2013 Flashcards
1
Q
The presence of nascent potentials in EMG exam shows the following process of:
a. Reinnervation
b. Poor prognosis
c. Good prognosis
d. Total denervation
e. Partial denervation
A
A
2
Q
The following is the characteristic of a MUAP
a. Irregular in nature
b. The shape is always triphasic
c. Appears under voluntary control
d. Is an electrical activity coming from a muscle fiber
e. Appears when a needle electrode is coming into muscle
A
C
3
Q
The term is used to designate a mild degree of neuro insults in blockage of impulse conduction across the affected segment
a. Neuropraxia
b. Neurotmesis
c. Axonotmesis neuropraxia
d. Tyoe 2 sunderland’s classification
e. Focal conduction block (lindberg)
A
A
4
Q
Plantar fasciitis is caused by which of the following?
a. Chronic traction on the plantar aponeurosis
b. Chronic inflammation of the flexor tendons
c. Chronic traction of the flexor tendons
d. Acute plantar flexion
e. Acute dorsiflexion
A
A
5
Q
The boutenierre deformity in a Rheumatoid hand is typically located in the following joint
a. PIPs
b. MCPs
c. Radiocarpal
d. Ulnarcarpal
e. Carpometacarpals
A
A
6
Q
Problems arising from OA of the knee are all the following, except
a. There is continuous process of joint cartilage destruction
b. The knee is the most active joint in human life
c. There is always concomitant osteoporosis
d. There is malalignment of the knee joint
e. Pain is the most important symptom
A
C
7
Q
The following is NOT the typical musculoskeletal and systemic manifestations of SLE
a. Arthralgias
b. Ligamentous laxity
c. Muscle pain and weakness
d. Osteoarthritis with joint deformities
e. Psychological and neurologic disorder
A
D
8
Q
An adolescent disorder of the vertebral endplates and apophysis is called
a. Spondylosis
b. Thoracic lordosis
c. Facet syndromes
d. Spondylolisthesis
e. Schuermann’s disease
A
E
9
Q
Adapted feeding utensils used by people with stroke is
a. Rocker knife
b. Button hooks
c. Standard walker
d. Stand up mirror
e. Long handled sponge
A
A
10
Q
Therapeutic exc in CP uses a series of set patterns repeated many times during the day, attempting to train cerebral dominance and normalization of function is
a. Doman and delacate
b. Bobath
c. Deaver
d. Phelps
e. Voyta
A
A
11
Q
Which type of massage “kneads” tissue by lifting, rollling, or pressing intermittently?
a. Friction
b. Vibration
c. Petrissage
d. Effleurage
e. Tapotement
A
C
12
Q
Reproduction of radicular symptoms w/ cervical spine extension, rotation and lateral flexion of the seated patient is
a. Compression test
b. Sitting roof test
c. Spurling’s test
d. Bowstring test
e. Slump test
A
C
13
Q
Test w/ full flexion of thumb into palm followed by ulnar deviation of wrist will produce pain is to diagnose de Quervain’s tenosynotis is called
a. Prayer test
b. Tinel test
c. Phallen test
d. Froment’s test
e. Finkelstein’s test
A
E
14
Q
Provocative test for acromioclavicular joint impingement is
a. Cross-chest test
b. Relocation test
c. Apprehension test
d. Anterior drawer test
e. Anterior load and shift test
A
A
15
Q
A 40 yo man, had motorcycle accident 3 months ago. On phys exam, a normal sensation was found at the area of medial malleoli R and L. The MMT grades were found on the LE: illiopsoas normal, quads fair, tib anterior poor, ext hall longus trace and gastroc 0. The sensory level inthis cases would be a. T12 b. L1 c. L2 d. L3 e. L4
A
E
16
Q
A 40 yo man, had motorcycle accident 3 months ago. On phys exam, a normal sensation was found at the area of medial malleoli R and L. The MMT grades were found on the LE: illiopsoas normal, quads fair, tib anterior poor, ext hall longus trace and gastroc 0.
The classification according to ASIA impairment scale is
a. A
b. B
c. C
d. D
e. E
A
C
17
Q
A patient is always complaining of difficulty in climbing stairs. This is most probably caused by weakness of
a. Pyriformis
b. Hamstring
c. Glut medius
d. Glut maximux
e. Quads femoris
A
E
18
Q
the following joint is NOT categorized as TRUE JOINT
a. scapulo-thoracic joint
b. calcaneo-cuboid joint
c. gleno-humeral joint
d. humero-ulnar joint
e. atlanto-axial joint
A
A
19
Q
which of the following muscle is the lateral rotator of the hip joint?
a. tensor fascia latae
b. gluteus minimus
c. gluteus medius
d. psoas major
e. piriformis
A
E
20
Q
the patient lies supine with the examiner holding the knee in 15 deg of flexion. the femur is stabilized w/ one hand while pressure is applied to the posterior aspect of the proximal tibia in an attempt to translate it anteriorly. A positive test occurs when excessive anterior translation of tibia occurs w/ a soft endpoint. this test named?
a. lachman test
b. McMurray test
c. posterior drawer test
d. patellofemoral grind test
e. valgus and varus stress test
A
A
21
Q
when the adolescent patient’s with pain at the tibial tuberosity that is exacerbated with activities and direct contact. the radiographic is irregularly and fragmentation of the tibial tuberosity. the diagnosis is
a. tibial stress fracture
b. compartment syndrome
c. osgood-schlater disease
d. medial tibial stress syndrome
e. sinding-larsen-johanssen disease
A
C
22
Q
the most commonly employed diagnostic maneuvers for TOS are all the following, except:
a. three minutes arm elevation
b. shoulder depression test
c. hyperabduction test
d. yergason test
e. adson test
A
A, D
23
Q
the most important substance/structure to hold water inside the joint cartilage is
a. collagen
b. fibroblast
c. fibronectin
d. hyaluronate
e. proteoglycan
A
E
24
Q
the following is hip abductor muscle, EXCEPT
a. gluteus minimus
b. tensor fascia latae
c. gluteus medius
d. psoas minor
e. sartorius
A
D
25
the following is TRUE during gait cycle
a. about 60% of normal gait cycle is spent in swing phase
b. as the speed of gait increases, the periof of double support increased
c. the LE tends to rotate externally thru the swing phase
d. in the middle of stance phase and at push-off, the entire LE begins to rotate externally
e. as the external rotation in the LE occurs, a degree of increased instability of the medial aspect of the hip, knee and ankle
D
26
the following is TRUE about femoral neck
a. the normal angle of inclination of the femoral neck to the shaft in the frontal plane is 140 deg
b. the normal angle of inclination of the femoral neck to the shaft in the frontal plane is 100 deg
c. the normal angle of inclination of the femoral neck to the shaft in the frontal plane is 125 deg
d. it is called coxa valga if the angle 150 deg
e. it is called coxa vara if the angle 90 deg
C
27
a 45 yo man with multiple sclerosis (MS) comes to neurology clinic complaining of urinary incontinence. he indicates that he experiences increased urgency and frequency of urination. the most likely urodynamic finding in this patient is
a. spastic bladder
b. an atonic bladder
c. stress incontinence
d. overflow incontinence
e. absence of abnormalities
A
28
a 35 yo woman presents symptoms in a few days of progressive ascending muscle weakness. She had a viral infection a few weeks earlier. On exam, you find diffuse weakness and areflexia. The most llikely finding in the CSF is:
a. high prot-high cell count
b. high prot-low cell count
c. low prot-high cell count
d. low prot-low cell count
e. normal CSF
B --> specific for GBS
29
a patient complaints of difficulty chewing. On exam, he is found to have decreased strength of his muscles of mastication. Which of the following cranial nerves is responsible for this motor function?
a. Facial
b. Trigeminal
c. Oculomotor
d. Hypoglossal
e. Glossopharyngeal
B
30
Homonymus hemianopsia indicates a
a. Retinal bleeding
b. Chiasmal lesion
c. Prechiasmal lesion
d. Postchiasmal lesion of the opposite side
e. Lesion of an optic tract on the same side
D
31
You are asked to evaluate a 33 yo construction worker who is complaining of paresthesias in the 1st & 2nd digits of his right hand. Your PE shows no weakness but a mild decrease in light touch over the thumb. You request a nerve conduction study to rule out CTS and it turns out to be normal. On repeated history, the patient indicates that on occasion, he gets a sharp ‘electric’ pain travelling from his neck to his right hand. What are you missing?
a. A neuromuscular junction disorder affecting distal hand muscles
b. A median neuropathy at the wrist
c. A lower trunk brachial plexopathy
d. A C8-T1 radiculopathy
e. A C6-7 radiculopathy
E
32
The minimum current amplitude, with a long pulse duration, required to produce an action potential is
a. Rheobase
b. Chronaxie
c. Propagation
d. Depolarization
e. Relative refractory period
A
33
Which is NOT property of LASER?
a. Coherence
b. Divergence
c. Collination
d. Monochromaticity
e. Minimal divergence of photon
B
34
In what condition would thermotherapy be indicated?
a. Acute musculoskeletal injury
b. Impaired circulation
c. Chronic tendinitis
d. Skin anesthesia
e. Septic arthritis
C
35
The following statement is wrong regarding the physiologic effects of spinal traction
a. Reduction of pain
b. Reduction of compression
c. Reduction of muscle spasm
d. Prevention and loosening of adhesion within nerve root and adjecent vertebral body
e. Prevention and loosening of adhesion within nerve root and adjecent capsul structures
D
36
All the following are the thermal effects of USD, except
a. Increased peripheral arterial blood flow
b. Increased permeability of membrane
c. Increase of tendon extensibility
d. Increase in tissue metabolism
e. Increase the pain threshold
all above is true
37
A stroke patient shows signs of weakness and sensory deficits esp. In right LE, while right UE shows minimal disturbance. There are also slight mental disturbance and aphasia. This condition most probably affects the following artery
a. Post inf cerebellar a.
b. Sup cerebelar a.
c. Pot cerebelar a.
d. Ant cerebral a.
e. Middle cerebral a.
D
38
All this conditions may lead a bell’s palsy patient has poor prognosis, except
a. Severe inner ear pain
b. Hyperlacrimation
c. DM
d. HT
e. Pregnancy
B
39
To reduce the incidence of infection in indwelling catheter in SCI patient. The following is the best
a. Flush the bladder w/ water everyday
b. Flush the bladder w/ saline everyday
c. Consume 1000mg VitC everyday
d. Drink water 2-2.5 liters everyday
e. Clamp the catheter every 4 hours
D
40
The patient may complain of weakness in abduction (supraspinatus) and ext rotation (infraspinatus) of the glenohumeral joint is a clinical presentation of
a. Musculocutaneous neuropathy
b. Long thoracic neuropathy
c. Suprascapular neuropathy
d. Axiallary neuropathy
e. Radial neuropathy
C
41
Shoulder pain are common after stroke episodes that bad to hemiparesis
a. Is usually due to frozen shoulder
b. Is usually due to thalamic syndrome
c. Is usually due to reflex sympathetic dystrophy
d. Is usually due to subluxation of the shoulder joint
e. Requires injection w/ steroid for effective management
D
42
All the following are the purpose of prescribing an orthoses, except
a. To replace exc therapy
b. To correct deformity
c. To immobilize joint
d. To restore function
e. To reduce pain
A
43
in a hemiplegic, the function of a posterior stop in a double upright AFO w/ dual action adjustable ankle joint and extended steel shank is to
a. Improve knee stability at heel strike when the posterior stoop is set in 5 deg of dorsiflexion
b. Couse the GFR line to fall posterior to the knee joint in mid stance
c. Assist in control of moderate to severe plantar flexor spasticity
d. Improve medial and lateral stability at the ankle
e. Assist weak plantar flexors
C
44
A lumbrical bar on the wrist-hand-orthoses
a. Is primarily used in radial nerve injuries
b. Is used to replace the absent of MCP flexion
c. Is used with a tenodesis flexor hinge orthoses
d. Prevents MCP hyperextension w/ finger extension
e. Is positioned on the volar aspect of the proximal phalanges
D
45
Disorders of skilled movement int he absence of motor senory or cognitive impairment in stroke are called
a. Aprosody
b. Agraphia
c. Anomia
d. Apraxia
e. Alexia
D
46
A male 50 yo have a linical features of lumbars, buttocks, perianal discomfort, and lower limb weakness. Bowel and bladder abN, sexual dysfunction, saddle anesthesia including the back of the legs, buttocks, and soles of the feet. The diagnosis is
a. Cauda equina syndrome
b. Spondylolysthesis L5-S1
c. Pyriformis syndrome
d. Spondylolysis
e. Myelopathy
A
47
Which of the following is true
a. A bilateral lesion at C1 will result in cessation of breathing
b. A complete transection of spinal cord at C2 never results in urinary retention
c. A complete transection of spinal cord at S2-S4 never results in urinary retention
d. Large lesion of the cauda equina will result in spastic bladder both acutely and chronically
e. A complete lesion of the spinal cord at C2 results in a spastic bladder immediately after the injury
A
48
A central cord syndrome is characterized by
a. Hyperflexion injury
b. Pain below the level of injury
c. Loss of posterior column function
d. Disproportionately greater motor impairment of UE than LE w/ sacral sparing
e. Disproportionately greater motor impairment of LE than UE w/o sacral sparing
D
49
The knee orthoses is used to control minor to moderate genu recurvatum is
a. The generation II knee orthoses
b. OA knee orthoses
c. Reciprocating gait orthoses
d. Swedish knee cage
e. HKAFO
D
50
A leprosy patient shows severe bilateral claw hand. However, all the hand and finger joint have good ROM and all the extrinsic muscles of the hand have normal strenth. He refused a reconstructive surgery. The best orthotic device to maximize hand function
a. Knuckle-bender splint
b. Resting hand splint
c. Posterior splint
d. Cock-up splint
e. Thumb splint
A
51
The following terminal device of an UE prosthesis has the best function
a. Cosmetic hand w/ movable thumb
b. Myoelectric hand
c. Cosmetic glove
d. Dorrance hook
e. Cosmetic hand
D
52
A 2 mo infant presents to you for evaluation of delayed development. He was the product of a normal term pregnancy, labor, and delivery. Birth weight was 3500g. He has difficulty feeding since birth. Family history is (-) for developmental problems. On PE, he is awake, but not alert. Weight is 3600 g. Respiration is unlabored. He has poor head control and decreased tone throughout. Deep tendon reflexes are absent. What is the most likely diagnosis?
a. Kugelberg welander syndrome
b. Duchenne muscular dystrophy
c. Werding-hoffman disease
d. Tetraplegic CP
e. Infantile botulism
C
53
Patient w/ athetoid CP are likely to have what impairment?
a. Disuse atrophy
b. Mental retardation
c. Communication disorder
d. Secondary degenerative disease
e. More hearing deficits than patients w/ spastic diplegic CP
C
54
Phys exam findings that are consistent w/ hypotonia in a term infant include all the following except
a. Atrophy
b. Weak suck
c. Frog leg postion of the legs
d. Decreased spontaneous movement
e. Head lag when pulled to sitting position
A
55
Pediatric limb deficiencis w/ missing hand and foot is called
a. Amelia
b. Adactily
c. Acheiria
d. Aphalangia
e. Phocomelia
C
56
Typical gait abN of spastic diplegic CP is
a. Hip hiking
b. Scissoring gait
c. Hip circumduction
d. Supinated foot in stance phase
e. Weak hip flexion and ankle dorsoflexion
B
57
This reflex is best elicited by a sudden dropping of the baby’s head in relation to its trunk
a. Vertical suspension
b. Righting reflex
c. Extensor thrust
d. Landau reflex
e. Moro reflex
E
58
This statement is WRONG in specific therapeutic exc for scoliosis
a. Donen in and out of brace
b. Stretching exc of the convex side
c. EDLF exc is done in the kneeling position
d. Muscle strengthening exc of the convex side
e. Abdominal muscle strengthening exc is included
B
59
Goal for children w/ developing language in sytax are is increase
a. Production of closed syllables
b. Consonant repertoire
c. Sentence length
d. Vocab size
e. Inteligibility
C
60
Therapeutic approaches to the upper limb in stroke which proposed a technique that incorporates cutaneous stimuli to facilitate movement is
a. PNF
b. Brunsstrom
c. Rood method
d. Phelps method
e. Bobath method
C
61
The PNF is a neurophysiologic therapeutic approach for CP developep by
a. Fay
b. Rood
c. Bobath
d. Brunstromm
e. Kabat and knott
E
62
Arnold chiari malformation is associated finding on
a. Spina bifida occulta
b. Myelomeningocele
c. Syringomyelia
d. Meningocele
e. Myelocele
B
63
You are called to see your 3 yo inpatient with a C5 ASIA A SCI. She has a headache and complains of not feeling well. Vital signs are pulse 60, respiration 20, BP 120/80, weight 15 kg. Phys exam is unchanged from previously. You order:
a. Administer acetaminophen (tyenol) orally
b. Obtain CT of head
c. Place the patient int he supine position
d. Empty the bladder
e. All of the above
D
64
Congenital dislocation of the hip in older infant does NOT have clinical signs at dislocation side with maneuver
a. Galeazzi
b. Thomas
c. Ortolani
d. Barlow
e. Allis
B
65
The most common type of CP is
a. Spastic dyplegic
b. Spastic triplegic
c. Spastic tetraplegia
d. Spastic hemiplegia
e. Spastic monoplegia
A
66
One of the most catastrophic injuries in all of sports medicine is
a. Muscle cramps
b. Rotator cuff tears
c. Sudden cardiac arrest
d. Exc associated collapse
e. Cervical SCI
E
67
A softball player suffered from shoulder pain on the right side. The pain increased when he made repetitive rotation on his right shoulder. No radiating pain, no tingling sensation. Shoulder ROM within normal limit. Neer and Hawkin-Kennedy tests were positive. Drop arm, yergason’s and apprehension test were negative. What is possible diagnosis?
a. Rotator cuff impingement syndrome
b. Shoulder subluxation
c. Supraspinatus tear
d. Bicipital tendinitis
e. Frozen shoulder
A
68
Ankle sprains are ubiquitous in sports and are the most common athletic injury. The most commonly injury for this disorder is
a. The calcaneotibia lig
b. Calcaneo fibular lig
c. Ant. Talofibular lig
d. Post. Talofibular lig
e. Strong medial deltoid lig
C
69
Which one of the following is TRUE about inhalation therapy for airway clearance
a. Nebulizer therapy will be giving a better result in airway clearance when administered in a crying child
b. Inhalation therapy delivers medication effectively throughout the whole respiratory tract
c. Endurance exc with internal training
d. Anaerobic exc and strength training
e. Circuit weight training
C
70
The following is the moderate risk stratification criteria for cardiac patient
a. Angina in recovery
b. Absence of clinical depression
c. Functional capacity around > 7 METs
d. Complex ventricular arrhythmias at rest
e. abN hemodynamic with exc
A
71
the proper emg response for a patient who has experienced a cardiac arrest, but who is not breathing and has a palpable pulse, includes
a. placing the patient in the recovery position with the head side to prevent airways obstruction
b. continuing the ext test to determine why the patient had this response
c. placing the patient in a comfortable seated position
d. placing the patient in a side lying position
e. placing the patient in a head-up position
A
72
absolute indication for terminating exc stress testing is
a. drop in systolic BP of > 10 mmHg from baseline
b. supraventricular tachycardia
c. fatigue, shortness of breath
d. moderate to severe angina
e. hypertensive response
D
73
the main goal of exc program for the geriatric patient is to
a. reduce falls
b. increase agility
c. reduce depression
d. increase flexibility
e. increase endurance
A
74
which statement regarding the proven effects of tai chi in persons w/ osteoporosis is TRUE? It helps ...
a. retard bone loss in both trabecular and cortical weight bearing bones
b. to increase muscle strength but has no effect on retarding bone loss
c. to increase balance but has no effect on retarding bone loss
d. retard bone loss only in trabecular bone
e. retard bone loss only in cortical bone
A
75
the most common causes of dementia in the elderly is
a. untreated or undertreated pain
b. poor functional status
c. alzheimer disease
d. immobilization
e. hydrocephalus
C
76
during exc, there is an increase in a person’s
a. stroke volume
b. diastolic pressure
c. venous compliance
d. total peripheral resistance
e. pulmonary arterial resistance
A
77
the major goal of phase I cardiac rehab is to
a. stimulate the development of coronary collaterals
b. increased the strength of upper and lower limbs
c. evaluate the myocardial exc tolerance
d. prevent deconditioning
e. prevent heart attack
D
78
woman, 24 yo consulted from ward surgery w/ diagnosis post ASD closure 1st day, rehab prorgam when she awake is
a. do sitting, deep breathing, effective coughing w/ monitoring vital signs
b. gradual sitting w/ support, breathing exc, effective coughing w/ monitoring vital sign
c. active sitting, breathing exc, effective coughing, ankle pumping, ROM w/ monitoring vital sign
d. active sitting, breathing exc, effective coughing, active ROM, chest PT when indicated
e. gradual sitting, breathing exc, effective coughing, active ROM, ankle pumping exc, chest PT when indicated
E
79
man 60 yo, came to ER with shortness of breath since 2 days before. He was a heavy smoker for 20 years and has been stopped 10 years ago because of short of breath aand recurrerently hospitalized 2 years recently. History of past illness: no diabetic, no heart disease. After acute state was overcome, he was referred to pulmonary ward and consulted to rehabilitation department. What the proper program for this patient?
a. Breathing control and relaxation
b. Relaxation technique, gradual mobilization
c. Breathing control, relaxation technique, gradual mobilization
d. Breathing control, Pursed lip breathing, progress to diaphragmatic breathing, chest physical therapy
e. Breathing control, PLB, progress to diaphragmatic breathing, chest PT, gradual mobilization
E
80
Ventricular tachycardia is marked by
a. 1 pvc on every other beat repeatedly
b. 2 pvc on every other beat repeatedly
c. 2 pvc in a row
d. 3 pvc in a row w/o any normal beats
e. The rate about 150-500 beats/minute and the absence of a distinct QRS complex
D
81
the most commonly injured knee lig in sport is
a. Medial collateral lig
b. Ant. Cruciate lig
c. Post cruciate lig
d. Lat collateral lig
e. Patellofemoral lig
A
82
turf toe is a metatarsophalangeal sprain occurs with hyperextension injuries of the great toe. Which sports that generally occurs?
a. table tennis
b. basketball
c. gymnastics
d. jumping
e. soccer
E
83
medical emergency of exc-associated collapse in atheletic is
a. benign exc associated collapse
b. heat exhaustion
c. muscle cramps
d. hypoglicemia
e. hypothermia
D
84
common injuries in the deceleration phase of pitching is
a. bicipital tears
b. anterior instability
c. posterior instability
d. internal impingement
e. anterior surface rotator cuff tears
C
85
non contact ACL injuries of the knee more frequently with the knee in
a. full flexion
b. less flexion
c. full extension
d. less extension
e. less hip external rotation
B
86
pain around medial aspect of knee joint is very often caused by inflammation of pes anserinus. This is a conjoint tendon of the following muscle
a. semimembranosus-semitendinosus –sartorius
b. semitendinosus-semimembranosus-gracilis
c. sartorius-gracilis-semimembranosus
d. semitendinosus-sartorius-gracilis
e. gracilis-sartorius-bicep femoris
D
87
ambulatory assistive device for the elderly if there are limitations with grip strength or painful joints in the hand is
a. cane
b. walker
c. crutches
d. wheelchair
e. forearm crutches
E
88
the following factor decreased risk factor for osteoporosis is
a. advanced age
b. thin habitus
c. smoking
d. obesity
e. female
D
89
a 80 yo man presents to your office with axial back pain that worse with standing and walking. At times he also experiences pain radiating from the lumbar spine into the legs when walking. What the most likely diagnosis?
a. Sacroilitis
b. Ischias syndrome
c. Piriformis syndrome
d. Spondylosis lumbalis
e. Lumbal canalis stenosis
E
90
What is the equivalent to 8.75 ml/kg/min? ... METs
a. 1
b. 1.5
c. 2
d. 2.5
e. 3
D
91
Non pharmacologic management of exc induced bronchospasm is
a. Decreasing physical condition
b. Exc for at least 2 hours following a meal
c. During cold weather don’t cover the mouth and throat
d. Warm up period for at least 10 minutes prior to exc
e. Exc shouldn’t be performed in a humidified environment
D
92
detrusor overactivity from damage to upper motor neuron impaired function and cognition is effect of continence in
a. Stroke
b. Delirium
c. Dementia
d. Multiple sclerosis
e. Parkinson’s disease
C
93
the following is NOT the problem associated with rehab of the elderly
a. Loses approximately 20 % of muscle mass by age 65
b. Increased the level of hydration of connective tissue
c. Increased collagen cross-linkages
d. Peripheral loss of sensation
e. Urinary incontinence
B
94
the following is the change in special senses with aging, except
a. lens protein fibers undergo oxidative damage
b. loss of higher frequently sounds
c. loss of salt perception
d. visual cortical changes
e. hyperosmia
E
95
this statement is true about exc prescription in elderly
a. at least 60 minutes of low intensity in all days of the weeks
b. at least 30 minutes of high intensity in all days of the weeks
c. at least 60 minutes of moderate intensity in all days of the weeks
d. at least 30 minutes of moderate intensity in all days of the weeks
e. substituting low intensity with moderate intensity exc in all days of the week
D
96
in neuropraxia, the following can be detected during the EMG?NCV studies
a. fibrilation potentials
b. positive sharp waves
c. fasciculations waves
d. all the NCV studies are ‘no response’
e. conduction block at certain level of nerve
E
97
the most common clinical application of the H-reflex is to test
a. polyneuropathy
b. S1 radiculopathy
c. Cervical radiculopathy
d. GBS
e. CTS
B
98
EMG is the recording and study of the electrical activity of muscle. The 1st procedure typically performed during an EMG evaluation is the study of
a. Insertional activity
b. Spontaneous activity
c. NCV
d. Voluntary activity-minimal contraction
e. Voluntary activity-maximal contraction
A
99
The advantage of SACH foot
1. Very simple
2. Quite cheap
3. Easy maintenance
4. Good ankle movements
A
100
The advantage of IPOP
1. Improved healing time
2. Protection of the surgical site
3. Reduction of contracture development
4. Control and shaping of the residual limb
E
101
The contraindication to the use of an IPOP include
1. Excessive postoperative edema
2. History of slow healing
3. Extreme obesity
4. Diabetic patients
A
102
About RA
1. Is an auto immune disease
2. Erotion of cartilages
3. Chronic synovities
4. Erotion of bones
E
103
The following are the other name of frozen shoulder
1. Duplay disease
2. Tendinitis long rotator
3. Periarthritis adhesive
4. Adhesive bursitis scapulohumeral
B
104
In the case of low back pain, when we suspect Paget’s disease, the laboratory test that must be order to conform the diagnosis is/are
1. CPK
2. Amilase
3. Rheumatoid factor
4. Alkalline phosphatase
D
105
The following muscle are the primary movers at scapulothoracic interface
1. Subscapularis
2. Latissimus dorsi
3. Infraspinatus
4. Seratus anterior
C
106
The following statement are TRUE about physical modality
1. Iontophoresis uses charged electrodes (+ or -) to drive medically active
2. TENS is applies small electrical signals to the body with superficial skin electrodes
3. In SWD, water and metal are excellent electrical conductors
4. MWD will produce catarract
E
107
The following are true
1. The mechanism of heat transfer of paraffin bath is conduction
2. The mechanism of heat transfer of whirlpool is convection
3. The mechanism of heat transfer of SWD is conversion
4. The mechanism of heat transfer of USD is radiation
A
108
The following is true about parafin bath
1. It is maintained at about 52 deg C
2. The indications is contractures particularly in the hands
3. Paraffin baths consists of 1:7 mixtures of mineral oils and paraffin
4. Three forms application of paraffin bath: dipping, immersion and uses a brush to paint paraffin onto portions of the body
E
109
The proprioceptive disturbance would be found in the following disease
1. Stroke
2. Tabes dorsalis
3. Brown-sequard syndrome
4. Funiculus anterior lesion
A
110
The functional outcome of complete L3 paraplegia are
1. Independent in bowel and bladder routines
2. Independent in wheelchair propulsion
3. Independent in pressure relief
4. Standing without orthoses
A
111
Important factors that influence walking ability after stroke include are
1. Balance
2. Weakness
3. Coordination
4. Cognitive function
E
112
About ankle mortis
1. Its motion is 20 deg dorsoflexion
2. The talus function as a hinge joint
3. Consist of tibia, fibula, and talus
4. Consist of talus and calcaneus
A
113
The two major ‘crutch walking’ muscles of the shoulders are
1. Teres minor
2. Latissimus dorsi
3. Pectoralis minor
4. Lower pectoralis major
C
114
The following is true about hip joint
1. Is a ball and socket joint
2. Hip flexion at least 120 deg
3. The use of a brace on the leg can alter the magnitude of the hip joint reaction force
4. The magnitude of the hip joint reaction force is influenced by the ratio of the abductor muscle force and gravitational force lever arm
E
115
The characteristic of CP are as follow
1. The underlying neurologic lesion must be static
2. The process which cause the CP is still active
3. The sign of CP is a disorder of movement and posture
4. It is caused by progressive injury which affects the mature brain
B
116
The characteristic spastic dyplegia of CP are as follows
1. 18 mo implied poor prognosis for ambulation
2. Children who did not sit by 4 yo have not achieved ambulation
3. Sitting by 2 yo was a good predictive sign of eventual ambulation
4. Children w/ diplegia have not adequate movement control of arm and hands
A
117
Cardinal clinical signs for SMA type I
1. Weak cry
2. Tremor of hands
3. Frog posture
4. Weakness of legs, predominantly proximal
B
118
General heading for each level of GMFCS for CP is
1. Level I: walks w/ limitation
2. Level II: walks w/o limitation
3. Level IV: transported in a manual wheelchair
4. Level III: walks using a hand held mobility device
D
119
Predictor for ambulation in spina bifida occulta are
1. Motor level
2. Sitting balance
3. Training in wheelchair use
4. Deformities of the spine
A
120
The following are developmental on primitive reflexes
1. Grasp reflexes
2. Rooting reflexes
3. Gross extension reflexes
4. ATNR
E
121
A 45 yo woman presents chronic pain in the region of achilles tendon. The tendon appears swollen. Appropriate initial management would include
1. Cortison injection of the gastrocnemius muscle
2. Cortison injection of the achilles tendon sheath
3. Immobilization in ankle plantar-flexed position w/ limited weight bearing
4. Use of a small heel lift w/ initiaion of gastroc-soleus stretches as tolerated
D
122
The rehab of a patient with AMP
1. Do not flex the hip more than 90 deg
2. Weight bearing can be done after 3 months
3. Weight bearing can be done immediately
4. Do not abduct the hip joint
B
123
What kind of exc can be done as early rehab approach in ICU setting?
1. Neuromuscular electrical stimulation
2. ADL training
3. Speech language therapy
4. Chest PT
E
124
Most common locations of DVT include the calf, thigh, arms and pelvis. The symptoms and signs are
1. Pain in the calf w/ walking
2. Pain in the calf or thigh
3. + homans sign
4. Swelling of the calf
E
125
The objectives of giving pursed-lips breathing are
1. Introduce the patient of how to control respiration
2. To decrease RR
3. To increase tidal vol
4. To increase oxygenation
E
126
These are the rehab program for leprosy
1. Oil massage
2. Active exc
3. Soaking the feet in water
4. Protection of the hands and feet
E
127
The mode of action of diazepam to reduce muscle spasticity are thru the following method
1. Stimulate P substance
2. Stimulate glutamate
3. Stimulate aspartate
4. Stimulate GABA
D
128
Rehab treatment for parkinson’s disease are
1. Gait evaluation should be done, including speed and distance
2. Assessment of fine motor tasks, such as writing
3. Coordination exc
4. Endurance exc
E
129
A recreational tennis player had right elbow pain since 3 weeks ago. The pain increased gradually especially after playing tennis and extending the wrist against resistance on dorsal aspect of the hand. What is the proper management for this patient?
1. Avoid wrist extension
2. Check and adjust the grip of racquet
3. Wrist extensor eccentric strengthening exc
4. USD on lateral epicondylus area
E
130
In sport activities, tendons are most vulnerable to injury when
1. Tension is applied quickly and sustained w/o adequate warm up
2. Tension is applied quickly and stopped rapidly
3. Tension is applied obliquely direction
4. Tension is applied as a tensile forces
B
131
The objectives in training muscles, tendons and joints after injury is to
1. Stretch the connective tissue of tendons and muscles to an optimal length
2. Increased the strength of muscle and tendon attachments
3. Improve coordination and proprioception
4. Regain good mobility of the joints
E
132
Pre-operative exercises for total hip replacement include
1. Progressive resistive exc for the triceps, latissimus dorsi and other crutch walking muscles
2. Foot-ankle exc to diminish venous stasis to prevent the occurence of thrombophlebitis
3. Breathing exercises, including instruction on proper cough technique and postural drainage
4. Isometric exc for quadriceps, gluteus medius and glut maximum
E
133
The prescription of exc for the patient w/ simple recurrent LBP should achieve at least following
1. Improve low back flexibility
2. Improve posture w/ minimize lumbar lordosis
3. Improved body mechanics in all activities and exc
4. Improved strength of abdominal and hip extensor muscle
E
134
This statement is the contraindication for prenatal exc
1. At risk for premature labor
2. Severe hypertensive disease
3. Poor obstetric history
4. No prenatal care
E
135
A 14 yo boy w/ hemophillia has had recurrent hemarthrosis of the knee in the past, but presently has full ROM and normal quadriceps muscle strength. His parents ask advice regarding appropriate athletic activities. You strongly support an active life style, but advise against
1. Biking
2. Competitive golf
3. Competitive swimming
4. Competitive basketball
D
136
During exc for pulmo rehab in COPD patient, the goal is to keep the SatO2 above what value?
1. 80 %
2. 85 %
3. 88%
4. 90 %
D
137
What is the purpose of a warm-up period?
1. Gradual reduction of cardiac work
2. Promotes continuous dissipation of heat
3. Prevent pooling of blood in the LE
4. Redistribution of blood from muscle to internal organs
E
138
The following below are the condition causing ventilatory impairment
1. SMA
2. Muscular dystrophy
3. Kyphoscoliosis
4. Poliomyelitis
E
139
The role of golgi tendon organs in voluntary motor activity is
1. Detects relative muscle tension
2. In parallel with the muscle fiber
3. Has dynamic and static responses
4. Increase in muscle length during passive movement
B
140
Electrodiagnostic technique which most useful for identifying myastenia gravis are
1. Needle EMG
2. Single fiber EMG
3. F-waves and H-reflexes
4. Repetitive nerve stimulation
C
141
The following statements are correct regarding the motor unit
1. Its electrical activity is called MUAP
2. The targeted system of EMG examination
3. The number of its muscle fibers depends on the function of the particular muscle
4. Consisting of one motor cell in the anterior horn of the medulla spinalis and all of its muscle fibers innervated
E
142
A strategy to enhance the stability of a wheelchari is
1. Lessening the seat depth
2. Elevating the seat height
3. Moving the rear axle forward
4. Tilting the wheel camber outward top to bottom
D
143
A 20 yo football player has repeated episodes of heat cramps during summer training sessions. A deficiency of what electrodes are responsible for heat cramps?
1. Magnesium
2. Potasium
3. Chloride
4. Sodium
D
144
Which of the following is true regarding pain in old person?
1. Pain can commonly be located to a single site
2. Elderly do not feel pain as much as younger people
3. Pain leads to less functional impairment in the elderly than in the young people
4. Approximatel one third of elderly have chronic joint pain and arthritis
D
145
The following are the indications for measurement fo bone density
1. Adult taking medications such as phenytoin
2. To monitor treatment effect on osteoporosis
3. Women discontinuing estrogen therapy
4. Women aged 65 and other
E
146
In prescribing pain treatment for elderly, the following are the proper approach?
1. Use high-dose, short-acting narcotics initially to get the pain control
2. Avoid use of acetaminophen, due to liver toxicity
3. Start w/ aspirin, which is safe and effective
4. Start low and go slow for all medications
D
147
The following statements are correct regarding the physiology of bladder
1. The external sphincter is under the control of somatic system S4-5
2. The emptying phase is under the control of parasympathetic system S2-4
3. The filling phase is under the control of sympathetic system Th11-L2
4. The function of the frontal lobe of the brain is to inhibit the sacred micturation center
E
148
Which physiologic factor in elderly exacerbate orthostatic hypotension?
1. Decrease in arterial stiffness
2. Decreased creatinin clearance
3. Decreased peripheral resistance
4. Decreased baroreceptor responses
D
