Hybrid: Essential Concepts

Question 1

The key purpose of orthopedic assessment for the massage and manual therapist is to_________________.

a. be able to tell the client what condition they have
b. determine how much to charge the client
c. provide a diagnosis for the client
d. indicate which tissues are likely involved in the complaint

Answer 1

d. indicate which tissues are likely involved in the complaint

Question 2

Which is the most accurate statement about the role of assessment?

a. assessment is primarily an information gathering process
b. those licensed to offer a diagnosis don’t need assessment skills
c. a massage therapist can either perform assessment or diagnosis
d. assessment and diagnosis are basically the same thing

Answer 2

a. assessment is primarily an information gathering process

Question 3

The most important reason for a massage therapist to perform assessment is to:

a. rule out specific techniques
b. determine amount of pressure
c. determine if massage therapy is appropriate
d. confirm a diagnosis

Answer 3

c. determine if massage therapy is appropriate

Question 4

The protective covering on the ends of bones where they attach to each other is known as the:

a. fibrocartilage
b. synovial membrane
c. hyaline cartilage
d. joint capsule

Answer 4

c. hyaline cartilage

Question 5

Chronic overuse tendon pathology caused by a degeneration of the collagen matrix is called:

a. tenosynovitis
b. tendinitis
c. tendinosis
d. tendon strain

Answer 5

c. tendinosis

Question 6

Which of the following describes an eccentric muscle contraction?

a. tibialis anterior engages to help propel you upward when jumping
b. lumbar extensor muscles engage when performing a sit up
c. quadriceps muscles engage as the knee flexes when landing from a jump
d. triceps brachii engages when setting a drinking glass back down to the table

Answer 6

c. quadriceps muscles engage as the knee flexes when landing from a jump

Question 7

Which of the following is most likely described as an injury to a joint that produces pain, swelling and instability from acute trauma?

a. nerve entrapment syndrome
b. muscle strain
c. tenosynovitis
d. ligament sprain

Answer 7

d. ligament sprain

Question 8

Which of the following muscles is engaged in a concentric muscle contraction with the action described?

a. soleus during ankle dorsiflexion
b. infraspinatus during lateral shoulder rotation
c. supraspinatus during shoulder abduction
d. biceps brachii during elbow extension

Answer 8

a. soleus during ankle dorsiflexion-Incorrect

d. biceps brachii during elbow extension -Incorrect

Question 9

Which of the following are common characteristics of a myofascial trigger point when it is pressed?

a. immediate local atrophy and weakness
b. feelings of coldness where the spot is being compressed
c. dull, throbbing and aching sensations in a referral zone
d. shooting, electrical-type sensations down the lower back

Answer 9

c. dull, throbbing and aching sensations in a referral zone

Question 10

The sensations most likely to be caused by compression of a motor nerve are…

a. atrophy in the muscle
b. sharp, shooting pain
c. numbness in the skin
d. paresthesia

Answer 10

a. atrophy in the muscle

Question 11

Which of the following would be most indicative of an chronic injury?

a. contusion
b. muscle strain
c. tendinosis
d. ligament sprain

Answer 11

c. tendinosis

Question 12

Which of the following would be the most accurate characteristic in discriminating between an acute and chronic injury?

a. there is redness in the region of the injury
b. the condition has developed over the course of several weeks
c. the condition causes sharp pain down an extremity
d. swelling is evident along with the condition

Answer 12

b. the condition has developed over the course of several weeks

Question 13

Which of the following injuries would result from excessive tensile force applied to the tissue?

a. subacromial bursitis
b. carpal tunnel syndrome
c. hamstring muscle strain
d. patellar tendinosis

Answer 13

c. hamstring muscle strain

Question 14

When there is compression on a peripheral sensory nerve, symptoms are most likely felt:

a. distal to the site of compression
b. just proximal to where the compression is occurring
c. in the region of the associated nerve root
d. closer to the spine

Answer 14

a. distal to the site of compression

Question 15

If you are performing a passive range-of-motion test, your findings would go in which section of a SOAP note?

a. objective
b. assessment
c. plan
d. subjective

Answer 15

a. objective

Question 16

A muscle strain would be most easily identified with which of the following evaluation procedures?

a. observation
b. history
c. manual resistive test
d. passive range of motion

Answer 16

c. manual resistive test

Question 17

If you notice that your client has a significant forward head posture, this would fall under which section of the HOPRS procedure?

a. palpation
b. observation
c. history
d. special tests

Answer 17

b. observation

Question 18

Pain that is reproduced during a manual resistive test is most indicative of which of the following?

a. ligament sprain
b. moderate muscle strain
c. myofascial trigger points
d. hypertonic muscle

Answer 18

b. moderate muscle strain

Question 19

In order to gain the most accurate results with the least amount of stress to your client, which of the following evaluation procedures is performed first during your assessment?

a. manual resistive tests
b. special orthopedic tests
c. passive range of motion
d. active range of motion

Answer 19

d. active range of motion

Question 20

Pain on the medial side of the knee felt during passive knee extension would most likely indicate which of the following tissues?

Select one:

a. biceps femoris
b. medial collateral ligament
c. patellar tendon
d. rectus femoris

Answer 20

b. medial collateral ligament

Question 21

Which of the following would NOT be a single plane movement evaluation performed during range-of-motion evaluation?

Select one:

a. passive lateral rotation of the hip
b. active lateral rotation of the elbow
c. active shoulder abduction
d. active knee extension

Answer 21

b. active lateral rotation of the elbow

Question 22

The end-feel is the quality of how you feel motion stop at the end range of a particular joint motion. Which of the following would be considered a pathological and feel and should not be considered normal for that joint?

a. soft-tissue approximation during knee flexion
b. bone-to-bone during elbow extension
c. bone-to-bone during elbow flexion
d. soft-tissue approximation during elbow flexion

Answer 22

c. bone-to-bone during elbow flexion

Question 23

Which of the following evaluation procedures is likely to reproduce pain during passive range-of-motion evaluation?

Select one:

a. biceps brachii strain during elbow flexion
b. lateral ankle sprain during inversion
c. biceps femoris strain during knee flexion
d. patellar tendinosis during knee extension

Answer 23

b. lateral ankle sprain during inversion

Question 24

A manual resistive test is most effective for identifying…

Select one:

a. a significant injury to the joint capsule
b. paresthesia from nerve injury
c. hypermobility following ligament sprain
d. pain as a result of muscle or tendon injury

Answer 24

d. pain as a result of muscle or tendon injury

Question 25

If during your assessment you find pain in the posterior thigh region during resisted knee flexion, the most likely explanation is…

Select one:

a. second-degree strain of the biceps femoris
b. second-degree sprain of the vastus medialis
c. sciatic nerve compression in the posterior thigh
d. chronic tendinosis in the patellar retinaculum

Answer 25

a. second-degree strain of the biceps femoris