OSCE practical MCQ prep Flashcards by juggl e

the golgi tendon organ detects

tension on the tendon or mm

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stimulation of the golgi tendon organ will cause a

refelective relaxation of the agonist mm

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when treating with MLD the following general rules are MOST applicable

a slow rhythm with a light pressure towards the proximal lymph nodes

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indication for O&I technique

hypertonic muscles

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which one of the following statements regarding adhesions and contractures is true

unlike contractures, adhesions result from inflammation

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when direct work to belly of mm is too painful use:

O&I

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what statement about TPs is true

latent TPs refer pain only on palpation

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what is NOT an indication for GTO release

hypotonicity

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to perform mm approximation, the therapist

uses a pincer grasp on mm attachments and brings the ends towards each other

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performing massage on the hamstrings prior to the calf is an example of

prox distal prox

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the inflammatory signs of redness and heat are a result of

increased BF

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which component is NOT associated with frictions

work through edema

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which technique is inappropriate for treating TPs

frictions

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which condition is most likely to occur if inflammation isnt treated

adhesions

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what direction will the head of the femur slide when doing Abduction of the hip

inferior

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what statement regarding lumbar spine biomechanics is true

flexion causes the facet joint surfaces to move further apart

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what technique is appropriate to decrease spasm in a cx with acute disc herniation

grade 1 oscillations

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what spinal curve forms last

lumbar

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what statement regarding spinal movements is true

vertebral distraction only occurs when the therapist applies traction to the spine

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which condition usually causes the client to have an extension bias

disc herniation

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what technique is a fundamental technique for the lumbar spine during early training of the protection phase

pelvic tilt exercises to increase kinaesthetic awareness

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what exercise is appropriate to address anterior head carriage

axial extension exercises

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when having cx perform scapular retraction exercises, resistance is applied at the

inferior angle

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which of the following sets of mm impairments may be associated with a flat upper back posture

decrease flexibility in the thoracic erector spine and scapular retractors, weak scapular protractors and intercostals

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in case of a disc protrusion in acute phase, bed rest is recommended for:

no more than 2 days, intersped with short intervals of standing, walking and controlled movements

which exercise would help strengthen the abdominal mms in a cx with hyperlordosis

post pelvic tilt which raising the thorax off the ground

cx has protracted shoulders, which stretch is appropriate

pec major stretch

which REMEX is appropriate for a cx with restricted movement of the TMJ cause by shortened masseter

hold relax by resisting closing of the mouth

which position would allow for an effective stretch of anterior scalene

contralateral side bending and slight extension of the neck

what is an effective stretch for the upper part of traps

C/S flexion, contralateral side bending and ipsilateral rotation

what movement would strengthen left lateral pterygoid

deviation jaw to the right

your cx has local pain on the right side of the neck with cervical compression test. which RMEX would be appropriate for treatment

C/S traction to decrease stress of the C/S joints

your cx has a mild ACL sprain three weeks ago. there is still mild swelling but the pain is gone. which one of the following REMEX is appropriate for the clients ACL

grade II sustained anterior glide of the tibia to help stress and align the fibers of the ACL

your client has a sub-acute anterior talofibular ligament sprain, which of the following techniques would be appropriate

isometric strengthening to the fib longus

a cx complains of extreme pain in the right calf region. pain started 2 days ago when he fell jumping during a volley ball game. he walked off the court with great difficulty. there is ecchymosis and inflammation at the prox region of gastroc. which technique would you apply

PF AF ROM of the ankle

which statement represents a relevant risk of treatment when treating a cx with acute moderate ankle sprain

you may experience some discomfort throughout the treatment

in which position would you treat a client with chronic Achilles tendonitis

prone - anke dorsiflexion

which test would indicate a cruciate pain

anterior drawer test

in which position would a person with an acute iliopsoas strain likely present

weight on unaffected leg with affected hip in flexion, abduction and external rotation

the trochateric bursa is located deep to what mm

glute max

compound fracture

fracture where bone protrudes through skin

avulsion fracture is when a bone breaks:

because of a violent pull on the ligament or tendons

what tx protocol is appropriate for the treatment of acute plantar fasciitis

ice cube massage to plantar fascia

if a valgus stress test of the knee causes pain, which structure is affected

medial collateral ligament

acute injury to the MCL has the following SX & SX

pain on knee movement and possible medial knee instability

what tx modality is appropriate in someone with MCL issues

grade 1 osccilations of the knee

which tissue presentation is likely to be seen in the acute stage of an injury

hypertonicity

cx comes to you with acute wrist flexor strain occurring yesterday. area has ecchymoisis by cx has no pain. there was a loud pop at the time of injury. what degree of sprain is this

grade 2

iliospoas TP refers to

medial thigh, groin, and lumbar spine

when performing the thomas test you note that both the hip and knee elevate off the table

both iliopsoas and rec fem may be shortened

what question is appropriate when determining if someone has tendonitis

do you do any repetitive movements

positioning the hip into flexion, abduction and external rotation you are preparing to do a

fabers test

a positive apleys compression test indicates

meniscal tear

test that determines integrity of the transverse humeral ligament in relation to the biceps tendon is

yeargasons

specific test to identify stenosing tenosynovitis of the tendon sheath of extensor pollicis and abductor pollicis longus

finklesteins

you discover your cx has a reduced active ROM in one direction. you are able to take the joint through full, pain free ROM in all directions. the restiriction is most likely:

muscle

if sustained passive forced flexion of the wrist provoked tinging and numbness in the palmar surface of the first 3 digits, you would suspect:

carpal tunnel

normal carrying angle between the forearm and arm in males is

5-10 degrees

which position would you use when applying frictions to a cx with chronic dequervains tenosynovitis

thumb abduction and ulnar deviation

_______ would be the hydro when treating the affected tissues of a cx with dupuytrens contracture

paraffin wax

which deformity may be observed if the carrying angle is decreased

gun stock deformity

which OA test would place max stress on the most commonly affected tendon that causes lat epicondylitis

lateral epicondylitis test method #1 (cozens)

what tx approach is effective when treating a cx with chronic medial epicondylitis

local mm stripping followed by ice massage

when assesing your cx you find that hawkins kennedy and yeargasons tests are positive, which structure is not likely to be affected (biceps, subacromial bursa, supraspinatus, subscap)

subscap

what position is best used to asses the insertion of supraspinatus mm when applying frictions

GH ext, add & internal rot

in a prolapsed cervical disc, the pressure of the disc is usually against what structure

PLL

when performing massage for someone with regenerating ulnar paralysis, the most important consideration is

not to stretch the nn or affected mms

tests to differentiate between carpal tunnel and TOS

adsons & phalens

MS is most commonly seen in

females 20-40

what is true regarding a upper motor neuron lesion

spasticity, hyperflexia, loss of voluntary control

what sign is typical for klumpkes paralysis

claw hand

pathology of MS is characterized by

patches of demylination in the CNS

a cerebrovascular accident causing a lesion to the right side of the brain would result in:

hemiplegia on the left side

CP is described as

non progressive disorder impairing movement

most common onset of CP

during late pregnancy, at birth or during infancy

what describes parkinsons face

expressionless & rigid

what movement is avoided during massage for DDD as it places greater stress on the discs

flexion

presentation seen with radial nn lesion

wrist drop

"decrease contractures of elbow extensors and wrist flexors" is an aim for what condition

erbs palsy

cx with sudden bells palsy reports:

sudden onset bilateral paralysis of mms of facial expression

what is typical in someone with bells palsy

one side of the mouth drooping and ipsilateral eye open

which presentation would NOT be present with bells palsy

parathesia of skin over mandible and cheek

cx with chronic posterolateral disc herniation at C4/C5 and resultant nn root iriitation would have:

weakness of shoulder abduction

cx has numbness in post forearm & hand, decreased strength of forearm extension

C7 nn root lesion

what is true regarding scoliotic curves

vetebral rotation occurs toward the convexity of the curve

with right thoracic scoliosis, ROM of the thorax is most limited in

lateral flexion to the right

scoliosis massage includes

concave side first to stretch, convex to stimulate

cx has functional right sided thoracic C-curve. what homecare is appropriate with strengthen appropriate mms

client lies on the left side and lifts their trunk off the ground

which statement regarding hyperkyphosis is false

when the cx is lying prone apply towel roll under shoulders

upon assessment you notice your cx has hyperlordosis of the lumbar spine and the tomas test is neg. which aim of treatment is NOT indicated (stretch to iliopsoas, stretch to lumbar extensor, stretch hamstrings, strengthen abdominals)

stretch to hamstrings

common fibular nn lesion will result in motor alteration to

both the anterior and lateral compartments of the leg

which sx and/or sx is NOT associated with klumpkes paralysis (anhydrosis, exothalmous, horners syndrome, sympathetic involvement)

exopthalamus