Comprehensive Guide to Musculoskeletal Rehabilitation Techniques, Exams of Advanced Education

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100% Correct Answers 2023-

When evaluating a shoulder, the ratio of the glenohumeral movement to scapular movement should be: - Correct Answer-2: How do you determine the max HR for aerobic activity in a pt - Correct Answer-Resting HR Which type of exercises is best to use when rehabbing a disc - Correct Answer- McKenzie Which muscle exercise will stimulate the multifidus, strengthen the obliques & strengthen rectus abdominals - Correct Answer-Core exercises 55 yo male leaned over & had immediate pain in his low back extending into his right lateral foot. Bechterew's was positive. What is the initial treatment: - Correct Answer-1. Cryotherapy

2. Traction
3. McKenzie exercises 55 yo male leaned over & had immediate pain in his low back extending into his right lateral foot. Bechterew's was positive. What is the best exercise program in the subacute phase: - Correct Answer-1. Water resistance
4. Walking
5. Extension exercises 55 yo male leaned over & had immediate pain in his low back extending into his right lateral foot. Bechterew's was positive. What is the best exercises for rehab - Correct Answer-1. Stretch abdominals
6. Stretch psoas
7. Stretch glutes A 15 yo boy has pain below the knee & it is worse w/walking up & down stairs. THe physical exam revealed a problem at the tibial tuberosity. All orthos were negative on the knee. What is the case management - Correct Answer-1. Chopat strap
8. Cryotherapy
9. Limit activity A 15 yo boy has pain below the knee & it is worse w/walking up & down stairs. THe physical exam revealed a problem at the tibial tuberosity. All orthos were negative on the knee. What is the proper way to handle this in the subacute phase - Correct Answer-1. Stationary bike

2. Swim exercises
3. Stretch quads A 15 yo boy has pain below the knee & it is worse w/walking up & down stairs. THe physical exam revealed a problem at the tibial tuberosity. All orthos were negative on the knee. Once the pt is out of pain, which muscles should be rehabbed - Correct Answer-1. Stretch hamstrings
4. Strengthen rectus femoris
5. Stretch rectus femoris The pt presents w/post pelvic tilt, which of th efollowing should be facilitated - Correct Answer-Quads Which of the following muscles should be exercised in a mother following the birth of her baby - Correct Answer-Pelvic floor Which of the following muscles should be stretched to rehab pts w/TOS - Correct Answer-Pec minor Pt is in the standing position w/hands over head & palms to sky. Which muscles are being stretched - Correct Answer-Lat dorsi Which of the following muscles should be strengthening to correct anterior head carriage - Correct Answer-Deep neck flexors Which is a closed chain exercise - Correct Answer-Push ups Which is the best exercise to correct upper cross syndrome - Correct Answer-Seated rows Which type of exercise is weight lifting A. Isometric B. Isotonic C. Isokinetic - Correct Answer-B. Isotonic (eccentric & concentric together) Which type of exercise is done at a constant speed & different weights A. Isometric B. Isotonic C. Isokinetic - Correct Answer-C. Isokinetic Which of the following exercises is considered to be eccentric w/the pt supine - Correct Answer-The therapist raises the pt's leg & the pt brings it down Which is used to determine proprioceptive ability - Correct Answer-Pt stands on a foam pad

Which is a contraindication to the use of ultrasound - Correct Answer-Myeloma Why is ultrasound considered a better modality than others - Correct Answer- Penetrates deeply With ultrasound, how much wattage do you add under water - Correct Answer-0. Which is the max weight utilized for cervical traction - Correct Answer- When using cervical traction, what is the major reason to increase the number of degrees of flexion - Correct Answer-To relieve disc pressure Which is best treatment for tenosynovitis - Correct Answer-Transverse friction massage Which is the normal effect when using ice massage - Correct Answer-Burning Which is not a contraindication to lumbar traction - Correct Answer-RA Which is better to administer cryotherapy - Correct Answer-Moist towel When heat is desired, which of the following is the best modality to use on extremities - Correct Answer-Fluidotherapy Wat is the most common use of ultraviolet - Correct Answer-Hot quartz Which of the following has germicidal effects - Correct Answer-UV When evaluating muscle strength, the pt is able to take the joint into full ROM against gravity, with no resistance - Correct Answer-Grade 3/ What are the physiological effects of microcurrent and cold laser - Correct Answer-ATP production The greatest advantage to using cold laser is which of the following - Correct Answer- Promotes healing When using TENS to relieve pain, which of the following opiates is released - Correct Answer-Enorphins Which of the following is a benefit of using premod interferential current - Correct Answer-You can only use 2 pads What is the benefit of using continuous passive movement after surgery - Correct Answer-Increase flexibility

When using galvanic, what goes on the site of an acute injury - Correct Answer-Anode (positive) Special needs are to be taken when using galvanic to prevent - Correct Answer-Bursa What is the best level of pain control when utilizing TENS - Correct Answer-0- How does electrical stim stimulate a muscle contraction - Correct Answer-Stimulates motor end plate Side bridge exercises are utilized to strengthen which of the following muscles: - Correct Answer-QL Deep heat modalities are contraindicated for: A. Scar tissue B. Chronic inflammation C. Infection D. Bone fractures - Correct Answer-C. Infection Paraffin provides which type of heat A. Dry superficial B. Moist superficial C. Dry deep D. Moist deep - Correct Answer-B. Moist superficial What is an appropriate safety precaution for application of MWD A. Applicator should be 12-18 in from skin B. Perspiration should be promoted to enhance treatment C. Remove contact lenses during treatment around head D. Intensity settings should be based on the pt's tolerance - Correct Answer-A. Applicator should be 12-18 inches from skin What form of cryotherapy doesn't use conduction A. Cold pack B. Ice massage C. Cold baths D. Vapocoolant spray - Correct Answer-C. Cold baths Cryotherapy reduces muscle spasm by inhibiting A. Scar tissue formation B. Muscle spindle activity C. Cellular metab D. Ach production - Correct Answer-B. Muscle spindle activity Which of these is typically the last sensation felt w/cryotherapy application A. Intense cold

B. Burning C. Aching D. Numbness - Correct Answer-D. Numbness Modulation of electrical current helps prevent ____ of muscle tissue A. Adaptation B. Fatigue C. Recruitment D. Excitation - Correct Answer-A. Adaptation Which type of electrotherapy is most likely to slow atrophy of a denervated muscle A. TENS B. Microcurrent C. Interferential D. Low voltage Galvanic - Correct Answer-D. Low voltage galvanic In general, the smaller the electrode, the _____ A. Stronger the motor response B. Weaker the current C. Stronger the stimulus D. Weaker the nociceptive response - Correct Answer-C. Stronger the stimulus Which of these is most appropriately treated w/high voltage pulsed stimulation A. UMNL B. Edema C. Fungal infection D. Thrombophlebitis - Correct Answer-B. Edema Which type of massage is used for the treatment of adhesive capsulitis A. Effleurage B. Tapotement C. Transverse friction D. Petrissage - Correct Answer-C. Transverse friction A contraindication for continuous traction is A. IVF encroachment B. Osteoporosis C. Scoliosis D. Spondylolisthesis - Correct Answer-B. Osteoporosis Which type of massage is most likely to provide muscle relaxation, pain reduction, & improved blood flow to musculature A. Effluerage B. Friction massage C. Tapotement D. Roulement - Correct Answer-C. Tapotement

A cane should be used in the hand contralateral to the affected hip in order to: A. Aid in extension of affected leg B. Reduce abduction of the affected side C. Reduce abduction force of the unaffected side D. Prevent posterior lurch - Correct Answer-B. Reduce abduction force of the affected side Which class laser device poses the greatest hazard for eye & skin damage w/inappropriate use A. II B. IIIA C. IIIb D. IV - Correct Answer-D. IV Which of these is not a physiological effect of cold lasers A. Muscle contraction B. Vasodilation C. Increased macrophage activity D. Increased collagen production - Correct Answer-A. Muscle contraction Which of the se muscles controls lateral pelvic tilt during the swinging of the opposite leg A. Glut max B. Piriformis C. Quads D. Hamstrings - Correct Answer-A. Glute max A posterior lurch of the trunk to initiate the swing phase is due to weakness of the hip

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A. Adductors B. Abductors C. Flexors D. Extensors - Correct Answer-C. Flexors Scapular winging is the result of a/an ______ A. Weak serratus ant B. Overactive rhomboid C. Overactive trap D. Weak lat dorsi - Correct Answer-A. Weak serratus ant Which muscles are hypertonic when the pt is placed in the modified Thomas position & the hip remains in 15 deg of flex w/the knee only 70 deg A. Glut max and rectus femoris B. Glut max & biceps femoris C. Iliopsoas & rectus femoris

D. Iliopsoas & biceps femoris - Correct Answer-C. Iliopsoas & rectus femoris An exercise program designed to increase muscle endurance includes _____ repitition w/ _______ resistance A. Low; low to moderate B. Low; high C. High; low to moderate D. High; high - Correct Answer-C. High; low to moderate The phosphagen system provides ATP for _______ activities: A. Short term low intensity B. Short term high intensity C. Long term low intensity D. Long term high intensity - Correct Answer-B. Short term high intensity A major catabolic effect of cortisol is converting amino acids to: A. Lipids B. Carbs C. Fat D. Protein - Correct Answer-A. Lipids What is the primary source of energy utilized during aerobic endurance exercise A. Protein B. Glucose C. Lipid D. Glycogen - Correct Answer-C. Lipid Endurance training & performance is improved when following a diet high in: A. Omega 3s B. Carbs C. Calories D. Proteins - Correct Answer-B. Carbs Which of these factors contributes to improvements in athletic performance & aerobic power from overload training specific muscle groups A. Decrease in overall mito concentration B. Increased microcirculation C. Accumulation of blood lactate D. Using a generalized, sub-maximal training regimen - Correct Answer-B. Increased microcirculation Eccentric muscle contractions require the muscle to: A. Contract w/o resitance B. Lengthen against resistance C. Shorten against resistance D. Contract w/resistance - Correct Answer-B. Lengthen against resistance

In which circumstance would plyometric training be the most benefit A. Training a pro football player B. Increasing balance of a geriatric pt C. Following hip replacement surgery D. Increasing proprioceptive input to an unstable joint - Correct Answer-A. Training a pro football player Which commonly used strength program relies on multi-set exercises targeting a variety of muscle groups w/minimal resistance A. Progressive resistance exercises B. Circuit training C. Isometric resistive training D. Compound training - Correct Answer-B. Circuit training Which of these is the neurophysiological principle of the contract-relax principle technique for muscle stretching A. Crossed extensor reflex B. Reciprocal inhibition C. Monosynaptic stretch reflex D. Polysynaptic innervations - Correct Answer-B. Reciprocral inhibition Neuromuscular coordination is primarily programmed in the ______ tract of the nervous system A. Sympathetic B. Extrapyramidal C. Spinothalamic D. Parasympathetic - Correct Answer-B. Extrapyramidal In order to maintain proprioceptive input & prevent adhesion formation, the pt should begin ______ exercises during the subacute phase of a grade II ankle sprain A. Isometric high-weight B. Passive ROM C. Wt bearing wobble board D. Plyometric high-impact - Correct Answer-B. Passive ROM A biomechanical ankle platform system is designed to elicit which of these effects A limited ROM B. Decreased swelling C. Improved sensory cues & balance D. Decreased sensory feedback - Correct Answer-C. Improved sensory cues & balance The side-bridge posture is used to activate which muscle A. Multifidus B. Transverse abdominis C. Rectus abdominis

D. QL - Correct Answer-D. QL For lumbar rehab, an optimal pattern is one in which the muscles increase in : A. Endurance B. Strength C. Flexibility D. Size - Correct Answer-A. Endurance Biceps curls used for rehab of the elbow are best described as a/an _____ exercise A. Isokinetic B. Open chain C. Closed chain D. Isometric - Correct Answer-B. Open chain Which muscles are activated to maintain posterior pelvic tilt A. Lower abdominals B. QL C. Quads D. Hip flexors - Correct Answer-A. Lower abs Which muscle is not emphasized in early rehab of shoulder impingement syndrome d/t its upward force on the humerus A. Supraspinatus B. Infraspinatus C. Deltoid D. Serratus ant - Correct Answer-A. Supraspinatus Which of these muscles is most important in the management of degernative osteoarthritis A. Gamellus B. Hamstrings C. Glute max D. Quads - Correct Answer-C. Glute max During the acute phase of shoulder impingement, what type of exercises are indicated A. Isometric B. Isotonic C. Plyometric D. Variable resistance - Correct Answer-A. Isometric Which of these is the most appropriate rehab of diastasis recti A. Anchored full sit ups B. Modified squats C. Bilateral straight leg raises D. Head lift w/pelvic tilt - Correct Answer-D. Head lift w/pelvic tilt

40 yo man w/lat elbow pain; 4/10 while playing tennis & using screw driver. What passive modalities are most appropriate during the initial tx. (Choose 3) A. Cryotherapy B. High voltage pulsed stim C. Interferential current D. MWD E. Hydrocollator packs F. Continuous US G. IR lamp H. UV lamp - Correct Answer-A. Cryotherapy B. High voltage pulsed stim C. Interferential current 40 yo man w/lat elbow pain; 4/10 while playing tennis & using screw driver. Which of these are the most appropriate recs during the acute phase A. Stretching wrist into flexion B. Stretching wrist into extension C. Eliminating pronation - supination activities D. Eliminiating supination - pronation activities E. Using cock-up splint F. Using counter-force brace during rest G. Beginning plyometric exercises H. Using a sling for two weeks - Correct Answer-A. Stretching the wrist into flexion F. Using counter-force brace during rest H. Using a sling for two weeks 40 yo man w/lat elbow pain; 4/10 while playing tennis & using screw driver. Following resolution of the symptoms, which of these activities are most likely to benefit this patient A. Wrist curls w/palms down B. Wrist curls w/palms up C. Push up w/plus D. Splint elbow in max flex E. Biceps curls w/supination F. High-velocity exercises G. Codman exercises H. Resisted seated rowing - Correct Answer-A. Wrist curls w/palms down C. Push up w/plus E. Biceps curls w/supination Knee extension against resistance on a seated pulley machine is an example of what type of exercise A. Isometric B. Isokinetic C. Closed-chain kinetic D. Open-chain kinetic - Correct Answer-D. Open-chain kinetic

Which of these is not an appropriate exercise for lumbar facet syndrome A. Ab curls B. Knees to chest C. Ball superman D. Supine planks - Correct Answer-C. Ball superman Which of these is an absolute contraindication to cervical traction A. Chronic myofascitis B. Vertebral artery syndrome C. Acute muscle spasm D. Ankylosing spondylitis - Correct Answer-B. Vertebral artery syndrome What modality can produce therapeutic thermal, chemical & mechanical actions A. MWD B. Galvanism C. US D. Fluidotherapy - Correct Answer-C. US Which of these is safe to use over a joint w/a metallic implant A. High voltage therapy B. Continuous US C. MWD D. SWD - Correct Answer-A. High-voltage therapy Denervated muscle is most effectively stimulated by which of these currents A. Square wave alternating B. Low-voltage direct C. Indirect biphasic pulsed D. Interferential - Correct Answer-B. Low-voltage direct Which exercise should be avoided during rehab of the supraspinatus in order to prevent impingement of suprahumeral tissues A. Full can B. Empty can C. Ball squeezing D. Forward punching - Correct Answer-B. Empty can Treatment of carpal tunnel syndrome should include which of these A. Resisted wrist extension B. Military press C. Median nerve glides D. Pendulum exercises - Correct Answer-C. Median nerve glides Which of these is most appropriate for stretching the iliopsoas & rectus femoris A. Forward lunge

B. Sitting toe touch C. Knee to chest D. Post pelvic tilt - Correct Answer-A. Forward lunge