DAY 9

Question 1

If a 40-kilogram force is applied over an area of four square centimeters, the (in kilograms per
square centimeter) is equal to ______.
a. 20
b. 10
c. 30
d. 40

Answer 1

b. 10

Question 2

What ligament prevents posterior motion of the pelvis on the femur (hip hyperextension) when
standing?
a. Ischiofemoral
b. Pubofemoral
c. Puboischial
d. Iliofemoral

Answer 2

d. Iliofemoral

Question 3

The following statements describe care of knee extension mechanism injuries, EXCEPT:
a. Resistance for straight-leg-raises is kept to an upper limit of 6.8 kg.
b. Hamstring stretching is useful in preventing overcompression of the patella against the
underlying bony surface.
c. Flexion-to-extension motions or heavy resistance may aggravate these type of injuries.
d. Running is encouraged because the biomechanical forces of running put great stress upon the extensor mechanism.
e. When using stationary bike, resistance should be kept low and a steady pace of about 20
mph maintained

Answer 3

d. Running is encouraged because the biomechanical forces of running put great stress upon the extensor mechanism.

Question 4

The spinal cord tapers at the level of the lower border of the 1st lumbar vertebra called
a. Filum terminale
b. Coccyx
c. Conus medullaris
d. Coccygium finale
e. Cauda equine

Answer 4

c. Conus medullaris

Question 5

The following muscles externally rotate the hip EXCEPT
a. obturator internus.
b. piriformis.
c. quadratus lumborum.
d. gemelli

Answer 5

c. quadratus lumborum.

Question 6

The following statements describe the menisci (intra-articular cartilage), EXCEPT:
a. The lateral meniscus can tear when the femur is externally rotated on the tibia
b. Crescent-shaped wedges of fibrocartilage which occur in margins of the medial and lateral
tibial condyles.
c. Facilitate articulation between the tibia and the femur, and cushion articular surfaces.
d. Medial meniscus may tear when the femur is internally rotated on the fixed tibia, with the
knee in flexion and abduction
e. Lateral meniscus may tear when the femur is externally rotated on the fixed tibia, with the knee in flexion and adduction

Answer 6

e. Lateral meniscus may tear when the femur is externally rotated on the fixed tibia, with the knee in flexion and adduction

Question 7

The Problem Oriented Medical Record is a system based on the following EXCEPT
a. formation of present and past information about the patient
b. identification of a specific treatment plan
c. Preparation of the informed consent.
d. assessment of the effectiveness of the treatment plans
e. development of a specific, current problem

Answer 7

c. Preparation of the informed consent.

Question 8

Which ankle-foot orthoses has excellent cosmesis?
a. Eugen
b. Scott
c. Seattle
d. Tenfel

Answer 8

c. Seattle

Question 9

The airway branch where alveoli first appear is the ___________.
a. Respiratory bronchiole
b. Trachea
c. Terminal bronchi
d. Main bronchi

Answer 9

a. Respiratory bronchiole

Question 10

A patient has been admitted to your hospital with severe lower back pain. The patient will be placed
in a pelvic belt for intermittent skin traction. The following applies to proper pelvic belt application
EXCEPT:
a. The straps must be parallel to each other and to the patient’s thighs when attached to the
traction cords.
b. As an alternative setup, the traction bar holding the pulleys is positioned higher, creating a
greater upward pull on the patient’s lower back.
c. The patient may be placed in Williams position with hips flexed 30 and knees flexed 30 as part of daily care.
d. Although pelvic traction may be applied directly on the skin, it may also be applied over
clothing made of cotton (for better traction) and wrinkle-free (to avoid excessive pressure
on the skin).
e. The free ends of the belt are wrapped around the hip bone so the iliac crests are covered.

Answer 10

c. The patient may be placed in Williams position with hips flexed 30 and knees flexed 30 as part of daily care.

Question 11

A therapist adjusts the height of the parallel bars in preparation for client ambulation. When at the
appropriate height, the parallel bars should provide _____ degrees of elbow flexion.
a. 5-15
b. 30-4
c. 15-25
d. 35-45

Answer 11

c. 15-25

Question 12

Functional capacity evaluation is often used to determine _______.
I. The need for further rehabilitation
II. Physical capabilities and work tolerance
III. A person’s unwillingness to return to work.
IV. The need for job modification
V. The degree of the person’s disability in order to collect disability pay
a. III, IV, and V
b. I, II, and IV
c. II and III
d. IV and V

Answer 12

b. I, II, and IV

Question 13

A patient’s job requires him to move boxes weighing 35 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. The MOST appropriate therapist action is to
a. implement a pelvic stabilization program
b. design an abdominal strengthening program
c. review proper body mechanics
d. use an elevated platform when placing boxes on the belt

Answer 13

d. use an elevated platform when placing boxes on the belt

Question 14

The most appropriate position to test the strength of a patient’s middle trapezius is
a. Supine
b. Prone
c. Sitting unsupported
d. Sidelying
e. Supported sitting

Answer 14

b. Prone

Question 15

A therapist records the vital signs of a 45 year old male prior to beginning treatment. The therapist
palpates the patient’s radial pulse for 15 seconds but has difficulty computing the actual pulse rate
since the rhythm is irregular. The most accurate method to identify the actual pulse rate is to
a. ask someone to take the rate for you.
b. palpate the radial pulse for a full minute.
c. record the original pulse and document the rhythm.
d. select another pulse site and palpate for 15 seconds.
e. recheck hand positioning and palpate the radial pulse for additional 15 seconds

Answer 15

b. palpate the radial pulse for a full minute.

Question 16

According to the Nagi Model of Functional status, what is the inability of an individual to perform an
action or activity in the way it is done by most people?
a. Functional limitation
b. Handicap
c. Disability
d. Impairment

Answer 16

c. Disability

Question 17

Proximal attachment of the internal abdominal oblique
a. Spinous process of T6 downward, thoracolumbar fascia, posterior crest of the ilium
b. Inguinal ligament, crest of the ilium, and thoracolumbar fascia
c. Linea aspera of the femoral shaft
d. Greater trochanter
e. Medial shaft of the humerus

Answer 17

b. Inguinal ligament, crest of the ilium, and thoracolumbar fascia

Question 18

A therapist assesses the ligamentous integrity of a client’s knee by completing a series of special
tests. The most accurate way to determine if the client’s ligamentous integrity is compromised is to:
a. Compare the ligamentous laxity to other clients in the clinic without knee pathology
b. Compare the ligamentous laxity in the involved knee to the uninvolved knee
c. Compare the millimeters of ligamentous laxity to established norms
d. Instruct the referring physician to order radiographs

Answer 18

b. Compare the ligamentous laxity in the involved knee to the uninvolved knee

Question 19

Of the body water compartment, the largest is occupied by the _________.
a. Transcellular fluid
b. Intracellular fluid
c. Interstitial fluid
d. Plasma

Answer 19

b. Intracellular fluid

Question 20

Forward bending is a complex movement of combined lumbar and hip motion, and many of the
tasks that occur during everyday activities require trunk flexion. The following statements apply to
this movement, EXCEPT:
a. Short hamstring muscles, because of their attachment to the posterior leg and to the ischial
tuberosity, may limit hip flexion ROM
b. Stretching short hamstrings may affect lumbar motion during forward bending
c. LBP could result from excessive lumbar motion due to their influence on lumbopelvic
rhythm during forward bending
d. Restricted hip motion is coupled with excessive lumbar motion
e. Excessive lumbar motion decreases tensile loads on the spine

Answer 20

e. Excessive lumbar motion decreases tensile loads on the spine

Question 21

The MOST frequently injured ligament of the ankle is the ______.
a. Anterior talofibular
b. Calcaneotibial
c. Calcaneofibular
d. Anterior talotibial

Answer 21

d. Anterior talotibial

Question 22

Which muscles must contract to maintain the body erect in normal relaxed standing?
a. Gastrocnemius
b. tibialis anterior
c. soleus
d. quadriceps femoris

Answer 22

c. soleus

Question 23

Motions in the foot take place on certain joints. Which of the following statements is NOT true?
a. Dorsiflexion and plantarflexion take place between the talus and the tibia within the ankle mortise
b. Forefoot abduction and adduction take place primarily at the midtarsal joint
c. Dorsiflexion and plantarflexion take place between the talus and the tibia and fibula within
the ankle mortise
d. Forefoot abduction and adduction take place primarily at the talonavicular and
calcaneocuboid joints
e. Subtalar inversion and eversion take place primarily at the talocalcaneal, talonavicular, and
calcaneocuboid joints

Answer 23

a. Dorsiflexion and plantarflexion take place between the talus and the tibia within the ankle mortise

Question 24

What structure forms the floor of the femoral triangle?
I. Iliacus
II. Pectineus
III. Adductor longus
a. II and III only
b. I, II and III
c. I and II only
d. I and III only

Answer 24

b. I, II and III

Question 25

Rupture of the ____________ ligament allows excessive backward movement of the tibia on the
femur.
a. Posterior cruciate
b. Medial collateral
c. Lateral collateral
d. Anterior cruciate

Answer 25

a. Posterior cruciate

Question 26

A terminal lateral rotation of the tibia is said to “lock” the joint when the knee is fully extended. This
key is the:
a. Piriformis
b. Gastrocnemius
c. Soleus
d. Popliteus

Answer 26

d. Popliteus

Question 27

This deepest muscle of the leg inverts the foot and plantar flexes the transverse tarsal joint
a. Flexor digitorum longus
b. Tibialis anterior
c. Flexor hallucis longus
d. Tibialis posterior
e. Abductor hallucis

Answer 27

d. Tibialis posterior

Question 28

The following statements are true of breathing exercises, EXCEPT:
a. Used when thoracic excursion is decreased as a result of retained secretions or pain
b. Benefit includes increase tidal volume, improve thoracic-cage mobility and increased
inspiratory capacity
c. May be used during weaning from mechanical ventilation
d. Indicated during mechanical ventilation
e. Indicated in the ICU setting for patients with neuromuscular disease

Answer 28

d. Indicated during mechanical ventilation

Question 29

This structure provides humans the ability to lift heavy weights overhead; it also stabilizes the trunk
for throwing objects with high velocities.
a. Brachioradialis
b. Quadriceps
c. strong rectus abdominis
d. thoracolumbar fascia
e. sacrospinalis group

Answer 29

d. thoracolumbar fascia