Tp Ii ~Midterm (Assessments & Quiz Answers)

Front 1

If impairments are resolved, improvement in functional abilities will subsequently follow. (T/F)

Back 1

FALSE

Front 2

_______ learning involves a series of movements that are combined together in a particular sequence.

Back 2

Serial

Front 3

The clinical decision making model used by PT, the pt management model, moves from examination to pt outcomes. The use of MMT, goniometry, vital sign monitoring, gait & postural analysis are all part of the _______ part of the pt management model.

Back 3

Examination

Front 4

Based on the above illustration (Curling weight), the triceps are the antagonist during the concentric phase & the agonist during the eccentric phase. (T/F)

Back 4

FALSE

Front 5

_______ is the term that refers to impact & functional consequences of conditions that compromise an individual's ability to meet societal functions & roles.

Back 5

Disability

Front 6

Therapeutic goals & outcomes must be meaningful to the pt, measurable & linked to each other. (T/F)

Back 6

TRUE

Front 7

_______ refers to the ending of PT services prior to the achievement of anticipated goals or expected outcomes

Back 7

Discontinuation

Front 8

Physical function includes all of the following:

Back 8

Cardiopulmonary endurance, muscle performance, mobility/flexibility & postural/balance (NOT age/gender)

Front 9

Functional limitations & disabilities are collectively referred to as:

Back 9

Quality of life issues

Front 10

Preferred practice patterns included in the Guide to PT practice include all of the following:

Back 10

Strategies to PT diagnostic categories, consensus based opinions on pt management & describes all components of pt management (NOT indicates specific pathways of care)

Front 11

PTA's may only perform an evaluation after consultation w the supervising PT (T/F)

Back 11

FALSE

Front 12

Moderate pain, stopping the activity & increased joint mobility w endfeel are consistent w a grade_______ ligamentous injury.

Back 12

Grade II/moderate

Front 13

Components of postoperative pt education & interventions should include all of the following:

Back 13

Contraindications to movement/weight bearing status, active ankle exercises & incision care (NOT muscle concentrics)

Front 14

Pain experienced simultaneously w tissue resistance & without overpressure is consistent w what stage of healing?

Back 14

Subacute/Controlled motion

Front 15

Signs of excessive stress include all of the following:

Back 15

Decreased ROM over several sessions, progressive weakness & activity pain that does not resolve after 24hrs (NOT activity stress pain that does not decrease after 12 hours)

Front 16

_______ are the adaptive shortening of skin, fascia, muscle, capsule & prevents normal mobility or flexibility of structures.

Back 16

Contractures

Front 17

Acute stage is to modalities, PROM, muscle setting as Return to Function is to all of the following:

Back 17

ligament of scar, Functional independence & specificity of drills (NOT Isotonic resistance)

Front 18

All of the following apply to OA:

Back 18

Morning stiffness, gelling; Hips, knees, cervical, lumbar; & osteophyte formation (NOT multiple joints/bilateral)

Front 19

Arthroscopic subacromial decompression is an example of _______ surgical technique.

Back 19

Release/Decompression

Front 20

Progress stretching exercises to simulate specific demands including both open & closed chain & both eccentric & concentric activities. (T/F)

Back 20

TRUE

Front 21

Indications for surgery:

Back 21

Gross instability, Significant loss of function & Failed conservative management (NOT Pain)

Front 22

Arthroscopic subacromial decompression is an example of decompression or _______ surgical technique.

Back 22

Release/Decompression

Front 23

Phase II cardiac rehab includes all of the following:

Back 23

2-12 weeks, Large muscle groups & 4-5 METS (NOT 60-80% MHR)

Front 24

_______ is a general term used to describe the ability to perform physical work.

Back 24

Fitness

Front 25

Coronary pts complete 35% less work w arm exercises than w leg exercises before symptoms occur.

Back 25

TRUE

Front 26

Using Karvonen's formula, a 60 YO pt exercising @ 60% heart rate reserve would have what target heart rate? (Assume resting heart rate 70bpm.)

Back 26

120

Front 27

The energy system primarily responsible for activities lasting 30-90 seconds is the _______.

Back 27

Anaerobic glycolytic

Front 28

Phase I cardiac rehab includes all of the following:

Back 28

1-3 days, 1-2 METS & Supervised ambulation (NOT stationary bike)

Front 29

Phase III cardiac rehab includes all of the following:

Back 29

Exercise training, education/counseling & output (NOT valsalva training)

Front 30

Resting heart rate increases w age. (T/F)

Back 30

FALSE

Front 31

The decrease in muscle mass as one ages is primarily due to decreased protein synthesis in concert w a decline in the # of fast twitch muscle fibers.

Back 31

TRUE

Front 32

Precautions for stress testing include all of the following:

Back 32

Systolic BP over 220-240, Respirations should not be labored & diastolic should not exceed 120 (NOT MET level 5)

Front 33

Following a TKA, the pt is having difficulty bending her knee past 90 degrees. Assuming the activity limitation is based on the impairment of adaptive shortening of the quadriceps, which of the following statement is correct?

Back 33

Extension contracture, knee hypomobility

Front 34

A PTA is using the Hold Relax PNF technique for a knee extension contracture. Which of the following is true for this pt & technique:

Back 34

Extension contracture, knee hypomobilityPt contracts antagonists, performs knee extension followed by relaxation during which time the PT takes the pt into extension

Front 35

When attempting to achieve new increases in ROM, the PT is required to place sufficient force during stretches to take shortened tissue into the _____ region of the stress strain curve.

Back 35

Plastic

Front 36

The PT is stretching the pt's triceps. In order to maximally lengthen the long head of the triceps, how should the shoulder & elbow be positioned?

Back 36

Flexion & flexion

Front 37

The PTA is treating a pt following RTC surgery. All of the following are considered functional ROM activities for the upper extremity:

Back 37

Grasping a eating utensil, donning or doffing a shirt/jacket, brushing/combing hair (NOT performing shoulder flexion w wall pulleys

Front 38

INTENSITY

Back 38

Low intensity beyond elastic range

Front 39

SPEED OF STRETCH

Back 39

Slow to activate golgi tendon

Front 40

FREQUENCY

Back 40

# of stretching sessions per day

Front 41

DURATION

Back 41

length of time, 60 seconds

Front 42

The PTA is using a CPM. All of the following are benefits of CPM as indicated by Salter:

Back 42

Prevents development of adhesions & contractures, enhance synovial movement & nutrition to cartilage, decreases postoperative pain (NOT increases healing time)

Front 43

Which of the following pt's would be most appropriate for stretching:

Back 43

Sedentary 68YO pt w forward head posture & thoracic kyphosis

Front 44

All of the following affect increased tension of skeletal muscle:

Back 44

Muscle produce the greatest tension when it is near or @ the physiological maximally shortened position; Larger the diameter/cross section, the greater the tension generating capacity; In order from greatest to least force: eccentric, isometric, concentric (NOT the greater # of motor units firing, the more tension)

Front 45

If the desired functional outcome requires greater muscular endurance than strength, then the intensity & duration of exercises should be geared toward muscular endurance. This is an example of specificity of training. (T/F)

Back 45

TRUE

Front 46

All of the following are benefits of resistance training:

Back 46

Decreased stress on joints & risk of soft tissue injury during physical activity, possible improvement in balance (NOT greater bone mineral density/increased bone demineralization

Front 47

When injured muscles are immobilized, type I fibers atrophy @ a faster rate than type II fibers. This underscores the necessity for early initiation of endurance training. (T/F)

Back 47

TRUE

Front 48

_______ exercise is also called accommodating resistance exercise.

Back 48

Isokinetic

Front 49

All of the following are parameters & progression of closed chain exercises:

Back 49

Uniplanar to multiplanar, sagittal to frontal (NOT anterior to posterior & NOT partial to full weight bearing)

Front 50

Resistance training should be postponed for up to 12 weeks following myocardial infarction or coronary artery bypass graft surgery or until the pt has clearance from the physician. (T/F)

Back 50

TRUE

Front 51

During D1 Flexion strengthening PNF patterns of the shoulder, the shoulder moves into flexion, adduction & _______ rotation. The scapula moves into elevation, upward rotation & _______

Back 51

External & Abduction

Front 52

A pt w a 1 RM of 100lbs would be expected to have a 10 RM of 75lbs. (T/F)

Back 52

TRUE

Front 53

All of the following are signs/symptoms of muscle fatigue/contraindications to strength training:

Back 53

Uncomfortable sensation within the muscle, tremulousness in the contracting muscle, Use of substitute movements to complete movement pattern (NOT Increase in the peak torque during isokinetic testing)

Front 54

Forward head posture is characterized by increased flexion of the lower cervical & increased extension of the upper cervical vertebrae (T/F)

Back 54

TRUE

Front 55

Which of the following is typically associated w disk protrusions:

Back 55

Peripheralization of symptoms w repeated forward bending; Increased symptoms w sitting, coughing, straining; Dermatome & myotome of affected nerve root (NOT extension posture)

Front 56

Holding one's breath while contracting the abdominals inhibits activation of the transverseus abdominis & therefore spinal stability is decreased.

Back 56

(But decreased?) TRUE

Front 57

Which of the following ligaments are taut during spinal extension:

Back 57

Anterior longitudinal ligament

Front 58

Pt complains of back/neck pain often does not relate to specific pathologies (T/F)

Back 58

TRUE

Front 59

All of the following are true for structural scoliosis:

Back 59

Prominence of ribs posteriorly on the convex side, Posterior rib hump is detected during forward bending (NOT Irreversible lateral curvature w rotation of the vertebrae NOT Can be corrected w correction of leg length discrepancy)

Front 60

If the pt has a lateral shift of the spine, extension alone will not reduce the nuclear protrusion. The shift needs to be corrected 1st, then have the pt perform extension to maintain the correction (T/F)

Back 60

TRUE

Front 61

Isometric activities as well as active back flexion/extension exercises must be avoided during the acute stage of a disk lesion (T/F)

Back 61

TRUE

Front 62

Typically, w a sway back posture the entire pelvic segment shifts posteriorly resulting in increased hip extension (T/F)

Back 62

FALSE

Front 63

Which of the following muscles are primarily responsible for stabilization of the spine:

Back 63

Transverse abdominus