Alberto Alejandro
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LSAT Health and Physical Education Quiz on Therex final, created by Alberto Alejandro on 02/04/2019.

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Alberto Alejandro
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Therex final

Question 1 of 50

1

The most frequently used surgical approach for a total hip replacement is which of the following?

Select one of the following:

  • Direct lateral

  • Medial

  • Anterior lateral

  • Posterior lateral

Explanation

Question 2 of 50

1

The surgical approach for a total hip that is associated with the highest dislocation rate is which of the following?

Select one of the following:

  • medial

  • lateral

  • anterior

  • posterior

Explanation

Question 3 of 50

1

All of the following are appropriate teaching points for your patient after a total hip Except?

Select one of the following:

  • Carrying heavy objects on the contralateral side if using only one hand.

  • Avoiding high impact sports activities.

  • Resting in the prone position to stretch the hip flexors if the position is easily achievable.

Explanation

Question 4 of 50

1

The care plan for your patient with hemiarthoplasty indicates a need to avoid exercises that cause shearing forces across the hip joint. You need to avoid which of the following exercises during the acute phase of recovery?

Select one of the following:

  • Unassisted kneel slides

  • Submaximal gluteal setting

  • Active assist hip abduction

  • Submax quad setting

Explanation

Question 5 of 50

1

All of the following are appropriate interventions for your patient with trochanteric bursitis Except?

Select one of the following:

  • Multiple angle isometric exercises of the abductors in a lengthen position

  • Gentle stretching of the tight muscle groups

  • Cross fiber massage in the area of the greater trochanter

Explanation

Question 6 of 50

1

The least effective stretch to selectively stretch the hamstrings is which of the following?

Select one of the following:

  • Straight leg raise

  • Doorway stretch lying on the floor with one leg up on the door frame

  • Table stretch with one leg on the table opposite the floor

  • Bilateral toe touching in a long seated position

Explanation

Question 7 of 50

1

Any of the following are appropriate choices for close chain weight-bearing exercises Except?

Select one of the following:

  • Lunges

  • Step-ups

  • Supine bridging

  • Quadruped leg lifts

Explanation

Question 8 of 50

1

The most effective way to work the gluteus medius and downplay the usually more dominant TFL is to coach your patient to do which of the following to work on hip abduction?

Select one of the following:

  • Sidelying hip abduction with the hip in slight hip extension and hip internal rotation

  • Sidylying hip abduction in slight hip flexion and hip external rotation

  • Sidelying hip abduction with slight extension and external rotation

  • Sidelying hip abduction with slight hip flexion and hip internal rotation

Explanation

Question 9 of 50

1

All of the following are good activities of daily living instructions for a patient with a posterior approach to total hip Except?

Select one of the following:

  • Use a raised toilet seat

  • Do not cross the legs

  • Transfer to the good side when moving from bed to chair when possible

  • Do not sit in low chairs

  • Pivot on the operated lower extremity to turn around

Explanation

Question 10 of 50

1

Which of the following is a term used in documentation to describe an exercise to strengthen the external rotators of the hip by positioning the patient in sidelying with the hip and knees flexed and the patient raises the top knee while keeping the feet touching

Select one of the following:

  • Clam exercises

  • Thomas test

  • Swimer's exercise

Explanation

Question 11 of 50

1

All of the following are precautions for an anterior lateral total hip approach Except?

Select one of the following:

  • No hip flexion past 90 degrees

  • No hip extension past neutral

  • No external rotation

  • No prone lying

  • No bridging

Explanation

Question 12 of 50

1

The medial meniscus is firmly attached to all of the following structures Except?

Select one of the following:

  • The ACL

  • Joint capsule

  • Semimembranosus muscle

  • Bicep femoris muscle

Explanation

Question 13 of 50

1

Any of the following factors can be a cause of patellar mal alignment Except?

Select one of the following:

  • Tight IT band

  • Vastus medialis (VMO) weakness

  • Hip external rotator muscle weakness

  • A supinated subtalar joint

Explanation

Question 14 of 50

1

The position of comfort for a person with an acute knee effusion is generally which of the following?

Select one of the following:

  • 60 degrees of knee flexion

  • 40 degree of knee flexion

  • Full knee extension

  • 25 degrees of knee flexion

Explanation

Question 15 of 50

1

The surgical procedure of choice to reduce pain, correct deformity, and improve function when a patient has severe articular erosion, pain, and instability of the knee is which of the following?

Select one of the following:

  • Synovectomy

  • Arthodises

  • Arthroscopic debridement and lavage

  • Arthroplasty

Explanation

Question 16 of 50

1

The knee ligament that is routinely sacrificed or excise during a total knee arthoplasty is which of the following?

Select one of the following:

  • LCL

  • MCL

  • PCL

  • ACL

Explanation

Question 17 of 50

1

A meniscal tear can cause _____ of the knee?

Select one of the following:

  • Joint laxity

  • Hypermobility

  • Hyperextension

  • Catching locking

Explanation

Question 18 of 50

1

Overstretching after a total knee imposes what threat to the patient?

Select one of the following:

  • Risk of a DVT

  • Decrease range of motion

  • Blocking blood flow

  • Tearing the incision which prolongs healing

Explanation

Question 19 of 50

1

Education for your patient with patellar femoral syndrome should include any of the following suggestions Except?

Select one of the following:

  • Perform range of motion exercises only in a comfortable range

  • Avoid any activities that provoke symptoms

  • Minimize stair climbing and descending

  • Avoid positions that keep the knees extended for long periods of time

Explanation

Question 20 of 50

1

Your patient has been identified as having patellar femoral pain syndrome and the PT plan of care indicates stretching exercises to appropriate muscles, you could expect these muscles to be any of the following Except?

Select one of the following:

  • Hamstrings

  • Gastrocs

  • TFL

  • Iliopsoas

Explanation

Question 21 of 50

1

The unholy triad is a term describing injury to which of the three associated structures of the knee?

Select one of the following:

  • MCL, LCL, PFL

  • PFL, ACL, MCL

  • PCL, ACL, NFL

  • ACL, MCL, Medial meniscus

Explanation

Question 22 of 50

1

As your patient is practicing step ups and step downs you observe valgus alignment of the knee on the involved side. Weakness of which hip muscle groups is most likely contributes to this hip malalignment?

Select one of the following:

  • Hip abductors and external rotators

  • Hip abductors and internal rotators

  • Hip adductor and internal rotators

Explanation

Question 23 of 50

1

Partial squats can be made more challenging by doing any of the following Except?

Select one of the following:

  • Flexing the trunk further forward in order to keep the knee over the feet

  • Using hands weights while performing squats

  • Placing elastic tubing under both feet and grasping it with your hands while straightening up

  • Performing squats with lower extremities more internally rotated to challenge the VMO

Explanation

Question 24 of 50

1

What does the anterior drawer tests in the ankle?

Select one of the following:

  • Anterior Talal fibular ligament

  • Medial ankle sprain

  • External rotation

  • Externsor hallucus longus

  • Deltoid ligament

Explanation

Question 25 of 50

1

What is the primary focus for an acute ankle sprain?

Select one of the following:

  • Protect from further injury

  • Hold and compress

  • Decreasing edema

  • Rest

  • Inflamation control

  • All of the above

Explanation

Question 26 of 50

1

What is not a biomechanical factor for chondromalacia?

Select one of the following:

  • High arch

  • High Q angle

  • Flat foot

  • Improper footwear

Explanation

Question 27 of 50

1

What test would not be helpful in testing patellar femoral pain?

Select one of the following:

  • Obers test

  • Patellar grind test

  • Impinchement test

  • Trendelenburg test

Explanation

Question 28 of 50

1

What is the main function of the MCL?

Select one of the following:

  • To resist valgus force

  • To resist varus force

Explanation

Question 29 of 50

1

In order to progress running in phase 4 rehab for a labral tear of the acetabulum, a patient must demonstrate all of the following Except?

Select one of the following:

  • Good muscle endurance

  • Ecentric control

  • Ability to generate power

  • Flexibility

Explanation

Question 30 of 50

1

What is a contraindication of a hip labral tear in phase 1 healing?

Select one of the following:

  • Range of motion exercises

  • Isometric exercises

  • Passive range of motion

  • Stretching exercises

Explanation

Question 31 of 50

1

What kind of ACL graft comes from a cadaver or a donor?

Select one of the following:

  • Allograft

  • Autograft

  • Xenograft

Explanation

Question 32 of 50

1

What is the most common cause of total knee arthroplasty?

Select one of the following:

  • Hemophilia

  • Rheumatoid arthritis

  • Psoriatic arthritis

  • Prior ankle trauma or fracture

Explanation

Question 33 of 50

1

The close pack stable position of the talar cruel joint is which of the following?

Select one of the following:

  • Plantar flexion

  • Eversion

  • Inversion

  • Dorsiflexion

Explanation

Question 34 of 50

1

Which of the following terms are synonyms for flat foot?

Select one of the following:

  • Pes planus (pronated)

  • Pes cavus

Explanation

Question 35 of 50

1

Your patient has plantar fasciitis, you can expect to find any of the following impairments predisposing her to this condition Except?

Select one of the following:

  • Excessively high arch of the foot

  • Tight gastroc/soleus muscles

  • Tenderness to palpation at the calcaneal insertion of the fascia with possible heal spur

  • A weak anterior tibial muscle

Explanation

Question 36 of 50

1

The position of comfort for an ankle inversion sprain is which of the following?

Select one of the following:

  • Ankle dorsiflexion and eversion

  • Ankle dorsiflexion and inversion

  • Ankle plantarflexion and inversion

  • Ankle plantarflexion and eversion

Explanation

Question 37 of 50

1

After a soft tissue reconstruction for lateral ankle instability, the most important muscle group to strengthen for dynamic stability of the ankle is the?

Select one of the following:

  • The inverters

  • The plantarflexors

  • The dorsi flexors

  • The everters

Explanation

Question 38 of 50

1

An achilles tendon rupture can be identified by which of the following test?

Select one of the following:

  • Loughfmin test

  • Speed's test

  • Thompson test

  • Rhine test

Explanation

Question 39 of 50

1

Which of the following is the most effective method to stretch the gastroc/soleus complex?

Select one of the following:

  • During ankle dorsiflexion flex the knee for the soleus and extend the knee for the gastrocs

  • During ankle dorsiflexion extend the knee for the soleus and flex the knee for the gastrocs

  • Flex the knee in standing for both soleus and gastrocs

Explanation

Question 40 of 50

1

An exercise program that is designed to train the neuromuscular system to react quickly to activities, sports, or occupations that require quick starts and stops consists of exercises in which of the following categories?

Select one of the following:

  • Stretch lengthening drills

  • Open chain kinetic

  • Isokinetic

  • Plyometric

Explanation

Question 41 of 50

1

Which of the following types of active exercises are the most appropriate to use first during the acute phase of healing after a muscle injury.

Select one of the following:

  • Low intensity muscle setting

  • Submaximal isokinetic concentric exercise at slow velocities

  • Active ROM exercises

  • Multiple-angle isometric against manual resistance

Explanation

Question 42 of 50

1

Which of the following is a soft tissue lesion characterized by repeated submaximal overload of frictional wear

Select one of the following:

  • Cumulative trauma disorder

  • Bursitis

  • Synovitis

  • Tendinopathy

  • Fibromyalgia

Explanation

Question 43 of 50

1

A properly applied and progressed therapeutic exercise program should?

Select one of the following:

  • Grade the exercise to the stage of recovery to stress the tissues safety

  • Follow a pre-estrablished protocol in order to be consistent for all patients with the same diagnosis

  • Push the patient beyond his or her current stage of recovery in order to progress the healing process

  • Begin with passive exercise, progressing to active assistive exercise, active exercise, and than resistive by the third week after injury.

Explanation

Question 44 of 50

1

Hip pain referred from L1-L3 usually radiates to which area of the lower extremity?

Select one of the following:

  • Anterior thigh

  • Posterior thigh

  • Posterior buttock

  • Foot

Explanation

Question 45 of 50

1

What is the most common cause of musculoskeletal groin pain?

Select one of the following:

  • Muscle strain

  • Cancer

  • Infection

  • Fracture

Explanation

Question 46 of 50

1

Foot drop with gait disturbances is a classic sign of ______.

Select one of the following:

  • Sciatic neuropathy

  • Osteopenia

  • Plantar Fasciitis

  • Insufficiency Fracture

Explanation

Question 47 of 50

1

Which therapeutic intervention is absolutely contraindicated with a person who has a DVT?

Select one of the following:

  • Massage

  • Mobility

  • Exercise

  • Positioning

Explanation

Question 48 of 50

1

As the PTA makes a general survey of each client, it is also possible to observe which of the following?

Select one of the following:

  • Posture

  • Gait

  • Coordination

  • Atrophy

  • All of the above

Explanation

Question 49 of 50

1

In a total hip arthroplasty, both the acetabulum and the femoral head are replaced?

Select one of the following:

  • True
  • False

Explanation

Question 50 of 50

1

The medial meniscus is injured more frequently than the lateral meniscus

Select one of the following:

  • True
  • False

Explanation