OSCE practical MCQ prep Flashcards

1
Q

the golgi tendon organ detects

A

tension on the tendon or mm

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2
Q

stimulation of the golgi tendon organ will cause a

A

refelective relaxation of the agonist mm

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3
Q

when treating with MLD the following general rules are MOST applicable

A

a slow rhythm with a light pressure towards the proximal lymph nodes

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4
Q

indication for O&I technique

A

hypertonic muscles

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5
Q

which one of the following statements regarding adhesions and contractures is true

A

unlike contractures, adhesions result from inflammation

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6
Q

when direct work to belly of mm is too painful use:

A

O&I

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7
Q

what statement about TPs is true

A

latent TPs refer pain only on palpation

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8
Q

what is NOT an indication for GTO release

A

hypotonicity

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9
Q

to perform mm approximation, the therapist

A

uses a pincer grasp on mm attachments and brings the ends towards each other

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10
Q

performing massage on the hamstrings prior to the calf is an example of

A

prox distal prox

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11
Q

the inflammatory signs of redness and heat are a result of

A

increased BF

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12
Q

which component is NOT associated with frictions

A

work through edema

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13
Q

which technique is inappropriate for treating TPs

A

frictions

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14
Q

which condition is most likely to occur if inflammation isnt treated

A

adhesions

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15
Q

what direction will the head of the femur slide when doing Abduction of the hip

A

inferior

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16
Q

what statement regarding lumbar spine biomechanics is true

A

flexion causes the facet joint surfaces to move further apart

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17
Q

what technique is appropriate to decrease spasm in a cx with acute disc herniation

A

grade 1 oscillations

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18
Q

what spinal curve forms last

A

lumbar

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19
Q

what statement regarding spinal movements is true

A

vertebral distraction only occurs when the therapist applies traction to the spine

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20
Q

which condition usually causes the client to have an extension bias

A

disc herniation

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21
Q

what technique is a fundamental technique for the lumbar spine during early training of the protection phase

A

pelvic tilt exercises to increase kinaesthetic awareness

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22
Q

what exercise is appropriate to address anterior head carriage

A

axial extension exercises

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23
Q

when having cx perform scapular retraction exercises, resistance is applied at the

A

inferior angle

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24
Q

which of the following sets of mm impairments may be associated with a flat upper back posture

A

decrease flexibility in the thoracic erector spine and scapular retractors, weak scapular protractors and intercostals

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25
Q

in case of a disc protrusion in acute phase, bed rest is recommended for:

A

no more than 2 days, intersped with short intervals of standing, walking and controlled movements

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26
Q

which exercise would help strengthen the abdominal mms in a cx with hyperlordosis

A

post pelvic tilt which raising the thorax off the ground

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27
Q

cx has protracted shoulders, which stretch is appropriate

A

pec major stretch

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28
Q

which REMEX is appropriate for a cx with restricted movement of the TMJ cause by shortened masseter

A

hold relax by resisting closing of the mouth

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29
Q

which position would allow for an effective stretch of anterior scalene

A

contralateral side bending and slight extension of the neck

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30
Q

what is an effective stretch for the upper part of traps

A

C/S flexion, contralateral side bending and ipsilateral rotation

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31
Q

what movement would strengthen left lateral pterygoid

A

deviation jaw to the right

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32
Q

your cx has local pain on the right side of the neck with cervical compression test. which RMEX would be appropriate for treatment

A

C/S traction to decrease stress of the C/S joints

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33
Q

your cx has a mild ACL sprain three weeks ago. there is still mild swelling but the pain is gone. which one of the following REMEX is appropriate for the clients ACL

A

grade II sustained anterior glide of the tibia to help stress and align the fibers of the ACL

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34
Q

your client has a sub-acute anterior talofibular ligament sprain, which of the following techniques would be appropriate

A

isometric strengthening to the fib longus

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35
Q

a cx complains of extreme pain in the right calf region. pain started 2 days ago when he fell jumping during a volley ball game. he walked off the court with great difficulty. there is ecchymosis and inflammation at the prox region of gastroc. which technique would you apply

A

PF AF ROM of the ankle

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36
Q

which statement represents a relevant risk of treatment when treating a cx with acute moderate ankle sprain

A

you may experience some discomfort throughout the treatment

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37
Q

in which position would you treat a client with chronic Achilles tendonitis

A

prone - anke dorsiflexion

38
Q

which test would indicate a cruciate pain

A

anterior drawer test

39
Q

in which position would a person with an acute iliopsoas strain likely present

A

weight on unaffected leg with affected hip in flexion, abduction and external rotation

40
Q

the trochateric bursa is located deep to what mm

A

glute max

41
Q

compound fracture

A

fracture where bone protrudes through skin

42
Q

avulsion fracture is when a bone breaks:

A

because of a violent pull on the ligament or tendons

43
Q

what tx protocol is appropriate for the treatment of acute plantar fasciitis

A

ice cube massage to plantar fascia

44
Q

if a valgus stress test of the knee causes pain, which structure is affected

A

medial collateral ligament

45
Q

acute injury to the MCL has the following SX & SX

A

pain on knee movement and possible medial knee instability

46
Q

what tx modality is appropriate in someone with MCL issues

A

grade 1 osccilations of the knee

47
Q

which tissue presentation is likely to be seen in the acute stage of an injury

A

hypertonicity

48
Q

cx comes to you with acute wrist flexor strain occurring yesterday. area has ecchymoisis by cx has no pain. there was a loud pop at the time of injury. what degree of sprain is this

A

grade 2

49
Q

iliospoas TP refers to

A

medial thigh, groin, and lumbar spine

50
Q

when performing the thomas test you note that both the hip and knee elevate off the table

A

both iliopsoas and rec fem may be shortened

51
Q

what question is appropriate when determining if someone has tendonitis

A

do you do any repetitive movements

52
Q

positioning the hip into flexion, abduction and external rotation you are preparing to do a

A

fabers test

53
Q

a positive apleys compression test indicates

A

meniscal tear

54
Q

test that determines integrity of the transverse humeral ligament in relation to the biceps tendon is

A

yeargasons

55
Q

specific test to identify stenosing tenosynovitis of the tendon sheath of extensor pollicis and abductor pollicis longus

A

finklesteins

56
Q

you discover your cx has a reduced active ROM in one direction. you are able to take the joint through full, pain free ROM in all directions. the restiriction is most likely:

A

muscle

57
Q

if sustained passive forced flexion of the wrist provoked tinging and numbness in the palmar surface of the first 3 digits, you would suspect:

A

carpal tunnel

58
Q

normal carrying angle between the forearm and arm in males is

A

5-10 degrees

59
Q

which position would you use when applying frictions to a cx with chronic dequervains tenosynovitis

A

thumb abduction and ulnar deviation

60
Q

_______ would be the hydro when treating the affected tissues of a cx with dupuytrens contracture

A

paraffin wax

61
Q

which deformity may be observed if the carrying angle is decreased

A

gun stock deformity

62
Q

which OA test would place max stress on the most commonly affected tendon that causes lat epicondylitis

A

lateral epicondylitis test method #1 (cozens)

63
Q

what tx approach is effective when treating a cx with chronic medial epicondylitis

A

local mm stripping followed by ice massage

64
Q

when assesing your cx you find that hawkins kennedy and yeargasons tests are positive, which structure is not likely to be affected (biceps, subacromial bursa, supraspinatus, subscap)

A

subscap

65
Q

what position is best used to asses the insertion of supraspinatus mm when applying frictions

A

GH ext, add & internal rot

66
Q

in a prolapsed cervical disc, the pressure of the disc is usually against what structure

A

PLL

67
Q

when performing massage for someone with regenerating ulnar paralysis, the most important consideration is

A

not to stretch the nn or affected mms

68
Q

tests to differentiate between carpal tunnel and TOS

A

adsons & phalens

69
Q

MS is most commonly seen in

A

females 20-40

70
Q

what is true regarding a upper motor neuron lesion

A

spasticity, hyperflexia, loss of voluntary control

71
Q

what sign is typical for klumpkes paralysis

A

claw hand

72
Q

pathology of MS is characterized by

A

patches of demylination in the CNS

73
Q

a cerebrovascular accident causing a lesion to the right side of the brain would result in:

A

hemiplegia on the left side

74
Q

CP is described as

A

non progressive disorder impairing movement

75
Q

most common onset of CP

A

during late pregnancy, at birth or during infancy

76
Q

what describes parkinsons face

A

expressionless & rigid

77
Q

what movement is avoided during massage for DDD as it places greater stress on the discs

A

flexion

78
Q

presentation seen with radial nn lesion

A

wrist drop

79
Q

“decrease contractures of elbow extensors and wrist flexors” is an aim for what condition

A

erbs palsy

80
Q

cx with sudden bells palsy reports:

A

sudden onset bilateral paralysis of mms of facial expression

81
Q

what is typical in someone with bells palsy

A

one side of the mouth drooping and ipsilateral eye open

82
Q

which presentation would NOT be present with bells palsy

A

parathesia of skin over mandible and cheek

83
Q

cx with chronic posterolateral disc herniation at C4/C5 and resultant nn root iriitation would have:

A

weakness of shoulder abduction

84
Q

cx has numbness in post forearm & hand, decreased strength of forearm extension

A

C7 nn root lesion

85
Q

what is true regarding scoliotic curves

A

vetebral rotation occurs toward the convexity of the curve

86
Q

with right thoracic scoliosis, ROM of the thorax is most limited in

A

lateral flexion to the right

87
Q

scoliosis massage includes

A

concave side first to stretch, convex to stimulate

88
Q

cx has functional right sided thoracic C-curve. what homecare is appropriate with strengthen appropriate mms

A

client lies on the left side and lifts their trunk off the ground

89
Q

which statement regarding hyperkyphosis is false

A

when the cx is lying prone apply towel roll under shoulders

90
Q

upon assessment you notice your cx has hyperlordosis of the lumbar spine and the tomas test is neg. which aim of treatment is NOT indicated (stretch to iliopsoas, stretch to lumbar extensor, stretch hamstrings, strengthen abdominals)

A

stretch to hamstrings

91
Q

common fibular nn lesion will result in motor alteration to

A

both the anterior and lateral compartments of the leg

92
Q

which sx and/or sx is NOT associated with klumpkes paralysis (anhydrosis, exothalmous, horners syndrome, sympathetic involvement)

A

exopthalamus