Physical Therapy Quiz on Anatomy and Movement

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Questions and Answers

A patient presents with a herniated disc in the lumbar region. Which of the following symptoms is MOST likely associated with this condition?

  • Low back pain radiating to the buttocks, legs, and feet, possibly accompanied by muscle spasms (correct)
  • Increased lumbar lordosis and forward pelvic tilt
  • Complete loss of motor function in the lower extremities
  • Sharp, localized pain that does not radiate beyond the lower back

When a person looks downward and to the left, which combination of eye muscles is primarily responsible for this movement?

  • Left superior rectus and right inferior oblique
  • Right superior rectus and left inferior oblique
  • Right inferior rectus and left superior oblique
  • Left inferior rectus and right superior oblique (correct)

A physical therapist observes a patient with decreased lumbar lordosis. What compensatory change in pelvic tilt is MOST likely present?

  • No change in pelvic tilt
  • Backward tilt of the pelvis (correct)
  • Downward tilt of the pelvis
  • Forward tilt of the pelvis

Which of the following actions involving body mechanics is LEAST likely to contribute to back injuries?

<p>Using smooth, controlled motions at a moderate speed (A)</p> Signup and view all the answers

What anatomical structures define the boundaries of the anterior triangle of the neck?

<p>Sternocleidomastoid, inferior border of the mandible, and midline of the neck (A)</p> Signup and view all the answers

During a trunk rotation exercise to the left, which of the following muscles is primarily responsible for controlling this movement?

<p>Right external abdominal oblique (D)</p> Signup and view all the answers

Which of the following arthrokinematic motions is/are possible between joint surfaces?

<p>Both sliding or gliding AND spinning (A)</p> Signup and view all the answers

When a patient performs a squat, where all body parts move in the same direction, this is best termed:

<p>Translatory motion (D)</p> Signup and view all the answers

Which muscle is primarily responsible for protruding the mandible?

<p>Pterygoid (A)</p> Signup and view all the answers

A patient is diagnosed with lumbar spinal stenosis. Which activity should be AVOIDED to minimize intervertebral foramen narrowing and alleviate symptoms.

<p>Extension exercises, such as prone press-ups. (D)</p> Signup and view all the answers

A weightlifter is performing deadlifts with poor form, exhibiting excessive lumbar flexion during the lift. Which muscle group is MOST likely being overstressed and contributing to potential back injury?

<p>Lumbar extensors (B)</p> Signup and view all the answers

Which of the following accurately describes the attachment of ribs to the sternum and their classification?

<p>Ribs 1-7 attach directly to the sternum, ribs 8-10 attach via cartilage, and ribs 11-12 are floating ribs. (D)</p> Signup and view all the answers

A physical therapist is treating a patient with limited blood flow to the brain. Which anatomical structure should the therapist consider during treatment?

<p>Vertebral arteries (C)</p> Signup and view all the answers

Following a stroke, a patient exhibits difficulty chewing. Which nerve is most likely affected?

<p>Trigeminal nerve (D)</p> Signup and view all the answers

What type of motion is most accurately described by a swinging pendulum on a grandfather clock?

<p>Periodic Motion (C)</p> Signup and view all the answers

A patient displays the inability to compress their lips together. Which muscle is most likely affected?

<p>Orbicularis oris (A)</p> Signup and view all the answers

What might an unusual patch of hair on a patient's back suggest?

<p>A congenital defect in the spine. (D)</p> Signup and view all the answers

Which of the following skin markings is MOST associated with underlying neurological or skeletal pathology?

<p>Café-au-lait spots. (B)</p> Signup and view all the answers

Soft, doughy lumps in the low back area (lipomata) could be a sign of what condition?

<p>Spina bifida. (C)</p> Signup and view all the answers

What condition is MOST LIKELY indicated by pedunculated tumors accompanied by café-au-lait spots?

<p>Neurofibromatosis. (D)</p> Signup and view all the answers

In bilateral stance, the forces acting at the pelvis BEST exemplify which class of lever?

<p>Second class lever. (A)</p> Signup and view all the answers

Which of the following actions at the shoulder joint does NOT represent a force couple?

<p>Adduction at the glenohumeral joint from the combined action of the deltoid and supraspinatus. (C)</p> Signup and view all the answers

Which example BEST describes a force couple acting on the scapulothoracic joint?

<p>Simultaneous contraction of the upper and lower trapezius and serratus anterior to upwardly rotate the scapula. (B)</p> Signup and view all the answers

During elevation of the arm, what is the PRIMARY role of the infraspinatus, teres minor, and subscapularis muscles?

<p>To compress and stabilize the humeral head within the glenoid fossa. (B)</p> Signup and view all the answers

Which joint serves as the sole point of skeletal attachment between the upper extremity and the axial skeleton?

<p>Sternoclavicular joint (C)</p> Signup and view all the answers

A physical therapist is applying a pelvic belt for intermittent traction on a patient with lower back pain. Which of the following is NOT a proper guideline for pelvic belt application?

<p>Wrapping the free ends of the belt so the iliac crests are fully covered by the belt. (D)</p> Signup and view all the answers

When applying pelvic traction, why is it recommended to use cotton, wrinkle-free material between the skin and the pelvic belt?

<p>To enhance the effectiveness of the traction force while minimizing pressure points. (B)</p> Signup and view all the answers

What is the primary purpose of placing a patient in the Williams position (hips and knees flexed at 30 degrees) during pelvic traction?

<p>To reduce lumbar lordosis and promote comfort, facilitating muscle relaxation. (B)</p> Signup and view all the answers

A patient undergoing pelvic traction should be instructed to maintain which back position against the mattress?

<p>Flat (D)</p> Signup and view all the answers

When not undergoing pelvic traction, what is the recommended resting position for a patient with lower back pain?

<p>Lying prone or on their side with the bed flat (D)</p> Signup and view all the answers

A physical therapist is preparing to apply a pelvic belt for traction. If the patient prefers to wear clothing during traction, what characteristics should the clothing have and why?

<p>Cotton and wrinkle-free to enhance traction and prevent pressure points. (A)</p> Signup and view all the answers

What is the rationale behind ensuring that the straps of the pelvic belt are parallel to each other and to the patient's thighs when applying traction?

<p>To ensure even distribution of the traction force along the pelvis and lumbar spine. (D)</p> Signup and view all the answers

During an eccentric muscle contraction, what is the relationship between the force generated by the muscle and the external resistance?

<p>The muscle force is less than the external resistance, causing the muscle to lengthen. (B)</p> Signup and view all the answers

A person is holding a box at arm's length. If the weight of the box increases to a point where the person can no longer hold it steady, and their arm starts to lower, what type of muscle contraction is occurring in their shoulder muscles?

<p>Eccentric (D)</p> Signup and view all the answers

If a force of 80 kilograms is applied to an area of 5 square centimeters, what is the resulting pressure in kilograms per square centimeter?

<p>16 (B)</p> Signup and view all the answers

Which of the following statements is incorrect regarding an open-packed position of a joint?

<p>Joint surfaces are maximally congruent. (C)</p> Signup and view all the answers

Which of the following is a characteristic of closed kinematic chain exercises?

<p>The distal segment is fixed, causing predictable movement patterns at multiple joints. (D)</p> Signup and view all the answers

Which of the following exercises is an example of a closed kinematic chain activity for the upper extremity?

<p>Push-up. (B)</p> Signup and view all the answers

During the stance phase of gait, the lower extremity functions in a closed kinematic chain. Which of the following best describes the sequence of joint motion that occurs if the ankle dorsiflexes?

<p>Knee flexion, hip flexion. (A)</p> Signup and view all the answers

A physical therapist is designing rehabilitation exercises for a patient with a lower extremity injury. Why might the therapist choose closed-chain exercises over open-chain exercises?

<p>To promote co-contraction of muscles and enhance joint stability. (C)</p> Signup and view all the answers

During the 'no' movement, what structure(s) move as a unit on the axis?

<p>Skull and atlas (D)</p> Signup and view all the answers

Which of the following findings would rule out a positive upper limb tension test?

<p>Symptom aggravation with movement towards the site of restriction. (C)</p> Signup and view all the answers

Which of the following is true regarding the closed-packed position of a joint?

<p>Capsular structures are taut, and ligaments are under tension. (D)</p> Signup and view all the answers

What condition is achieved when all forces acting on a body are balanced?

<p>Equilibrium (B)</p> Signup and view all the answers

A physical therapist is performing an upper limb tension test. Which finding below would NOT be considered a positive sign?

<p>Symptoms are lessened when a sensitizing maneuver is applied. (A)</p> Signup and view all the answers

During the 'no' movement, which anatomical structures form the 'collar' around the median atlanto-axial joint?

<p>Anterior arch of the atlas and the transverse ligament (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a joint in the closed-packed position?

<p>Joint surfaces are easily separated (C)</p> Signup and view all the answers

A patient presents with limited cervical rotation. Palpation reveals increased tissue resistance during the upper limb tension test. Which of the following interventions is LEAST appropriate based solely on this finding?

<p>Strengthening exercises focusing on cervical flexors (C)</p> Signup and view all the answers

Flashcards

Disc Herniation Symptoms

Low back pain, muscle spasms radiating to buttocks, legs, and feet.

Herniated Disc Location

More common in the lumbar area due to greater mobility.

Eye Muscles Looking Down Left

Left inferior rectus and right superior oblique contract.

Lumbar Lordosis Effect

Decrease in lumbar lordosis leads to backward pelvic tilt.

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Back Injury Causes

Major cause is improper body mechanics during lifting.

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External Abdominal Oblique Action

Unilateral contraction causes side bending and trunk rotation to opposite shoulder.

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Bilateral Contraction - Abdominal

Trunk flexion, compresses abdominal viscera, aids expiration.

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Arthrokinematic Motions

Joint movements include sliding, gliding, and spinning between surfaces.

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Sternomastoid Muscle

A muscle in the neck that helps rotate and flex the head.

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Translatory Motion

Movement where all body parts move in the same direction with equal velocity.

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Pterygoid Muscle

Muscles that draw the mandible forward and toward the midline.

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Rib Attachment

First to seventh ribs attach to the sternum; 8th to 10th to cartilage; 11th and 12th are free.

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Vertebral Artery

Arteries that pass through the transverse foramen of cervical vertebrae.

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Motor Nerve for Mastication

The trigeminal nerve is responsible for motor functions of chewing muscles.

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Rotatory Motion

Movement occurring around an axis, like a ceiling fan.

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Curvilinear Motion

Motion that follows a curved path.

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Pedunculated tumors

Tumors that are attached by a stalk and often indicate neurofibromatosis.

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Café-au-lait spots

Skin markings that may indicate underlying neurologic or skeletal pathology.

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Gibbus deformity

A spinal deformity that may arise from a herniated disc.

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Spina bifida

A condition resulting from the nonunion of the vertebral arch, often signaled by lipomata.

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Second class lever

A lever type where the load is between the effort and the fulcrum, providing stability.

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Force couple

A pair of muscles acting together to produce a specific body movement, like shoulder elevation.

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Scapulothoracic force couple

Muscles acting together to rotate the scapula upward during arm elevation.

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Glenohumeral force couple

Muscles (deltoid and rotator cuff) working together for elevation at the shoulder joint.

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Sternoclavicular Joint

The joint that connects the upper extremity to the trunk.

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Pelvic Belt Application

Proper technique for applying a pelvic belt includes alignment and material choice.

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Williams Position

A position where hips and knees are flexed to alleviate lower back pain.

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Proper Straps Alignment

Straps should be parallel to each other and to the patient's thighs.

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Direct Skin Application

Pelvic traction may be applied directly on skin for best results.

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Iliac Crest Coverage

The belt must cover the iliac crests for effective traction.

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Traction Cords

Cords used to apply traction; must connect properly to the straps.

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Clothing for Traction

Use cotton and wrinkle-free clothing for pelvic traction.

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Atlanto-Axial Joint

The joint between the atlas and axis that allows neck rotation.

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Upper Limb Tension Test

A clinical test evaluating the nerve and soft tissue in the upper limb.

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Positive Test Indicators

Signs that confirm a positive upper limb tension test include symptom reproduction and altered responses.

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Closed-Packed Position

A joint position with maximum surface contact and ligament tension.

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Equilibrium

A state where all forces acting on a body are balanced.

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Tissue Resistance

Resistance felt in soft tissues during motion tests, indicating issues.

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ROM Comparison

Range of motion on one side compared to the other during tests.

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Sensitizing Maneuver

Movement that increases symptoms, altering test responses during evaluation.

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Isotonic Contraction

A type of muscle contraction where muscle changes length while generating force.

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Concentric Contraction

Muscle shortens while generating force to overcome resistance.

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Eccentric Contraction

Muscle lengthens as resistance exceeds the force produced.

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Isometric Contraction

Muscle's tension matches load, but the muscle does not change length.

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Pressure Calculation

Pressure is calculated as force divided by area.

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Open-Packed Position

A joint position where ligamentous and capsular structures are slack, allowing movement.

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Closed Kinematic Chain

A movement pattern where the distal segment is fixed and proximal segments move.

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Activity in Closed Kinetic Chain

All segments must move together; one part's movement impacts others.

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Study Notes

Anatomy, Physiology, and Kinesiology

  • The study material appears to be for physical therapy students preparing for board review.
  • The topics covered by the study material include orthopedic physical assessment and treatment.
  • The study material includes questions and answers relevant to the course.

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