Theory Test #1 Flashcards
1) Which upper limb tension test involves Elbow Flexion & Forearm Supination? A) Ulnar B) Radial C) Median D) Musculocutaneous
A) Ulnar
2) Which one of the following treatment techniques is indicated when treating a client manifesting with spasticity? A) Deep painful techniques B) PR ROM throughout treatment C) Vigorous stimulating techniques D) Light hacking to the spastic tissue
B) PR ROM throughout treatment
3) Which client self-care modality are you least likely to recommend? A) Active Free ROM B) Active resisted ROM C) Passive tractioning D) Isometric strengthening
C) Passive tractioning
4) Which statement about palpation is FALSE?
A) It is a valuable tool for assessing the physiological state of body tissue
B) It facilitates identification of tissue manifestations and pathological conditions
C) It is an accurate description of the state of body tissues and structures
D) It enables MT’s to assess what they are feeling through hand contact
C) It is an accurate description of the state of body tissues and structures
5) A client presents with right shoulder pain, which is aggravated during cross-country skiing. The pain has intensified over the past month and is affecting daily activities, including lifting her child. Assessment reveals:
- Right shoulder is lower and has greater muscle bulk than the left
- Pain at the end of PR ROM for right shoulder Extension
- Pain with AR right shoulder Flexion
- Palpable heat and tenderness over the right anterior shoulder
Which protocol is C.I’d for treating this client?
A) Warm hydrotherapy over the right shoulder to decrease Hypertonicity
B) Gentle PR ROM for the right shoulder to maintain mobility
C) Petrissage to surrounding muscles to decrease Hypertonicity
D) Cold hydrotherapy over the right shoulder to decrease inflammation
A) Warm hydrotherapy over the right shoulder to decrease hypertonicity
6) Which statement regarding congential torticollis is TRUE?
A) It is associated with few structural changes
B) Structural changes prevent improved function
C) Structural changes mean that massage therapy will be ineffective
D) Massage therapy can improve function despite structural changes
D) Massage therapy can improve function despite structural changes
7) In which direction would you glide the lunate to increase wrist Extension? A) Posterior B) Anterior C) Medial D) Lateral
B) Anterior
8) Which symptoms of Parkinson’s diesease usually manifests first? A) Shuffling gait B) Resting tremors C) Contractures D) Drooling
B) Resting tremors
9) Which action is weakened, but not completely lost, with a common fibular nerve transaction? A) Hallucis Extension B) Ankle Dorsiflexion C) Ankle Eversion D) Ankle Inversion
D) Ankle Inversion
10) which statement about the treatment of dislocations is FALSE?
A) During the acute stage of healing, focus on proximal lymphatic drainage
B) During the acute stage of healing, avoid heavy hydrotherapy over the joint
C) During the sub-acute stage of healing, focus on scar tissue realignment
D) During the chronic stage of healing, restore full ROM before strengthening affected muscles
D) During the chronic stage of healing, restore full ROM before strengthening affected muscles
11) Which aim of treatment is applicable when treating a client with acquired torticollis?
A) Reduce muscle spasms before stretching affected muscles
B) Focus on stretching connective tissue structures
C) Lengthen contractured tissues immediately
D) Apply hot hydrotherapy to reduce spasms
A) Reduce muscle spasms before stretching affected muscles
12) In which phase of gait is the ankle Dorsiflexed to 90 Degrees? A) Mid swing B) Toe off C) Heel strike D) Load response
C) Heel strike
13) Which one of the following techniques is NOT indicated in the treatment of Dupuytren’s contracture?
A) Muscle stripping along the anterior forearm
B) Parrafin wax application to the hand
C) Cold towel application to the hand
D) Passive forced wrist Extension
C) Cold towel application to the hand
14) In which one of the following stages of healing is increasing ROM C.I’d? A) Late sub-acute stage B) Early sub-acute stage C) After scar tissue has formed D) Inflammation is no longer present
B) Early sub-acute stage
15) During your shoulder assessment your client’s pain is relieved when the shoulder is raised above their head. What does this finding likely indicate? A) Joint instability B) Subacromial bursitis C) Nerve root pathology D) Clavicular subluxation
C) Nerve root pathology
16) Your client, a hairdresser, has recently been treated for an acute flare-up of her right Supraspinatus tendonitis. As her symptoms have diminished, your focus is now on resolving the condition and prevention of reoccurrence
Which aim of treatment is appropriate for these goals?
A) Restore good biomechanics
B) Maintain ROM
C) Decrease swelling
D) Increase relaxation
A0 Restore good biomechanics
17) Which one of the following statements regarding multiple sclerosis is TRUE?
A) Caused by repeating traumatic injuries
B) Manifests with exacerbation and remission
C) A result of a complete central nerve lesion
D) Myelin regeneration completely reverses symptoms
B) Manifests with exacerbation and remission
18) A client with multiple sclerosis complains of fatigue. Which approach is most effective for treating the client’s concern?
A) Short duration treatment with stimulating techniques
B) O&I friction massage with warm hydrotherapy
C) Long duration treatment with sedating techniques
D) Active resisted exercises with maximal resistance
A) Short duration treatment with stimulating techniques
19) Which statement about assessment of the hand and wrist is TRUE?
A) Atrophy of the Thenar, or Hypothenar eminences may indicate a nerve lesion
B) The normal ‘attitude’ of the hand is full flexion of the MCP and IP joints
C) Normally, fingers are more flexed on the radial side than the ulnar side
D) The normal end-feel for wrist Extension is bone-to-bone
A) Atrophy of the Thenar, or Hypothenar eminences may indicate a nerve lesion
20) Which movement would you resist to test the C7 myotomes? A) Wrist Extension B) Wrist Flexion C) Elbow Flexion D) Ulnar Deviation
B) Wrist Flexion
21) Which statement does NOT describe the importance of accurate palpation in the practice of massage therapy?
A) Palpation facilitates differentiation of normal and abnormal tissue states
B) Palpation enhances the ability to accurately diagnose a client’s condition
C) Palpation enables evaluation of tissue response to treatment techniques
D) Palpation facilitates the design of effective ongoing treatments
B) Palpation enhances there ability to accurately diagnose a client’s condition
22) Which technique is MOST effective for decreasing spasticity associated with multiple sclerosis? A) AR ROM exercise B) GTO release C) Rhythmic stroking D) Friction
B) GTO release
23) Which description of client position and therapist contact does NOT indicate a thoracic extension mobilization?
A) Client - seated with arms crossed, Therapist - arms interlaced with client’s arms and with hands on upper T-spine
B) Client - seated with arms crossed, Therapist - arms wrapped around client with hands on mid T spine
C) Client - seated with arms in Flexion, Therapist - one arm supporting client’s arm and one hand on mid T spine
D) Client - seated with one arm in abduction, Therapist - one hand on arm, one hand on lowest fixated rib
D) Client - seated with one arm in abduction, Therapist - one hand on arm, one hand on lowest fixated rib
24) Which position allows for an effective stretch of the tensor Fascia Lata muscle?\_\_\_\_\_\_\_\_, externally rotate and \_\_\_\_\_\_\_\_ hip? A) Flex/Adduct B) Extend/Adduct C) Flex/Abduct D) Extend/Abduct
B) Extend/Adduct
25) Which statement about palpation is TRUE?
A) It is an important tool for assessing the physiological state of body tissues
B) It obscures identification of pathological states and conditions
C) It is an accurate description of the state of body tissues and structures
D) It does not enable massage therapists to evaluate the quality of tissue movement
A) It is an important tool for assessing the physiological state of body tissues
26) Which is NOT an appropriate aim of treatment for a client in the early stages of Parkinson’s disease?
A) Maintain Intrinsic Hand Muscle strength
B) Minimize hyperkyphosis development
C) Maintain functional rib movement
D) Minimize development of ataxic gait
D) Minimize development of ataxic gait
27) Yergason’s test will be positive in a client with which condition? A) Biceps Brachii Tendonitis B) Rotator Cuff Tendonitis C) Glenohumeral joint dislocation D) Acromioclavicular dislocation
A) Biceps Brachii Tendonitis
28) Which sign specifically indicates a PNS lesion? A) Spastic paralysis B) Abnormal or antalgic gait C) Increased deep tendon reflexes D) Decreased deep tendon reflexes
D) Decreased deep tendon reflexes
29) Which muscle contains a trigger point that refers pain over the olecranon process? A) Biceps Brachii B) Coracobrachialis C) Triceps Brachii D) Pectoralis Major
C) Triceps Brachii
30) A client with a common fibular nerve lesion may compensate with excessive ipsilateral \_\_\_\_\_\_\_ A) Hip Flexion B) Dorsiflexion C) Hip Extension D) Knee Extension
D) Knee Extension
31) Connective tissue sheets sticking together describe which state? A) Scar tissue B) Adhesions C) Contracture D) Hypertonicity
B) Adhesions
32) Which phrase describes a Pott’s fracture?
A) A fracture of the neck of the femur due to bone degeneration
B) A combination of a transverse and an avulsion fracture at the ankle
C) A spontaneous stress fracture of the fibula and malleolous
D) An avulsion of the medial malleolous due to excessive weight
B) A combination of a transverse and an avulsion fracture at the ankle
33) Tinel’s sign at the elbow is performed between the olecranon process and \_\_\_\_\_\_ and tests the \_\_\_\_\_\_ nerve A) Medial Epicondyle/Radial B) Medial Epicondyle/Ulnar C) Lateral Epicondyle/Ulnar D) Radial head/Median
B) Medial Epicondyle/Ulnar
34) Which term is NOT a part of the stance phase of gait? A) Heel strike B) Initial swing C) Mid-stance D) Load response
B) Initial swing
35) Which correctly matches a tissue manifestation with the type of remedial exercise applied?
A) Atrophy - passive stretch
B) Adhesions - long duration stretching
C) Contracture - isotonic strengthening
D) Trigger points - isometric strengthening
B) Adhesions - long duration stretching
36) Which sign/symptom is uncharacteristic of Parkinson’s disease? A) Shuffling gait B) Resting tremors C) ‘question mark’ posture D) Visual distrubances
D) Visual disturbances
