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Flashcards in 2013 Deck (148)
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1

The presence of nascent potentials in EMG exam shows the following process of:
a. Reinnervation
b. Poor prognosis
c. Good prognosis
d. Total denervation
e. Partial denervation

A

2

The following is the characteristic of a MUAP
a. Irregular in nature
b. The shape is always triphasic
c. Appears under voluntary control
d. Is an electrical activity coming from a muscle fiber
e. Appears when a needle electrode is coming into muscle

C

3

The term is used to designate a mild degree of neuro insults in blockage of impulse conduction across the affected segment
a. Neuropraxia
b. Neurotmesis
c. Axonotmesis neuropraxia
d. Tyoe 2 sunderland’s classification
e. Focal conduction block (lindberg)

A

4

Plantar fasciitis is caused by which of the following?
a. Chronic traction on the plantar aponeurosis
b. Chronic inflammation of the flexor tendons
c. Chronic traction of the flexor tendons
d. Acute plantar flexion
e. Acute dorsiflexion

A

5

The boutenierre deformity in a Rheumatoid hand is typically located in the following joint
a. PIPs
b. MCPs
c. Radiocarpal
d. Ulnarcarpal
e. Carpometacarpals

A

6

Problems arising from OA of the knee are all the following, except
a. There is continuous process of joint cartilage destruction
b. The knee is the most active joint in human life
c. There is always concomitant osteoporosis
d. There is malalignment of the knee joint
e. Pain is the most important symptom

C

7

The following is NOT the typical musculoskeletal and systemic manifestations of SLE
a. Arthralgias
b. Ligamentous laxity
c. Muscle pain and weakness
d. Osteoarthritis with joint deformities
e. Psychological and neurologic disorder

D

8

An adolescent disorder of the vertebral endplates and apophysis is called
a. Spondylosis
b. Thoracic lordosis
c. Facet syndromes
d. Spondylolisthesis
e. Schuermann’s disease

E

9

Adapted feeding utensils used by people with stroke is
a. Rocker knife
b. Button hooks
c. Standard walker
d. Stand up mirror
e. Long handled sponge

A

10

Therapeutic exc in CP uses a series of set patterns repeated many times during the day, attempting to train cerebral dominance and normalization of function is
a. Doman and delacate
b. Bobath
c. Deaver
d. Phelps
e. Voyta

A

11

Which type of massage “kneads” tissue by lifting, rollling, or pressing intermittently?
a. Friction
b. Vibration
c. Petrissage
d. Effleurage
e. Tapotement

C

12

Reproduction of radicular symptoms w/ cervical spine extension, rotation and lateral flexion of the seated patient is
a. Compression test
b. Sitting roof test
c. Spurling’s test
d. Bowstring test
e. Slump test

C

13

Test w/ full flexion of thumb into palm followed by ulnar deviation of wrist will produce pain is to diagnose de Quervain’s tenosynotis is called
a. Prayer test
b. Tinel test
c. Phallen test
d. Froment’s test
e. Finkelstein’s test

E

14

Provocative test for acromioclavicular joint impingement is
a. Cross-chest test
b. Relocation test
c. Apprehension test
d. Anterior drawer test
e. Anterior load and shift test

A

15

A 40 yo man, had motorcycle accident 3 months ago. On phys exam, a normal sensation was found at the area of medial malleoli R and L. The MMT grades were found on the LE: illiopsoas normal, quads fair, tib anterior poor, ext hall longus trace and gastroc 0.
The sensory level inthis cases would be
a. T12
b. L1
c. L2
d. L3
e. L4

E

16

A 40 yo man, had motorcycle accident 3 months ago. On phys exam, a normal sensation was found at the area of medial malleoli R and L. The MMT grades were found on the LE: illiopsoas normal, quads fair, tib anterior poor, ext hall longus trace and gastroc 0.
The classification according to ASIA impairment scale is
a. A
b. B
c. C
d. D
e. E

C

17

A patient is always complaining of difficulty in climbing stairs. This is most probably caused by weakness of
a. Pyriformis
b. Hamstring
c. Glut medius
d. Glut maximux
e. Quads femoris

E

18

the following joint is NOT categorized as TRUE JOINT
a. scapulo-thoracic joint
b. calcaneo-cuboid joint
c. gleno-humeral joint
d. humero-ulnar joint
e. atlanto-axial joint

A

19

which of the following muscle is the lateral rotator of the hip joint?
a. tensor fascia latae
b. gluteus minimus
c. gluteus medius
d. psoas major
e. piriformis

E

20

the patient lies supine with the examiner holding the knee in 15 deg of flexion. the femur is stabilized w/ one hand while pressure is applied to the posterior aspect of the proximal tibia in an attempt to translate it anteriorly. A positive test occurs when excessive anterior translation of tibia occurs w/ a soft endpoint. this test named?
a. lachman test
b. McMurray test
c. posterior drawer test
d. patellofemoral grind test
e. valgus and varus stress test

A

21

when the adolescent patient's with pain at the tibial tuberosity that is exacerbated with activities and direct contact. the radiographic is irregularly and fragmentation of the tibial tuberosity. the diagnosis is
a. tibial stress fracture
b. compartment syndrome
c. osgood-schlater disease
d. medial tibial stress syndrome
e. sinding-larsen-johanssen disease

C

22

the most commonly employed diagnostic maneuvers for TOS are all the following, except:
a. three minutes arm elevation
b. shoulder depression test
c. hyperabduction test
d. yergason test
e. adson test

A, D

23

the most important substance/structure to hold water inside the joint cartilage is
a. collagen
b. fibroblast
c. fibronectin
d. hyaluronate
e. proteoglycan

E

24

the following is hip abductor muscle, EXCEPT
a. gluteus minimus
b. tensor fascia latae
c. gluteus medius
d. psoas minor
e. sartorius

D

25

the following is TRUE during gait cycle
a. about 60% of normal gait cycle is spent in swing phase
b. as the speed of gait increases, the periof of double support increased
c. the LE tends to rotate externally thru the swing phase
d. in the middle of stance phase and at push-off, the entire LE begins to rotate externally
e. as the external rotation in the LE occurs, a degree of increased instability of the medial aspect of the hip, knee and ankle

D

26

the following is TRUE about femoral neck
a. the normal angle of inclination of the femoral neck to the shaft in the frontal plane is 140 deg
b. the normal angle of inclination of the femoral neck to the shaft in the frontal plane is 100 deg
c. the normal angle of inclination of the femoral neck to the shaft in the frontal plane is 125 deg
d. it is called coxa valga if the angle 150 deg
e. it is called coxa vara if the angle 90 deg

C

27

a 45 yo man with multiple sclerosis (MS) comes to neurology clinic complaining of urinary incontinence. he indicates that he experiences increased urgency and frequency of urination. the most likely urodynamic finding in this patient is
a. spastic bladder
b. an atonic bladder
c. stress incontinence
d. overflow incontinence
e. absence of abnormalities

A

28

a 35 yo woman presents symptoms in a few days of progressive ascending muscle weakness. She had a viral infection a few weeks earlier. On exam, you find diffuse weakness and areflexia. The most llikely finding in the CSF is:
a. high prot-high cell count
b. high prot-low cell count
c. low prot-high cell count
d. low prot-low cell count
e. normal CSF

B --> specific for GBS

29

a patient complaints of difficulty chewing. On exam, he is found to have decreased strength of his muscles of mastication. Which of the following cranial nerves is responsible for this motor function?
a. Facial
b. Trigeminal
c. Oculomotor
d. Hypoglossal
e. Glossopharyngeal

B

30

Homonymus hemianopsia indicates a
a. Retinal bleeding
b. Chiasmal lesion
c. Prechiasmal lesion
d. Postchiasmal lesion of the opposite side
e. Lesion of an optic tract on the same side

D