practice test 1/19

Question 1

what pathology?
5yo boy 
- weakness and difficulty walking for 2 years, progressively worsened.
- multiple joint contractures
- signs of muscular wasting.

Answer 1

muscular dystrophy

Question 2

what pathology?

• progressive neurological disease
• begins with loss of muscle and sensation of the extremities, usually the feet

Answer 2

Charcot-Marie-Tooth

Question 3

what pathology?

weakness and uncoordinated movement,

Answer 3

Cerebellar insufficiency

Question 4

contracted joint tissue

initially intervention to improve range of motion?

Answer 4

joint mob II and III

Question 5

initial intervention post ACL to speed recovery

Answer 5

• Isometric quadriceps strengthening
  quadricep function after knee surgery speeds recovery
• extension stretching

Question 6

temporomandibular joint dysfunction.
jaw will not open and feels like it is blocked
joint mob direction?

Answer 6

Inferior glide

mandibular condyle needs to descend inferiorly to relocate onto the bicondylar disc.

Question 7

purpose SLR test

Answer 7

neural tension test

• rule in or out neural tissue involvement as a result of a space occupying lesion, often a lumbar disc herniation.
• Herniated discs can pinch the lumbar nerve roots as they exit the spinal column.

Question 8

treating pregnant patient in supine where to place pillow under hip?
why?

Answer 8

R hip
inferior vena cava travels along the right side of the spinal column. venous blood can be occluded by the weight of the fetus. try to decrease the pressure on the inferior vena cava in supine

Question 9

prosthetic issue what gait deviation?

Socket is too small

Answer 9

circumduction

residual limb would not fit down into the prosthetic properly

Question 10

prosthetic issue what gait deviation?

Poor suspension

Answer 10

vaulting

stump would not be stable in the bottom of the socket.

Question 11

post above-knee amputation

important initial treatment to improve gait mechanics/transfers

Answer 11

prone hip extension stretching, prevent hip contractures

Question 12

TUG cutoff times

Answer 12

<10 seconds is normal

>30 seconds in community-dwelling elderly indicates a high fall risk.

Question 13

parallel bars for gait training, height optimize stability and security for the patient?

Answer 13

elbow flexion of approximately 20 degrees.

Question 14

Rancho Los Amigos gait terminology, what phase?

reference tibia is perpendicular to the ground.

Answer 14

terminal swing phase begin

Question 15

Rancho Los Amigos gait terminology, what phase?

point of toe off of the reference foot.

Answer 15

initial swing

Question 16

Rancho Los Amigos gait terminology, what phase?

contralateral tibia is perpendicular to the ground.

Answer 16

beginning of terminal stance

Question 17

Rancho Los Amigos gait terminology, what phase?

point of toe off of the contralateral foot

Answer 17

beginning of midstance

Question 18

what muscle?

Knee flexion and hip lateral rotation

Answer 18

sartorius

Question 19

aquatic therapy - water at chest level, the lower extremities will experience approximately #% body weight.

Answer 19

25%