Final Exam Flashcards

1
Q

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

A
  • radialis
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2
Q

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

-True
-False

A

False

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3
Q

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

A

True

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4
Q

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

-Scalenus anterior
-sternocleidomastoid
-Scalenus anterior
-Longus Colli

A

-sternocleidomastoid

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5
Q

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

A

True

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6
Q

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

-Teres minor
-Subscapularis
-Serratus Anterior
-Teres major

A

-Serratus Anterior

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7
Q

The ________________ is the weaker muscle involved in forearm supination.

-Pronator
-Supinator
- Biceps
-Brachioradialis

A

Supinator

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8
Q

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

A

inferior

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9
Q

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

A

medial

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10
Q

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

A

-brachioradialis

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11
Q

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

A
  • posteriorly
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12
Q

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

  • lateral head
  • long head
  • short head
  • medial head
A
  • medial head
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13
Q

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

A

False,decrases hip flexor activity

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14
Q

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

-protraction
-retraction
-upper
- lateral

A

-upper

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15
Q

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

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

A

-internal rotation

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16
Q

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

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

A

-mid fibers of trapezius

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17
Q

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

A

-cervical extension

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18
Q

Forearm pronation is strongest at ______ degrees of elbow flexion.

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

A

45 degrees

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19
Q

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

A

supraspinatus

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20
Q

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

-True
-False

A

False

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21
Q

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

A

-True

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22
Q

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

-internal rotation
-external rotation

A

-external rotation

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23
Q

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

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

A

-shoulder adduction

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24
Q

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

-True
-False

A

True

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25
Q

All the rotator cuff muscles except the ______________are shoulder external rotators.

-infraspinatus
-teres minor
-supraspinatus
-subscapularis

A

subscapularis

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26
Q

The subscapularis is the MOST often injured rotator cuff muscle.

-True
-False

A

False

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27
Q

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

A

True

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28
Q

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

A

4

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29
Q

The posterior deltoid strongly contracts during shoulder hyperextension.

-True
-False

A

True

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30
Q

Shoulder internal rotation is the weakest rated shoulder movement.

-True
-False

A

False,think of arm wrestling

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31
Q

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

A

True

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31
Q

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

-True
-False

A

True

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32
Q

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

A

True

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32
Q

The brachialis does not contribute to forearm rotation due to its insertion on the __________.

-radialis
-ulna
-carpals
-humerus

A

ulna

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33
Q

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

A

True

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33
Q

How many (prime movers) muscles are responsible for cervical extension?

-4
-2
-3
-6

A

6

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34
Q

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

A

platysma

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34
Q

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

A

Rectus abdominis

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35
Q

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

A

Patient holds position against moderate resistance

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36
Q

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

-prone
-supine

A

supine

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37
Q

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

A

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

38
Q

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

A

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

39
Q

The prime movement action of the brachialis is elbow flexion.

-True
-False

A

True

40
Q

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

-True
-False

A

False

41
Q

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

-True
-False

A

True

42
Q

The tibialis anterior is the prime mover for plantar flexion.

-True
-False

A

False

42
Q

The gastrocnemius is the prime mover for dorsi flexion

-True
-False

A

False

43
Q

The soleus is one of two plantar flexors.

-True
-False

A

True

44
Q

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

-True
-False

A

True

45
Q

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

-True
-False

A

False

46
Q

Which muscle is NOT a two joint muscle (does NOT cross two joints.

-Vastas lateralis
-Rectus femoris
-Gastrocnemius
-Serratus Anterior

A

Serratus Anterior

47
Q

WHICH muscle is NOT a two-joint muscle?

-Serratus Anterior
-Soleus
-Vastas lateralis
-Vastus medialis

A

Soleus

48
Q

Which of the following muscles is NOT a knee extensor?

-Gracilis
-Rectus femoris
-Vastas lateralis
-Vastus intermedius

A

Gracilis

49
Q

Which muscle is also known as a hip flexor?

-Sartorius
-Gluteus maximus
-semitendinosus
-biceps femoris

A

Sartorius

50
Q

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

A

Gluteus maximus

51
Q

Which muscle DOES NOT attach or originate on the ischial tuberosity?

-tensor facia latae
-semiteninosus
-biceps femoris
-semimembranosus

A

tensor facia latae

52
Q

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

-True
-False

A

True

53
Q

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

  • True
  • False
A

False

54
Q

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

-True
-False

A

False,medial aspect

55
Q

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

-True
-False

A

False

56
Q

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

A

True

57
Q

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

-True
-False

A

True

58
Q

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

-True
-False

A

True

59
Q

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

-True
-False

A

False

60
Q

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

A

True

61
Q

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

A

True

62
Q

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

A

True

63
Q

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

-True
-False

A

True

64
Q

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

-True
- False

A

True

65
Q

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

-True
-False

A

False

66
Q

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

A

Gluteus medius

67
Q

The patient position for testing hip adduction for grades 5-3 is:

-Side-lying
-Supine
-prone
-sitting up

A

Side-lying

68
Q

The patient’s position for testing hip adduction for grade 2 is ___________.

-supine
-Side-lying
-prone

A

supine

69
Q

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

A

tensor facia latae

70
Q

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

A

gluteus minimus

71
Q

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

-True
-False

A

True

72
Q

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

-True
- False

A

False

73
Q

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

-True
-False

A

True

74
Q

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

A

Biceps femoris

75
Q

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

-True
-False

A

True

76
Q

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

-True
- False

A

False

77
Q

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

A

Rectus Femoris

78
Q

The soleus is a two-joint muscle.

-True
-False

A

False

79
Q

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

-True
-False

A

False

80
Q

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

-True
-False

A

False

81
Q

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

-True
-False

A

True

82
Q

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

-True
- False

A

True

83
Q

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

A

Tibialis posterior, Flexor digitorum longus, Flexor hallucis longus

84
Q

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

A

True

85
Q

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

-True
-False

A

False

85
Q

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

-True
-False

A

True

86
Q

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

A

False

87
Q

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

A

True

88
Q

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

-True
-False

A

True

88
Q

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

A

True

89
Q

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

A

False

90
Q

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

-True
-False

A

True

91
Q

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

A

True

92
Q

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

-True
-False

A

True

92
Q

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

A

True