TEST AND MEASURES Flashcards by Jane Doe

Your patient complaints of deep, nagging type of pain. In your assessment, what structure is most probably involved?
a. nerve
b. bone
c. muscle
d. ligaments

b. bone

a: sharp shooting, burning pressure
c: may cramping
d: dull/aching type

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Cremasteric reflex is:
a. Stroking of the medial thigh will elicit ipsilateral elevation of the umbilicus.
b. Stroking of the lateral thigh will elicit ipsilateral elevation of the scrotum.
c. Stroking of the medial thigh will elicit contralateral elevation of the umbilicus.
d. Stroking of the medial thigh will elicit ipsilateral elevation of the scrotum.

d. Stroking of the medial thigh will elicit ipsilateral elevation of the scrotum. (T12 to L1)

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All of the following are red flag signs, except:
a. Loss of appetite
b. Unusual lumps or growth
c. None of these
d. Persistent pain at night

c. None of these

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Functional scale of Cancer:
a. Hoen yahr
b. Kurtzke
c. Karnoffsky
d. none of these

c. Karnoffsky

a: PD
b: MS

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What is the level of the upper abdominal reflex?
a. T8
b. T4
c. T11
d. T10

a. T8

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What is the landmark in measuring the apparent leg length?
a. ASIS to lateral malleolus
b. ASIS to medial malleolus
c. Umbilicus to medial malleolus
d. ASIS to umbilicus

c. Umbilicus to medial malleolus

a: True LLD
c: apparent

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This type of pulse may be detected by a palpable decrease in the pulse’s amplitude on quiet respiration. It is also found in pericardial tamponade, constrictive pericarditis and obstructive lung disease:
a. Paradoxical
b. Tardus
c. Alternans
b. Bisfriens

a. Paradoxical

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If there is a springy end feel what does this suggest?
a. Muscle tightness
b. Fracture
c. Frozen shoulder
d. Meniscal injury

d. Meniscal injury

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Burning, pressure-like, aching pain suggest that what structure is affected:
a. nerve
b. sympathetic nerve
c. nerve root
d. nerve endings

b. sympathetic nerve

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All of the following are Babinski-like reflex except:
a. Gonda
b. Schaeffer
c. Gordon
d. Bing

b. Schaeffer (PF or foot response)

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This pulse indicates left ventricular failure and is usually accompanied by a left sided S3:
a. Paradoxical
b. Tardus
c. Alternans
d. Bisfriens

c. Alternans

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Squeezing the calf muscle will elicit big toe extension and fanning of the toes:
a. Gonda
b. Schaeffer
c. Gordon
d. Bing

c. Gordon

a: ABD of the 5th toe
d: pinching of the Achilles tendon

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Stroking of the lateral side of the foot beneath lateral malleolus produces extension of big toe and fanning of toes:
a. Babinski
b. Gordon’s
c. Chaddock’s
d. Hoffman

c. Chaddock’s

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In this position the metatarsophalangeal joint is in the closed pack position:
a. abduction
b. full flexion
c. adduction
d. full extension

d. full extension

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What is the level of plantar reflex?
a. S2-S4
b. S1-S2
c. S3-S4
d. L5-S1

b. S1-S2

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What is the grade of muscle if there is complete ROM against gravity with maximal resistance?
a. 4 plus
b. 3
c. 4
d. 5

d. 5

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If there is throbbing, diffuse type of pain, what structure is affected?
a. muscle
b. nerve
c. bone
d. vasculature

d. vasculature

What is the end feel if an individual is flexing his or her knee?
a. hard
b. stretch
c. soft
d. mushy

c. soft

What is the muscle grade if the patient can only initiate motion if gravity is eliminated?
a. fair plus
b. fair minus
c. poor
d. poor minus

d. poor minus

Flicking of terminal phalanx of index, middle, or ring finger will result to reflex flexion of distal phalanx of thumb and of distal phalanx of index or middle finger.
a. Brudzinski’s
b. Rossolimo’s
c. Hoffman’s
d. Schaeffer’s

c. Hoffman’s

a & b: LE ST
c & d: LE

The following are indications in using the carotid pulse except:
a. during shock
b. during cardiac arrest
c. often used with infants
d. none of the above

d. none of the above

When the pulse is barely perceptible, easily obliterated with slight pressure and fades in and out it is considered:
a. bounding
b. absent
c. weak
d. thready

d. thready

Which among the following characteristics describe the quality of pain for nerve root:
a. sharp, lightning like
b. sharp, bright
c. sharp-shooting
d. burning, pressure-like

c. sharp-shooting

Onset of subacute pain
a. 5-7 weeks
b. 5 weeks to 10 months
c. >2 months
d. 10 days to 7 weeks

d. 10 days to 7 weeks

This is the scale used for measuring somatic, neurologic and effective type of pain: a. Visual Analog Scale b. McGill Pain Questionnaire c. Melzack and Wall Questionnaire d. B and C

b. McGill Pain Questionnaire

Which among blood pressure values have the right interpretation a. 125/85, Stage 1 HTN b. 136/80, Stage 2 HTN c. 130/85, Pre-HTN d. none of these

c. 130/85, Pre-HTN

Which among the range of motion has the normal value of 90 degrees? a. hip ER b. shoulder IR c. DIP flexion d. PIP flexion

c. DIP flexion

A muscle grade of of 3 plus is described as: a. full ROM against gravity with moderate resistance b. complete ROM against gravity with minimal resistance c. full ROM against gravity with moderate resistance d. complete ROM against gravity without resistance

c. full ROM against gravity with moderate resistance

The end feels used to describe as a protective spasm after injury: a. early mm spasm b. late mm spasm c. hard capsular d. soft capsular

a. early mm spasm b: joint instability

Upon assessment of deep tendon reflexes, what grade will be appropriate for an exaggerated reflex: a. 2+ b. 3+ c. 4+ d. 5+

b. 3+

What is the stimulus for anal reflex: a. stroking the glans penis b. pinching the catheter c. cutting the catheter d. pinching the glans penis

d. pinching the glans penis

Reflex level of biceps: a. C5-C6 primarily C5 b. C5-C6 primarily C6 c. C5-C7 d. C6-C8

a. C5-C6 primarily C5

When testing grade 5 muscle strength of biceps brachii where should be the placement of resistance? a. midrange b. end range c. proximal range d. distal range

a. midrange (double jt.) b: single jt.

This may be activities that worsen the condition or reproduce the symptoms: a. relieving factor b. palliative factor c. provocative factor d. alleviating factor

c. provocative factor

Red flag signs for cardiovascular conditions, except: a. pulsating pain b. nocturnal pain c. frequent SOB d. chest pain

b. nocturnal pain (cancer)

Which among the following tool can be used to assess superficial reflexes? a. neurohammer b. light brush c. goniometer d. tape measure

a. neurohammer (DTR)

During MMT of the R gastrocnemius muscle, what grade would you assign this muscle if your client were able to stand on his right leg and get up on his toes and complete 25 heel raises? a. 3+ b. 4 c. 5 d. 3

c. 5 b: 2 to 24 heel raises d: 1 heel raise

What is the correct position when testing the hip abduction muscles grades normal to fair? a. sidelying b. supine c. sitting d. prone

a. sidelying

True regarding end feel, except: a. firm, soft and hard end feel can be both normal and pathological end feel b. end feels can be felt when performing active ROM c. a pathological hard end feel is felt if the condition involves myositis ossificans d. all of the above

b. end feels can be felt when performing active ROM

All of the following data can be seen in the objective part of the data, except: a. reflexes b. leg length measurement c. stump measurement d. ocular inspection e. none of these

e. none of these d: objective part