Final Exam

Question 1

When MM testing wrist flexion, applying resistance over the second metacarpal targets the flexor carpi ______________.
-supinator
- ulnar
- Pronator
- radialis

Answer 1

• radialis

Question 2

With forward head posture, the upper cervical vertebrae are flexed, and the lower cervical vertebrae are extended.

-True
-False

Answer 2

False

Question 3

When MM testing trunk extension, to determine grade 4 strength place the patient’s hands lightly touching the side of the head with shoulders and elbow retracted.
- True
- False

Answer 3

True

Question 4

When MM testing for cervical flexion, the platysma may attempt to substitute for a weak or absent ____________.

-Scalenus anterior
-sternocleidomastoid
-Scalenus anterior
-Longus Colli

Answer 4

-sternocleidomastoid

Question 5

The internal and external obliques are prime movers for trunk flexion, trunk rotation, and respiration.
- True
- False

Answer 5

True

Question 6

The ____________ is the prime mover for scapular abduction and upward rotation.

-Teres minor
-Subscapularis
-Serratus Anterior
-Teres major

Answer 6

-Serratus Anterior

Question 7

The ________________ is the weaker muscle involved in forearm supination.

-Pronator
-Supinator
- Biceps
-Brachioradialis

Answer 7

Supinator

Question 8

To award an MM grade of 3 or higher for trunk flexion, the _______ angle of the scapulae must clear the table.

posterior
inferior
anterior
lateral

Answer 8

inferior

Question 9

With a winged scapula, the ____________ border of the scapula tilts away from the rib cage.
-medial border
-inferior angle
- lateral border
- superior

Answer 9

medial

Question 10

The _________________ is a fully active elbow flexor regardless of forearm position.
-biceps
-brachialis
-brachioradialis
-flexor carpi radialis

Answer 10

-brachioradialis

Question 11

When attempting trunk extension, if the spinal extensors are weak and the hip extensors are strong, the pelvis will tilt ___________________ while the lumbar spine moves into flexion.

-laterally
-medially
- posteriorly
- anteriorly

Answer 11

• posteriorly

Question 12

Only the _______ head of the triceps brachii is activated during light resisted elbow extension.

• lateral head
• long head
• short head
• medial head

Answer 12

• medial head

Question 13

Holding the feet down during trunk flexion exercise increases hip flexor activity.
- True
- False

Answer 13

False,decrases hip flexor activity

Question 14

The pectoralis minor is a prime mover for scapular adduction and ___________ rotation.

-protraction
-retraction
-upper
- lateral

Answer 14

-upper

Question 15

The latissimus dorsi is a prime mover for shoulder _____________, shoulder extension, and shoulder adduction.

-horizontal abduction
-internal rotation
- external rotation
-horizontal adduction

Answer 15

-internal rotation

Question 16

The ________________ ___ and rhomboids are the prime movers for scapular retraction.

-mid fibers of trapezius
-latissimus dorsi
-upper fibers of trapezius
-lower fibers of trapezius

Answer 16

-mid fibers of trapezius

Question 17

Push your head up on my hand but keep looking at the floor is the command given to MM test __________________.
-chin-tuck
-cervical rotation
-cervical extension
-cervical flexion

Answer 17

-cervical extension

Question 18

Forearm pronation is strongest at ______ degrees of elbow flexion.

-20 degrees
-35 degrees
-50 degrees
-45 degrees

Answer 18

45 degrees

Question 19

The _______________ acts first during shoulder abduction
- infraspinatus
-teres minor
-supraspinatus
-subscapularis

Answer 19

supraspinatus

Question 20

The palmaris longus is the strongest prime mover for wrist flexion.

-True
-False

Answer 20

False

Question 21

The flexor carpi radialis is a prime mover for wrist abduction.
-True
-False

Answer 21

-True

Question 22

The posterior deltoid is a prime mover for shoulder extension and shoulder ________________.

-internal rotation
-external rotation

Answer 22

-external rotation

Question 23

The coracobrachialis is a prime mover for shoulder flexion and ____________.

-shoulder abduction
-external rotation
-shoulder adduction
-internal rotation

Answer 23

-shoulder adduction

Question 24

The latissimus dorsi is the only muscle that connects the arm to the spine.

-True
-False

Answer 24

True

Question 25

All the rotator cuff muscles except the ______________are shoulder external rotators. -infraspinatus -teres minor -supraspinatus -subscapularis

Answer 25

subscapularis

Question 26

The subscapularis is the MOST often injured rotator cuff muscle. -True -False

Answer 26

False

Question 27

To MM test for scapular depression and adduction, place the patient in a prone lying position with his arm overhead to about 145 degrees of abduction and the forearm held in mid position with the thumb pointed toward the ceiling. -True -False

Answer 27

True

Question 28

When MM testing trunk flexion, placing the patient in a supine position with arms held across the chest is the correct position for determining a test grade of ________ -2 -1 -4 -3

Answer 28

4

Question 29

The posterior deltoid strongly contracts during shoulder hyperextension. -True -False

Answer 29

True

Question 30

Shoulder internal rotation is the weakest rated shoulder movement. -True -False

Answer 30

False,think of arm wrestling

Question 31

When MM testing scapular adduction and downward rotation, the middle fibers of the trapezius can substitute for adduction of the rhomboids, but cannot substitute for the downward component. -True -False

Answer 31

True

Question 31

The pronator teres is the muscle contributing most strongly during pronation with elbow flexion. -True -False

Answer 31

True

Question 32

In addition to elbow extension, the long head of the triceps brachii is also active during shoulder extension and adduction. -True -False

Answer 32

True

Question 32

The brachialis does not contribute to forearm rotation due to its insertion on the __________. -radialis -ulna -carpals -humerus

Answer 32

ulna

Question 33

The risk of injury to the supraspinatus is due to its vulnerable position between the humeral head and the acromion. -True -False

Answer 33

True

Question 33

How many (prime movers) muscles are responsible for cervical extension? -4 -2 -3 -6

Answer 33

6

Question 34

According to your textbook, what muscle can be used as a substitute for weak or absent sternocleidomastoid muscles during cervical or combined flexion? -sternohyoid -omohyoid -thyrohyoid -platysma

Answer 34

platysma

Question 34

There are 3 muscles listed as major movers for trunk flexion, HOWEVER, which one is considered the PRIME MOVER for trunk flexion? -Psoas major -Obliquus internus abdominis -Rectus abdominis -Obliquus externus abdominis

Answer 34

Rectus abdominis

Question 35

For testing the cervical region for extension, for a GRADE 4 result what should you observe? -Patient holds position but without resistance -Patient holds position against max resistance -Patient attempts to extend neck -Patient holds position against moderate resistance

Answer 35

Patient holds position against moderate resistance

Question 36

To assess for capital flexion, WHAT is the proper position to assess this movement? -prone -supine

Answer 36

supine

Question 37

For trunk rotation, (supine position with arms outstretched above plane of body) to observe a grade 3 result, what needs to be observed? -patient attempts to flex trunk and flex to either side, therepist can palpate muscle -no discernable muscle contraction occuring on -Patient raises the scapula off the table, with therapist using one hand to check for scapular clearance. -patient is unable to clear the inferior angle of the scapula from the table

Answer 37

Patient raises the scapula off the table, with therapist using one hand to check for scapular clearance.

Question 38

According to your textbook, to examine trunk extension and get a GRADE 3 result, the patient should exhibit: -patient extends spine, raising body from the table so the umbilicus clears the table, patient completes the ROM -patient completes partial ROM -patient raises the trunk to the horizontal level, but with obvious effort -patient raises the upper trunk with no troubleth

Answer 38

patient extends spine, raising body from the table so the umbilicus clears the table, patient completes the ROM

Question 39

The prime movement action of the brachialis is elbow flexion. -True -False

Answer 39

True

Question 40

The prime movement action of the flexor carpi ulnaris is to extend the hand at the wrist. -True -False

Answer 40

False

Question 41

The elbow flexor muscle that also supinates the forearm is the biceps brachi. -True -False

Answer 41

True

Question 42

The tibialis anterior is the prime mover for plantar flexion. -True -False

Answer 42

False

Question 42

The gastrocnemius is the prime mover for dorsi flexion -True -False

Answer 42

False

Question 43

The soleus is one of two plantar flexors. -True -False

Answer 43

True

Question 44

The prime movement action of the gracilis is to flex the knee, adduct the thigh and medially rotate the tibia. -True -False

Answer 44

True

Question 45

The prime movement action of the infraspinatus is to internally rotate the humerus. -True -False

Answer 45

False

Question 46

Which muscle is NOT a two joint muscle (does NOT cross two joints. -Vastas lateralis -Rectus femoris -Gastrocnemius -Serratus Anterior

Answer 46

Serratus Anterior

Question 47

WHICH muscle is NOT a two-joint muscle? -Serratus Anterior -Soleus -Vastas lateralis -Vastus medialis

Answer 47

Soleus

Question 48

Which of the following muscles is NOT a knee extensor? -Gracilis -Rectus femoris -Vastas lateralis -Vastus intermedius

Answer 48

Gracilis

Question 49

Which muscle is also known as a hip flexor? -Sartorius -Gluteus maximus -semitendinosus -biceps femoris

Answer 49

Sartorius

Question 50

There are six muscles considered hip extensors, but according to your textbook, the _____________ muscle is the PRIME MOVER for hip extension. -Gluteus maximus -adductor magnus -Gluteus medius -biceps femoris

Answer 50

Gluteus maximus

Question 51

Which muscle DOES NOT attach or originate on the ischial tuberosity? -tensor facia latae -semiteninosus -biceps femoris -semimembranosus

Answer 51

tensor facia latae

Question 52

The modified hip extensor test is the preferred test for people who are not able or are unwilling to lie prone. -True -False

Answer 52

True

Question 53

The straight leg raise is NOT a suggested exercise for the Iliopsoas. - True - False

Answer 53

False

Question 54

The sartorius originates on the ASIS and inserts on the lateral aspect/or portion of the tibia, -True -False

Answer 54

False,medial aspect

Question 55

To test the sartorius, correct hand placement should be on medial knee and lateral malleolus. -True -False

Answer 55

False

Question 56

For a grade 2 MMT of hip flexion the patient is supine, with the heel of the testing limb resting on the shin of the opposite leg, then to test, the patient sliding the heel up along the shin to the knee. -True -False

Answer 56

True

Question 57

A suggested exercise for strengthening the sartorius muscle is a multidirectional lunge (forward, side, lateral) -True -False

Answer 57

True

Question 58

To test the sartorius muscle (for hip flexion, abduction and external rotation) for GRADES 5-3 the patient is sitting up. -True -False

Answer 58

True

Question 59

To test the sartorius muscle (for hip flexion, abduction and external rotation) the patient is placed in a prone position. -True -False

Answer 59

False

Question 60

To test the hip flexors for grades 5-3, the patient is placed in a sitting position. -True -False

Answer 60

True

Question 61

to test grade 2 for hip flexion, the patient is placed in a side-lying position with the leg supported by the therapist. -True -False

Answer 61

True

Question 62

Patient position for testing grades 0-1 of hip flexion, abduction, external rotation, is supine and knee supported by the therapist, and one hand palpating the ASIS. -True -False

Answer 62

True

Question 63

The patient position for testing of hip extension is a prone position. -True -False

Answer 63

True

Question 64

The patient position for testing of hip extension for grade 2 is side-lying, knee straight and supported by the therapist. -True - False

Answer 64

True

Question 65

The patient position for testing of hip extension for grades 0-1 is supine. -True -False

Answer 65

False

Question 66

For a patient to perform hip adduction, there are 8 muscles that provide or assist this movement. However, the PRIME MOVER listed in your textbook is the __________. -Gluteus medius -Gluteus maximus -tensor facia latae -Sartorius

Answer 66

Gluteus medius

Question 67

The patient position for testing hip adduction for grades 5-3 is: -Side-lying -Supine -prone -sitting up

Answer 67

Side-lying

Question 68

The patient's position for testing hip adduction for grade 2 is ___________. -supine -Side-lying -prone

Answer 68

supine

Question 69

There are three muscles listed to perform hip abduction from the flexed position. The PRIME MOVER listed in your textbook is the __________ -tensor facia latae -Gluteus maximus -Gluteus medius -Gluteus minimus

Answer 69

tensor facia latae

Question 70

Although there are 8 muscles listed in your textbook, the ____________________ muscle is the PRIME MOVER for hip internal rotation. -gluteus minimus -Adductor longus -Gluteus maximus -tensor facia latae

Answer 70

gluteus minimus

Question 71

The tensor fasciae latae function is hip flexion and internal rotation. -True -False

Answer 71

True

Question 72

To test for hip internal rotation, the therapist's hand placement is on the medial malleolus and lateral knee. -True - False

Answer 72

False

Question 73

An alternate grade 2 test for the patient who cannot sit is to position the patient in a prone position. -True -False

Answer 73

True

Question 74

For knee flexion, there are 9 muscles that the patient can use. However, the PRIME MOVER for knee flexion is: -Biceps femoris -Semitendinosus - semimembranosus -tensor facia latae

Answer 74

Biceps femoris

Question 75

To test grade 2 for knee flexion the patient is placed in a side-lying position. -True -False

Answer 75

True

Question 76

To test for grades 0-1 of knee flexion, the patient is placed in a supine position. -True - False

Answer 76

False

Question 77

Of the muscles responsible for knee extension, only ONE MUSCLE is classified as a TWO-Joint muscle, this is the ___________ muscle -Rectus Femoris -Vastas lateralis -Vastus intermedius -Vastus medialis oblique

Answer 77

Rectus Femoris

Question 78

The soleus is a two-joint muscle. -True -False

Answer 78

False

Question 79

According to your textbook, the tibialis posterior is a dorsi flexor of the ankle. -True -False

Answer 79

False

Question 80

According to the textbook, the tibialis anterior is the PRIME MOVER for plantar flexion. -True -False

Answer 80

False

Question 81

The peroneus or fibularis tertius is BOTH an ankle dorsi flexor and foot eversion. -True -False

Answer 81

True

Question 82

The tibialis posterior is BOTH a foot inverter and ankle plantar flexor. -True - False

Answer 82

True

Question 83

In class we used the term "Tom, Dick, and Harry" This refers to the following muscles: -Tibialis posterior, Flexor digitorum longus, Flexor hallucis longus -Tibialis anterior, Extensor digitorum longus, Extensor hallucis longus -Tibialis posterior, Flexor digitorum, Extensor hallucis longus -Tibialis posterior, Flexor digitorum, Flexor hallucis brevis

Answer 83

Tibialis posterior, Flexor digitorum longus, Flexor hallucis longus

Question 84

For testing the foot for dorsiflexion, for MMT grade 1, the therapist's hand placement should be on the tibialis anterior insertion just above the medial malleolus to detect contractile activity. -True -False

Answer 84

True

Question 85

For all MMT tests for the ankle dorsiflexion, the patient position is prone on the table. -True -False

Answer 85

False

Question 85

For testing the foot for dorsiflexion, for MMT grade 2, the therapist looks/observes for the patient to complete a partial ROM. -True -False

Answer 85

True

Question 86

For dorsiflexion MMT testing, the therapist's hand position for testing MMT grade 3, one hand is placed on the top of the foot, and the other hand is on the medial aspect of the lower leg. -True -False

Answer 86

False

Question 87

For MMT testing of ankle dorsiflexion, for grades 4-5, the resistance is from hand placement on the dorsal (top) of the foot. -True -False

Answer 87

True

Question 88

For MMT of foot inversion, to test grade 3 the patient will be able to complete inversion through the full available ROM. -True -False

Answer 88

True

Question 88

According to the textbook, In the sitting and supine position (for MMT dorsiflexion) make sure the knee is flexed to put the gastrocnemius on a relaxed or slack position. If the knee is extended, there may be gastrocnemius tightness. -True -False

Answer 88

True

Question 89

According to the textbook and substitutions, for MMT of foot inversion, extensors of the toes should remain relaxed to prevent substitution by the extensor digitorum longus and extensor hallucus longus. -True -False

Answer 89

False

Question 90

Suggested exercises for the tibialis posterior would include heel rise with inversion (heels together) -True -False

Answer 90

True

Question 91

Patient position to MMT for foot eversion with plantarflexion is supine and to test for MMT grades of 4-5, the resistance hand placement is on the lower foot and the other hand is above the malleolus. -True -False

Answer 91

True

Question 92

For MMT testing for grades 0-1 of foot eversion with plantarflexion, the therapist is palpating the fibularis brevis for contractile activity. -True -False

Answer 92

True

Question 92

Under "Helpful Hints" Foot eversion is accompanied by either dorsiflexion or plantarflexion. The toe extensors are the primary dorsiflexors accompanying eversion because the fibularis tertius is not always present. -True - False

Answer 92

True