Module 3 Exam

Question 1

Muscle actions causing rotation of the scapula during upper extremity movement are an example of:

Answer 1

a force couple

Question 2

Which of the following is in the distal row of carpal bones?

Answer 2

Capitate

Question 3

Which of the following would most likely cause subluxation of the glenohumeral joint?

Answer 3

Paralysis of deltoid and coracobrachialis

Question 4

If you follow the fibers of the infraspinatus laterally, they insert deep to which muscle?

Answer 4

Deltoid

Question 5

The elbow joint:

Answer 5

Is a Diarthrodial hinge joint

Question 6

Quadriplegia is classified by the lowest level of preserved function and sensation. Persons with C4 tetraplegia (quadriplegia) have paralysis of the elbow ________because these muscles receive nerve root innervation at ____________ which is the spinal nerve level/s found in the radial nerve.

Answer 6

Extensors, C5-T1

Question 7

The shoulder complex consists of the joints between clavicle, scapula, humerus, sternum, and_________.

Answer 7

Ribcage

Question 8

The flexor carpi radialis, flexor carpi ulnaris, and palmaris longus

Answer 8

have proximal attachments on the medial epicondyle

Question 9

Thickening and tightening of the palmar aponeurosis may cause which of the following?

Answer 9

Dupuytren’s Contracture

Question 10

The Glenohumeral joint:

Answer 10

has maximum mobility at the expense of stability

Question 11

A force which produces cubitus valgus is most likely to injure the_________.

Answer 11

medial collateral ligament of the elbow

Question 12

The radioulnar joint

Answer 12

provides pronation/supination of the forearm

Question 13

The ________________ actively negate(s) the strong upward translatory force on the humeral head during contraction of the deltoid muscle in shoulder elevation.

Answer 13

Rotator cuff muscles

Question 14

Passive extension of the elbow in mid range would _______________the brachialis?

Answer 14

Lengthen

Question 15

The interosseous membrane of the forearm:

Answer 15

is located between the radius and ulna

Question 16

What muscle connects the pisiform to the medial epicondyle?

Answer 16

Flexor carpi ulnaris

Question 17

A female with a carrying angle of 23 degrees has___________.

Answer 17

Excessive cubitus valgus

Question 18

For complete (180 degrees) of shoulder abduction, ________________ must occur to move the greater tubercle away from the acromion process.

Answer 18

External rotation

Question 19

The ball-shaped _____ articulates with the head of the radius to form the humeroradial joint.

Answer 19

Capitulum

Question 20

Serratus anterior is a direct antagonist to _____________________.

Answer 20

Rhomboids

Question 21

Without an inferior slide, the upward roll of the humerus will result in the humeral head pressing into the acromion which can damage the rotator cuff muscles, a process known as:

Answer 21

Impingement

Question 22

A PTA treats a patient with a painful and inflamed elbow. The PTA notes that the patient holds the elbow in about 70 degrees flexion before and after therapy. Which of the following best describes why the patient is holding the elbow in this position and what action the PTA should take?

Answer 22

It is the open packed position for the elbow and is thus more comfortable for the patient; the PTA should explain to the patient the increased risk of an elbow flexion contracture if this posture is maintained.

Question 23

A patient with a wrist extension contracture of 45 degrees:

Answer 23

Will have weakened finger extension

Question 24

Which of the following muscles is active in scapular downward rotation?

Answer 24

Levator scapulae

Question 25

The ________________ ligament forms an arch over the humeral head and prevents dislocation of the humeral head superiorly.

Answer 25

Coracoacromial

Question 26

Catching falls on an outstretched hand with the forearm pronated can result in a Colle’s fracture which is a fracture of the___.

Answer 26

Distal radius

Question 27

This muscle performs shoulder internal rotation, originates from the underside of the scapula, inserts anteriorly on the humerus, and is a component of the rotator cuff muscles:

Answer 27

Subscapularis

Question 28

This muscle is an antagonist for shoulder adduction?

Answer 28

Middle deltoid

Question 29

Passive insufficiency of the biceps occurs with:

Answer 29

Shoulder extension/elbow extension

Question 30

You are seeing a patient with loss of movement in the shoulder. When you review the PT evaluation you see the patient has _______________.

Answer 30

inflammation of the suprapatellar bursa or disruption of movement in the AC and SC joint

Question 31

Which is true of scapulohumeral rhythm?

Answer 31

2 degrees of humeral motion for every 1 degree of scapular rotation

Question 32

A patient who exhibits a severely “winged” scapula has weakness of the_____________ muscle(s).

Answer 32

Serratus anterior

Question 33

Scapular muscle actions include which of the following:

Answer 33

elevation: levator scapulae, upper trapezius

Question 34

Muscle actions for glenohumeral movements include which of the following:

Answer 34

abduction: middle deltoid, supraspinatus

Question 35

Muscle actions at the elbow complex include all of the following

Answer 35

flexion: biceps brachii, brachialis, brachioradialis

Question 36

In a force couple of flexor carpi radialis with extensor carpi radialis longus, which of the following movements occurs?

Answer 36

Wrist radial deviation

Question 37

Two large upper body muscles that work in synergy to pull you through the water in free style (crawl stroke) swimming are the ____________.

Answer 37

pec major and latissimus dorsi

Question 38

Of the two clavicular joints,________________________________

Answer 38

the sternoclavicular is the stronger and the acromioclavicular is the weaker.

Question 39

A patient asks a PTA to explain carpal tunnel syndrome. The PTA _____________________________________.

Answer 39

explains that the patient’s median nerve is compressed as it passes through the carpal tunnel due to inflammation and/or swelling.

Question 40

The patient is a 90 yo male who had a FOOSH injury on the left last week. You are asked to practice balance and gait with him. What is his likely precaution?

Answer 40

Nonweightbearing on the distal left upper extremity due to a Colle’s fracture.

Question 41

________ is any urine loss resulting from physical exertion such as jumping, running and coughing.

Answer 41

Stress urinary incontinence (SUI)

Question 42

Cure rates and subjective improvements range from 56-70%, with exercise and behavioral management for ___________.

Answer 42

Urge and stress incontinence

Question 43

What is the purpose of the bursa of the glenohumeral joint? What are two things that you see when they are inflamed? (short answer please)

Answer 43

purpose: to create less friction when the GH joint is doing any of its motions (flex/ext, abd/add, IR/ER or H. abd/add)

Two things that you see in an inflamed bursa is visibly you can see the swelling in the area, the area around the joint gets larger and is more tender to the touch. During this you can also see less ROM in the GH joint due to less space to do actions and pain of the patient.

Question 44

The pelvic floor muscle issue that is more likely to be painful is:

Answer 44

overactivity of pelvic muscles

Question 45

A good pelvic floor conditioning program includes_____________.

Answer 45

transverse abdominus, adductors, gluteals, hip internal rotators/hip external rotators

Question 46

You review your next patient’s chart and read they have right sided weakness of their body. When you go to work with them you see they are wearing a sling on their right shoulder to hold the head of the humerus into the glenoid fossa, due to subluxation. You know subluxation is commonly seen in patients who are status post __________.

Answer 46

stroke (cerebrovascular accident)

Question 47

The primary muscle for punching or push-ups is the _________?

Answer 47

Serratus anterior

Question 48

The insertion of the palmaris longus is________?

Answer 48

The palmar fascia

Question 49

What is the only muscle of the shoulder complex not innervated by the brachial plexus?

Answer 49

Trapezius

Question 50

These are all considered first-line treatments or effective conservative treatment modalities for overactive bladder. (choose all that apply)

Answer 50

Physical therapy, behavioral therapy, bladder training