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Flashcards in 2012 Deck (147)
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1

The primary afferent fibers coming from the nuclear chain of the muscle spindle have the following conduction velocity … m/sec
a. 20-40
b. 40-60
c. 60-80
d. 80-100

C

2

One effects of baclofen as muscle relaxant is via the mechanism of
a. To inhibit calcium ions release
b. To inhibit acetylcholine
c. To stimulate glutamate
d. To stimulate GABA

D

3

In neuropraxia the following finding can be detected during EMG/NCV studies
a. Positive sharp waves
b. Fasiculations waves
c. Fibrillations waves
d. Conduction block at certain level of nerve

D

4

Which statement below is true according patellofemoral pain syndrome?
a. The pain often be felt while running or jogging
b. Also referred to as posteromedial knee pain syndrome
c. Should always be associated w/ laxity of ligament around the knee
d. Is characterized by pain at front or middle edge of the knee or under the knee cap

D

5

Injury to the rotator cuff muscles and tendons of the shoulder is often occurs in?
a. Tennis player
b. Discus thrower
c. Boxing athletes
d. Rowing athletes

B

6

A young basketball athlete age 18, injured his right ankle while playing in a competition 1 week ago. His x-ray showed no fracture. His physician diagnosed as lateral ankle sprain. VAS score decreased in intensity from 8/10 to 6/10, but the pain increases w/ weight bearing and certain demonstrated movements. No warmth of skin of anterolateral aspect of right ankle, slight ecchymosis and swelling are noted. His anterior drawer test is positive, and his talar tilt test is negative.
What is the classification of injury in severity, and what stage of healing is this patient in?
a. Grade I ankle sprain and inflammatory phase
b. Grade I ankle sprain and proliferative phase
c. Grade II ankle sprain and inflammatory phase
d. Grade II ankle sprain and proliferative phase

D

7

In this case, what structure has been injured?
a. Anterior talofibular lig.
b. Posterior talofibular lig
c. Calcaneofibular lig
d. Syndesmotic lig

A

8

What program are suited for this case?
a. Rest and fixation
b. Stretching and endurance exc
c. Proprioceptive and balance exc
d. Weight bearing as tolerated and ROM exc

D

9

Which flexor muscle below located profoundly?
a. Pronator teres
b. Palmaris longus
c. Pronator quadrates
d. Flexor carpi ulnaris

C

10

A severe hearniated disc between L4-L5 most probably leading to weakness of the following muscle
a. Extensor digitorum longus
b. Extensor digitorum brevis
c. Extensor hallucis longus
d. Peroneus longus

C

11

the quadriceps femoris is an important knee extensor muscle. Which portion of this muscle also causes hip flexion?
a. Vastus intermedius
b. Vastus lateralis
c. Vastus medialis
d. Rectus femoris

D

12

Most important change in the aging musculoskeletal system is?
a. Increase in bone density
b. Decrease in lumbar lordosis
c. Increase in thoracic kyphosis
d. Increase in type II muscle fiber

D

13

Which of the following is most likely to enable you to determine the reason for a fall in an older patient?
a. A completed neurologic examination
b. MRI of the brain
c. Determination of patient’s functional status
d. A careful history of the circumstances surrounding the fall

A

14

Functional assessment of instability in the older faller is
a. Vision
b. Vestibuler
c. Mobility skills
d. Proprioception

C

15

In aging people, which lung function increases
a. FVC
b. Total lung capacity
c. Residual vol
d. Vital capacity

C

16

This is NOT the characteristic of geriatric patient
a. Multipathologic
b. Non specific clinical symptoms
c. no changes of functional status
d. limited physiologic reserved capacity

C

17

which of the following is NOT a contraindication to MWD?
a. Bruising
b. Old scar tissue
c. Electrical implant
d. Infectious skin disease

B

18

The high voltage pulsed current is
a. A direct current and biphasic
b. A monophasic pulsed current
c. A diadynamic pulsed current
d. Symmetric biphasic pulsed current

B

19

Which one of the following CPM is contraindicated?
a. Burn patient
b. Capsulotomies
c. Knee arthroplasty
d. Unstable fractures

D

20

Which of the following parameters most closely correlates with oxygen consumption?
a. Rectal temp
b. Oral temp
c. Respiratory rate
d. Pulse rate

C

21

How right the patient with obstructive airway disease help overcome air trapping?
a. Slowly inhale until the lungs are fully expanded
b. Force fully inhale for as long as possible
c. Exhale with hips pursed
d. Forcefully exhale

C

22

During exc, there is an increase in a person’s
a. stroke volume
b. diastolic pressure
c. total peripheral resistance
d. pulmonary arterial resistance

A

23

in a resting healthy man, the ejection fraction is approximately
a. 0.1
b. 0.2
c. 0.3
d. 0.6

D

24

The best device to unload a painful arthritis of the hip is
a. Knee hip ankle ortosis
b. Single point straight cane
c. Hip derotation orthoses
d. Forearm crutches

D

25

When should upper extremity prostheses fitting be initiated in adult?
a. When residual strength is full
b. When the patient requests a prostheses
c. Within the 1st month after amputation
d. When residual limb volume has stabilized

D

26

the most commonly used prostheses for patients with hip disarticulation
a. Hip disarticulation prosthesis w/ wooden socket
b. Canadian hip disarticulation prosthesis
c. Modular hip disarticulation prosthesis
d. Hemipelvictomy prosthesis

B

27

Signs of Leg-Calve perthes disease in the child is
a. Limping and restriction in hip motion, esp. hip abduction
b. Limping and restriction in hip motion, esp. hip adduction
c. Severe hip pain that is exacerbated w/ any motion
d. Groin pain that increases in weight bearing

A

28

The child has CC of bowlegs that are gradually progressing in severity and not improving spontaneously. The deformity is called
a. Clubfoot
b. Tibia vara
c. Knock knees
d. Genu recurvatum

B

29

Above case is caused by growth retardation of the medial and lateral part of proximal tibial epiphysis due to abnormal weight bearing stress and compression force on the knees. This disease is known as
a. Genu varum
b. Blount’s disease
c. Ricket’s disease
d. Ollier’s multiple enchondromatosis

B

30

What is seen when Landau reflex is elicited and when does it appear?
a. In the vertical position, the baby will support weight on his feet. Appears at 3-4 mo
b. In the ventral suspension, baby will extend their hand and LE. 4-5 mo
c. In supine position, baby will extend arm and leg on the side that the head is turned toward. 5-6 mo
d. In sitting position, baby will extend arm and hand to catch himself and prevent falling to one side. 5-7 mo

B