ortho midterm review

Question 1

which of the following statements is false

Answer 1

eff can be performed repetitively on pts limbs w HT or varicose veins

Question 2

which is not an effect of tapotement

Answer 2

all of the above is an effect of tapotement

Question 3

when is it not appropriate to use petrissage

Answer 3

on severely atrophied /atonic mms
on moderate to severe varicosities
on most acute conditions

Question 4

a local CI requires tx mods to the affected area, which would be an example

Answer 4

recent burn

Question 5

what is an absolute CI to treatment

Answer 5

severe unstable hypertension

Question 6

This stroke tends to have a more reflexive effect on increasing circulation when applied lightly and more of a mechanical effect if more pressure is applied

Answer 6

effleurage

Question 7

when would a semi fowlers position not be required

Answer 7

pregnancy in first trimester

Question 8

To determine if a patient has a vascular deficiency, what would be the most appropriate special test to perform before starting hydro?

Answer 8

nail bed test

Question 9

This type of heat transfer if the exchange of heat between two surfaces

Answer 9

conduction

Question 10

which of the following does not influence the effects of cold

Answer 10

presence or absence of a coupling agent

Question 11

what is considered a healthy core body temperature

Answer 11

37

Question 12

which of the following is not a way the body conserves heat

Answer 12

increase in breathing rate (loses heat)

Question 13

Which of the following would NOT be an indication for contrast?

Answer 13

all of the above
or
an acute soft tissue injury

Question 14

The physiological effect of cold when left on for an extended period of time

Answer 14

restrostasis followed by derivation

Question 15

if the fingertips or thumbs of both hands are placed on the skin at a required depth , what is this called

Answer 15

fascial spreading

Question 16

Which of the following is FALSE regarding fascia when it is put under stress?

Answer 16

fascia becomes less dense and more hydrated

(it becomes more dense and less hydrated)

Question 17

This type of fascia is largely comprised of loose connective tissue that reduces friction between organs and body regions

Answer 17

separating fascia

Question 18

which is the following is not a property of fascia

Answer 18

all of the above

Question 19

particles of solid material

Answer 19

colloid and thixotropic

Colloid - composed of solid particles suspended in fluid - resist abrupt pressure, but yield to slow sustained pressure

Thixotropic - substance that
liquefies on agitation and reverts to gel when standing

Question 20

The effect of the origin and insertion technique is to…

Answer 20

reduce mm tone by inhibiting alpha neuron firing

Does so by inhibiting alpha motor neuron firing via sustained pressure, which calms the neuromuscular reflex arc

Question 21

These receptors help to decrease active muscle tone

Answer 21

golgi tendon organs

Question 22

x-fibre frictions question

Answer 22

true

Question 23

hot hydro applications are CI’d with muscle spasm if there is an acute injury

Answer 23

true

Question 24

a trigger point found in a muscle that lies within the referral pattern is called

Answer 24

satellite trigger point

Question 25

regarding trigger points which is false

Answer 25

contraction of affected mm is not painful

Question 26

which of the following is not a symptom of trigger points

Answer 26

All of the above symptoms are: ○ Referred pain ○ Referred tenderness ○ Muscle weakness

Question 27

If there are diminishing signs of inflammation and muscle spasms, with slightly less edematous tissue, you would assume…

Answer 27

early SA

Question 28

An appropriate treatment goal for a patient with an acute reflex muscle guarding spasm would be…

Answer 28

decrease pain and mm spasm guarding decreasing hypertonicty in antagonist **

Question 29

The term used to describe thick granulation tissue

Answer 29

proud flesh

Question 30

What is a superficial wound with ragged edges?

Answer 30

abrasion

Question 31

This is a boundary line with respect to lymphatics

Answer 31

watershed

Question 32

This type of end feel has an abrupt stop and is usually painful

Answer 32

muscle spasm end feel

Question 33

What are you looking for when performing a muscle test?

Answer 33

● All of the above ○ Painful ○ Full strength ○ Substitution (compensation)

Question 34

While performing a gastroc muscle test, you find the outcome to be weak and painless, what would you suspect is the cause?

Answer 34

grade 3 rupture achilles tendon

Question 35

Which group of muscles would you test in order to determine whether a C3 myotome is involved?

Answer 35

fallen tree - neck side flexion → SCM, scalenes, traps splenius capitis and cervicis

Question 36

With a lack of dorsiflexion, what myotome would you assume would be weak?

Answer 36

L4

Question 37

This type of pain is often associated with nerve root compression

Answer 37

radiculopathy

Question 38

C5 myotome

Answer 38

shoulder abduction

Question 39

Which of the following is the correct location of the bursa with regard to the surrounding tissues

Answer 39

retrocalcaneal bursa lies between achilles and calcaneus

Question 40

Which statement is FALSE?

Answer 40

texture of edema is boggy in acute --> would be soft and squishy

Question 41

What muscle is most easily accessible when the arm is bent behind the back, maximally extended and internally rotated

Answer 41

subscapularis

Question 42

which is not an incomplete fracture

Answer 42

transverese oblique spiral comminuted avulsion osteochondral (compression, greenstick, perforation, stress ARE incomplete)

Question 43

These sinuses drain superiorly into the nasal cavity and will drain in a horizontal position

Answer 43

maxillary

Question 44

When treating a patient with inflammatory bowel disease, which of the following would NOT be appropriate?

Answer 44

treating the abdomen and sacrum

Question 45

In the chronic stage of gout, which of the following is incorrect?

Answer 45

All of the above

Question 46

To alleviate or temporarily relieve supine hypertension in pregnancy, what should be done?

Answer 46

semi supine w small pillow under right hip

Question 47

When treating a pregnant woman, which of the following would be appropriate?

Answer 47

abdominal massage in 2nd / 3rd trimester

Question 48

Which of the following is NOT a CI when treating a patient with cancer?

Answer 48

hot hydro

Question 49

When treating a patient with asthma, which of the following would NOT be appropriate?

Answer 49

supine want them in prone for optimal breathing

Question 50

Ankylosing spondylitis is a chronic inflammatory disorder, which of the following is NOT a symptom?

Answer 50

condition is always in a flare up (not always )

Question 51

Joint glides – an anterior glide of the GH joint will increase which direction of movement?

Answer 51

external rotation

Question 52

What is the therapeutic effect of an anterior glide of the distal radioulnar joint?

Answer 52

increase pronation

Question 53

To increase flexion and extension and the MCP joints, what mobilization would be best to perform?

Answer 53

distraction

Question 54

To increase a patient's hip ABDuction, what mobilization would be best to perform?

Answer 54

medial glide

Question 55

What patellofemoral joint mobilization will increase tracking of the knee?

Answer 55

medial = medial tracking lateral = lateral tracking of knee

Question 56

To have an effect on the joint capsule, what type of glide or traction should be performed?

Answer 56

grade 3

Question 57

With an ACL ligament injury, which mobilization is CI’d?

Answer 57

anterior glide of tibia on femur The ACL's primary function is to prevent the anterior translation (forward movement) of the tibia relative to the femur. Mobilizing the tibia anteriorly could: Stress or further damage the injured ACL. Compromise healing in partial tears. Risk graft failure post-surgery.

Question 58

When mobilizing the proximal tibiofibular joint, what nerve should you be cautious of?

Answer 58

common fibular nerve

Question 59

when performing an agonist contraction for a shortened hamstring what musle does the patient concentrically contract

Answer 59

quadriceps rec fem specifically

Question 60

When placing biceps brachii in a lengthened position to the point of resistance, and apply manual resistance of elbow extension for 5 seconds for further lengthening, what muscle is the therapist trying to stretch?

Answer 60

biceps