T2 MSK Midterm Practice Questions

Question 1

When a muscle is in a ____________ position it is likely to fatigue easily.
A) Lengthened
B) Shortened
C) Neither will make a muscle more susceptible to fatigue
D) Both can make a muscle more susceptible to fatigue

Answer 1

D) Both can make a muscle more susceptible to fatigue

Question 2

T/F - When performing PIR (post isometric relaxation), you are instructing your patient to contract the agonist in order to allow the agonist to relax.

Answer 2

True

Question 3

Which of the following assessment findings might lead you to suspect the possibility of a pectoralis major trigger point?
A) Subjective report of numbness and tingling in the arm and hand
B) Observation of rounded shoulder posture
C) Restriction in passive shoulder horizontal adduction
D) Weakness in resisted glenohumeral abduction

Answer 3

B) Observation of rounded shoulder posture

Question 4

Your client has a trigger point in their left levator scapula. You would find all of the following during your functional testing EXCEPT:
A) Increased discomfort with resisted rotation to the left
B) Increased discomfort with resisted side bending to the left
C) Limited passive rotation to the left
D) Limited passive rotation to the right

Answer 4

D) Limited passive rotation to the right

Question 5

What passive range of motion of the coxofemoral joint would likely be restricted with a psoas major trigger point?
A) Flexion
B) Extension
C) Both flexion and extension

Answer 5

B) Extension

Question 6

The following best describes the effects of postural dysfunction:
A) Posture that can be adjusted if directed to do so by the therapist
B) Adaptive shortening of myofascial tissues
C) There is no measurable tissue changes

Answer 6

B) Adaptive shortening of myofascial tissues

Question 7

You are treating your client for hyperlordosis. Which of the following muscle(s) are in a lengthened position and therefore may require your client to do specific strengthening/endurance exercises?
A) Rectus femoris
B) Quadratus lumborum
C) Gluteus maximus

Answer 7

C) Gluteus maximus

Question 8

With an anterior pelvic tilt, what is the relative position of the coxofemoral joint?
A) Extension
B) Flexion

Answer 8

B) Flexion

Question 9

With kyphotic posture what is the relative position of the thoracic spine?
A) Extension
B) Flexion

Answer 9

B) Flexion

Question 10

Which of the following muscles will be in a shortened position for a client presenting with head forward carriage, scapular protraction, and glenohumeral joint internal rotation?
A) Teres major, infraspinatus, serratus anterior, rhomboids
B) Teres major, pectoralis minor, serratus anterior, sternocleidomastoid
C) Pectoralis minor, latissimus dorsi, lower trapezius, teres minor
D) Pectoralis minor, infraspinatus, rhomboids, levator scapula

Answer 10

B) Teres major, pectoralis minor, serratus anterior, sternocleidomastoid

Question 11

Which of the following is NOT considered one of the three subsystems that needs to be considered when testing for postural stability and maintaining pain free posture?
A) Muscular System
B) Inert Tissue
C) Skeletal System
D) Nervous System

Answer 11

C) Skeletal System

Question 12

Which of the following is NOT TRUE regarding myofascial trigger points?
A) Extremely common
B) Non-inflammatory
C) Healthy tissue does not contain TrPs
D) TrPs are spasms
E) TrPs can be found in ligaments, fascia, and periosteum

Answer 12

D) TrPs are spasms

Question 13

Your patient complains of pain and stiffness in the nape of their neck on the right side that radiates along the medial border of their scapula. They fell asleep with their neck extended, rotated, and side bent to the right and woke up with the pain. You find that their shoulder appears raised on the right compared to the left along with increased muscle bulk. Which muscle contains the trigger point?
A) Levator Scapula
B) Splenius Cervicis
C) Upper Trapezius
D) Rhomboids

Answer 13

A) Levator Scapula

Question 14

Which of the following is a primary symptom of a trigger point in iliopsoas?
A) Anterior thigh pain
B) Iliosacral pain
C) Buttock pain
D) Both A and B
E) All of the above

Answer 14

D) Both A and B

Question 15

A trigger point in \_\_\_\_\_\_\_\_\_\_\_\_ muscle will present as mid-thoracic back pain (especially along the medial border of the scapula) with no other symptoms. 
A) Multifidus
B) Levator Scapula
C) Rhomboids
D) None of the above

Answer 15

C) Rhomboids

Question 16

Your patient complains of pain in the front of their right shoulder that radiates down their arm. After pitching at a baseball tournament, they are now having problems holding up their right arm. When you compress the back of their shoulder, it recreates the referral pain especially along the lateral arm. You find that active free shoulder abduction is weak and painful. Which muscle contains the trigger point?
A) Supraspinatus 
B) Pectoralis Major
C) Pectoralis Minor
D) None of the above

Answer 16

A) Supraspinatus

Question 17

Which of the following is NOT TRUE for a quadratus lumborum trigger point?
A) Bloating, nausea & abdominal cramps
B) Iliosacral pain
C) Thoracic back pain
D) Lateral thigh & hip pain

Answer 17

C) Thoracic back pain

Question 18

T/F - A pectoralis minor trigger point can contribute to rapid, fluttery, irregular heartbeat and heart-attack-like pain.

Answer 18

False - A pectoralis MAJOR trigger point can contribute to rapid, fluttery, irregular heartbeat and heart-attack-like pain.

Question 19

T/F - A gluteus maximus trigger point is characteristic of impotence due to nerve entrapments and sciatic nerve pain.

Answer 19

True

Question 20

Match the muscles to their trigger point referral pattern:

1) Question mark
2) Wishbone
3) Sweat band
4) Hat on the head
5) Behind the eye

A) Levator Scapula
B) Splenius Cervicis
C) Upper Trapezius
D) Semispinalis Capitis
E) Suboccipitals

Answer 20

1) Question mark — C) Upper Trapezius
2) Wishbone — A) Levator Scapula
3) Sweat band — E) Suboccipitals
4) Hat on the head — D) Semispinalis Capitis
5) Behind the eye — B) Splenius Cervicis