TE2 Exam 3

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Study Guide for Flex USA Therapeatuic Exercise 2 Exam 3
Ben Williams
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Ben Williams
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Pregunta 1

Pregunta
Which of the following are correct metrics regarding time out-of-work and probability of return-to-work?
Respuesta
  • 2 years = 0-3% chance of return to work.
  • 1 year = 10-25% chance of return to work
  • 6 mos = 35-50% chance of return to work
  • 18 mos = 0% chance of return to work
  • 1 year = 50-60% chance of return to work
  • 1 year = 0-5% chance of return to work
  • 6 mos = 10-25% chance of return to work
  • 6 mos = 90-95% chance of return to work
  • 18 mos = 80% chance of return to work

Pregunta 2

Pregunta
Select the appropriate uses of an FCE.
Respuesta
  • Pre-evaluation screening
  • Determine a Rating of Disability
  • Identify ways to modify the workplace
  • Determine whether or not to fire an employee following a work-related injury
  • Determine levels of Return to Work
  • Identify Symptom Magnifiers
  • Identify important characteristics of a Work Hardening Program
  • Determine how long an injured worker should stay off the job
  • Identify the best workers in a department

Pregunta 3

Pregunta
While performing an FCE, the patient reports pain while lifting a heavy box from the ground to shoulder height. How do you respond?
Respuesta
  • Stop the activity and document that the pt experienced pain.
  • Continue the test. No pain, no gain.
  • Help the patient lift the box and document the pt's need for assistance during the activity
  • Offer encouraging words, but do not otherwise interfere with the activity.

Pregunta 4

Pregunta
While performing an FCE, the patient reports pain while lifting a heavy box from the ground to shoulder height and asks if they can skip this activity. How do you respond?
Respuesta
  • Stop the activity and document that the pt has self-limited the test due to pain
  • Continue the test. No pain, no gain.
  • Help the patient lift the box and document the pt's need for assistance during the activity
  • Offer encouraging words, but do not otherwise interfere with the activity.

Pregunta 5

Pregunta
While performing an FCE, the patient attempts to lift a heavy box with straight arms and straight legs. They are really straining to get the box overhead. You begin to fear for their safety. How do you respond?
Respuesta
  • Continue the test. You need to see how they would handle this task on the job.
  • Help the patient lift the box and document the pt's need for assistance during the activity.
  • Offer encouraging words, but do not otherwise interfere with the activity.
  • Suggest a safer way to lift the box using proper body mechanics.
  • Stop the test.

Pregunta 6

Pregunta
Which of the following are appropriate reasons for a Physical Therapist to stop an FCE?
Respuesta
  • Patient reports pain during an activity.
  • Patient performs an activity in an unsafe manner.
  • Patient takes a long time to complete an activity.

Pregunta 7

Pregunta
Which of the following activities is most likely to help you identify a problem with eccentric control of the knee?
Respuesta
  • Repetitive Squat
  • Carry for Distance
  • Kneel
  • Purdue Peg Board

Pregunta 8

Pregunta
Which test could reveal a problem with fine motor control of the fingers/hand?
Respuesta
  • Purdue Peg Board
  • Extended Work Station Overhead
  • Floor to Waist Lift
  • Carry for Distance

Pregunta 9

Pregunta
Which of the following are included in the list of basic dimensions of pain?
Respuesta
  • Nociception
  • Pain
  • Suffering
  • Pain Behavior
  • Duration
  • Intensity
  • Malingering
  • Cause

Pregunta 10

Pregunta
Which of the following are TRUE regarding Waddell's Signs?
Respuesta
  • Signs of organic problems indicate pathology.
  • Signs of non-organic problems deviate from the normal presentation of the disease.
  • Organic and non-organic signs can occur together.
  • Non-organic signs should NOT be equated with malingering or psychological problems.
  • Non-organic signs are indicative of malingering and/or psychological problems.
  • Organic and non-organic signs cannot occur together.
  • Signs of non-organic problems indicate pathology.
  • Testing for Waddell's Signs helps us to quickly and efficiently identify patients that are exaggerating or faking their pain symptoms.

Pregunta 11

Pregunta
This muscle originates at the mammillary processes of the lumbar vertebrae and inserts on the spinous process of two to four vertebrae superior of the origin.
Respuesta
  • Lumbar Multifidus
  • Transverse Abdominus
  • Internal Oblique

Pregunta 12

Pregunta
What is the function of the Lumbar Multifidus?
Respuesta
  • Side-Bend of Trunk
  • Rotate Trunk to opposite Side
  • Stabilize vertebral column from both sides
  • Backward-Bend of Trunk
  • Rotate Trunk to same Side
  • Forward-Bend of Trunk

Pregunta 13

Pregunta
What is the function of the Transverse Abdominus?
Respuesta
  • Stabilize spine prior to movement of extremities.
  • Forward-Bend the Trunk
  • Side-Bend the Trunk
  • Trunk Rotation

Pregunta 14

Pregunta
What is the function of the Internal Oblique?
Respuesta
  • Trunk Flexion
  • Same-Side Trunk Rotation
  • Side-Bend Trunk
  • Rotate Pelvis to the opposite side
  • Compress, Support and Protect Abdomen and Spine

Pregunta 15

Pregunta
Which of these muscles can increase intra-abdominal pressure to stabilize the spine?
Respuesta
  • Lumbar Multifidus
  • Transverse Abdominus
  • Internal Obliques

Pregunta 16

Pregunta
Which of the following is most appropriate for training the postural muscles of the trunk.
Respuesta
  • Endurance Training
  • Strength Training
  • Aerobic Training
  • Aquatic Training

Pregunta 17

Pregunta
Spinal Stability is completely provided by a combination of Passive and Active Structures.
Respuesta
  • True
  • False

Pregunta 18

Pregunta
Put these in the proper order for Spine Stabilization Progression: 1.) [blank_start]Supine/Hook-Lying[blank_end] 2.) [blank_start]Bridge[blank_end] 3.) [blank_start]Quadruped[blank_end] 4.) [blank_start]Side Plank[blank_end]
Respuesta
  • Supine/Hook-Lying
  • Bridge
  • Quadruped
  • Side Plank
  • Bridge
  • Supine/Hook-Lying
  • Quadruped
  • Side Plank
  • Quadruped
  • Bridge
  • Side Plank
  • Supine/Hook-Lying
  • Side Plank
  • Bridge
  • Quadruped
  • Supine/Hook-Lying

Pregunta 19

Pregunta
Put these in the proper order for Spine Stabilization Progression in the Supine/Hook-Lying Position: 1.) [blank_start]Heel Slides[blank_end] 2.) [blank_start]Bent-Knee Fall-Out[blank_end] 3.) [blank_start]March/Knee Folds[blank_end] 4.) [blank_start]Upper Body Movement[blank_end]
Respuesta
  • Heel Slides
  • Bent-Knee Fall-Out
  • March/Knee Folds
  • Upper Body Movement
  • Bent-Knee Fall-Out
  • March/Knee Folds
  • Upper Body Movement
  • Heel Slides
  • March/Knee Folds
  • Upper Body Movement
  • Bent-Knee Fall-Out
  • Heel Slides
  • Upper Body Movement
  • Heel Slides
  • Bent-Knee Fall-Out
  • March/Knee Folds

Pregunta 20

Pregunta
Put these in the proper order for Spine Stabilization Progression in the Bridge Position: 1.) [blank_start]Marching[blank_end] 2.) [blank_start]Single-Leg[blank_end] 3.) [blank_start]Hold at End-Range[blank_end]
Respuesta
  • Marching
  • Single-Leg
  • Hold at End-Range w/ Perturbations
  • Single-Leg
  • Hold at End-Range w/ Perturbations
  • Marching
  • Hold at End-Range w/ Perturbations
  • Marching
  • Single-Leg

Pregunta 21

Pregunta
Put these in the proper order for Spine Stabilization Progression in the Quadruped Position: 1.) [blank_start]Arm/Leg Raises[blank_end] 2.) [blank_start]Combo Arm/Leg Raises[blank_end] 3.) [blank_start]Hold at End-Range[blank_end]
Respuesta
  • Arm/Leg Raises
  • Combo Arm/Leg Raises
  • Hold at End-Range
  • Combo Arm/Leg Raises
  • Arm/Leg Raises
  • Hold at End-Range
  • Hold at End-Range
  • Combo Arm/Leg Raises
  • Arm/Leg Raises

Pregunta 22

Pregunta
In McKenzie evaluation, the movements must be taken to their full range, in order to receive the proper benefit.
Respuesta
  • True
  • False

Pregunta 23

Pregunta
McKenzie's Four Categories of Spinal Pain: 1.) [blank_start]Postural[blank_end] Syndrome ([blank_start]1%[blank_end]) - Related to poor posture 2.) [blank_start]Dysfunction[blank_end] Syndrome ([blank_start]20%[blank_end]) - Typically due to the development of abnormal tissue 3.) [blank_start]Derangement[blank_end] Syndrome ([blank_start]79%[blank_end]) - Disc is deformed out of its normal shape and position.
Respuesta
  • Postural
  • Dysfunction
  • Derangement
  • Dysfunction
  • Derangement
  • Postural
  • Derangement
  • Postural
  • Dysfunction
  • 1%
  • 20%
  • 79%
  • 20%
  • 1%
  • 79%
  • 79%
  • 1%
  • 20%

Pregunta 24

Pregunta
What happens after sitting in poor posture for 10-minutes?
Respuesta
  • Postural Muscles turn off
  • Posture is maintained by hanging on the ligaments
  • Ligament Creep
  • Pain begins
  • Inhibition of sympathetic activity

Pregunta 25

Pregunta
Which of the following would help you determine that the patient was experiencing chemical pain instead of mechanical pain?
Respuesta
  • Pain is relatively constant and non-responsive to movement or position changes
  • Pain is affected by movement or position
  • Pain is localized
  • Pain is Diffuse
  • Pain has existed for >24-hours

Pregunta 26

Pregunta
Which of the following would help you determine that the patient was experiencing mechanical pain instead of chemical pain?
Respuesta
  • Pain is affected by movement or position
  • Pain is relatively constant and non-responsive to movement or position changes
  • Pain is diffuse
  • Pain is localized

Pregunta 27

Pregunta
Which of the following types of pain can be treated by the McKenzie Method?
Respuesta
  • Chemical Pain
  • Mechanical Pain
  • Psychological Pain

Pregunta 28

Pregunta
When performing McKenzie Treatments, your goal is to ____.
Respuesta
  • move the symptoms proximally (centralization).
  • move the symptoms distally (peripheralization).

Pregunta 29

Pregunta
All McKenzie Treatments are performed in Prone.
Respuesta
  • True
  • False

Pregunta 30

Pregunta
Which of the following are TRUE regarding postural syndrome pain?
Respuesta
  • Pain is of spinal origin that is a result of abnormal stress on normal tissue
  • It is a result of end-range stress
  • The pain is intermittent and dissipates upon postural shift
  • Pain persists despite postural shifts
  • Pain is of spinal origin that is a result of normal stress on abnormal tissue

Pregunta 31

Pregunta
McKenzie Treatment: Extension Progression 1.) [blank_start]Prone Lying (over pillow)[blank_end] 2.) [blank_start]Prone Lying in Extension (on elbows)[blank_end] 3.) [blank_start]Extension in Lying (press-ups)[blank_end] 4.) [blank_start]Extension in Lying with Overpressure[blank_end] 5.) [blank_start]Extension Mobilization[blank_end] 6.) [blank_start]Extension in Standing[blank_end]
Respuesta
  • Prone Lying (over pillow)
  • Prone Lying in Extension (on elbows)
  • Extension in Lying (press-ups)
  • Extension in Lying with Overpressure
  • Extension Mobilization
  • Extension in Standing
  • Prone Lying in Extension (on elbows)
  • Extension in Standing
  • Prone Lying (over pillow)
  • Extension in Lying (press-ups)
  • Extension in Lying with Overpressure
  • Extension Mobilization
  • Extension in Lying (press-ups)
  • Extension Mobilization
  • Prone Lying (over pillow)
  • Prone Lying in Extension (on elbows)
  • Extension in Lying with Overpressure
  • Extension in Standing
  • Extension in Lying with Overpressure
  • Extension in Standing
  • Extension Mobilization
  • Extension in Lying (press-ups)
  • Prone Lying in Extension (on elbows)
  • Prone Lying (over pillow)
  • Extension Mobilization
  • Prone Lying (over pillow)
  • Extension in Standing
  • Prone Lying in Extension (on elbows)
  • Extension in Lying (press-ups)
  • Extension in Lying with Overpressure
  • Extension in Standing
  • Extension in Lying with Overpressure
  • Extension Mobilization
  • Extension in Lying (press-ups)
  • Prone Lying in Extension (on elbows)
  • Prone Lying (over pillow)

Pregunta 32

Pregunta
McKenzie Treatment: Flexion Progression 1.) [blank_start]Flexion in Lying[blank_end] 2.) [blank_start]Flexion in Sitting[blank_end] 3.) [blank_start]Flexion in Standing[blank_end] 4.) [blank_start]Flexion in Lying with Overpressure[blank_end]
Respuesta
  • Flexion in Lying
  • Flexion in Sitting
  • Flexion in Standing
  • Flexion in Lying with Overpressure
  • Flexion in Sitting
  • Flexion in Lying with Overpressure
  • Flexion in Lying
  • Flexion in Standing
  • Flexion in Standing
  • Flexion in Lying with Overpressure
  • Flexion in Sitting
  • Flexion in Lying
  • Flexion in Lying with Overpressure
  • Flexion in Lying
  • Flexion in Sitting
  • Flexion in Standing

Pregunta 33

Pregunta
According to the article by Ross, how should we proceed if the patient has a lateral shift as well as a flexion or extension issue?
Respuesta
  • Fix Lateral Shift first
  • Fix flexion/extension issue first
  • Stop treatment

Pregunta 34

Pregunta
If your patient has an anterior derangement, what do you do?
Respuesta
  • Reduce with Flexion
  • Reduce with Extension

Pregunta 35

Pregunta
If you have a flexion dysfunction, which direction will you use to stretch out the tight structure?
Respuesta
  • Towards Flexion
  • Towards Extension

Pregunta 36

Pregunta
Which of the syndromes will demonstrate centralization/peripheralization?
Respuesta
  • Derangement Syndrome
  • Dysfunction Syndrome
  • Postural Syndrome

Pregunta 37

Pregunta
If your patient has a posterior derangement, what do you do?
Respuesta
  • Reduce with Extension
  • Reduce with Flexion

Pregunta 38

Pregunta
McKenzie Treatments by Syndrome Dysfunction Syndrome :: [blank_start]Stretch[blank_end] Derangement Syndrome :: [blank_start]Reduce[blank_end] Postural Syndrome :: [blank_start]Correct and Educate[blank_end]
Respuesta
  • Stretch
  • Reduce
  • Correct and Educate
  • Reduce
  • Correct and Educate
  • Stretch
  • Correct and Educate
  • Stretch
  • Reduce
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