OSCE practical MCQ prep Flashcards
the golgi tendon organ detects
tension on the tendon or mm
stimulation of the golgi tendon organ will cause a
refelective relaxation of the agonist mm
when treating with MLD the following general rules are MOST applicable
a slow rhythm with a light pressure towards the proximal lymph nodes
indication for O&I technique
hypertonic muscles
which one of the following statements regarding adhesions and contractures is true
unlike contractures, adhesions result from inflammation
when direct work to belly of mm is too painful use:
O&I
what statement about TPs is true
latent TPs refer pain only on palpation
what is NOT an indication for GTO release
hypotonicity
to perform mm approximation, the therapist
uses a pincer grasp on mm attachments and brings the ends towards each other
performing massage on the hamstrings prior to the calf is an example of
prox distal prox
the inflammatory signs of redness and heat are a result of
increased BF
which component is NOT associated with frictions
work through edema
which technique is inappropriate for treating TPs
frictions
which condition is most likely to occur if inflammation isnt treated
adhesions
what direction will the head of the femur slide when doing Abduction of the hip
inferior
what statement regarding lumbar spine biomechanics is true
flexion causes the facet joint surfaces to move further apart
what technique is appropriate to decrease spasm in a cx with acute disc herniation
grade 1 oscillations
what spinal curve forms last
lumbar
what statement regarding spinal movements is true
vertebral distraction only occurs when the therapist applies traction to the spine
which condition usually causes the client to have an extension bias
disc herniation
what technique is a fundamental technique for the lumbar spine during early training of the protection phase
pelvic tilt exercises to increase kinaesthetic awareness
what exercise is appropriate to address anterior head carriage
axial extension exercises
when having cx perform scapular retraction exercises, resistance is applied at the
inferior angle
which of the following sets of mm impairments may be associated with a flat upper back posture
decrease flexibility in the thoracic erector spine and scapular retractors, weak scapular protractors and intercostals
in case of a disc protrusion in acute phase, bed rest is recommended for:
no more than 2 days, intersped with short intervals of standing, walking and controlled movements
which exercise would help strengthen the abdominal mms in a cx with hyperlordosis
post pelvic tilt which raising the thorax off the ground
cx has protracted shoulders, which stretch is appropriate
pec major stretch
which REMEX is appropriate for a cx with restricted movement of the TMJ cause by shortened masseter
hold relax by resisting closing of the mouth
which position would allow for an effective stretch of anterior scalene
contralateral side bending and slight extension of the neck
what is an effective stretch for the upper part of traps
C/S flexion, contralateral side bending and ipsilateral rotation
what movement would strengthen left lateral pterygoid
deviation jaw to the right
your cx has local pain on the right side of the neck with cervical compression test. which RMEX would be appropriate for treatment
C/S traction to decrease stress of the C/S joints
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
grade II sustained anterior glide of the tibia to help stress and align the fibers of the ACL
your client has a sub-acute anterior talofibular ligament sprain, which of the following techniques would be appropriate
isometric strengthening to the fib longus
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
PF AF ROM of the ankle
which statement represents a relevant risk of treatment when treating a cx with acute moderate ankle sprain
you may experience some discomfort throughout the treatment
in which position would you treat a client with chronic Achilles tendonitis
prone - anke dorsiflexion
which test would indicate a cruciate pain
anterior drawer test
in which position would a person with an acute iliopsoas strain likely present
weight on unaffected leg with affected hip in flexion, abduction and external rotation
the trochateric bursa is located deep to what mm
glute max
compound fracture
fracture where bone protrudes through skin
avulsion fracture is when a bone breaks:
because of a violent pull on the ligament or tendons
what tx protocol is appropriate for the treatment of acute plantar fasciitis
ice cube massage to plantar fascia
if a valgus stress test of the knee causes pain, which structure is affected
medial collateral ligament
acute injury to the MCL has the following SX & SX
pain on knee movement and possible medial knee instability
what tx modality is appropriate in someone with MCL issues
grade 1 osccilations of the knee
which tissue presentation is likely to be seen in the acute stage of an injury
hypertonicity
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
grade 2
iliospoas TP refers to
medial thigh, groin, and lumbar spine
when performing the thomas test you note that both the hip and knee elevate off the table
both iliopsoas and rec fem may be shortened
what question is appropriate when determining if someone has tendonitis
do you do any repetitive movements
positioning the hip into flexion, abduction and external rotation you are preparing to do a
fabers test
a positive apleys compression test indicates
meniscal tear
test that determines integrity of the transverse humeral ligament in relation to the biceps tendon is
yeargasons
specific test to identify stenosing tenosynovitis of the tendon sheath of extensor pollicis and abductor pollicis longus
finklesteins
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:
muscle
if sustained passive forced flexion of the wrist provoked tinging and numbness in the palmar surface of the first 3 digits, you would suspect:
carpal tunnel
normal carrying angle between the forearm and arm in males is
5-10 degrees
which position would you use when applying frictions to a cx with chronic dequervains tenosynovitis
thumb abduction and ulnar deviation
_______ would be the hydro when treating the affected tissues of a cx with dupuytrens contracture
paraffin wax
which deformity may be observed if the carrying angle is decreased
gun stock deformity
which OA test would place max stress on the most commonly affected tendon that causes lat epicondylitis
lateral epicondylitis test method #1 (cozens)
what tx approach is effective when treating a cx with chronic medial epicondylitis
local mm stripping followed by ice massage
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)
subscap
what position is best used to asses the insertion of supraspinatus mm when applying frictions
GH ext, add & internal rot
in a prolapsed cervical disc, the pressure of the disc is usually against what structure
PLL
when performing massage for someone with regenerating ulnar paralysis, the most important consideration is
not to stretch the nn or affected mms
tests to differentiate between carpal tunnel and TOS
adsons & phalens
MS is most commonly seen in
females 20-40
what is true regarding a upper motor neuron lesion
spasticity, hyperflexia, loss of voluntary control
what sign is typical for klumpkes paralysis
claw hand
pathology of MS is characterized by
patches of demylination in the CNS
a cerebrovascular accident causing a lesion to the right side of the brain would result in:
hemiplegia on the left side
CP is described as
non progressive disorder impairing movement
most common onset of CP
during late pregnancy, at birth or during infancy
what describes parkinsons face
expressionless & rigid
what movement is avoided during massage for DDD as it places greater stress on the discs
flexion
presentation seen with radial nn lesion
wrist drop
“decrease contractures of elbow extensors and wrist flexors” is an aim for what condition
erbs palsy
cx with sudden bells palsy reports:
sudden onset bilateral paralysis of mms of facial expression
what is typical in someone with bells palsy
one side of the mouth drooping and ipsilateral eye open
which presentation would NOT be present with bells palsy
parathesia of skin over mandible and cheek
cx with chronic posterolateral disc herniation at C4/C5 and resultant nn root iriitation would have:
weakness of shoulder abduction
cx has numbness in post forearm & hand, decreased strength of forearm extension
C7 nn root lesion
what is true regarding scoliotic curves
vetebral rotation occurs toward the convexity of the curve
with right thoracic scoliosis, ROM of the thorax is most limited in
lateral flexion to the right
scoliosis massage includes
concave side first to stretch, convex to stimulate
cx has functional right sided thoracic C-curve. what homecare is appropriate with strengthen appropriate mms
client lies on the left side and lifts their trunk off the ground
which statement regarding hyperkyphosis is false
when the cx is lying prone apply towel roll under shoulders
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)
stretch to hamstrings
common fibular nn lesion will result in motor alteration to
both the anterior and lateral compartments of the leg
which sx and/or sx is NOT associated with klumpkes paralysis (anhydrosis, exothalmous, horners syndrome, sympathetic involvement)
exopthalamus
