Final Exam Flashcards

1
Q

A single cycle of gait is defined as the?

A

From Hell off of one foot to the hell off of the same foot

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2
Q

At what phase of gait is mediolateral stability of the knee most important?

A

Mid stance

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3
Q

In measuring for a quadrilateral Brim what is the most important measurement?

A

Anterior posterior and medial lateral

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4
Q

What comprises the scarpa triangle?

A

Sartorius
Inguinal ligament
Adductor longus

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5
Q

What is the best position for managing the chronically dislocating glenohumeral joint

A

Abducted and internally rotated

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6
Q

The oblique diameter of a patients malleoli is 3 5/8 inch or 90 mm what should be the inside dimension of the ankle joint be?

A

4 1/16inch

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7
Q

A hemiplegic patient presents with zero hip extensors fair quadriceps zero calf. what would you recommend?

A

KAFO

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8
Q

A 20-year-old female patient presents with flaccid anterior compartment and medial lateral instability in her right lower limb which of the following would you recommend?

A

solid ankle polypropylene AFO trim interior to the malleoli

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9
Q

What is a contraindication for Spiral AFO ?

A

Edema with frequent volume changes

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10
Q

Bunnell cock up splints are frequently used for?

A

Arthritis

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11
Q

What structure assists the deltoid and glenohumeral abductions?

A

Rotator cuff

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12
Q

An Orthotic patients wrist is position in ulnar deviation and flexion she tried to reposition the patients wrist

A

And 30° extension

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13
Q

What is often a result of an irregular birth?

A

Erb’s palsy

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14
Q

What is the inflammation of the outer covering of the spinal cord or brain?

A

Meningitis

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15
Q

What is the primary target organ and rheumatoid arthritis

A

Synovium

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16
Q

What best describes a small lubricant filled sac which if removed results in an increase in friction?

A

Bursa

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17
Q

In an LSO what is the superior margin of the paraspinal bars?

A

1 inch inferior angle of the scapula

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18
Q

What is the superior margin of the paraspinal bars and a Taylor TLSO

A

Spine of scapula

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19
Q

What is the preferred position for fitting in a hyperextension TLSO Jewett type?

A

Supine

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20
Q

The superior portion of the Milwaukee CTLO should be carefully fabricated so as to?

A

Avoid excessive pressure on the chin

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21
Q

In an attempt to restore upper limb function to a C-5 complete quadriplegic which of those is should you recommend?

A

WHO with externally powered wrist or prehension

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22
Q

What structure is at the distal end of the humerus?

A

Epicondyle

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23
Q

Primary function of the brachioradialis is?

A

Elbow flexion and forearm supination

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24
Q

The primary function of the biceps brachii is

A

Supination

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25
Q

The primary function of the brachialis is?

A

elbow flexion

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26
Q

In addition to the deltoid the axillary nerve innervates the?

A

Teres minor

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27
Q

What muscle compliments the deltoid in performing glenohumeral abduction

A

rotator cuff

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28
Q

What is a contraindication for a plastic AFO?

A

Placcid peroneus tertius

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29
Q

Maximum dorsiflexion occurs during which phase of gait?

A

Hell off

30
Q

What is the function of the serratus anterior muscle?

A

Rotation of the scapula

31
Q
Which of the following is a birth injury to the brachial plexus?
Cerebral palsy
Bell's palsy 
Klumpke's palsy 
Perineal palsy
A

Klumpke’s palsy

32
Q
A musculocutaneus nerve lesion will cause loss of function of which of the following muscles?
Subscapularis 
Biceps 
Deltoid 
Serratus anterior 
Triceps
A

Biceps

33
Q

Erb’s palsy refers to paralysis from injury to the?

A

Upper trunk of the brachial plexus

34
Q

A landmark located at the distal end of the humerus is the

A

Epicondyle

35
Q
The medial epicondyle of the humerus serves as the origin for which of the following muscle groups?
Wrist extensors 
Elbow extensors 
Finger extensors 
Supinators 
Finger flexors
A

Finger flexors

36
Q

The primary action of the brachioradialis muscle is to?

A

Flex the elbow

37
Q

A local physician asks your opinion on fitting a complete brachial plexus injury with a functional orthosis. Which of the following problems can be anticipated?
The hand is hypersensitive
Muscle spasticity will interfere with fitting
Shoulder subluxation is difficult to control
No locking joints Are available for the elbow

A

Shoulder subluxation is difficult to control

38
Q
Which of the following muscles in the forearm does not cross the wrist joint?
Flexor Carpi radialis 
Extensor pollicis longus 
Adductor pollicis longus 
Brachioradialis 
Extensor indicis proprius
A

Brachioradialis

39
Q

An orthosis to immobilize a fracture of the carpal navicular must include the?

A

Mp joint of the thumb

40
Q
Which of the following muscles extends the distal phalanx of the thumb?
Extensor pollicis longus 
Extensor pollicis brevis
Extensor pollicis proprius 
Extensor digitorum longus
A

Extensor pollicis longus

41
Q
Which of the following muscles is not supplied by the median?
Palmaris longus 
Flexor pollicis longus 
Flexor Carpi ulnaris 
Pronator teres 
Flexor digitorum superficialis
A

Flexor Carpi ulnaris

42
Q

When a patient wearing a WHFO (wrist driven flexor hinge orthosis) dorsiflexes his wrist, it will cause what finger motion?

A

Flexion

43
Q
All of the following structures pass through the carpal tunnel except?
Median nerve 
Flexor digitorum profundus tendon 
Flexor digitorum superficialis tendon 
Flexor Carpi radialis tendon
A

Flexor Carpi radialis tendon

44
Q
All of the following are wrist tendodesis orthoses except: 
WHFO (engender-tirr)
WHFO (rancho)
WHFO (ric)
WHFO (Oppenheimer)
A

WHFO (Oppenheimer)

45
Q
Which of the following components is most effective for a hand lacking thumb abductor strength?
C-bar 
Thumb extension 
Thumb IP extension assist 
First dorsal interosseous assist
A

C- bar

46
Q

Metacarpophalaneal hyperextension and interphalangeal semi-Flexion of the ring and little finger characterizes a lesion of which nerve At the wrist?

A

Ulnar

47
Q

Flexion of the distal interphalangeal joints is accomplished by which muscle?

A

Flexor digitorum profundus

48
Q

Which orthotic device is indicated in order to restore prehension to quadriplegic patient whose functional neurological level spares C-6 nerve root?

A

WHFO ( wrist driven flexor hinged orthosis

49
Q

The orthosis indicated for a median nerve palsy At the wrist is?

A

HO (basic opponens orthosis)

50
Q

Patients who have good extensor digitorum communis function but loss of intrinsics would require a hand orthosis with what component?

A

An mp stop

51
Q

A patient with a well fitted orthosis for a wrist level median nerve injury does not use his hand functionally this is most likely due to?

A

Sensory deficit

Lack of motivation.

52
Q

Sensation is transmitted through which following structures?

A

Dorsal branch of the nerve

53
Q
Which of the following describes an aponeurosis?
A ganglion 
A nerve plexus 
Thin flattened tendon 
An apposition muscle 
A ligament
A

A thin flattened tendon

54
Q

During normal human locomotion, how much does the center of gravity shift from side to side?

A

2 inches

55
Q
Spasticity does not result from which of the following?
Cerebral palsy 
Multiple sclerosis 
Myedysplasia
Cauda equina injury 
Spinal cord injury
A

Cauda equina injury

56
Q

The primary tissue involved in rheumatoid arthritis is?

A

Synovial membrane

57
Q

A Charcot joint results from?

A

Disruption of the sensory pathways to the joint

58
Q

The most effective way to obtain maximum support with a metal spinal orthosis is to wear it with?

A

A corset

59
Q

A patient returns to you complaining that her LS corset is sliding up. Your initial recommendation should be to?
Obtain a new garment
attach garters and wear hose
Tighten the straps distally to proximally

A

Add perineal straps

60
Q

A guide in measuring the distance between posterior uprights on a lumbosacral orthosis is the?

A

Para spinal muscles

61
Q

Lateral bending of the spine always includes what additional motion?

A

Rotation

62
Q

Hydrocephalus may accompany?

A

Myelodysplasia

63
Q
Which of the following does not result in an upper motor neuron lesion?
Cerebral vascular accident 
Multiple sclerosis 
Diabetic neuropathy 
Spinal cord transection
A

Diabetic neuropathy

64
Q

A hernia support or truss should be fitted while the patient is?

A

Supine

65
Q

Wearing a spinal orthosis may have what effect on the trunk?

A

Results in disuse atrophy

66
Q

A good purchase on the pelvis is required in spinal orthotics to?

A

Prevent increased motion at the lumbosacral junction

67
Q

The purpose of the anterior hyperextension orthosis is to reduce pressure on the ?

A

Anterior vetebral body

68
Q

Lordosis can result from?

A

Flexion contracture of knees

69
Q

The term Cauda Equina refers to the?

A

Nerve roots below the level of the spinal cord

70
Q

Increasing intra-abdominal pressure by using spinal orthoses has the effect of?

A

Limiting diaphragmatic respiration

71
Q
Which of the following orthoses would best treat spondylolisthesis?
LSO corset 
LSO chair back 
LSO knight 
LSO Williams
A

LSO Williams

72
Q

For maximum leverage with an LSO, it should extend from the?

A

Sacrococcygeal area to 1” below the inferior angle of the scapula