APK Enhancement 1

Question 1

1. If the supraspinatus, infraspinatus, and posterior deltoid are affected, what action is diminished if not totally absent?

a ER
b. IR
c. Abduction
d. Adduction

Answer 1

A or B?

Question 2

2. The largest pressure drop in the circulatory system, moving away from the heart, occurs along the

a arterioles
b. veins
C. veules
d. aorrta

Question 3

3. First thing to happen in neural synapse knob

a. Ca influx
b. Sa influx
c. Ach receptor binding
d. Ach reuptake

Question 4

4 True about posterior longitudinal ligament:

a. It is absent in lumbar region
b. It is narrowed in lumbar region
c. It is absent in thoracic region
d. It is narrowed in thoracic region

Question 5

5. An occupational therapist treats a patient with complete C5 spinal cord injury. The OT wants to focus on pressure relief management in the wheelchair. Which of the following will the OT prioritize first?

a. Practice sitting push ups every 15 minutes
b. Strengthen the triceps of the patient
c. Instruct the family to recline the wheelchair every 15 minutes.

Question 6

6. Pain

a. Enkephalin
b. Bradykinin
c. Glutamate
d. Substance p

Question 7

7. Inflammation

a. Enkephalin
b. Bradykinin
c. Histamine
d. Substance p

Question 8

8. Neurotransmitter for sweating in palms:

a Noradrenergic
b. Muscarinic
c. Cholinergic
d. Nicotinic

Question 9

9. What structure is PRIMARILY innervated or controlled by Sympathetic NS?

a. Heart
b. Skin
c. Skeletal muscles
d. Brain

Question 10

10. Exercise best to increase endurance

a. ride lawn mower
b. cleaning window

Question 11

11. Erb duchenne

a. C4-C5
b. C5-C6
C. C6-C7
d. C7-C8

Question 12

12. Side for precision

a. Radial side
b. Ulnar side
c. Palmar side
d. All of the above

Question 13

13. Side for Power grasp

a. Radial side
b. Ulnar side
c. Palmar side
d. All of the above

Question 14

14. Which joints are in closed kinematic chain during sitting push-ups?

a Wrist and ankle
b. Shoulder and pelvis
c. Elbow and knees
d. Trunk and knees

Question 15

15. Positive feature of an upper motor neuron syndrome

a. Spasticity
b. Spasms
c. Clonus
d. B and C
e. AOTA

Question 16

16. The pressure at the height of each pulse, which is about 120 mm Hg in young adults:

a Stroke volume output
b. Pulse pressure
c. Diastolic pressure
d. Systolic pressure

Question 17

17. Movement of joints except:

a. Spinning
b. Rolling
c. Gliding
d. Bending

Question 18

18. Loss of motor function to a muscle may result in:

a Flaccidity
b. Reflex Response Failure
c. All of these
d. Progressive Atrophy

Question 19

19. In voltage gating, when there is a strong negative charge on the inside of the cell membrane; the sodium gates remain tightly closed:

a. The first statement is true, the second statement is false
b. Both statements are false
c. Both statements are true
d. The second statements is true, the first statements is false

Question 20

20. Brain development begins with the differentiation of three vesicles at the rostral end of the neural tube:

a Telencephalon, diencephalon and mesencephalon
b. Mesencephalon, rhombencephalon and metencephalon
c. Prosencephalon, rhombencephalon and myelencephalon d. Prosencephalon, mesencephalon and rhombencephalon

Question 21

21. What structure is affected in Broca’s aphasia?

a Superior temporal gyrus
b. Third frontal convolution
c. A and B
d. NOTA

Question 22

22. Reflex response mediated by more than two neurons:

a. None of these
b. Both of these
c. Polysynaptic nerve response
d. Monosynaptic reflex response

Question 23

23. Passage pathway of pain and temperature?

a Corticospinal tract
b. Spinocerebellar tract
c. Rubrospinal tract
d. Spinothalamic tract
e. None of the above

Question 24

24. The line of fusion between the External Oblique is called:

a. Linea Alba
b. None of these
c. Inguinal Ligament of Poupart
d. Aponeurosis

Question 25

25. This ligament does NOT contribute to the stability of the hip joint: a. Ischiofemoral ligament b. Pubofemoral ligament c. Ligamentum teres d. Iliofemoral ligament

Question 26

26. What structure is affected in Wernicke's aphasia? a Superior temporal gyrus b. Third frontal convolution c. A and B d. NOTA

Question 27

27. Greatest force output: a. Eccentric slow b. Concentric fast c. Concentric slow d. Eccentric fast

Question 28

28. If there is a lesion in the posterior brainstem what action cannot be done? a. Both eyes looking toward nose b. Description of lateral rectus c. Eyelid elevation d. Sorry ma. Sorry pa

Question 29

29. If a 40 kilogram force is applied over an area of four square centimeters, the pressure (in kilograms per square centimeter) is equal to (related to the previous question) a. 20 b. 160 c.5 d. 80 e. 10

Question 30

30. How to assess adductor longus: a. Looking at the foot's sole in front b. Looking at the foot's sole at the back c. Ankle on the opposite thigh d. Di ko nanaman ma recall sir.

Question 31

31. If biceps and brachialis are absent, what muscles will compensate for elbow flexion a. Pronator teres b. ECRL c. Brachioradialis d. All of the above e. None of the these

Question 32

32. The most common presenting symptom of a brain tumor is: (CHB#173) a. Bowel/bladder abnormality b. Headache c. Weakness d. Paresthesias e. All of these

Question 33

33. The primary function of the posterior lobe of the cerebellum is: a. Maintenance of equilibrium b. coordination of skilled movement c. Regulation of muscle tone d. maintenance of posture

Question 34

34. Stimulation of the vagus nerve may be expected to result in: a. Decreased blood pressure and increased cardiac contractility b. Vasodilatation and bradycardia c. Vasodilatation and tachycardia d. Vasoconstriction and increased heart rate

Question 35

35. A patient is referred to therapy for functional gait difficulties. The patient is unable to take normal step and drags the left foot. Examination reveals muscle weakness with fasciculations in the left lower leg. The therapist should also examine for: a. Increased tone and hyperreflexia b. Decreased tone and hyporeflexia c. Muscle spasms and positive babinski d. Dyssynergia and timing deficits

Question 36

36. A patient presents with problems with swallowing. When the OT tests for phonation by having the patient say "Ah" with the mouth open, there is deviation of the uvula to the right. The therapist then tests for function of the gag reflex and notices decreased response to stimulation. These findings suggest involvement of the: a. Right Vagus nerve b. Hypoglossal Nerve c. Left vagus nerve d. Trigeminal Nerve

Question 37

37. A therapist suspects lower brainstem involvement in a patient with amyotrophic lateral sclerosis (ALS). Examination findings reveal motor impairments of the tongue with ipsilateral wasting and deviation to the right upon protrusion. Assuming a lower motor involvement, these findings confirm involvement of: a. CNIX b. CN XII on the L c. CN XII on the R d. CN X

Question 38

38. An elderly person has lost significant functional vision over the past 4 years and complains of blurred vision and difficulty reading. The patient frequently mistakes images directly in front of her, especially in bright light. When walking across a room, the patient is able to locate items in the environment using peripheral vision when items are located to both sides. Based on these findings, the therapist suspects: (818) a Glaucoma b. Cataract c. Homonymous Hemianopsia d. Bitemporal hemianopsia

Question 39

39. Systole loudest in: a. Pulmonary artery b. Right ventricle c. Renal Artery d. Left ventricle

Question 40

40. An elderly patient is being examined by the OT. The therapist notes a regularly bordered ulcer with shiny skin on the periwound area over the lateral malleolus. The patient also states that it is painful. The most likely diagnosis is: a. Arterial ulcer b. Venous ulcer c. Diabetic ulcer d. Venous insufficiency

Question 41

41. Gertsmann, except? a. Ataxia b. Agraphia c. Acalculia d. RL discrimination

Question 42

42. A retired patient is referred to a cardiac exercise group after a mild MI. From the intake questionnaire, the therapist learns the patient has type-1 insulin-dependent diabetes mellitus, controlled with twice daily insulin injections. In order to minimize the risk of a hypoglycemic event during exercise, the therapist should have the patient: a. Avoid exercise during periods of peak insulin activity b. Have the patient decrease carbohydrate intake for 2 hours before the exercise session c. Monitor blood glucose level carefully every week during the rehabilitation program d. Exercise daily for 40-50 minutes to achieve proper glucose control

Question 43

43. While treating a patient, you noticed she might have a thyroid disorder. Where will you refer? a. Endocrinologist b. Oncologist c. Medical doctor d. Physiatrist

Question 44

44. Speeds test resists in what motion: a. Flexion b. Extension c. IR d. ER

Question 45

45. A teen aged female distance runner presents a history of stress fracture and general leg pain. Her parents think it may be due to overtraining. Based on this subjective information, what should the therapist question the patient about next? a. Recent growth spurts b. Participation in other sports c. Menses and eating habits d. Type of running shoe

Question 46

46. The patient with left hemiplegia would least likely to respond in therapy if the motor learning strategies emphasized: a. Maximum use of verbal cues b. Maximum use of demonstration and gesture c. Simplification or restructuring of the environment d. Encouraging the patient to slow down e. NOTA

Question 47

47. Accommodation Reflex a. II b. III c. II, III d. IV e. NOTA

Question 48

48. Accommodates the lens b. III c. II, III d. IV e. NOTA

Question 49

49. The following values are increased in patients with COPD except? a. RV b. FRC c. FEV d. TLC

Question 50

50. What kind of muscle fiber does deltoid have? a Fusiform b. Spiral c. Pennate d. Quadrate

Question 51

51. Not included in the posterior compartment of the thigh/hamstrings: a. Popliteus b. Semitendinosus Semimembranosus d. Biceps femoris

Question 52

52. Pectineus is located in what compartment of the thigh: a Posterior b. Medial c. Anterior d. Lateral

Question 53

53. Isometric contraction when going downstairs: a Quadriceps b. Hamstrings c. Gluteal muscles ata d. Di ko maalala

Question 54

54. Closes to protect the lower respiratory airway during swallowing: a. Vocal folds b. Larynx c. Glottis d. Epiglottis

Question 55

55. Joint the thumb that equates to the PIP joint of the 2nd-5th fingers: a. CMC b. IP C. MCP d. Radiocarpal

Question 56

56. A weight lifter exhibits marked hypertrophy after embarking on a strength training regime. Hypertrophy can be expected to occur following: a 1 month b. 3 months c. 2 months d. 4 months

Question 57

57. If the patient has lateral epicondylitis, where is the pain usually felt? a. Proximal to lateral epicondyle b. Distal to lateral epicondyle c. Referred pain to distal to the forearms d. Extensor tendon

Question 58

58. The treatment protocol for golfer's elbow/medial epicondylitis except: a. Encourage to use larger and looser grip b. Encourage to strike the ground less forcefully c. Encourage to improve trunk rotation d. NOTA

Question 59

59. Measurements of central tendency except: a. mean b. median c. mode d. variable

Question 60

60. If yergasons test is negative in 99% of the population without torn THL, then yergasons test is highly: a Sensitive b. Specific

Question 61

61. Which of the following is a negative feature of an upper motor neuron syndrome: a Paresis b. Paralysis c. Fatigue d. AOTA

Question 62

62. An individual suspected of having a work-related de Quervain's condition is referred for an evaluation. The MOST appropriate provocative test for the OT to perform during the initial evaluation is: a Phalen's b. Grind c. Cozens d. Finklestein's

Question 63

63. Connection of the Broca's area to Wernicke's area: a Arcuate fasciculus b. internal longitudinal fasciculus c. association fibers

Question 64

64. Not included in COG: a. Arm b. Trunk c. Head d. Legs

Question 65

65. What are the cords of your median nerve? a. Lateral and posterior b. Lateral and medial c. Posterior only d. Posterior and medial

Question 66

66. In patients with adhesive capsulitis, what is the expected greatest limitation of motion when performing shoulder ROM? a Flexion b. Abduction c. Medial rotation d. Lateral rotation

Question 67

67. Site of impingement of costoclavicular syndrome: a. Between the clavicle and 1" rib b. Between the coracoid process and the pecs minor c. Between the scalenes d. None of the answers are correct

Question 68

68. This blood vessel does not originate from the aortic arch: a. Right common carotid artery b. Left subclavian artery c. Innominate artery d. Left common carotid artery

Question 69

69. Bradycardia is heart beats less than: a. 60 per minute b. 65 per minute c. 80 per minute d. 72 per minute

Question 70

70. Efferent fibers of the muscle spindle come from the: a. All of these b alpha motor neuron c. Gamma motor neuron d. extrafusal muscle

Question 71

71. The attachment of the deltoid ligaments are the following, EXCEPT: a. Tuberosity of navicular b. Lateral malleolus c. Medial tuberosity of talus d. Sustentaculum tall

Question 72

72. Type of nerve fiber that has the fastest conduction: a. Large myelinated axons b. small myelinated axons e. Small unmyelinated axon d. Large unmyelinated axon

Question 73

73. Not a part of the muscle spindle: a. Annulo-spiral ending b. Extrafusal fibers c. Intrafusal fibers d. flower spray ending

Question 74

74. The lung volume that is involved in gas exchange with the capillary blood at the end of a normal expiration is: a. Functional residual capacity b. vital capacity c. Tidal volume d expiratory reserve volume

Question 75

75. The automatic respiratory center is located in the a. Medulla b. Cerebrum c. Cerebellum d. Pons

Question 76

76. The swaying of the arms when walking occurs around this axis: a. Anteroposterior/ horizontal b. Sagittal c. Vertical d. frontal

Question 77

77. Synergist of finger flexors: a. Ulnar deviators b. wrist flexor c. Wrist extensors d. radial deviators

Question 78

78. The femur is approximately what portion of a person's height? a. 1/4 b. 1/6 c. 1/5 d. 1/3

Question 79

79. In lowering yourself to a chair from standing to sitting, the quadriceps are doing: a Isometric contraction b. positive work c. Eccentric contraction d. concentric contraction

Question 80

80. These vesicular organelles allow the cells to digest and thereby remove unwanted substances and structures, le bacteria: a. None of these b. Ribosomes c. Peroxisomes d. Lysosomes

Question 81

81. Inspiratory reserve volume plus tidal volume plus expiratory reserve volume: a. Vital capacity b. Inspiratory capacity c. Total lung capacity d. Functional residual capacity

Question 82

82. A terminal branch of the internal carotid artery: a. None of these b. Opthalmic artery e. Middle cerebral artery d. Lenticulostrate arteries

Question 83

83. The following statements are true of the right atrium, EXCEPT: a. It receives the venous blood returning from all parts of the body except the lungs b. The superior vena cava enters it vertically from above c. The inferior vena cava enters it vertically from below d. It receives blood from the lungs via the pulmonary veins

Question 84

84. The biggest volume that can be expired by a person is called: a. Total lung capacity b. vital capacity c. Tidal volume d. inspiratory capacity

Question 85

85. The axis for subtalar abduction and adduction is: a. Transverse b. oblique c. Longitudinal d. vertical

Question 86

86. Pronation-supination movement of the forearm brings about gliding motion in the following, EXCEPT: a. Ulnar-humeral articulation b. proximal radio-ulnar joint c.Distal radio-ulnar joint d. radio-humeral articulation

Question 87

87. The radial head is kept in place by the: a. Biceps insertion b. Radial collateral ligament c. Ulnar collateral ligament d. annular ligament

Question 88

88. The Chopart joint, a surgical level of amputation is formed by these articulating surfaces: a. Tarsometatarsal and transverse tarsal joint b. Talonavicular and calcaneocubed joints c. None of these d. Talocrural and Tarometatarsal

Question 89

89. This is the 10th cranial never, its postganglionic fibers innervate cardiac and smooth muscles: a. Accessory nerve b. Glossopharyngeal nerve c. Vestibulocochlear nerve d. Vagus nerve

Question 90

90. Following statements apply to venous pump, EXCEPT: a. Tightening of the muscles result to vein compression, squeezing the blood out of the veins b. Efficient enough to maintain less than 25 mmHg venous pressure in the feet of a walking adult c. If the subject stands motionless, venous pump does not work, and could increase lower extremity venous pressure to 90 mm Hg in about 30 seconds. d. Valves in veins allow bi-directional flow to and from the heart

Question 91

91. When applied, first class levers can be: a. Levers that work at a mechanical advantage b. Levers that operate at a mechanical disadvantage but one of speed c. All of these d. Levers of stability and speed

Question 92

92. The following statements are true of the terminal rotation of the knee, EXCEPT: a. Allows humans with an energy-efficient mechanism a mechanical stability to stand erect without quadriceps muscle contraction b. Terminal rotation is seen as internal rotation of the femur on the fixed tibia in a closed-chain motion c. In the last 20 degrees of knee extension, the tibia externally rotates about 20 degrees on the fixed femur d. It is mechanical event that occurs only in active knee extension and can voluntarily be prevented.

Question 93

93. If two forces are pulling from the same point: a. The resultant force reaches a maximum when the forces are on the same line and acting in opposite direction b. The resultant force is the sum of the two forces c. The resultant force is the diagonal of the parallelogram d. The resultant force increase as the angle between the two forces decreases

Question 94

94. The following statements apply to saltatory conduction, EXCEPT: a. Conserves energy for the axon b. Action potential occur only at the nodes of Ranvier and conduction from node to node c. While there is an increase in nerve conduction, energy is wasted on the axon d. The mechanism increases nerve transmission velocity in myelinated fibers as much as 5 to 50 times

Question 95

95. Which of the following is NOT true of the shoulder joint? a. Its extreme mobility is achieved at the expense of stability and security b. The movement occurs between the scapula and the humerus c. The movement primarily involves the clavicle and scapula d. It is a multi-axial ball-end-socket joint with a remarkable of freedom of movement

Question 96

96. Receives the weight of the body when one sits up straight: a. Inferior ramus b. Ischial tuberosity c. Lesser sciatic notch d. Spine of ischium

Question 97

97. Men climbing high mountains will have enormous water losses from: a. decreased drinking b. increased urination c. increased ventilation d. increased sweating

Question 98

98. During standing, the mean blood pressure in the arteries and veins is: a. equal in the feet and hands b. lesser in the feet than in the hands c. unchanged despite incompetent valves d. higher in the feet than in the hands

Question 99

99. This type of contraction occurs when muscular tension equals the opposing force: a. Relaxed b. concentric c. Isometric d. eccentric e. Isotonic

Question 100

100. Which is not a part of the limbic system? a. Parahippocampal area b. Pituitary Gland c. Cingulate Gyrus d. Hippocampus