Question 1

A person can usually resume normal activity with no limitations when a fracture shows:

Accepted Answer

A) Radiographic union. 
B) Clinical union. 
C) Delayed union. 
D) Callus formation. 
A) Radiographic union. 
B) Clinical union. 
C) Delayed union. 
D) Callus formation. A

Question 2

The articular cartilage of a synovial joint is most susceptible to damage from stress:

Accepted Answer

A) During low-impact exercise performed on a regular basis. 
B) During early weight-bearing exercises after soft tissue surgery. 
C) During passive stretching procedures. 
D) Immediately following a period of prolonged joint immobilization. 
A) During low-impact exercise performed on a regular basis. 
B) During early weight-bearing exercises after soft tissue surgery. 
C) During passive stretching procedures. 
D) Immediately following a period of prolonged joint immobilization. D

Question 3

Which of the following are risk factors for secondary osteoporosis?

Accepted Answer

A) Low body weight 
B) Family history of osteoporosis 
C) Caucasian or Asian descent 
D) Long-term use of corticosteroids 
A) Low body weight 
B) Family history of osteoporosis 
C) Caucasian or Asian descent 
D) Long-term use of corticosteroids D

Question 4

Your patient has osteoarthritis of the left hip and states he experiences hip and thigh pain after walking for more than 20 to 30 minutes.As a therapist, which of the following is the most appropriate intervention for you to recommend?

Accepted Answer

A) A period of complete rest or immobility 
B) Application of heat and massage after periods of walking 
C) Measures to decrease the mechanical stresses on the hip joint, such as use of a cane when walking over an extended period of time 
D) Use of anti-inflammatory medication 
A) A period of complete rest or immobility 
B) Application of heat and massage after periods of walking 
C) Measures to decrease the mechanical stresses on the hip joint, such as use of a cane when walking over an extended period of time 
D) Use of anti-inflammatory medication

Question 5

You are treating a patient with a 5-year history of rheumatoid arthritis who is experiencing an exacerbation of symptoms.Which of the following is an appropriate intervention at this time?

Accepted Answer

A) A low-impact, aerobic exercise program to improve endurance and reduce fatigue 
B) Grade II oscillation techniques to decrease the pain 
C) Grade III joint mobilization techniques to increase mobility of involved joints 
D) Progressive resistance exercise at an intensity of 60% of the maximum voluntary contraction to improve muscle strength 
A) A low-impact, aerobic exercise program to improve endurance and reduce fatigue 
B) Grade II oscillation techniques to decrease the pain 
C) Grade III joint mobilization techniques to increase mobility of involved joints 
D) Progressive resistance exercise at an intensity of 60% of the maximum voluntary contraction to improve muscle strength

Question 6

A 43-year-old patient with a diagnosis of FM has been referred to you for an exercise program.As you take her history, she tells you that she rarely exercises.Which of the following types of exercise has been shown to be most appropriate at the beginning of an exercise program for patients with FM?

Accepted Answer

A) Circuit weight training at 60% to 70% of the maximum repetition for each exercise at five or six stations 
B) Stretching program of trunk and large muscles of the extremities 
C) Aerobic exercise started at a low intensity that is adjusted based on the individual's response 
D) Relaxation and meditation exercises 
A) Circuit weight training at 60% to 70% of the maximum repetition for each exercise at five or six stations 
B) Stretching program of trunk and large muscles of the extremities 
C) Aerobic exercise started at a low intensity that is adjusted based on the individual's response 
D) Relaxation and meditation exercises

Question 7

A patient with a diagnosis of osteoporosis wishes to participate in a fitness program at her local community center.All of the following describe precautions that she should adhere to during exercise except:

Accepted Answer

A) Avoid sitting abdominal machines and supine curl-ups and sit-ups to strengthen the abdominals. 
B) Avoid high-velocity movements of the spine and extremities. 
C) Avoid strength training with free weights or the use of a weighted vest during walking or jogging. 
D) Avoid end-range resisted movements of the spine combining flexion and rotation. 
A) Avoid sitting abdominal machines and supine curl-ups and sit-ups to strengthen the abdominals. 
B) Avoid high-velocity movements of the spine and extremities. 
C) Avoid strength training with free weights or the use of a weighted vest during walking or jogging. 
D) Avoid end-range resisted movements of the spine combining flexion and rotation.

Question 8

Which of the following interventions would be appropriate for myofascial pain syndrome but not for fibromyalgia, based on the etiology of the two conditions?

Accepted Answer

A) Providing education with a focus on activity modification 
B) Eliminating trigger points with techniques such as muscle elongation with contract-relax procedures, spray and stretch techniques, and dry needling 
C) Reducing postural stresses and improving posture 
D) Treating muscular pain with low-intensity strengthening and aerobic exercise 
A) Providing education with a focus on activity modification 
B) Eliminating trigger points with techniques such as muscle elongation with contract-relax procedures, spray and stretch techniques, and dry needling 
C) Reducing postural stresses and improving posture 
D) Treating muscular pain with low-intensity strengthening and aerobic exercise

Question 9

Each of the following is characteristic of fibromyalgia (FM) except:

Accepted Answer

A) Chronic muscle pain experienced in referred patterns. 
B) Decreased ROM. 
C) Chronic fatigue and decreased exercise tolerance. 
D) Eleven of eighteen tender points at specific sites throughout the body. 
A) Chronic muscle pain experienced in referred patterns. 
B) Decreased ROM. 
C) Chronic fatigue and decreased exercise tolerance. 
D) Eleven of eighteen tender points at specific sites throughout the body.

Question 10

Each of the following signs or symptoms is a characteristic of rheumatoid arthritis except:

Accepted Answer

A) Inflammatory synovitis. 
B) Recurring periods of active disease (flare) followed by remission. 
C) Usually asymmetrical joint involvement. 
D) Fatigue, general malaise, and possibly fever. 
A) Inflammatory synovitis. 
B) Recurring periods of active disease (flare) followed by remission. 
C) Usually asymmetrical joint involvement. 
D) Fatigue, general malaise, and possibly fever.

Question 11

Your 80-year-old patient fractured his distal radius and ulna 6 weeks ago.He wore a cast during this period, extending from the mid-humerus to, but not including, the metacarpophalangeal joints.His cast was removed yesterday because of evidence of clinical union, and he has been cleared to begin exercise.ROM is limited (wrist flexion and extension, thumb flexion, forearm supination, and elbow extension).Which type of exercise is contraindicated at this time?

Accepted Answer

A) Grade II distraction of the humeroulnar joint 
B) Active ROM of all limited joints 
C) Passive stretching to increase wrist, forearm, and elbow ROM 
D) Grade III joint mobilization (gliding technique) to increase flexion of the thumb 
A) Grade II distraction of the humeroulnar joint 
B) Active ROM of all limited joints 
C) Passive stretching to increase wrist, forearm, and elbow ROM 
D) Grade III joint mobilization (gliding technique) to increase flexion of the thumb

Question 12

A therapist's role in diagnosing arthritic conditions is to:

Accepted Answer

A) Identify the underlying pathological process and inform the physician. 
B) Order laboratory tests or radiological imaging that may confirm or rule out the diagnosis. 
C) Determine the type of arthritis that is causing the patient's symptoms. 
D) Identify impairments, such as the pattern and extent of range of motion (ROM) and joint mobility limitations, contributing to a patient's activity limitations and participation restrictions. 
A) Identify the underlying pathological process and inform the physician. 
B) Order laboratory tests or radiological imaging that may confirm or rule out the diagnosis. 
C) Determine the type of arthritis that is causing the patient's symptoms. 
D) Identify impairments, such as the pattern and extent of range of motion (ROM) and joint mobility limitations, contributing to a patient's activity limitations and participation restrictions.

Question 13

Each of the following is true regarding principles of joint protection and energy conservation for a patient with rheumatoid arthritis experiencing a flare of the disease except:

Accepted Answer

A) Stop activities for a period of time when pain or fatigue begins to develop. 
B) Perform stretching exercises once a day to help maintain joint alignment. 
C) Use adaptive equipment to avoid deforming forces during functional activities. 
D) Maintain inflamed joints in positions opposite the positions of deformity during periods of rest. 
A) Stop activities for a period of time when pain or fatigue begins to develop. 
B) Perform stretching exercises once a day to help maintain joint alignment. 
C) Use adaptive equipment to avoid deforming forces during functional activities. 
D) Maintain inflamed joints in positions opposite the positions of deformity during periods of rest.

Question 14

At what point in the healing process after reduction of a fracture is immobilization usually discontinued and exercise of related areas permissible so long as stress is not placed across or distal to the fracture site?

Accepted Answer

A) When callus formation begins to develop 
B) When the site is radiographically healed 
C) When delayed union has been achieved 
D) At the stage of clinical union 
A) When callus formation begins to develop 
B) When the site is radiographically healed 
C) When delayed union has been achieved 
D) At the stage of clinical union

Question 15

All of the following are recommendations of the National Osteoporosis Foundation for ways to prevent osteoporosis except:

Accepted Answer

A) Maintain a diet rich in calcium and vitaminD. 
B) Routinely participate in weight bearing and aerobic exercises. 
C) Strengthen the core and protect the spine with flexion exercises (curls and sit-ups). 
D) Stop smoking and decrease excessive alcohol consumption. 
A) Maintain a diet rich in calcium and vitaminD. 
B) Routinely participate in weight bearing and aerobic exercises. 
C) Strengthen the core and protect the spine with flexion exercises (curls and sit-ups). 
D) Stop smoking and decrease excessive alcohol consumption.

Question 16

You are treating a patient with osteoarthritis of the left knee.The morning after performing the exercise program you prescribed for him, he reports experiencing stiffness of the involved knee and joint pain during weight bearing lasting about 30 minutes.What should you do?

Accepted Answer

A) Refer the patient to his physician 
B) Reassure the patient that this is an expected and desired response 
C) Decrease the intensity of the exercise program 
D) Add early morning jogging to his exercise program 
A) Refer the patient to his physician 
B) Reassure the patient that this is an expected and desired response 
C) Decrease the intensity of the exercise program 
D) Add early morning jogging to his exercise program

Question 17

A balance of bone resorption that equals bone replacement occurs normally during growth and development until peak bone mass is reached.This typically occurs:

Accepted Answer

A) At about age 18 for females and 21 for males. 
B) During the third decade of life. 
C) At puberty. 
D) During the sixth decade of life. 
A) At about age 18 for females and 21 for males. 
B) During the third decade of life. 
C) At puberty. 
D) During the sixth decade of life.

Question 18

Each of the following is a characteristic of osteoarthritis except:

Accepted Answer

A) It typically affects only a few joints. 
B) Onset typically is sudden in patients older than 40 years of age. 
C) There is no evidence of systemic symptoms. 
D) It can affect the spine or small or large joints of the extremities. 
A) It typically affects only a few joints. 
B) Onset typically is sudden in patients older than 40 years of age. 
C) There is no evidence of systemic symptoms. 
D) It can affect the spine or small or large joints of the extremities.

Exam 11: Joint, Connective Tissue, and Bone Disorders and Management

A person can usually resume normal activity with no limitations when a fracture shows:

The articular cartilage of a synovial joint is most susceptible to damage from stress:

Which of the following are risk factors for secondary osteoporosis?

Your patient has osteoarthritis of the left hip and states he experiences hip and thigh pain after walking for more than 20 to 30 minutes.As a therapist, which of the following is the most appropriate intervention for you to recommend?

You are treating a patient with a 5-year history of rheumatoid arthritis who is experiencing an exacerbation of symptoms.Which of the following is an appropriate intervention at this time?

A 43-year-old patient with a diagnosis of FM has been referred to you for an exercise program.As you take her history, she tells you that she rarely exercises.Which of the following types of exercise has been shown to be most appropriate at the beginning of an exercise program for patients with FM?

A patient with a diagnosis of osteoporosis wishes to participate in a fitness program at her local community center.All of the following describe precautions that she should adhere to during exercise except:

Which of the following interventions would be appropriate for myofascial pain syndrome but not for fibromyalgia, based on the etiology of the two conditions?

Each of the following is characteristic of fibromyalgia (FM) except:

Each of the following signs or symptoms is a characteristic of rheumatoid arthritis except:

A therapist's role in diagnosing arthritic conditions is to:

Each of the following is true regarding principles of joint protection and energy conservation for a patient with rheumatoid arthritis experiencing a flare of the disease except:

At what point in the healing process after reduction of a fracture is immobilization usually discontinued and exercise of related areas permissible so long as stress is not placed across or distal to the fracture site?

All of the following are recommendations of the National Osteoporosis Foundation for ways to prevent osteoporosis except:

You are treating a patient with osteoarthritis of the left knee.The morning after performing the exercise program you prescribed for him, he reports experiencing stiffness of the involved knee and joint pain during weight bearing lasting about 30 minutes.What should you do?

A balance of bone resorption that equals bone replacement occurs normally during growth and development until peak bone mass is reached.This typically occurs:

Each of the following is a characteristic of osteoarthritis except:

Therapeutic Exercise: Foundational Concepts

Prevention, Health, and Wellness

Range of Motion

Stretching for Improved Mobility

Peripheral Joint Mobilizationmanipulation

Resistance Exercise for Impaired Muscle Performance

Principles of Aerobic Exercise

Exercise for Impaired Balance

Aquatic Exercise

Soft Tissue Injury, Repair, 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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