Question 1
Question
The most frequently used surgical approach for a total hip replacement is which of the following?
Answer
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Direct lateral
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Medial
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Anterior lateral
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Posterior lateral
Question 2
Question
The surgical approach for a total hip that is associated with the highest dislocation rate is which of the following?
Answer
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medial
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lateral
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anterior
-
posterior
Question 3
Question
All of the following are appropriate teaching points for your patient after a total hip Except?
Answer
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Carrying heavy objects on the contralateral side if using only one hand.
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Avoiding high impact sports activities.
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Resting in the prone position to stretch the hip flexors if the position is easily achievable.
Question 4
Question
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?
Question 5
Question
All of the following are appropriate interventions for your patient with trochanteric bursitis Except?
Answer
-
Multiple angle isometric exercises of the abductors in a lengthen position
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Gentle stretching of the tight muscle groups
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Cross fiber massage in the area of the greater trochanter
Question 6
Question
The least effective stretch to selectively stretch the hamstrings is which of the following?
Answer
-
Straight leg raise
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Doorway stretch lying on the floor with one leg up on the door frame
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Table stretch with one leg on the table opposite the floor
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Bilateral toe touching in a long seated position
Question 7
Question
Any of the following are appropriate choices for close chain weight-bearing exercises Except?
Answer
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Lunges
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Step-ups
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Supine bridging
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Quadruped leg lifts
Question 8
Question
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?
Answer
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Sidelying hip abduction with the hip in slight hip extension and hip internal rotation
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Sidylying hip abduction in slight hip flexion and hip external rotation
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Sidelying hip abduction with slight extension and external rotation
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Sidelying hip abduction with slight hip flexion and hip internal rotation
Question 9
Question
All of the following are good activities of daily living instructions for a patient with a posterior approach to total hip Except?
Question 10
Question
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
Answer
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Clam exercises
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Thomas test
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Swimer's exercise
Question 11
Question
All of the following are precautions for an anterior lateral total hip approach Except?
Question 12
Question
The medial meniscus is firmly attached to all of the following structures Except?
Answer
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The ACL
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Joint capsule
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Semimembranosus muscle
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Bicep femoris muscle
Question 13
Question
Any of the following factors can be a cause of patellar mal alignment Except?
Answer
-
Tight IT band
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Vastus medialis (VMO) weakness
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Hip external rotator muscle weakness
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A supinated subtalar joint
Question 14
Question
The position of comfort for a person with an acute knee effusion is generally which of the following?
Answer
-
60 degrees of knee flexion
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40 degree of knee flexion
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Full knee extension
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25 degrees of knee flexion
Question 15
Question
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?
Question 16
Question
The knee ligament that is routinely sacrificed or excise during a total knee arthoplasty is which of the following?
Question 17
Question
A meniscal tear can cause _____ of the knee?
Answer
-
Joint laxity
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Hypermobility
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Hyperextension
-
Catching locking
Question 18
Question
Overstretching after a total knee imposes what threat to the patient?
Question 19
Question
Education for your patient with patellar femoral syndrome should include any of the following suggestions Except?
Answer
-
Perform range of motion exercises only in a comfortable range
-
Avoid any activities that provoke symptoms
-
Minimize stair climbing and descending
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Avoid positions that keep the knees extended for long periods of time
Question 20
Question
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?
Answer
-
Hamstrings
-
Gastrocs
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TFL
-
Iliopsoas
Question 21
Question
The unholy triad is a term describing injury to which of the three associated structures of the knee?
Question 22
Question
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?
Answer
-
Hip abductors and external rotators
-
Hip abductors and internal rotators
-
Hip adductor and internal rotators
Question 23
Question
Partial squats can be made more challenging by doing any of the following Except?
Answer
-
Flexing the trunk further forward in order to keep the knee over the feet
-
Using hands weights while performing squats
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Placing elastic tubing under both feet and grasping it with your hands while straightening up
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Performing squats with lower extremities more internally rotated to challenge the VMO
Question 24
Question
What does the anterior drawer tests in the ankle?
Question 25
Question
What is the primary focus for an acute ankle sprain?
Question 26
Question
What is not a biomechanical factor for chondromalacia?
Answer
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High arch
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High Q angle
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Flat foot
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Improper footwear
Question 27
Question
What test would not be helpful in testing patellar femoral pain?
Answer
-
Obers test
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Patellar grind test
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Impinchement test
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Trendelenburg test
Question 28
Question
What is the main function of the MCL?
Answer
-
To resist valgus force
-
To resist varus force
Question 29
Question
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?
Question 30
Question
What is a contraindication of a hip labral tear in phase 1 healing?
Question 31
Question
What kind of ACL graft comes from a cadaver or a donor?
Answer
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Allograft
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Autograft
-
Xenograft
Question 32
Question
What is the most common cause of total knee arthroplasty?
Question 33
Question
The close pack stable position of the talar cruel joint is which of the following?
Answer
-
Plantar flexion
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Eversion
-
Inversion
-
Dorsiflexion
Question 34
Question
Which of the following terms are synonyms for flat foot?
Answer
-
Pes planus (pronated)
-
Pes cavus
Question 35
Question
Your patient has plantar fasciitis, you can expect to find any of the following impairments predisposing her to this condition Except?
Answer
-
Excessively high arch of the foot
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Tight gastroc/soleus muscles
-
Tenderness to palpation at the calcaneal insertion of the fascia with possible heal spur
-
A weak anterior tibial muscle
Question 36
Question
The position of comfort for an ankle inversion sprain is which of the following?
Answer
-
Ankle dorsiflexion and eversion
-
Ankle dorsiflexion and inversion
-
Ankle plantarflexion and inversion
-
Ankle plantarflexion and eversion
Question 37
Question
After a soft tissue reconstruction for lateral ankle instability, the most important muscle group to strengthen for dynamic stability of the ankle is the?
Answer
-
The inverters
-
The plantarflexors
-
The dorsi flexors
-
The everters
Question 38
Question
An achilles tendon rupture can be identified by which of the following test?
Answer
-
Loughfmin test
-
Speed's test
-
Thompson test
-
Rhine test
Question 39
Question
Which of the following is the most effective method to stretch the gastroc/soleus complex?
Answer
-
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
Question 40
Question
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?
Question 41
Question
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.
Answer
-
Low intensity muscle setting
-
Submaximal isokinetic concentric exercise at slow velocities
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Active ROM exercises
-
Multiple-angle isometric against manual resistance
Question 42
Question
Which of the following is a soft tissue lesion characterized by repeated submaximal overload of frictional wear
Question 43
Question
A properly applied and progressed therapeutic exercise program should?
Answer
-
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.
Question 44
Question
Hip pain referred from L1-L3 usually radiates to which area of the lower extremity?
Answer
-
Anterior thigh
-
Posterior thigh
-
Posterior buttock
-
Foot
Question 45
Question
What is the most common cause of musculoskeletal groin pain?
Answer
-
Muscle strain
-
Cancer
-
Infection
-
Fracture
Question 46
Question
Foot drop with gait disturbances is a classic sign of ______.
Answer
-
Sciatic neuropathy
-
Osteopenia
-
Plantar Fasciitis
-
Insufficiency Fracture
Question 47
Question
Which therapeutic intervention is absolutely contraindicated with a person who has a DVT?
Answer
-
Massage
-
Mobility
-
Exercise
-
Positioning
Question 48
Question
As the PTA makes a general survey of each client, it is also possible to observe which of the following?
Answer
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Posture
-
Gait
-
Coordination
-
Atrophy
-
All of the above
Question 49
Question
In a total hip arthroplasty, both the acetabulum and the femoral head are replaced?
Question 50
Question
The medial meniscus is injured more frequently than the lateral meniscus