Question 1

Which of the following is a characteristic of the medial meniscus?

Accepted Answer

A)  It is a round, fibrous cord that is about the size of a pencil. 
B)  It is a horseshoe-shaped fat pad. 
C)  It is attached to the lateral articular facet on the superior aspect of the tibia. 
D)  It is attached to fibers of the semimembranous muscle posteriorly. 
E)  It is an O-shaped fibrocartilage. 
A)  It is a round, fibrous cord that is about the size of a pencil. 
B)  It is a horseshoe-shaped fat pad. 
C)  It is attached to the lateral articular facet on the superior aspect of the tibia. 
D)  It is attached to fibers of the semimembranous muscle posteriorly. 
E)  It is an O-shaped fibrocartilage. D

Question 2

Where does the patella lie on the femur when the knee is in full extension?

Accepted Answer

A)  The patella lies slightly medial and proximal to the trochlea. 
B)  The patella lies slightly distal to the intercondylar eminence and proximal to the tibial tuberosity. 
C)  The patella lies slightly lateral and distal to the trochlea. 
D)  The patella lies slightly medial and superior to the femoral groove. 
E)  The patella lies slightly lateral and proximal to the trochlea. 
A)  The patella lies slightly medial and proximal to the trochlea. 
B)  The patella lies slightly distal to the intercondylar eminence and proximal to the tibial tuberosity. 
C)  The patella lies slightly lateral and distal to the trochlea. 
D)  The patella lies slightly medial and superior to the femoral groove. 
E)  The patella lies slightly lateral and proximal to the trochlea. E

Question 3

Which brace would be the most appropriate to wear for an athlete recovering from a grade 3 medial collateral ligament tear?

Accepted Answer

A)    
B)    
C)    
D)    
A)    
B)    
C)    
D)    A

Question 4

Please check all of the factors that may contribute to patellofemoral stress syndrome.

Accepted Answer

A)  Tightness in the gastrocnemius 
B)  Decreased Q angle 
C)  Supination of the foot 
D)  Tightness of the iliotibial band 
E)  Patella baja
F) Weak hip adductors
G) Vastus medialis oblique insufficiency 
A)  Tightness in the gastrocnemius 
B)  Decreased Q angle 
C)  Supination of the foot 
D)  Tightness of the iliotibial band 
E)  Patella baja
F) Weak hip adductors
G) Vastus medialis oblique insufficiency

Question 5

From the following descriptive statements of the patella, select the INCORRECT statement.

Accepted Answer

A)  The patella is the largest sesamoid bone in the human body. 
B)  The lateral aspect of the patella is wider than the medial aspect. 
C)  Tracking within this groove depends on the pull of the quadriceps muscle and patellar tendon. 
D)  The patella articulates between the concavity provided by the tibial plateaus. 
E)  The patella is located in the tendon of the quadriceps femoris muscle and divided into three medial facets and a lateral facet. 
A)  The patella is the largest sesamoid bone in the human body. 
B)  The lateral aspect of the patella is wider than the medial aspect. 
C)  Tracking within this groove depends on the pull of the quadriceps muscle and patellar tendon. 
D)  The patella articulates between the concavity provided by the tibial plateaus. 
E)  The patella is located in the tendon of the quadriceps femoris muscle and divided into three medial facets and a lateral facet.

Question 6

Which of the following tests is similar to the flexion-rotation drawer test but is done in a side-lying position?

Accepted Answer

A)  The posterior drawer test 
B)  The jerk test 
C)  The Thessaly test 
D)  Godfrey's Test 
E)  Losee's test 
A)  The posterior drawer test 
B)  The jerk test 
C)  The Thessaly test 
D)  Godfrey's Test 
E)  Losee's test

Question 7

The major purpose of the medial collateral ligament is:

Accepted Answer

A)  to prevent hyperextension of the knee. 
B)  to limit anterior translation of the tibia in non-weight bearing. 
C)  to prevent the knee from valgus and external rotating forces. 
D)  to work in conjunction with the thigh muscles to stabilize the knee joint. 
E)  to attach the medial meniscus to the femur and to allow the tibia to move on the meniscus inferiorly. 
A)  to prevent hyperextension of the knee. 
B)  to limit anterior translation of the tibia in non-weight bearing. 
C)  to prevent the knee from valgus and external rotating forces. 
D)  to work in conjunction with the thigh muscles to stabilize the knee joint. 
E)  to attach the medial meniscus to the femur and to allow the tibia to move on the meniscus inferiorly.

Question 8

At what degree of knee flexion are the mensci the most helpful in stabilizing the knee?

Accepted Answer

A)  15° 
B)  35° 
C)  90° 
D)  125° 
E)  180° 
A)  15° 
B)  35° 
C)  90° 
D)  125° 
E)  180°

Question 9

Which of the following is an advantage of the Lachman drawer test?

Accepted Answer

A)  It tests the knee at a comfortable 90-degree position. 
B)  It reduces the restriction created by the hamstring muscles. 
C)  It can be performed easily on very large patients. 
D)  It is performed when a patient is in a comfortable, side-lying position. 
E)  It helps in determining a torn meniscus easily. 
A)  It tests the knee at a comfortable 90-degree position. 
B)  It reduces the restriction created by the hamstring muscles. 
C)  It can be performed easily on very large patients. 
D)  It is performed when a patient is in a comfortable, side-lying position. 
E)  It helps in determining a torn meniscus easily.

Question 10

In the context of jumper's knee, the shock-absorbing function that the quadriceps provides upon landing from a jump is known as

Accepted Answer

A)  an isometric contraction. 
B)  straight instability. 
C)  rotatory instability. 
D)  translation. 
E)  an eccentric contraction. 
A)  an isometric contraction. 
B)  straight instability. 
C)  rotatory instability. 
D)  translation. 
E)  an eccentric contraction.

Question 11

Which of the following is true of the external rotation recurvatum test?

Accepted Answer

A)  An athletic trainer uses one hand to press against the head of the fibula and the other to grasp a patient's ankle. 
B)  An athletic trainer places one hand on the foot and one hand over the top of the knee, fingers touching the medial joint line. 
C)  An athletic trainer grasps the great toe of a patient and lifts his or her leg off a table. 
D)  A clinician stands in front of and supports a patient by holding his or her outstretched hands. 
E)  An athletic trainer stands facing the anterior aspect of a patient's leg, with both hands encircling the upper portion of the leg immediately below the knee joint. 
A)  An athletic trainer uses one hand to press against the head of the fibula and the other to grasp a patient's ankle. 
B)  An athletic trainer places one hand on the foot and one hand over the top of the knee, fingers touching the medial joint line. 
C)  An athletic trainer grasps the great toe of a patient and lifts his or her leg off a table. 
D)  A clinician stands in front of and supports a patient by holding his or her outstretched hands. 
E)  An athletic trainer stands facing the anterior aspect of a patient's leg, with both hands encircling the upper portion of the leg immediately below the knee joint.

Question 12

In the context of special tests for assessment of knee joint instability, the patient stands flatfooted on the floor in

Accepted Answer

A)  the Thessaly test. 
B)  mcMurray's meniscal test. 
C)  the Apley compression test. 
D)  the pivot-shift test. 
E)  the Lachman drawer test. 
A)  the Thessaly test. 
B)  mcMurray's meniscal test. 
C)  the Apley compression test. 
D)  the pivot-shift test. 
E)  the Lachman drawer test.

Question 13

When the anterior cruciate ligament is torn, what signs and symptoms could the patient experience?

Accepted Answer

A)  A snapping sound, immediate pain and rapid swelling at the joint line 
B)  A pop followed by immediate disability, and rapid swelling at the joint line 
C)  A snapping sound, delayed pain and rapid swelling at the joint line 
D)  A popping sound, delayed pain and no swelling at the joint line 
E)  A snapping sound, delayed pain and no swelling at the joint line 
A)  A snapping sound, immediate pain and rapid swelling at the joint line 
B)  A pop followed by immediate disability, and rapid swelling at the joint line 
C)  A snapping sound, delayed pain and rapid swelling at the joint line 
D)  A popping sound, delayed pain and no swelling at the joint line 
E)  A snapping sound, delayed pain and no swelling at the joint line

Question 14

A sustained noncontact anterolateral rotary instability injury is caused by which of the following motions?

Accepted Answer

A)  Deceleration with a valgus stress and rotation 
B)  Acceleration with a valgus stress and rotation 
C)  Deceleration with a varus stress and rotation 
D)  Acceleration with a varus stress and rotation 
E)  Acceleration with a valgus stress and no rotation 
A)  Deceleration with a valgus stress and rotation 
B)  Acceleration with a valgus stress and rotation 
C)  Deceleration with a varus stress and rotation 
D)  Acceleration with a varus stress and rotation 
E)  Acceleration with a valgus stress and no rotation

Question 15

What does a ballotable patella indicate?

Accepted Answer

A)  Intracapsular swelling 
B)  Displaced fracture 
C)  Bursitis 
D)  Tendinitis 
E)  Extracapsular swelling 
A)  Intracapsular swelling 
B)  Displaced fracture 
C)  Bursitis 
D)  Tendinitis 
E)  Extracapsular swelling

Question 16

Why are the cruciate ligaments "extrasynovial"?

Accepted Answer

A)  The synovial membrane lines the inner surface of the joint capsule. 
B)  The cruciate ligaments consist of two or more multidirectional fibrous bands. 
C)  The synovial membrane passes in front of the cruciate ligaments. 
D)  The collateral ligaments are intrasynovial. 
E)  The synovium attaches to only the collateral ligaments. 
A)  The synovial membrane lines the inner surface of the joint capsule. 
B)  The cruciate ligaments consist of two or more multidirectional fibrous bands. 
C)  The synovial membrane passes in front of the cruciate ligaments. 
D)  The collateral ligaments are intrasynovial. 
E)  The synovium attaches to only the collateral ligaments.

Question 17

What type of brace is used to protect grade 1 or 2 sprains of the ACL?

Accepted Answer

A)  Prophylactic 
B)  Hinge brace 
C)  Functional brace 
D)  Post-operative brace 
E)  Rehabilitation brace 
A)  Prophylactic 
B)  Hinge brace 
C)  Functional brace 
D)  Post-operative brace 
E)  Rehabilitation brace

Question 18

What does this apparatus measure?

Accepted Answer

A)  Quad strength 
B)  Displacement of the knee 
C)  Joint effusion 
D)  Proprioception ability of the knee 
E)  Nerve conduction 
A)  Quad strength 
B)  Displacement of the knee 
C)  Joint effusion 
D)  Proprioception ability of the knee 
E)  Nerve conduction

Question 19

Why are there several alternate methods to perform the Lachman drawer test?

Accepted Answer

A)  Because many different physicians have found more valid methods 
B)  Because the alternate methods involve testing for rotator instabilities 
C)  Because many different athletic trainers have found more valid methods 
D)  Because the female population within the profession created alternate methods 
E)  Because larger patients are difficult to assess using the original Lachman drawer test 
A)  Because many different physicians have found more valid methods 
B)  Because the alternate methods involve testing for rotator instabilities 
C)  Because many different athletic trainers have found more valid methods 
D)  Because the female population within the profession created alternate methods 
E)  Because larger patients are difficult to assess using the original Lachman drawer test

Question 20

Please check all of the therapeutic exercises that would be appropriate for a person who is in the acute injury phase of surgical repair of an anterior cruciate ligament.

Accepted Answer

A)  Insert quad sets video with no audio (strengthening hip and thigh folder) 
B)  Insert hamstring curls on NK video with no audio (strengthening hip and thigh folder) 
C)  Insert video hip flexor strengthening with no audio (strengthening hip and thigh folder) 
D)  Insert straight leg lift adduction video with no audio from strengthening hip and thigh folder 
E)  Insert machine squat video with no audio from strengthening hip and thigh folder
F) Insert posterior tibial glides distal with no audio from joint mobilizations folder
G) Insert patellar glides video with no audio from joint mobilizations folder 
A)  Insert quad sets video with no audio (strengthening hip and thigh folder) 
B)  Insert hamstring curls on NK video with no audio (strengthening hip and thigh folder) 
C)  Insert video hip flexor strengthening with no audio (strengthening hip and thigh folder) 
D)  Insert straight leg lift adduction video with no audio from strengthening hip and thigh folder 
E)  Insert machine squat video with no audio from strengthening hip and thigh folder
F) Insert posterior tibial glides distal with no audio from joint mobilizations folder
G) Insert patellar glides video with no audio from joint mobilizations folder

Exam 20: The Knee and Related Structures

Which of the following is a characteristic of the medial meniscus?

Where does the patella lie on the femur when the knee is in full extension?

Which brace would be the most appropriate to wear for an athlete recovering from a grade 3 medial collateral ligament tear?

Please check all of the factors that may contribute to patellofemoral stress syndrome.

From the following descriptive statements of the patella, select the INCORRECT statement.

Which of the following tests is similar to the flexion-rotation drawer test but is done in a side-lying position?

The major purpose of the medial collateral ligament is:

At what degree of knee flexion are the mensci the most helpful in stabilizing the knee?

Which of the following is an advantage of the Lachman drawer test?

In the context of jumper's knee, the shock-absorbing function that the quadriceps provides upon landing from a jump is known as

Which of the following is true of the external rotation recurvatum test?

In the context of special tests for assessment of knee joint instability, the patient stands flatfooted on the floor in

When the anterior cruciate ligament is torn, what signs and symptoms could the patient experience?

A sustained noncontact anterolateral rotary instability injury is caused by which of the following motions?

What does a ballotable patella indicate?

Why are the cruciate ligaments "extrasynovial"?

What type of brace is used to protect grade 1 or 2 sprains of the ACL?

What does this apparatus measure?

Why are there several alternate methods to perform the Lachman drawer test?

Please check all of the therapeutic exercises that would be appropriate for a person who is in the acute injury phase of surgical repair of an anterior cruciate ligament.

The Athletic Trainer As a Health Care Provider

Health Care Organization and Administration in Athletic Training

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Fitness and Conditioning Techniques

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Environmental Considerations

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Mechanisms and Characteristics of Musculoskeletal and Nerve Trauma

Tissue Response to Injury

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Infectious Diseases, Bloodborne Pathogens, and Universal Precautions

Using Therapeutic Modalities

Using Therapeutic Exercise in Rehabilitation

Pharmacology, Drugs, and Sports

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