Question 1

If a patient exhibits signs of joint hypermobility or joint effusion/inflammation,which of the following mobilization techniques is contraindicated?

Accepted Answer

A)  Sustained grade I 
B)  Sustained grade II 
C)  Sustained grade III 
D)  Oscillation grade II 
A)  Sustained grade I 
B)  Sustained grade II 
C)  Sustained grade III 
D)  Oscillation grade II C

Question 2

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 C

Question 3

A normal accessory joint movement that occurs with roll is:

Accepted Answer

A)  Sliding. 
B)  Swing. 
C)  Distraction. 
D)  Compression. 
A)  Sliding. 
B)  Swing. 
C)  Distraction. 
D)  Compression. A

Question 4

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 5

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 6

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

Accepted Answer

A)  When the therapist passively moves the articulating surface in the direction in which the slide of the bone normally occurs,the technique is called glide. 
B)  Gliding or traction techniques are used to treat painful symptoms during the acute and early subacute stages when applied at a low,nonstretch dosage. 
C)  Joint mobilization is safer than passive angular stretching through an arc motion because it avoids the compressive forces that occur during passive angular stretching through the range. 
D)  Grade III joint techniques can be used safely and effectively to increase the ROM during an acute flare of arthritis when there is loss of motion. 
A)  When the therapist passively moves the articulating surface in the direction in which the slide of the bone normally occurs,the technique is called glide. 
B)  Gliding or traction techniques are used to treat painful symptoms during the acute and early subacute stages when applied at a low,nonstretch dosage. 
C)  Joint mobilization is safer than passive angular stretching through an arc motion because it avoids the compressive forces that occur during passive angular stretching through the range. 
D)  Grade III joint techniques can be used safely and effectively to increase the ROM during an acute flare of arthritis when there is loss of motion.

Question 7

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.

Question 8

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 9

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

Accepted Answer

A)  Position the arm in 90F1F1F1S1F1F1F10 abduction with the humerus in neutral position and do an anterior glide. 
B)  Position the arm in 90F1F1F1S1F1F1F10 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 90F1F1F1S1F1F1F10 abduction with the humerus in neutral position and do an anterior glide. 
B)  Position the arm in 90F1F1F1S1F1F1F10 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 10

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 11

To determine the point of tissue resistance and how sensitive a joint is,you would use which of the following grades of sustained mobilization?

Accepted Answer

A)  Grade I 
B)  Grade II 
C)  Grade III 
D)  Grade IV 
A)  Grade I 
B)  Grade II 
C)  Grade III 
D)  Grade IV

Question 12

Your patient has rheumatoid arthritis and currently is exhibiting acute symptoms in the wrist.This patient will benefit from grade I or II mobilization techniques at this time because these techniques:

Accepted Answer

A)  Increase the range of motion by stretching restrictions. 
B)  Temporarily relieve pain,thereby allowing freer motion of the wrist. 
C)  Retard synovitis and the progression of the disease process,if only temporarily. 
D)  Reduce preexisting deformity. 
A)  Increase the range of motion by stretching restrictions. 
B)  Temporarily relieve pain,thereby allowing freer motion of the wrist. 
C)  Retard synovitis and the progression of the disease process,if only temporarily. 
D)  Reduce preexisting deformity.

Question 13

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 14

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

Accepted Answer

A)  Radially glide the base of the first metacarpal. 
B)  Ulnarly glide the base of the first metacarpal. 
C)  Dorsally glide the base of the first metacarpal. 
D)  Volarly glide the base of the first metacarpal. 
A)  Radially glide the base of the first metacarpal. 
B)  Ulnarly glide the base of the first metacarpal. 
C)  Dorsally glide the base of the first metacarpal. 
D)  Volarly glide the base of the first metacarpal.

Question 15

To increase flexion of the carpometacarpal (CMC)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 16

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

Accepted Answer

A)  The more congruent the joint surfaces,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,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.

Question 17

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.

Question 18

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 19

Which of the following is an indication for joint mobilization?

Accepted Answer

A)  Pain 
B)  Joint effusion 
C)  Muscle contracture 
D)  Joint hypermobility 
A)  Pain 
B)  Joint effusion 
C)  Muscle contracture 
D)  Joint hypermobility

Question 20

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

Exam 5: Peripheral Joint Mobilizationmanipulation

If a patient exhibits signs of joint hypermobility or joint effusion/inflammation,which of the following mobilization techniques is contraindicated?

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?

A normal accessory joint movement that occurs with roll is:

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

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

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

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:

All of the following gliding techniques match except:

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

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

To determine the point of tissue resistance and how sensitive a joint is,you would use which of the following grades of sustained mobilization?

Your patient has rheumatoid arthritis and currently is exhibiting acute symptoms in the wrist.This patient will benefit from grade I or II mobilization techniques at this time because these techniques:

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

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

To increase flexion of the carpometacarpal (CMC)joint of the thumb:

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 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?

Which of the following is an indication for joint mobilization?

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?

Therapeutic Exercise: Foundational Concepts

Prevention, health, and Wellness

Range of Motion

Stretching for Impaired 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

Womens Health: Obstetrics and Pelvic Floor

Management of Lymphatic Disorders

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