid fossa) upward.
A patient diagnosed with right bicipital tendonitis performs upper extremity resistance exercises using a piece of elastic tubing. What muscle is emphasized when laterally rotating the extremity against resistance?

a)teres minor
b)pec major
c)teres major
d)subscapularis
A) teres minor
The Infraspinatus and Teres minor rotate the head of the humerus outward

It is NOT teres major b/c it's actions include:

Extension
Internal Rotation
Adduction
A PTA reviews the results of a lower extremity goniometric assesment. Assuming normal range of motion, which of the following values would NOT be within normal limits?

a) 0-45 hip lateral rotation
b)0-20 degrees hip adduction
c)0-20 ankle dorsiflexion
d)0-120 degree knee flexion
D) 0-120 degree knee flexion.

Knee flexion for average adult is 0-135
A PTA works with a patient ambulating with a right transtibial prosthesis. The PTA notes that the socket is positioned with an excessive anterior tilt. Which deviation would MOST likely occur with this type of malalignment?

a) right lateral trunk lean
b) insufficient knee flexion
c)circumduction
d)excessive knee flexion
d) excessive knee flexion
A PTA treats a 56-year old male status post transfemoral ampuatation with a hip flexion contracture. As part of the treatment regime the PTA performs passive stretching excercises to the involved hip. The MOST appropriate form of passive stretching is:

a)moderate tension over a prolonged period of time

b)moderate tension over a brief period of time

c) maximal tension over a prolonged period of time

d) maximal tension over a brief period of time
a) moderate tension over a brief period of time
A PTA examines the gait of a 62 year old male with peripheral neuropathy. The PTA observes that the patient's right foot has a tendancy to slap the ground during loading response. This observation can BEST be explained by the weakness in the:

a)iliopsoas
b)tib anterior
c)tib post
d) gastroc
b)tib ant.
A patient with patella tracking dysfuction is examined in PT. Physical examination reveals diminished vastus medialis obliquus activity. The MOST appropriate method to selectivly train the VMO is:

a)quadriceps setting excercises and biofeedback

b)short-arc terminal extension with manual resistance

c)SLR with leg weights

d)multiple angle isometrics exercises.
A) quad setting exercises and biofeedback
A PTA treats a 2-month old infant diagnosed with myelomeningocele. A component of the established treatment plan includes mobilization and stretching of contracted muslces around the foot due to talipes equino varus deformity. Which description is MOST consistent with this type of foot deformity?

a) ankle dorsiflexion, hindfoot varus, forefoot adduction

b)ankle dorsiflexion, hindfoot valgus, forefoot abd.

c)ankle plantarflexion, hindfoot varus, forefoot add

d)ankle plantarflexion, hindfoot valgus, forefoot abduction
c) ankle plantarflexion, hindfoot varus, forefoot add.
A PTA employed in an outpatient rehab center works with a patient status post knee surgery. The patient is presently using a straight leg immobilizer that maintains the knee in an extended postion. The decision to discontinue the knee immobilizer would be MOST influenced by the patients:

a) edema
b)active ROM
c)quad control
d) pain
c) quad control
A PTA assesses glenohumeral joint play on a 26-year old male diagnosed with an acromioclavicular sprain. While assessng joint play in the resting positon, the PTA identifies bone to bone contact. The MOST appropriate action is to:

a)assess joint play in another position

b)quantify the available ROM

c)integrate mobilzation techniques into the plan of care

d)discuss the findings with the supervising PT
d)discuss w. PT.
A water polo player complains of pain in her right shoulder. The patient has difficulty isolating the exact location of the pain, however indicates the pain begins 10-15 mions after the onset of activity and lasts for approx two hours. Physical examination reveals subjective reports of pain @ 90 degrees of passive and active ABD. IR AND ER ROM is within normal limits with the humerus @ the patient's side. Resistive isometrics are strong and painfule for flexion and ABD. The most likely diagnosis is:

a) adhesive capsulitis

b)rotator cuff repair

c) impingment syndrome

d) upper trap strain
c) impingement syndrome
A PTA uses mechanical spinal traction to temporarily increase the size of the intervertebral foramen on a patient diagnosed with foraminal stenosis. Which of the following spinal positions would BEST accomplish the PTA's objective?

a)neutral and extensio

b)neutral and flexion

c)extension and flexion

d) hyperextesion and hyperflexion
b) neutral and flexion
A PTA works on transfer activities with a patient diagnosed with a complete c5 spinal cord injury. Which of the following muscles would the patient be able to utilize during the training session?

a) brachioradialsis

b) pronator teres

c) extensor carpi radialis brevis

d) lat. dorsi
a) brachioradialis.
A PTA observes a PT perform mobilization on a patient rehabing from a radial head fx. The large amplitude movement directed perpendicular to the concave joint surface and is designed to increase periarticular extensibility. This type of mob BEST describes:

a) grade I
b)grade II
C)grade III
D) Grade IV
D) grade IV
A PTA participates in a scoliosis screening program at a local school. The PTA completes the screening b having the participants completes the forward bend test. The MOST appropriate age range to target for the screening is:

a)4-7
b)8-10
c)11-14
d)15-18
c) 11-14