Question 1

Which of the following is a false statement about joint arthrokinematics?

Accepted Answer

A) The more congruent the joint surfaces are, the more rolling of one joint surface on the other occurs. 
B) In normal ovoid joints, rolling and sliding both occur. 
C) If a moving joint surface is convex, sliding of that surface is opposite that of its swinging bone. 
D) Movement of the head of the radius against the capitulum during pronation/supination is called spin. 
A) The more congruent the joint surfaces are, the more rolling of one joint surface on the other occurs. 
B) In normal ovoid joints, rolling and sliding both occur. 
C) If a moving joint surface is convex, sliding of that surface is opposite that of its swinging bone. 
D) Movement of the head of the radius against the capitulum during pronation/supination is called spin. A

Question 2

Your patient has a painful right wrist from typing a very large report.You find that she has full active and passive ROM and normal strength.Of the following mobilization techniques, which is most appropriate for managing this patient's signs and symptoms?

Accepted Answer

A) Anterior-posterior grade II oscillations 
B) Sustained grade III distractions 
C) Sustained grade III glides 
D) Joint mobilization using these grades of sustained or oscillation techniques is not appropriate for this patient at this time. 
A) Anterior-posterior grade II oscillations 
B) Sustained grade III distractions 
C) Sustained grade III glides 
D) Joint mobilization using these grades of sustained or oscillation techniques is not appropriate for this patient at this time. A

Question 3

Your patient's knee was immobilized in a long leg cast for more than a month.To improve knee ROM, you have been treating the knee with a grade III posterior glide of the tibia with the knee in the resting position.To progress the procedure for which this treatment was intended, you could:

Accepted Answer

A) Take the joint to the end of the range of flexion, internally rotate the tibia, and apply a sustained grade III distraction. 
B) Use a grade IV posterior glide oscillation technique in the resting position. 
C) Position the tibia in a resting position, then externally rotate the tibia and apply a grade III posterior glide. 
D) Take the joint to the end of the range of flexion, position the tibia in external rotation, and apply a grade III sustained posterior glide. 
A) Take the joint to the end of the range of flexion, internally rotate the tibia, and apply a sustained grade III distraction. 
B) Use a grade IV posterior glide oscillation technique in the resting position. 
C) Position the tibia in a resting position, then externally rotate the tibia and apply a grade III posterior glide. 
D) Take the joint to the end of the range of flexion, position the tibia in external rotation, and apply a grade III sustained posterior glide. A

Question 4

To increase radial adduction of the carpometacarpal joint of the thumb:

Accepted Answer

A) Glide the base of the first metacarpal in an ulnar direction on the trapezium. 
B) Glide the base of the first metacarpal dorsally on the trapezium. 
C) Glide the base of the first metacarpal radially on the trapezium. 
D) Glide the base of the first metacarpal in a volar direction on the trapezium. 
A) Glide the base of the first metacarpal in an ulnar direction on the trapezium. 
B) Glide the base of the first metacarpal dorsally on the trapezium. 
C) Glide the base of the first metacarpal radially on the trapezium. 
D) Glide the base of the first metacarpal in a volar direction on the trapezium.

Question 5

Each of the following is true about joint mobilization/manipulation techniques except:

Accepted Answer

A) Techniques can be applied using gliding or oscillation techniques that involve low or high amplitudes and velocities. 
B) Techniques involve the application of accessory joint movements but not physiological movements. 
C) They are appropriate to use if a joint is painful or inflamed to decrease or inhibit the perception of pain. 
D) Techniques can be applied to restore or maintain joint play. 
A) Techniques can be applied using gliding or oscillation techniques that involve low or high amplitudes and velocities. 
B) Techniques involve the application of accessory joint movements but not physiological movements. 
C) They are appropriate to use if a joint is painful or inflamed to decrease or inhibit the perception of pain. 
D) Techniques can be applied to restore or maintain joint play.

Question 6

The safest way to progress stretching the glenohumeral joint capsule to increase external rotation is to:

Accepted Answer

A) Position the arm in 90° abduction with the humerus in neutral position and do an anterior glide. 
B) Position the arm in 90° abduction with the humerus externally rotated as far as possible and do an anterior glide. 
C) Position the arm in the resting position with the humerus externally rotated as far as possible and do a distraction. 
D) Position the arm in the resting position with the humerus externally rotated as far as possible and do an anterior glide. 
A) Position the arm in 90° abduction with the humerus in neutral position and do an anterior glide. 
B) Position the arm in 90° abduction with the humerus externally rotated as far as possible and do an anterior glide. 
C) Position the arm in the resting position with the humerus externally rotated as far as possible and do a distraction. 
D) Position the arm in the resting position with the humerus externally rotated as far as possible and do an anterior glide.

Question 7

To increase palmar abduction of the thumb, stabilize the trapezium and:

Accepted Answer

A) Radial glide the base of the first metacarpal. 
B) Ulnar glide the base of the first metacarpal. 
C) Dorsal glide the base of the first metacarpal. 
D) Volar glide the base of the first metacarpal. 
A) Radial glide the base of the first metacarpal. 
B) Ulnar glide the base of the first metacarpal. 
C) Dorsal glide the base of the first metacarpal. 
D) Volar glide the base of the first metacarpal.

Question 8

Which of the following techniques combines the application of sustained accessory joint movements by a therapist and active end-range physiological movements performed by the patient?

Accepted Answer

A) Manipulative thrust techniques 
B) Facilitative mobilization techniques 
C) Muscle energy techniques 
D) Mobilization with movement techniques 
A) Manipulative thrust techniques 
B) Facilitative mobilization techniques 
C) Muscle energy techniques 
D) Mobilization with movement techniques

Question 9

Which of the following terms best describes movements that a patient can control actively/voluntarily?

Accepted Answer

A) Joint play 
B) Accessory movement 
C) Physiological movement 
D) Component movement 
A) Joint play 
B) Accessory movement 
C) Physiological movement 
D) Component movement

Question 10

To increase flexion of the shoulder, position the patient in the supine position, stabilize the scapula, and:

Accepted Answer

A) Place the glenohumeral joint in the resting position and apply a posterior glide of the humeral head. 
B) Place the shoulder in 90° flexion and apply an inferior glide of the humeral head. 
C) Place the shoulder in neutral (along the patient's side) and apply long-axis traction of the humerus. 
D) Place the glenohumeral joint in the resting position and apply an anterior glide of the humeral head. 
A) Place the glenohumeral joint in the resting position and apply a posterior glide of the humeral head. 
B) Place the shoulder in 90° flexion and apply an inferior glide of the humeral head. 
C) Place the shoulder in neutral (along the patient's side) and apply long-axis traction of the humerus. 
D) Place the glenohumeral joint in the resting position and apply an anterior glide of the humeral head.

Question 11

Which of the following describes an inappropriate procedure for safe and effective application of joint mobilization techniques?

Accepted Answer

A) Combine a grade III distraction with a grade III sustained glide 
B) Initiate joint mobilization procedures with the joint in the resting position of the joint 
C) Combine a grade I distraction with a grade III sustained glide 
D) Stabilize one of the articulating bones while applying the mobilization force close to the joint 
A) Combine a grade III distraction with a grade III sustained glide 
B) Initiate joint mobilization procedures with the joint in the resting position of the joint 
C) Combine a grade I distraction with a grade III sustained glide 
D) Stabilize one of the articulating bones while applying the mobilization force close to the joint

Question 12

Your patient has a forward shoulder posture with associated joint restrictions throughout the shoulder complex.In which of the following directions should you apply mobilization of the sternoclavicular joint to improve the patient's posture?

Accepted Answer

A) Anterior 
B) Inferior 
C) Posterior 
D) Superior 
A) Anterior 
B) Inferior 
C) Posterior 
D) Superior

Question 13

Which of the following joint mobilization procedures matches the desired goal?

Accepted Answer

A) Posterior glide of the tibia on femur-increase knee extension 
B) Lateral glide of the calcaneus on talus-increase subtalar inversion 
C) Dorsal glide of the navicular on talus-increase foot supination 
D) Caudal glide patella-increase knee extension 
A) Posterior glide of the tibia on femur-increase knee extension 
B) Lateral glide of the calcaneus on talus-increase subtalar inversion 
C) Dorsal glide of the navicular on talus-increase foot supination 
D) Caudal glide patella-increase knee extension

Question 14

Joint mobilization techniques are thought to be safer than passive angular stretching using physiological ROM to increase mobility of capsular and ligamentous structures because:

Accepted Answer

A) A therapist has a better mechanical advantage (leverage) over the tight structures when using mobilization techniques. 
B) Mobilization techniques replicate the less traumatic rolling motion of the bone surfaces. 
C) Mobilization techniques direct forces specific to the involved capsular and ligamentous tissues without causing compressive damage to the articular cartilage. 
D) Mobilization techniques are applied only in the resting positions of joints, not end-range positions. 
A) A therapist has a better mechanical advantage (leverage) over the tight structures when using mobilization techniques. 
B) Mobilization techniques replicate the less traumatic rolling motion of the bone surfaces. 
C) Mobilization techniques direct forces specific to the involved capsular and ligamentous tissues without causing compressive damage to the articular cartilage. 
D) Mobilization techniques are applied only in the resting positions of joints, not end-range positions.

Question 15

Your patient had a cast removed last week following a distal tibiofibular fracture.He now has limited motion of the ankle and foot.Which of the following joint-mobilization techniques would you use to increase ankle dorsiflexion?

Accepted Answer

A) Dorsal glide of calcaneus on talus 
B) Plantar glide of navicular on talus 
C) Anterior glide of talus on tibia 
D) Posterior glide of talus on tibia 
A) Dorsal glide of calcaneus on talus 
B) Plantar glide of navicular on talus 
C) Anterior glide of talus on tibia 
D) Posterior glide of talus on tibia

Question 16

All of the following gliding techniques match except:

Accepted Answer

A) Long axis traction of femur-distracts weight-bearing surface in acetabulum. 
B) Posterior glide tibia on femur-knee flexion. 
C) Plantar glide navicular on talus-supination. 
D) Dorsal glide first phalanx on metatarsal head-metatarsophalangeal flexion. 
A) Long axis traction of femur-distracts weight-bearing surface in acetabulum. 
B) Posterior glide tibia on femur-knee flexion. 
C) Plantar glide navicular on talus-supination. 
D) Dorsal glide first phalanx on metatarsal head-metatarsophalangeal flexion.

Question 17

Which of the following joint mobilization procedures at the elbow matches the desired goal?

Accepted Answer

A) Volar glide of the head of the radius on the proximal ulna-increase forearm pronation 
B) Dorsal glide of the head of the radius on the proximal ulna-increase forearm supination 
C) Dorsal glide of the head of the radius on the humerus-increase elbow extension 
D) Volar glide of the head of the radius on the humerus-increase elbow extension 
A) Volar glide of the head of the radius on the proximal ulna-increase forearm pronation 
B) Dorsal glide of the head of the radius on the proximal ulna-increase forearm supination 
C) Dorsal glide of the head of the radius on the humerus-increase elbow extension 
D) Volar glide of the head of the radius on the humerus-increase elbow extension

Question 18

Mobilizations to increase extension of the wrist include all the following except:

Accepted Answer

A) Stabilize the trapezium-trapezoid unit and volar glide the scaphoid. 
B) Stabilize the lunate and volar glide the capitate. 
C) Stabilize the radius and volar glide the lunate. 
D) Stabilize the scaphoid and volar glide the radius. 
A) Stabilize the trapezium-trapezoid unit and volar glide the scaphoid. 
B) Stabilize the lunate and volar glide the capitate. 
C) Stabilize the radius and volar glide the lunate. 
D) Stabilize the scaphoid and volar glide the radius.

Question 19

Moving the proximal row of carpals on the radius in a volar direction increases which wrist motion?

Accepted Answer

A) Flexion 
B) Extension 
C) Radial deviation 
D) Ulnar deviation 
A) Flexion 
B) Extension 
C) Radial deviation 
D) Ulnar deviation

Question 20

A long-axis distraction of the humerus provides which direction of gliding?

Accepted Answer

A) Anterior 
B) Inferior 
C) Posterior 
D) Superior 
A) Anterior 
B) Inferior 
C) Posterior 
D) Superior

Exam 5: Peripheral Joint Mobilizationmanipulation

Which of the following is a false statement about joint arthrokinematics?

Your patient has a painful right wrist from typing a very large report.You find that she has full active and passive ROM and normal strength.Of the following mobilization techniques, which is most appropriate for managing this patient's signs and symptoms?

Your patient's knee was immobilized in a long leg cast for more than a month.To improve knee ROM, you have been treating the knee with a grade III posterior glide of the tibia with the knee in the resting position.To progress the procedure for which this treatment was intended, you could:

To increase radial adduction of the carpometacarpal joint of the thumb:

Each of the following is true about joint mobilization/manipulation techniques except:

The safest way to progress stretching the glenohumeral joint capsule to increase external rotation is to:

To increase palmar abduction of the thumb, stabilize the trapezium and:

Which of the following techniques combines the application of sustained accessory joint movements by a therapist and active end-range physiological movements performed by the patient?

Which of the following terms best describes movements that a patient can control actively/voluntarily?

To increase flexion of the shoulder, position the patient in the supine position, stabilize the scapula, and:

Which of the following describes an inappropriate procedure for safe and effective application of joint mobilization techniques?

Your patient has a forward shoulder posture with associated joint restrictions throughout the shoulder complex.In which of the following directions should you apply mobilization of the sternoclavicular joint to improve the patient's posture?

Which of the following joint mobilization procedures matches the desired goal?

Joint mobilization techniques are thought to be safer than passive angular stretching using physiological ROM to increase mobility of capsular and ligamentous structures because:

Your patient had a cast removed last week following a distal tibiofibular fracture.He now has limited motion of the ankle and foot.Which of the following joint-mobilization techniques would you use to increase ankle dorsiflexion?

All of the following gliding techniques match except:

Which of the following joint mobilization procedures at the elbow matches the desired goal?

Mobilizations to increase extension of the wrist include all the following except:

Moving the proximal row of carpals on the radius in a volar direction increases which wrist motion?

A long-axis distraction of the humerus provides which direction of gliding?

Therapeutic Exercise: Foundational Concepts

Prevention, Health, and Wellness

Range of Motion

Stretching for Improved Mobility

Resistance Exercise for Impaired Muscle Performance

Principles of Aerobic Exercise

Exercise for Impaired Balance

Aquatic Exercise

Soft Tissue Injury, Repair, and Management

Joint, Connective Tissue, and Bone Disorders and Management

Surgical Interventions and Postoperative Management

Peripheral Nerve Disorders and Management

The Spine: Structure, Function, and Posture

The Spine: Management Guidelines

The Spine: Exercise and Manipulation Interventions

The Shoulder and Shoulder Girdle

The Elbow and Forearm Complex

The Wrist and Hand

The Hip

The Knee

The Ankle and Foot

Advanced Functional Training

Exercise in the Older Adult

Womens Health: Obstetrics and Pelvic Floor

Management of Lymphatic Disorders

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