Quiz 2 Kinesiology

28 Questions  I  By Shortyh23
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Kinesiology Quizzes & Trivia
MMT, ROM, Goniometry, and Elbow complex

  
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  • 1. 
    The definition of a Normal Hard End feel is:
    • A. 

      Full ROM at a joint where soft tissue stops the motion

    • B. 

      Full ROM at the joint where a boney structure stops the motion

    • C. 

      Full ROM at the joint where tendons stop the motion

    • D. 

      Full ROM at the joint where cartilage stops the motion


  • 2. 
    The definition of a Normal Firm End feel is:
    • A. 

      Full ROM at a joint where soft tissue stops the motion

    • B. 

      Full ROM at the joint where a boney structure stops the motion

    • C. 

      Full ROM at the joint where tendons stop the motion

    • D. 

      Full ROM at the joint where cartilage stops the motion


  • 3. 
    The definition of a Normal Soft End feel is:
    • A. 

      Full ROM at a joint where soft tissue stops the motion

    • B. 

      Full ROM at the joint where a boney structure stops the motion

    • C. 

      Full ROM at the joint where tendons stop the motion

    • D. 

      Full ROM at the joint where cartilage stops the motion


  • 4. 
    An example of an Abnormal End feel that is SOFT is:
    • A. 

      Decreased ROM at a joint where cartilage stops the motion

    • B. 

      Decreased ROM at a joint where joint edema stops the motion

    • C. 

      Decreased ROM at a joint where pain stops the motion

    • D. 

      Decreased ROM at a joint where a ligament stops the motion


  • 5. 
    An example of an Abnormal End feel that is EMPTY is:
    • A. 

      Decreased ROM at a joint where cartilage stops the motion

    • B. 

      Decreased ROM at a joint where joint edema stops the motion

    • C. 

      Decreased ROM at a joint where pain stops the motion

    • D. 

      Decreased ROM at a joint where a ligament stops the motion


  • 6. 
    Which of the following is a situation in which the therapist should proceed with caution when measuring ROM?
    • A. 

      No limitations with occupational performance

    • B. 

      Unhealed fracture

    • C. 

      Joint dislocation

    • D. 

      Inflammatory process in joint


  • 7. 
    Which of the following situation is a contraindication for performing a ROM assessment?
    • A. 

      Patients on a pain medication

    • B. 

      Presence of a hematoma

    • C. 

      Presence of a joint inflammation

    • D. 

      Presence of heterotrophic ossification


  • 8. 
    Which statement is correct about ROM and MMT assessment?
    • A. 

      MMT should be assessed before ROM to determine muscle strength in order to understand joint integrity

    • B. 

      MMT should be assessed before ROM to determine how much mobility is available in the joint in order to understand muscle strength

    • C. 

      ROM should be assessed before MMT to determine muscle strength and muscle contraction in order to understand joint function

    • D. 

      ROM should be assessed before MMT to determine the amount of joint mobility and joint integrity in order to understand muscle strength


  • 9. 
    Which of the following statements is NOT true about the differences between AROM and PROM:
    • A. 

      AROM is always larger than PROM because of muscle contraction

    • B. 

      A decrease in PROM and AROM of a joint may be due to joint contracture

    • C. 

      If PROM is WNL but AROM is limited, muscle strength may be the limiting factor

    • D. 

      PROM is equal to or larger than AROM because of stretch of soft tissues and relaxed muscles


  • 10. 
    Which of the following describes the documentation of elbow ROM as 30 degrees- 105 degrees
    • A. 

      Pt. has -105 degrees of elbow flexion

    • B. 

      Pt. has -30 degrees of elbow extension

    • C. 

      Pt. can fully flex elbow

    • D. 

      Pt. can fully extend elbow


  • 11. 
    Two situations in which completion of MMT assessment is contraindicated are:
    • A. 

      Patient is on pain medication and is fatigued

    • B. 

      Patient has joint pain and inflammation

    • C. 

      Patient has hypertension and diabetes

    • D. 

      Patient has joint hypermobility and COPD


  • 12. 
    You are doing ROM and MMT assessment of shoulder flexion of a patient. The patient demonstrates full PROM of shoulder flexion. However, during AROM against gravity, patient can only flex shoulder from 0-100 degrees. Which of the following interpretation is correct:
    • A. 

      You should retest AROM of shoulder flexion using moderated resistance

    • B. 

      Patient has mechanical shoulder joint issues

    • C. 

      You can give the patient a MMT grade of 3- for shoulder flexion

    • D. 

      You can give the patient a muscle grade of 3 for shoulder flexion


  • 13. 
    IF a paitent is able to move a joint in full active range of motion against gravity, what number grade is automatically given, before applying resistance?
    • A. 

      3

    • B. 

      3+

    • C. 

      2+

    • D. 

      3-


  • 14. 
    Your client demonstrates against gravity ROM of shoulder abduction for only this amount of AROM:0-80 degrees.  What MMT score would you give?
    • A. 

      3+

    • B. 

      2+

    • C. 

      3

    • D. 

      3-


  • 15. 
    Your client demonstrates full agaisnt gravity ROM of elbow flexion and can take moderated resistance. What MMT score would you give?
    • A. 

      5

    • B. 

      4

    • C. 

      4-

    • D. 

      3+


  • 16. 
    You asked your client to perform elbow flexion, in gravity eliminated postion. However, but no joint motion was seen and a muscle palpatation was felt. What MMT score would you give?
    • A. 

      0

    • B. 

      1

    • C. 

      2-

    • D. 

      2+


  • 17. 
    Functions of the elbow complex include all of the following EXCEPT:
    • A. 

      The rotation at the elbow complex allows for orientation of the hand during activities

    • B. 

      The elbow provides stability during UE weight-bearing activities

    • C. 

      Muscle movement of the elbow is functionally independent from movement of the shoulder or wrist

    • D. 

      The elbow provides mobility of the hand in space by lengthening and shortening the UE


  • 18. 
    Minimal length of the Biceps occurs in which of the following joint positions:
    • A. 

      Full shoulder extension, full elbow flexion, full forearm pronation

    • B. 

      Full shoulder flexion, full elbow flexion, full forearm supination

    • C. 

      Full shoulder flexion, full elbow extension, full forearm supination

    • D. 

      Full shoulder extension, full elbow extension, full forearm pronation


  • 19. 
    When applying resistance during a MMT, should you place your hand proximal or distal the joint of the muscle being tested? WHY?
    • A. 

      Your hand needs to be placed on the distal end of the bone that is being moved by the muscle bc you have better mechanical advantage

    • B. 

      Your hand needs to be placed on the proximal end of the bone that is being moved by the muscle bc you can eliminate muscle subsitutions

    • C. 

      Your hand needs to be placed on the proximal end of the bone that is being moved by the muscle bc you have better mechanical advantage

    • D. 

      Your hand needs to be placed on the distal end of the bone that is being moved by the muscle bc you will be able to palpate the muscle


  • 20. 
    Should MMT be performed with the joint in closed packed position or an open packed position? WHY?
    • A. 

      MMT should be performed with the joint in open packed position so that the client can stabilize joint using joint soft tissue and/or boney structures

    • B. 

      MMT should be performed with the joint in closed packed position so that the client can stabilize the joint using joint soft tissue and/or boney structures

    • C. 

      MMT should be performed wit the joint in open packed position so that the client uses muscles and not joint soft tissue and/or boney structures to stabilize the joint

    • D. 

      MMT should be performed with the joint in closed packed position so that the client uses muscles and not joint soft tissues and/or boney structures to stabilize the joint


  • 21. 
    Maximal length of the Triceps occurs in which of the following joint positions: 
    • A. 

      Full shoulder extension, full elbow extension, position of forearm is inconsequential

    • B. 

      Full shoulder flexion, full elbow flexion, position of forearm is inconsequential

    • C. 

      Full shoulder extension, full elbow flexion, full forearm pronation

    • D. 

      Full shoulder flexion, full elbow extension, full forearm supination


  • 22. 
    Minimum length of the pronator teres occurs in which of the following joint positions: 
    • A. 

      Full elbow extension, full forearm supination, position of shoulder is inconsequential

    • B. 

      Full elbow flexion, full forearm pronation, positon of shoulder is inconsequential

    • C. 

      Full elbow flexion, full forearm supination, full shoulder flexion

    • D. 

      Full elbow extension, full forearm pronation, full shoulder extension


  • 23. 
    All of the following functions of the brachioradialis muscle are correct EXCEPT:
    • A. 

      The brachioradialis muscle can function as an elbow joint stabilizer

    • B. 

      The angle of pull of the brachioradialis muscle allows for joint approximation

    • C. 

      The brachioradialis muscle operates as a force in a third-class lever system

    • D. 

      The brachioradialis muscle operates as a force in a second-class lever system


  • 24. 
    If slow supination is occuring without resistance (example: positioning your hand in a palms up position to recieve change from the cashier), which muscle of the forarm is most active?
    • A. 

      Brachioradialis

    • B. 

      Biceps

    • C. 

      Brachialis

    • D. 

      Supinator


  • 25. 
    If fast supination is occuring with resistance (example: when using a screw driver to tighten a screw), which additional muscles is recruited for the action of supination?
    • A. 

      Brachioradialis

    • B. 

      Biceps

    • C. 

      Brachialis

    • D. 

      Supinator


  • 26. 
    What is the mechanism of injury in tennis elbow?
    • A. 

      Inflammation of biceps tendon at the head of the radius due to repeated and forceful elbow flexion

    • B. 

      Inflammation of the biceps tendon at the superior humeroradial joint due to repeated and forceful elbow flexion

    • C. 

      Inflammtion of the triceps tendon at the olecranon process due to repeated and forceful elbow extension

    • D. 

      Inflammation of the wrist extensors or wrist flexors at their origins (medial epidcondyle for wrist flexors; lateral epicondyle for wrist extensors) due to repeated forceful action of wrist extensors or wrist flexion


  • 27. 
    Why is elbow positioning critical for optimal function of the extrinsic muscles of the hand? What is the optimal position of the elbow for extrinsic hand function?
    • A. 

      Because extrensic muscles insert distal to the elbow joint, elbow position can impact the length tension relationship of the extrinsic muscles. Elbow flexion at 100 degrees is optimal position.

    • B. 

      Because extrinsic muscles of the hand do not cross the elbow joint, elbow position is not critical

    • C. 

      Because extrinsic muscles of the hand do not cross the elbow joint, elbow position can impact the length tension relationships of the extrinsic muscles. Elbow flexion at 75 degrees is optimal position.

    • D. 

      Because extrinsic muscles of the hand cross the elbow joint, elbow position can impact length tension relationships of extrinsic muscles. Elbow flexion at 90 degrees is optimal position.


  • 28. 
    When performing muscle strength testing on the brachialis muscle, how should you position the forearm?
    • A. 

      Forearm should be positioned in supination

    • B. 

      Forearm should be positioned in pronation

    • C. 

      Forearm should be positioned in mid-position

    • D. 

      Forearm position does not matter


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