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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

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2
Q

GH Flexion Active test is restricted. What are the potential muscles of involvement?

A

Tight GH Extensors and Weak GH Flexors

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3
Q

Local cross fiber friction applied to the origin of coracobrachialis should target which bony landmark?

A

Coracoid Process

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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

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5
Q

Which muscles, when treated with an Isometric Intrinsic, require stabilization of the scap?

A

Biceps

LH Tricep

Posterior Deltoid

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6
Q

What is the Patient’s effort (contraction) used in the Isometric Intrinsic Treatment for a GH Extension restriction?

A

GH Flexion

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7
Q

Which of the following would be a relevant test for weakness of the infraspinatous?

A

Resisted test for GH Lateral rotation

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8
Q

Your client gained significant ROM by utilizing an Isometric Intrinsic Treatment. What exercise do you prescribe?

A

PNF Stretch

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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

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10
Q

Feagin’s Test would present positive with which of the following?

A

GH instability

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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

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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

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13
Q

Patient presents with hypertonicity restricting GH Lateral Rotation. Which muscles will you address?

A

Subscapularis, Teres Major, Latissimus, Anterior Deltoid

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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

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15
Q

When performing muscle stripping, the targeted tissue should be passively stretched.

A

true

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16
Q

Which passive motion would the therapist incorporate while performing muscle stripping to the Lat?

A

GH Abduction and GH Lateral rotation

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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

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18
Q

Speed’s Test is positive. Which structure may be inflamed?

A

LH Bicep tendon

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19
Q

What position should the elbow be in, to bias in the Long Head of Tricep during a Passive Test?

A

Flexed

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20
Q

The Passive Tests for GH Abduction and Lateral Rotation are both restricted. What is the muscle of involvement?

A

Latissimus

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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

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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

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23
Q

Teres Minor is weak. Which APR tests would indicate this?

A

Active and Resisted GH Lateral Rotation

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24
Q

To place the sternal portion of Pec Major on a passive stretch, which motion should be used?

A

GH horizontal aBduction

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25
Q

Which of the following tests could be used to assess for a tight Long Head of Tricep?

A

Passive Test for GH Flexion

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26
Q

The Passive test for GH horizontal aBduction is restricted. What are the potential Muscles of Involvement?

A

Pec Major, Anterior Deltoid, LH Bicep

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27
Q

Patient presents with passive ROM restrictions in GH medial rotation, GH horizontal aDduction and GH flexion. Which muscle is your primary suspect?

A

Posterior Deltoid

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28
Q

The Teres Major muscle is weak. Which ROM test/s would indicate this?

A

Resisted GH medial rotation

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29
Q

During the Isometric Intrinsic Treatment for Subscapularis, which motion does the therapist use during the take-up phases?

A

GH Lateral Rotation

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30
Q

The patient presents a positive outcome during the drop arm test. Which structure may be involved?

A

Supraspinatous tendon

Subacromial Bursa

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31
Q

Bounce Home test is positive. Do you continue with assessment of the knee?

A

Yes

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32
Q

Anterior drawer test assesses the integrity of which structure?

A

ACL

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33
Q

Which of the following muscles could be tested with Hip ROM to confirm or rule out their involvement at the knee?

A

rectus femoris

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34
Q

If a weakness restriction is found could you treat extrinsically or intrinsically?

A

ex rehab (strength) will be your best long term treatment

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35
Q

Varus stress test assesses the integrity of which structure?

A

LCL

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36
Q

Valgus stress test assesses the integrity of which structure?

A

MCL

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37
Q

If your assessment results in positive findings for potential ligament or meniscus damage you should:

A

refer to a doctor and treat the knee as an acute injury until further testing and diagnosis is received

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38
Q

Which muscle group is targeted when dealing with a knee flexion restriction due to tightness?

A

quads

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39
Q

Which of the following has the patient in the supine position for the isometric mobilization treatment?

A

knee extension restriction due to tightness

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40
Q

Noble’s Compression tests the same structure as which test of the hip?

A

Ober’s

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41
Q

The therapist compresses _________________ to the patella during Patellar Grind Test.

A

superior

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42
Q

Ankle ligaments are more commonly injured on the _________ side.

A

lateral

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43
Q

The right SCM is tight. What position might the clients head be in during postural assessment?

A

Flexed and left rotated

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44
Q

Which conditions are assessed at CO?

A

ERS and FRS

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45
Q

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?

A

Left rotation

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46
Q

RCP Minor and OCS are tight on the left, Which assessment outcome would be found?

A

right side bending restriction of CO from flexed position

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47
Q

Name the dysfunction caused by tightness of the RCP maj, RCP minor, OCS muscles. DESCRIBE the assessment outcome that would indicate this.

A

ERSlt. The patient would have right rotation restriction. FRS lt.
add more

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48
Q

Which screening test may be positive due to hypertonicity of the anterior scalene muscle?
How would you verify that the muscle is hypertonic?

A

Tos testing might be posative. Patient would have restricted left side bending, ERSrt C2-C7

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49
Q

C5 is extended and you feel restriction in left side bending. Which dysfunction is present?

A

FRSrt

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50
Q

CO is flexed and you note a restriction in right side bending. Which dysfunction is presenting?

A

ERSlt

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51
Q

Which screening test may be positive if the middle scalene muscle is adaptively shortened?
What other tests would you perform to verify this?

A

TOS, travels, acrom, restricted side bend, ers or frs,
add details

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52
Q

Which landmarks are palpated while assessing C1?

A

TPs

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53
Q

The multifidus originating on the RIGHT TP of C7 is tight. Which dysfunctions may this cause?

A

FRSlt of C7 and ERSrt of C3-C6

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54
Q

When assessing CO, what position is the lower cervical in?

A

Neutral

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55
Q

C2-C7 are classified as the lower cervical in Practical Theory because we assess all of these segments the same way.

A

true

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56
Q

C1 is assessed with the lower cervical in which position?

A

Flexed

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57
Q

Which cervical dysfunction would present if the OCI muscle was tight?
Describe the Isometric Intrinsic Treatment for this muscle.

A

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.

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58
Q

C1 rotation restriction to the LEFT. What are the MOI?

A

Right OCI and RCP Major

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59
Q

Lower cervical is flexed. You palpate restriction when pushing on the right articular pillar of C6. Which dysfunction is present?

A

ERSlt

60
Q

ERS and FRS are which type of dysfunction?

A

non-neutral/ type 2

61
Q

Why is rotation used as patient effort during the Isometric Intrinsic treatment for FRS conditions?

A

the MOI insert above the segment involved and rotation occurs top down

62
Q

You prescribe a passive stretch for your client’s tight right multifidi. What position are they holding during this exercise?

A

Right rotation

63
Q

VBI test is positive. What is the correct protocol for the therapist to follow?

A

Maintain the client’s neck and head in neutral for the duration of the assessment and treatment

64
Q

Longus Capitis is tight on the left. Which dysfunction might this create?

A

FRSlt

65
Q

type 1/ Neutral dysfunctions present with rotation and sidebending to the same side.

A

false

66
Q

Describe your assessment outcomes if the longus coli muscle was tight and causing FRS dysfunction.

A

You would find an FRS C2-C7, acrom would show extention and rotation restriction

67
Q

The LEFT multifidi inserting on the SP of C2 are hypertonic. Which dysfunctions might these cause?

A

ERSlt of C2 and FRSrt of C3-C6

68
Q

Adhesion in the left OCI and RCP major could cause which of the following?

A

right rotation restriction of C1

FRSrt of C2

Extension restriction of the left facet joint between C2 and C3

69
Q

A CONGENITAL condition involving contracture of the SCM muscle is known as:

A

Torticollis

70
Q

The assessment outcome associated to tightness of the Longus Colli is which of the following?

A

FRS of Lower Cervical

71
Q

Splenius Capitis is hypertonic on the left. Which dysfunction may be present?

A

ERSlt

72
Q

The left facet has an extension restriction. Which assessment outcome indicates this?

A

right prominent TP assessed in extension

73
Q

VBI test is positive. What is the correct protocol for the therapist to follow?

A

Maintain the client’s neck and head in neutral for the duration of the assessment and treatment

74
Q

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?

A

Left rotation

75
Q

NRSrt. What are the MOI?

A

Right Erector Spinae and right Multidifi

76
Q

The QL stabilizes which of the following?

A

rib 12

77
Q

FRSlt. Which rib torsions may be created?

A

lt superior torsion

rt inferior torsion

78
Q

Paradoxical breathing refers to which of the following?

A

Contraction of the Diaghram during exhalation

79
Q

What is the intent of the Straight leg test (from SLWL testing)?

A

to create passive lumbar flexion

80
Q

NRSlt. Assessment indicated which of the following?

A

Rt prominent TPs

81
Q

The lumbar assessment presents with Prominent TP on the right at L4 in the flexed position. Which facet is dysfunctional?

A

the right facet is closed/ has a flexion restriction

82
Q

MOI for exhalation restrictions are those with attachments below the ribs of involvement.

A

false

83
Q

Superior torsioning of the ribs may reduce which of the following?

A

Exhalation

84
Q

Your client presents with an exhalation restriction of ribs 3-5. What is the likely MOI?

A

Pec Minor

85
Q

ERSlt at L2. What are the MOI?

A

Lt multifidi inserting on the SP of L2

86
Q

It is possible to have an NRS condition which extends from the thoracic spine into the lumbar spine.

A

true

87
Q

Assessment of T6-T12 reveals prominent right TPs at all segments in all assessment positions. Which dysfunction is this?

A

NRSlt

88
Q

Client presents with prominent TP on the left at T2-T7 in the extended assessment position. Which dysfunction/s are present?

A

FRSlt T2-T7

89
Q

Which of the following represents potential ASSOCIATED dysfunctions?

A

rt on rt sacral torsion and NRSrt L1-L5

90
Q

Why is rotation used as patient effort during the Isometric Intrinsic treatment for FRS conditions?

A

the MOI insert above the segment involved and rotation occurs top down

91
Q

Type 1/ Neutral dysfunctions present with rotation and sidebending to the same side.

A

false

92
Q

Client presents with ERSrt of T6. Which rib torsions may be created?

A

superior torsion of right rib/ inferior torsion of left rib

93
Q

FRSlt at L5. What are the MOI?

A

Right Multifidi originating on TP of L5

94
Q

ERS and FRS are which type of dysfunction?

A

non-neutral/ type 2

95
Q

Slump test is positive with increased neural symptoms into the leg. Which of the following represents the mechanics of this outcome?

A

Posterior/ Lateral disc bulge

96
Q

The right lumbar multifidi are hypertonic. Which active ROM may be decreased?

A

right rotation

left side bending

97
Q

You prescribe a passive stretch for your client’s tight right multifidi. What position are they holding during this exercise?

A

Right rotation

98
Q

You assess an inhalation restriction. Which rib torsions may be present?

A

inferior torsions

99
Q

Therapist who performs massage at locations other than their clinic require this information to be recorded on their liability and malpractise insurance.
T/F

A
100
Q

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

A
101
Q

Hypertonicity can be determined using only palpation? T/F

A
102
Q

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

A
103
Q

the therapist applies an isometric intrinsic treatment by extending the hip and flexing the knee. which muscle is being targeted?

A

R.F.

104
Q

LCF of the peritendon for the hamstrings, is applied where?

A

Ishial tuberosity

105
Q

CO is flexed and you note a restriction in right side bending. which dysfunctions is presenting?
ERSlt/FRSlt/ERSrt

A
106
Q

Your client has a hypertonic right anterior scalene. How would you verify the muscle is hypertonic?

A

+ adsons
ROM - Restricted side bending to the left.
Cervical assessment -
(add ERS/FRS, rotation, APRs)

107
Q

CO is flexed and you note a restriction in right side bending. which dysfunction is presenting?
ERSlt/FRSlt/ERSrt

A
108
Q

When assessing CO what position is the lower cervical in?

A

Flexed - to lock up rotation in the lower cervical

109
Q

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

A
110
Q

weakness of iliacus can be addressed using the squat exercise? T/F?

A
111
Q

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

A
112
Q

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

A
113
Q

Active and passive hip lateral rotation are restricted. what position is the patient in to ensure effective extrinsic treatment with muscle stripping?

A

lateral recumbant with hip flexed and adducted

114
Q

ERS and FRS are which type of dysfunction?
- Neutral type 1
- Non-neutral type 2

A
115
Q

What must the therapist establish prior to applying treatment?

A

Informed constent
intent of treatment
therapeutic goals

116
Q

RCP Minor and OCS are tight on the left, which assessment out come would be found?

A

Rotation restriction C1?
Side bending restriction CO in flexion or extension? does flexion or extension matter?

117
Q

While assessing standing posture of your client, you note that the right knee is facing more laterally then left. What may be true?

A
  • Tight Piriformis on the right
  • tight glute med on the left
  • both
118
Q

observing your client’s gait, you note a short stride on the right. which of the following may be the cause?

A

tight right hamstrings?
tight Left RF?
weakness of the left Quads?
All?

119
Q

massage therapists cannot treat acute stage musculoskeletal injuries? T/F

A
120
Q

Resisted test is restricted for hip extension. what identifies appropriate ex rehab?

A

squat?
passive stretch into hip extension?

121
Q

lower cervical is flexed. you palpate restriction when pushing on the right articular pillars of C6. which dysfuction is present?

A

ERSrt?
ERSlt?

122
Q

Screening tests should only be recorded in the patient file if they are positive?
T/F?

A
123
Q

longus capitis is tight on the left. which dysfuction might this create?

A

FRSrt
ERSlt
FRSlt
right rotation restriction of CO

124
Q

client is isometrically contracting their glute med. which intrinsic technique is being performed?

A

Isometric for hip adduction restriction

125
Q

which cervical dysfuctions would present if OCI was tight? describe the Isometric intrinsic treatment for this muscle

A
126
Q

The practicing massage therapist usually has malpractice insurance coverage through which?

A

The member association

127
Q

splenius capitus is hypertonic on the left. which dysfunction may be present?

A

ERSlt
ERSrt
FRSlt

128
Q

C2-C7 are classified as the lower cervical in practical theory because we assess all of these segments the same way? T/F

A
129
Q

name dysfuctions caused by tightness of the LEFT suboccipitals (OCS,RCPM,RCPm)

A
130
Q

Which of the following is technique requirement for treating hypertonicity?

A

mechanical intent
neurophysiological intent

131
Q

C1 is assessed with the lower cervical in which position?

A

Flexed
extended
neutral

132
Q

Durring Gait assessment client presents with excessive right torso rotation which may be right?

A

right psoas
left iliacus
left psoas
right iliacus

133
Q

type 1 neutral dysfunctions present with rotation and side bending to the same side? T/F

A
134
Q

you prescribe a passive stretch for your clients tight right multifidi. what position are they holding durring this exercise?

A

right rotation

135
Q

What is the false posative in standing seated flexion test?

A

Tight hamstring restricting closed chain hip flexion

136
Q

Positive outcomes for thomas test indicates?

A

Hip flexor contracture

137
Q

The patient presents with hip abduction restriction in the passive test. what is a relevant treatment?

A

muscles stripping adductor longus

138
Q

loading one leg durring a squat test indicates possible weakness in the leg being loaded?
T/F

A

False

139
Q

C5 is extended and you feel restrictionin left side bending. which dysfunction is present?

A

FRSrt
ERSrt
FRSlt
ERSlt

140
Q

Which conditions are assessed at CO?

A

Rotation restrictions
ERS and FRS

141
Q
  • 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?
A
142
Q

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?

A

right lumbar rotation
sacral flexion
sacral extentsion
left lumbar rotation

143
Q

What is the motion used for take-up durring the muscle energy treatment for right on right sacral torsion?

A
144
Q

the right lumbar multifidi are hypertonic. which active ROM may be decreased?

A
145
Q

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

A
146
Q

List all of the possible assessment outcomes if the Right Iliacus was tight.

A
147
Q

List all the associated dysfuctions created by the Right lumbar multifid.

A

practical (12 decks)

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