Question 1

The therapist asks you to repeat a muscle test on your patient with a total knee replacement.You determine the quadriceps muscle is currently a Fair plus or 3+.This means your patient can:&#10;A)Straighten the leg through full available range of motion, against gravity with slight manual resistance&#10;B)Straighten the leg through full available range of motion, against gravity with moderate manual resistance&#10;C)Straighten the leg through 50% but not full range of motion, gravity minimized, no resistance&#10;D)Straighten the leg through 50% but not full range of motion, against gravity, no resistance

Accepted Answer

A grade of 3+ on the muscle testing scale indicates that the muscle can move through its full range of motion against gravity and can tolerate a slight amount of resistance.

Question 2

Which of the following type of abnormal end-feel can be caused by an abscess or bursitis or an acute joint inflammation?&#10;A)Soft&#10;B)Firm&#10;C)Hard&#10;D)Empty

Accepted Answer

An empty end-feel occurs when movement is stopped by the patient due to pain, often seen in conditions like abscess, bursitis, or acute joint inflammation.

Question 3

The therapist asks you to work with your patient on exercises with the goal of that muscle group being able to contract repeatedly and effectively over time.You choose exercises that focus on which of the following?

A)Strength
B)Power
C)Endurance
D)Coordination

D

Accepted Answer

D

Question 4

Your patient is having pain with passive range of motion in flexion at the knee.You suspect that which of the following may be occurring?&#10;A)Painful contraction of the quadriceps muscle&#10;B)Painful stretching of the quadriceps muscle&#10;C)Painful stretch to the hamstring muscle&#10;D)Capsular tightness in hip joint

Accepted Answer

Pain with passive flexion of the knee suggests a painful stretch of the quadriceps muscle, as this muscle is being elongated during knee flexion.

Question 5

Circumferential measurements are valuable in providing any of the following information EXCEPT:&#10;A)Edema&#10;B)Hypertrophy of muscle&#10;C)Atrophy of muscle&#10;D)Strength of muscle

Accepted Answer

Circumferential measurements can provide information on edema, hypertrophy, and atrophy of muscle, but cannot directly measure strength of muscle. Strength testing would require a different method such as dynamometry.

Question 6

A patient who was evaluated last week by the PT comes in today with a new pain, which she describes as a tingling, shooting pain.Which of the following systems do you suspect may be involved?&#10;A)Muscular system&#10;B)Nervous system&#10;C)Vascular system&#10;D)Lymphatic system

Accepted Answer

Tingling and shooting pain are typically associated with nerve involvement, suggesting possible nerve damage or compression. Therefore, it is likely that the nervous system may be involved.

Deck 4: Pta: Musculoskeletal Examination