Rembe - Chapter 9 (PT Apps) Flashcards
Clinical Application
Local effects of a heat application include
a. Decreased diapedesis of leukocytes
b. Local analgesia
c. Decreased blood flow in the part
d. Decreased tissue metabolism
b. Local analgesia
The critical temperature for a sustained cold application to tissue is
54 °F
50 °F
48 °F
43 °F
43 °F
The point of thermal indifference of the skin for water (normal body temperature) is
82 °F
84 °F
86 °F
92 °F
92 °F
Objectives of muscle reeducation programs include
a. Development of motor awareness
b. Development of voluntary response
c. Development of strength
d. All of the above
d. All of the above
Indications for an ice pack include
Acute sprains, contusions, soft tissue injuries
Acute bursitis
Acute soft tissue injuries
All of the above
All of the above
Local effects of cold applications include
a. Vasoconstriction
b. Increased local circulation
c. Superficial penetration beneath skin surface
d. Increased leukocytic migration through capillary walls
a. Vasoconstriction
A good reaction to cold is characterized by
Bright pink skin
Maintained pulse rate
A feeling of chilliness
A sense of remorse
Bright pink skin
To increase knee flexion range of motion, the proprioceptive neuromuscular facilitation (PNF) technique of choice is hold-relax applied directly to the
Iliopsoas
Quadriceps
Hamstrings
Anterior tibialis
Hamstrings
What relationship group presents a large problem to overcome by a supervisor?
Intrapersonal
Peer group
Authority-responsibility
Subordinate to supervisor
Intrapersonal
What does it take to be an effective leader? All of the following are examples of effective leadership EXCEPT
a. Resolve conflict early
b. Encourage creativity and innovation
c. Provide little control or feedback
d. Provide subordinates an opportunity for growth
c. Provide little control or feedback
The physical therapy supervisor believed the therapists in the department lacked initiative and did not have self-discipline in control. His management style therefore is
Theory Y
Theory X
Theory Z
Theory XYZ
Theory X
Which of the following muscles has the most important function as a downward rotator of the scapula?
Levator scapulae
Upper trapezius
Pectoralis major
Rhomboideus major
Rhomboideus major
During your evaluation of a patient’s shoulder, you discover he has a tear in the supraspinatus muscle. What test did you use?
Apley scratch test
Tinel test
Yergason test
Drop-arm test
Drop-arm test
The acupressure point that alleviates pain of the forehead is known as
Chu-chih
Ho-ku
Lieh-chueh
Nei-kuan
Ho-ku
When using the bindegervebs massage you should always end the massage with
Balancing strokes
Sunstrokes
Hypothenor strokes
Three-count strokes
Balancing strokes
Which of the following muscles does NOT attach to the humerus?
Teres major
Pectoralis major
Pectoralis minor
Supraspinatus
Pectoralis minor
You have determined that your patient has a hip flexion contracture. What test did you use to determine the contracture?
Yergason
Tinel
Thomas
Ober
Thomas
All of the following are theoretical perspectives of group conflict EXCEPT
Analytical
Psychoanalytical
Developmental
Systems approach
Analytical
All of the following are components of communication within a physical therapy department, EXCEPT:
Initiation
Transmission
Attending
Feedback
Attending
All of the following are types of leadership, EXCEPT
Nonparticipative
Laissez-faire
Paternalistic
Bureaucratic
Nonparticipative
In a quality assurance program the outcome assessment is based upon the condition of the patient
At time of evaluation
During treatment phase
At conclusion of care
After discharge
At conclusion of care
Ina quality assurance program, retrospective audit is performed
After discharge
At conclusion of care
After treatment
After evaluation
After discharge
The primary purpose for record keeping in a physical therapy department is
Communication of patient care
Betterment of patient care
Quality of care assessment
Medical-legal aspects
Betterment of patient care
The problem-oriented medical record is directed toward all of the following EXCEPT
Organizing date
Preserving medical logic
Assessing quality care
Restrict structure of care
Restrict structure of care
Departmental records and date are collected in physical therapy for all of the following reasons EXCEPT:
Standards of practice
Standards of work
Departmental planning
Organization control
Standards of practice
When considering the construction or redesigning of a physical therapy department, all of the following are true EXCEPT
Size of hospital
Referral sources
Changes in practice
Changes in equipment
Changes in equipment
All of the following fall under the category of malpractice EXCEPT
Breach of negative law
Willful departure from acceptable practice
Breach of positive law
Negligence of the law
Breach of negative law
Which of the following muscles is most important for crutch walking?
Latissimus dorsi and lower trapezius
Posteruir deltoid and subscapularis
Middle deltoid and pectoralis major
Anterior deltiod and biceps
Latissimus dorsi and lower trapezius
For the paraplegic patient, which gait is the most difficult when ambulating with crutches?
Swing-to
Swing-through
Four-point
Two-point
Swing-through
The stance phase during ambulation begins when
Toes leave the ground
Toes touch the ground
Heel touches the ground
Heel leaves the ground
Heel touches the ground
Paralysis or marked weakness of the pretibial muscle group produces
Foot drop during swing phase
Excessive foot eversion
Excessive foot inversion
Plantar extension
Foot drop during swing phase
‘Williams’ exercises are designed to strengthen which of the following muscles?
Abdominal and gluteus maximus
Gluteus maximus and medius
Gluteus maximus and minimus
Erectus spinae
Abdominal and gluteus maximus
The major muscles that act for inspiratory movements include
External intercostals
Interal intercostals
Scalene
Sternocleidomastoid
External intercostals
When using PNF, the movement is facilitated at its onset by
Quich stretch
Active stretch
Extensor thrust
Flexor thrust
Quich stretch
When a cane is used for ambulation, usually it is used
Opposite the affected side
Same side as injury
Only during the phase stance
Only during push-off
Opposite the affected side
During locomotion, the adductor muscles of the thigh
a. Have peak activity just after heel contact
b. Have a high activity level in early stance phase
c. Have a high activity level in late stance phase
d. Spike peak activity just before toe-off
d. Spike peak activity just before toe-off
During locomotion the erector spinae muscles
a. Have a high activity during early stance phase
b. Have a high activity during late stance phase
c. Are silent during swing phase
d. Have a low-grade activity during swing phase
d. Have a low-grade activity during swing phase
During swing phase in locomotion
a. Ankle dorsiflexors show only slight activity
b. Calf muscles are active
c. Quadriceps are showing strong activity
d. Hamstrings are silent
a. Ankle dorsiflexors show only slight activity
During stance phase in locomotion
Calf muscles become active
Quadriceps are active
Hip abductors are active
AOTA
AOTA
Actions of the trapezius (all or in part) include
a. Protraction of the shoulder girdle
b. Downward rotation of the shoulder girdle
c. Shoulder girdle elevation
d. Shoulder girdle does not move
c. Shoulder girdle elevation
Which of the following muscles are important in stabilizing the scapula?
Levator scapulae
Latissimus dorsi
Deltoid
Serratus anterior
Serratus anterior
When performing mobilization, the inferior glide of the humeral head is performed with the shoulder in what position?
Slight abducted to 5°
Abducted to 30°
Externally rotated
Internally rotated
Abducted to 30°
During mobilization, the anterior glide with external rotation adds a maximal stretch to the
a. Anterior portion of the capsule
b. Posterior portion of the capsule
c. Anterior portion of the head of the humerus
d. Posterior portion of the head of the humerus
a. Anterior portion of the capsule
When the patella is mobilized with the cephalad movement, the force is in what direction?
Proximally
Distally
Medially
Laterally
Proximally
When the patella is mobilized with the medial movement, the force is in what direction?
Laterally
Medially
Proximally
Distally
Medially
When the patella is mobilized with the lateral movement, the force is in what direction?
Proximally
Distally
Medially
Laterally
Laterally
Which of the following spinal orthoses limit lumbar extension and reduce lordosis?
Chairback brace
Knight spinal brace
William’s brace
Taylor brace
William’s brace
The Philadelphia collar is nearly as effective as what other rigid cervical brace for controlling flexion-extension between the occiput and third cervical vertebrae?
Hard cervical collars
Four-poster cervical brace
Somi brace
Soft cervical collars
Four-poster cervical brace
Which of the following muscles is NOT supplied by the median nerve?
Flexor carpi radialis
Flexor digitorum superficialis
Flexor pollicus longus
Abductor pollicur longus
Abductor pollicur longus
Which of the following muscles is NOT supplied by the ulnar nerve?
Flexor carpi ulnaris
Palmaris brevis
Adductor pollicis
Opponens pollicis
Opponens pollicis
All of the following muscles act on the wrist EXCEPT:
Flexor carpi radialis
Extensor carpi ulnaris
Flexor carpi ulnaris
Extensor digitorum communis
Extensor digitorum communis
All of the following muscles have an action on both the wrist and the digits EXCEPT
Extensor pollicis brevis
Extensor indicis proprius
Extensor carpi radialis longus
Flexor digitorum profundus
Extensor carpi radialis longus
Protraction (abduction) of the shoulder girdle is seriously weakened by the loss of the
Middle trapezius
Serratus anterior
Latissimus dorsi
Pectoralis minor
Serratus anterior
The dorsal scapular nerve supplies the
Serratus anterior
Latissimus dorsi
Levator scapulae
Pectoralis minor
Levator scapulae
Your patient is in the prone position with the knees flexed. You compressed the heel and rotated the leg. The patient complained of pain. What test did you use?
Mcmurray
Apley’s
Tinel
Ober
Apley’s
Which of the following motions would be severely limited with a median nerve injury?
Elbow flexion
Elbow extension
Forearm pronation
Forearm supination
Forearm pronation
Which of the following muscles is necessary to raise the arm straight overhead?
Upper trapezius
Middle trapezius
Lower trapezius
Serratus anterior
Serratus anterior
Loss of which of the following muscles will markedly limit hyperextension of the arm?
Posterior deltoid
Latissimus dorsi
Teres major
Pectoralis major
Posterior deltoid
A positive Ober test indicates
Contracted biceps
Contracted gastrocnemius
Contracted iliotibial band
Contracted iliopsoas
Contracted iliotibial band
Which of the following muscles is a pure flexor of the elbow?
Biceps brachii
Brachioradialis
Pronator teres
Brachialis
Brachialis
The knee joint has
1° freedom of motion
2° freedom of motion
3° freedom of motion
4° freedom of motion
2° freedom of motion
If pain is felt during a restricted joint movement, what type of lesion is present?
Acute
Subacute
Joint hypomobility
Painful one
Joint hypomobility
The radial nerve has been severed mid arm. The resulting deformity is
Claw hand
Ape hand
Wrist drop
A combination of claw hand and ape hand
Wrist drop