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CCEB Part A > Biomechanics (11%) > Flashcards

Biomechanics (11%) Flashcards

1
Q

What is a common source of pain due to hyperlordosis?
• All options

  • Impinged nerve roots
  • Overstretched anterior longitudinal ligament
  • Irritated facet joints
A

• All options

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2
Q

A male patient has spinal cord injury at C7 and has 3+/5 wrist extensor strength. Select the best intervention to increase his wrist strength:
• Elastic bands

  • Electrical stimulation
  • Mild resistance only until there is mild fatigue
  • Crafts using hand tools that are gradually increased in weight
A

• Crafts using hand tools that are gradually increased in weight

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3
Q

Manual cervical traction is being done in chiropractic treatment. Assume the patient’s head weighs 10 pounds and the coefficient friction is 0 as the physiotherapist is holding the head. How much force is needed for joint distraction?
• 30 pounds

  • 25 pounds
  • 10 pounds
  • 20 pounds
A

• 25 pounds

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4
Q

A chiropractor assesses a patient with low back pain using Waddell’s signs to determine if the patient’s pain is non-organic in nature. Which of the following would be considered a positive Waddell’s sign?
• low back pain with passive shoulder and pelvis rotation occurring simultaneously

  • low back pain with a straight leg raise test in both supine and sitting positions
  • localized tenderness in the low back with palpation
  • sensory loss in a dermatomal pattern
A

• low back pain with passive shoulder and pelvis rotation occurring simultaneously

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5
Q

A patient’s job requires him to move boxes weighing 45 pounds from a transport cart to an elevated conveyor belt. The patient can complete the activity, however, is unable to prevent hyperextension of the spine. What is the most appropriate chiropractor action is?
• implement a pelvic stabilization program

  • use an elevated platform when placing boxes on the belt
  • design an abdominal strengthening program
  • review proper body mechanics
A

• use an elevated platform when placing boxes on the belt

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6
Q

A patient is standing in a pool neck-level immersed in water performing a number of upper extremity exercises for the chiropractor. Which active movement would be most resisted by buoyancy with the patient starting with the arm positioned at the side and the elbow in 90 degrees of flexion?
• shoulder medial rotation

  • shoulder abduction
  • elbow flexion
  • elbow extension
A

• elbow extension

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7
Q

A chiropractor assesses end-feel while completing passive plantar flexion range of motion and classified it as firm. Which of the following structure does not contribute to the firm end-feel?
• tension in the calcaneofibular ligament

  • tension in the anterior joint capsule
  • tension in the tibialis anterior
  • tension in the anterior talofibular ligament
A

• tension in the calcaneofibular ligament

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8
Q

A patient has an above the knee amputation with prosthesis. The patient’s gait shows a lateral trunk bend. What muscle is most likely weak?
• Iliopsoas

  • Sartorius
  • Gluteal
  • Quadriceps
A

• Gluteal

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9
Q

What is the manual muscle testing grade for a patient that does not complete range of motion in a gravity-eliminated position?
• good

  • fair plus
  • poor
  • poor minus
A

• poor minus

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10
Q

In preparation for goniometric measurements, a chiropractor positions a patient in supine. When measuring medial rotation of the shoulder, the chiropractor should position in the fulcrum:
• along the midaxillary line of the thorax

  • perpendicular to the floor
  • on the lateral midline of the humerus using the lateral epicondyle as a reference
  • over the olecranon process
A

• over the olecranon process

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11
Q

Which of the following sub-disciplines does NOT make up biomechanics?
• mechanics

  • structure
  • function
  • medicine
A

• medicine

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12
Q

A patient with shoulder pain secondary to glenohumeral joint hypomobility also has osteoporosis, diabetes mellitus type 2 and, coronary artery disease. What would be the best intervention for this patient?
• Assistive active ROM exercises
• Isometric exercises for strengthening
• Grade III joint mobilization
• Elastic band resistive strengthening exercises

A

• Assistive active ROM exercises

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13
Q

A chiropractor moves a client from side-lying to supine after the client was able to complete only a small portion of the available hip abduction range of motion. Assuming the client is able to complete full hip abduction range of motion in the horizontal plane, the most appropriate muscle grade is:
• poor

  • poor minus
  • fair
  • fair minus
A

• poor

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14
Q

What position relative to the patient should the therapist assume when assisting a patient with gait activities to improve mobility and balance?
• 45 degree angle behind

  • Directly behind
  • 45 degree angle in front
  • Directly in front
A

• 45 degree angle in front

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15
Q

Shoulder motion can be divided into scapulothoracic and glenohumeral joint motion. What is the normal ratio of scapulothoracic to glenohumeral joint motion?
• 1:1

  • 2:1
  • 1:3
  • 1:2
A

• 1:2

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16
Q

When 46-year-old male client, who works in construction, has shoulder and low back musculosketal disorders. When handling a drill, the chiropractor suggest the client to adopt the following posture: shoulder abduction, internal rotation and elbow flexion all to 90 degrees, with ulnar deviation. What recommendations should the chiropractor make to reduce the force and posture hazards at the shoulder?
• Tilt the line to a 45-degree angle and use a lighter drill.

  • Install a tool balancer and use an inline grip on the drill.
  • Install a tool balancer and add padding to the drill grip
  • Tilt the line to a 45-degree angle and add padding to the drill grip
A

• Install a tool balancer and use an inline grip on the drill.

17
Q

A chiropractor administers an upper limb tension test with radial nerve bias to a patient positioned in supine. Which action would be the first to occur?
• extension of the elbow

  • lateral rotation of the shoulder
  • flexion of the wrist
  • depression of the shoulder guide
A

• depression of the shoulder guide

18
Q

What is the manual muscle testing grade for a patient completes the range of motion against gravity with only minimal resistance?
• poor

  • fair plus
  • normal
  • good minus
A

• fair plus

19
Q

During active shoulder range of motion testing, a chiropractor notices his patient experiencing pain. The chiropractor hypothesizes that the pain may be associated with anterior glenohumeral instability. What would the shoulder range be for the chiropractor to expect the pain to be most pronounced?
• 80-90 degrees of lateral rotation

  • 70-80 degrees of lateral rotation
  • 70-80 degrees of medial rotation
  • 60-70 degrees of medial rotation
A

• 80-90 degrees of lateral rotation

20
Q

Reciprocal motion refers to___________________?
• movement that involves grasping of the thumb and fingers

  • alternating motions in opposing directions
  • alternating motions in the same directions.
  • The well being of the client
A

• alternating motions in opposing directions

21
Q

What motion does the clavicle perform upon arm abduction

A

posterior rotation

CCEB Part A (16 decks)

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