EXAM QUESTIONS Flashcards
1
Q
You want to passively test the coracobrachialis for tightness. Which test do you use?
A
GH Extension with elbow flexed, forearm supinated
2
Q
GH Flexion Active test is restricted. What are the potential muscles of involvement?
A
Tight GH Extensors and Weak GH Flexors
3
Q
Local cross fiber friction applied to the origin of coracobrachialis should target which bony landmark?
A
Coracoid Process
4
Q
Which position should you place the clients arm in to test the LH bicep for tightness?
A
forearm pronation, elbow extension, GH extension
5
Q
Which muscles, when treated with an Isometric Intrinsic, require stabilization of the scap?
A
Biceps
LH Tricep
Posterior Deltoid
6
Q
What is the Patient’s effort (contraction) used in the Isometric Intrinsic Treatment for a GH Extension restriction?
A
GH Flexion
7
Q
Which of the following would be a relevant test for weakness of the infraspinatous?
A
Resisted test for GH Lateral rotation
8
Q
Your client gained significant ROM by utilizing an Isometric Intrinsic Treatment. What exercise do you prescribe?
A
PNF Stretch
9
Q
You want to apply cross fiber friction to the subscapularis muscle. Which direction will your compressive force be applied?
A
Towards the anterior surface of the scap
10
Q
Feagin’s Test would present positive with which of the following?
A
GH instability
11
Q
You were successful in improving the client’s Passive ROM by muscle stripping and cross fiber friction of their Sternal Portion of Pec Major. What exercise should you prescribe?
A
Passive stretch for GH horizontal aBduction
12
Q
Therapist is applying the Isometric Intrinsic Treatment to the Clavicular Portion of Pec Major. What motion does the client try to perform during the contraction phases?
A
GH Flexion
13
Q
Patient presents with hypertonicity restricting GH Lateral Rotation. Which muscles will you address?
A
Subscapularis, Teres Major, Latissimus, Anterior Deltoid
14
Q
You note excessive glide motion in your patient’s GH joint. Which screening test are you performing?
A
GH A/P Glide Test
15
Q
When performing muscle stripping, the targeted tissue should be passively stretched.
A
true
16
Q
Which passive motion would the therapist incorporate while performing muscle stripping to the Lat?
A
GH Abduction and GH Lateral rotation
17
Q
Patient presents with pain in the anterior shoulder that intensifies with the resisted test for GH Flexion. Which structure may be involved?
A
LH Biceps Tendon
18
Q
Speed’s Test is positive. Which structure may be inflamed?
A
LH Bicep tendon
19
Q
What position should the elbow be in, to bias in the Long Head of Tricep during a Passive Test?
A
Flexed
20
Q
The Passive Tests for GH Abduction and Lateral Rotation are both restricted. What is the muscle of involvement?
A
Latissimus
21
Q
What is your goal as a Massage Therapist when developing the Treatment Plan for your client?
A
To Facilitate the client’s Return To Function
22
Q
The Isometric Intrinsic Tx for a hypertonic Anterior Deltoid may incorporate which ROM/s to apply the stretch?
A
GH extension, GH lateral rotation or GH horizontal abduction
23
Q
Teres Minor is weak. Which APR tests would indicate this?
A
Active and Resisted GH Lateral Rotation
24
Q
To place the sternal portion of Pec Major on a passive stretch, which motion should be used?
A
GH horizontal aBduction
25
Which of the following tests could be used to assess for a tight Long Head of Tricep?
Passive Test for GH Flexion
26
The Passive test for GH horizontal aBduction is restricted. What are the potential Muscles of Involvement?
Pec Major, Anterior Deltoid, LH Bicep
27
Patient presents with passive ROM restrictions in GH medial rotation, GH horizontal aDduction and GH flexion. Which muscle is your primary suspect?
Posterior Deltoid
28
The Teres Major muscle is weak. Which ROM test/s would indicate this?
Resisted GH medial rotation
29
During the Isometric Intrinsic Treatment for Subscapularis, which motion does the therapist use during the take-up phases?
GH Lateral Rotation
30
The patient presents a positive outcome during the drop arm test. Which structure may be involved?
Supraspinatous tendon
Subacromial Bursa
31
Bounce Home test is positive. Do you continue with assessment of the knee?
Yes
32
Anterior drawer test assesses the integrity of which structure?
ACL
33
Which of the following muscles could be tested with Hip ROM to confirm or rule out their involvement at the knee?
rectus femoris
34
If a weakness restriction is found could you treat extrinsically or intrinsically?
ex rehab (strength) will be your best long term treatment
35
Varus stress test assesses the integrity of which structure?
LCL
36
Valgus stress test assesses the integrity of which structure?
MCL
37
If your assessment results in positive findings for potential ligament or meniscus damage you should:
refer to a doctor and treat the knee as an acute injury until further testing and diagnosis is received
38
Which muscle group is targeted when dealing with a knee flexion restriction due to tightness?
quads
39
Which of the following has the patient in the supine position for the isometric mobilization treatment?
knee extension restriction due to tightness
40
Noble's Compression tests the same structure as which test of the hip?
Ober's
41
The therapist compresses _________________ to the patella during Patellar Grind Test.
superior
42
Ankle ligaments are more commonly injured on the _________ side.
lateral
43
The right SCM is tight. What position might the clients head be in during postural assessment?
Flexed and left rotated
44
Which conditions are assessed at CO?
ERS and FRS
45
You want to incorporate a PNF stretch for the client's right multifidi. What is their effort during the 7-10 second contraction phase of this exercise?
Left rotation
46
RCP Minor and OCS are tight on the left, Which assessment outcome would be found?
right side bending restriction of CO from flexed position
47
Name the dysfunction caused by tightness of the RCP maj, RCP minor, OCS muscles. DESCRIBE the assessment outcome that would indicate this.
ERSlt. The patient would have right rotation restriction. FRS lt.
add more
48
Which screening test may be positive due to hypertonicity of the anterior scalene muscle?
How would you verify that the muscle is hypertonic?
Tos testing might be posative. Patient would have restricted left side bending, ERSrt C2-C7
49
C5 is extended and you feel restriction in left side bending. Which dysfunction is present?
FRSrt
50
CO is flexed and you note a restriction in right side bending. Which dysfunction is presenting?
ERSlt
51
Which screening test may be positive if the middle scalene muscle is adaptively shortened?
What other tests would you perform to verify this?
TOS, travels, acrom, restricted side bend, ers or frs,
add details
52
Which landmarks are palpated while assessing C1?
TPs
53
The multifidus originating on the RIGHT TP of C7 is tight. Which dysfunctions may this cause?
FRSlt of C7 and ERSrt of C3-C6
54
When assessing CO, what position is the lower cervical in?
Neutral
55
C2-C7 are classified as the lower cervical in Practical Theory because we assess all of these segments the same way.
true
56
C1 is assessed with the lower cervical in which position?
Flexed
57
Which cervical dysfunction would present if the OCI muscle was tight?
Describe the Isometric Intrinsic Treatment for this muscle.
Obliques cap infer. Would present right rotation restriction of c1. Isometric intrinsic treatment used would be to rotate paitient to the right while patient is looking left to contact this muscle.
58
C1 rotation restriction to the LEFT. What are the MOI?
Right OCI and RCP Major
59
Lower cervical is flexed. You palpate restriction when pushing on the right articular pillar of C6. Which dysfunction is present?
ERSlt
60
ERS and FRS are which type of dysfunction?
non-neutral/ type 2
61
Why is rotation used as patient effort during the Isometric Intrinsic treatment for FRS conditions?
the MOI insert above the segment involved and rotation occurs top down
62
You prescribe a passive stretch for your client's tight right multifidi. What position are they holding during this exercise?
Right rotation
63
VBI test is positive. What is the correct protocol for the therapist to follow?
Maintain the client's neck and head in neutral for the duration of the assessment and treatment
64
Longus Capitis is tight on the left. Which dysfunction might this create?
FRSlt
65
type 1/ Neutral dysfunctions present with rotation and sidebending to the same side.
false
66
Describe your assessment outcomes if the longus coli muscle was tight and causing FRS dysfunction.
You would find an FRS C2-C7, acrom would show extention and rotation restriction
67
The LEFT multifidi inserting on the SP of C2 are hypertonic. Which dysfunctions might these cause?
ERSlt of C2 and FRSrt of C3-C6
68
Adhesion in the left OCI and RCP major could cause which of the following?
right rotation restriction of C1
FRSrt of C2
Extension restriction of the left facet joint between C2 and C3
69
A CONGENITAL condition involving contracture of the SCM muscle is known as:
Torticollis
70
The assessment outcome associated to tightness of the Longus Colli is which of the following?
FRS of Lower Cervical
71
Splenius Capitis is hypertonic on the left. Which dysfunction may be present?
ERSlt
72
The left facet has an extension restriction. Which assessment outcome indicates this?
right prominent TP assessed in extension
73
VBI test is positive. What is the correct protocol for the therapist to follow?
Maintain the client's neck and head in neutral for the duration of the assessment and treatment
74
You want to incorporate a PNF stretch for the client's right multifidi. What is their effort during the 7-10 second contraction phase of this exercise?
Left rotation
75
NRSrt. What are the MOI?
Right Erector Spinae and right Multidifi
76
The QL stabilizes which of the following?
rib 12
77
FRSlt. Which rib torsions may be created?
lt superior torsion
rt inferior torsion
78
Paradoxical breathing refers to which of the following?
Contraction of the Diaghram during exhalation
79
What is the intent of the Straight leg test (from SLWL testing)?
to create passive lumbar flexion
80
NRSlt. Assessment indicated which of the following?
Rt prominent TPs
81
The lumbar assessment presents with Prominent TP on the right at L4 in the flexed position. Which facet is dysfunctional?
the right facet is closed/ has a flexion restriction
82
MOI for exhalation restrictions are those with attachments below the ribs of involvement.
false
83
Superior torsioning of the ribs may reduce which of the following?
Exhalation
84
Your client presents with an exhalation restriction of ribs 3-5. What is the likely MOI?
Pec Minor
85
ERSlt at L2. What are the MOI?
Lt multifidi inserting on the SP of L2
86
It is possible to have an NRS condition which extends from the thoracic spine into the lumbar spine.
true
87
Assessment of T6-T12 reveals prominent right TPs at all segments in all assessment positions. Which dysfunction is this?
NRSlt
88
Client presents with prominent TP on the left at T2-T7 in the extended assessment position. Which dysfunction/s are present?
FRSlt T2-T7
89
Which of the following represents potential ASSOCIATED dysfunctions?
rt on rt sacral torsion and NRSrt L1-L5
90
Why is rotation used as patient effort during the Isometric Intrinsic treatment for FRS conditions?
the MOI insert above the segment involved and rotation occurs top down
91
Type 1/ Neutral dysfunctions present with rotation and sidebending to the same side.
false
92
Client presents with ERSrt of T6. Which rib torsions may be created?
superior torsion of right rib/ inferior torsion of left rib
93
FRSlt at L5. What are the MOI?
Right Multifidi originating on TP of L5
94
ERS and FRS are which type of dysfunction?
non-neutral/ type 2
95
Slump test is positive with increased neural symptoms into the leg. Which of the following represents the mechanics of this outcome?
Posterior/ Lateral disc bulge
96
The right lumbar multifidi are hypertonic. Which active ROM may be decreased?
right rotation
left side bending
97
You prescribe a passive stretch for your client's tight right multifidi. What position are they holding during this exercise?
Right rotation
98
You assess an inhalation restriction. Which rib torsions may be present?
inferior torsions
99
Therapist who performs massage at locations other than their clinic require this information to be recorded on their liability and malpractise insurance.
T/F
100
Adhesions in the left OCI and RCP major could cause which of the following?
right rotation restriction of C1/FRSrt/extension restriction of the left facet between C2 and C3/ all of theses
101
Hypertonicity can be determined using only palpation? T/F
102
The multifidus originating on the right TP of C7 is right. which dysfunction may this cause?
-ERSlt of C7 and FRSrt C2-C6
-FRSlt of C7 and ERSlf of C3-C6
-FRSrt of C7 and ERSlt of C3-C6
-ERSrt of C7 and FRSlt C2-C6
103
the therapist applies an isometric intrinsic treatment by extending the hip and flexing the knee. which muscle is being targeted?
R.F.
104
LCF of the peritendon for the hamstrings, is applied where?
Ishial tuberosity
105
CO is flexed and you note a restriction in right side bending. which dysfunctions is presenting?
ERSlt/FRSlt/ERSrt
106
Your client has a hypertonic right anterior scalene. How would you verify the muscle is hypertonic?
+ adsons
ROM - Restricted side bending to the left.
Cervical assessment -
(add ERS/FRS, rotation, APRs)
107
CO is flexed and you note a restriction in right side bending. which dysfunction is presenting?
ERSlt/FRSlt/ERSrt
108
When assessing CO what position is the lower cervical in?
Flexed - to lock up rotation in the lower cervical
109
The LEFT mulitfidi inserting on the SP of C2 are hypertonic. Which dysfuntions might these cause?
- ERSlt of C2 and FRSrt of C3-C6
- ERSrt of C2 and FRSlt of C3-C6
- NONE
110
weakness of iliacus can be addressed using the squat exercise? T/F?
111
C1 rotation restriction to the LEFT. What are the MOI?
- left OCI and RCP major
- right OCS and RCP minor
- left OCS and RCP major
112
Positive left standing flexion test indicates which of the following?
- Potential tightness of the right hamstrings
- potential for left SI joint dysfuction
- ALL of these
113
Active and passive hip lateral rotation are restricted. what position is the patient in to ensure effective extrinsic treatment with muscle stripping?
lateral recumbant with hip flexed and adducted
114
ERS and FRS are which type of dysfunction?
- Neutral type 1
- Non-neutral type 2
115
What must the therapist establish prior to applying treatment?
Informed constent
intent of treatment
therapeutic goals
116
RCP Minor and OCS are tight on the left, which assessment out come would be found?
Rotation restriction C1?
Side bending restriction CO in flexion or extension? does flexion or extension matter?
117
While assessing standing posture of your client, you note that the right knee is facing more laterally then left. What may be true?
- Tight Piriformis on the right
- tight glute med on the left
- both
118
observing your client's gait, you note a short stride on the right. which of the following may be the cause?
tight right hamstrings?
tight Left RF?
weakness of the left Quads?
All?
119
massage therapists cannot treat acute stage musculoskeletal injuries? T/F
120
Resisted test is restricted for hip extension. what identifies appropriate ex rehab?
squat?
passive stretch into hip extension?
121
lower cervical is flexed. you palpate restriction when pushing on the right articular pillars of C6. which dysfuction is present?
ERSrt?
ERSlt?
122
Screening tests should only be recorded in the patient file if they are positive?
T/F?
123
longus capitis is tight on the left. which dysfuction might this create?
FRSrt
ERSlt
FRSlt
right rotation restriction of CO
124
client is isometrically contracting their glute med. which intrinsic technique is being performed?
Isometric for hip adduction restriction
125
which cervical dysfuctions would present if OCI was tight? describe the Isometric intrinsic treatment for this muscle
126
The practicing massage therapist usually has malpractice insurance coverage through which?
The member association
127
splenius capitus is hypertonic on the left. which dysfunction may be present?
ERSlt
ERSrt
FRSlt
128
C2-C7 are classified as the lower cervical in practical theory because we assess all of these segments the same way? T/F
129
name dysfuctions caused by tightness of the LEFT suboccipitals (OCS,RCPM,RCPm)
130
Which of the following is technique requirement for treating hypertonicity?
mechanical intent
neurophysiological intent
131
C1 is assessed with the lower cervical in which position?
Flexed
extended
neutral
132
Durring Gait assessment client presents with excessive right torso rotation which may be right?
right psoas
left iliacus
left psoas
right iliacus
133
type 1 neutral dysfunctions present with rotation and side bending to the same side? T/F
134
you prescribe a passive stretch for your clients tight right multifidi. what position are they holding durring this exercise?
right rotation
135
What is the false posative in standing seated flexion test?
Tight hamstring restricting closed chain hip flexion
136
Positive outcomes for thomas test indicates?
Hip flexor contracture
137
The patient presents with hip abduction restriction in the passive test. what is a relevant treatment?
muscles stripping adductor longus
138
loading one leg durring a squat test indicates possible weakness in the leg being loaded?
T/F
False
139
C5 is extended and you feel restrictionin left side bending. which dysfunction is present?
FRSrt
ERSrt
FRSlt
ERSlt
140
Which conditions are assessed at CO?
Rotation restrictions
ERS and FRS
141
- List the assessment outcomes if the RIGHT psoas was tight.
- which sacral torsion/s may this muscle play a role in?
- what form of tightness is typical in this muscle when it is affected by a sacral torsion dysfuction?
142
you are applying a muscle energy intrinsic treatment for a left on right sacral torsion. what is the take-up motion used following the clients contraction effort?
right lumbar rotation
sacral flexion
sacral extentsion
left lumbar rotation
143
What is the motion used for take-up durring the muscle energy treatment for right on right sacral torsion?
144
the right lumbar multifidi are hypertonic. which active ROM may be decreased?
145
Left glute med is highlighted.
- provide the outcome of a specific screening test if the highlighted muscle was weak.
- list all the possible assessment out comes if this muscle was tight
146
List all of the possible assessment outcomes if the Right Iliacus was tight.
147
List all the associated dysfuctions created by the Right lumbar multifid.
