MES 3 4.

A pt with LBP has been undergoing tx

for 2 sessions. The pt tells the PT that
1. A 27 y/o woman is referred to a today the pain is centralizing with the
physical therapy clinic with a diagnosis extension exercises, but is as intense as
of torticollis, the right SCM is involved.
it was at the first tx session. The pt is
What is the most likely position of the frustrated by this reaction the MOST
pt’s cervical spine? appropriate response of the therapist is
a. (R) lateral cervical flexion and (L) to:
cervical rotation a. Continue with the present program
b. (R) lateral cervical flexion and (R) b. Eliminate extension exercises
cervical rotation c. Consult the pt’s physician about the
c. (L) lateral cervical flexion and (L) ______
cervical rotation d. __________ to trunk flexion
d. (L) lateral cervical flexion and (R) exercises
cervical rotation 5. Pre disposing factors to back pain
except:
2. A physical therapist is evaluating a pt a. Lifting
with an acute lumbar disc protrusion b. Smoking
and a (R) lateral shift of the thoracic c. High force activity
spine. Which of the ff findings is the d. Heavy work
BEST indicator that symptoms will e. NOTA
respond positively to PT intervention 6. True are regarding flexion exercises
A. The pain is referred _____ into the except
buttock and not the thigh a. Decreasing tension in posterior
B. The pt prefers standing and walking anular fiber
to sitting b. Stretching hip flexors and lumbar
C. There is a decrease in lumbar
extensors
lordosis c. Strengthening of abdominal and
D. Repeated backward bending gluteal mm
centralizes the pain d. Decreasing joint compressive forces
e. Decreasing compressive load o
3. A physical therapist is screening a posterior disc and opening of IV
young adult patient for a possible (R) foramen
thoracic, (L) lumbar structural scoliosis. 7. Clinical manifestations of radiculopathy
The postural deviation commonly seen a. Reflex changes
with this dx is: b. Sensory alterations
a. Spinous processes of thoracic spine c. Paraspinal muscle spasm
rotated to the right d. Listing of the spine away from thde
b. High left shoulder of root pain
c. Posteriorly protruding scapula on e. AOTA
the left
d. Prominent right posterior rib cage
8. Which of the following clinical feature/s d. Quadrates Lumborum (lateral
is NOT a manifestation of L5 portion
radiculopathy e. AOTA
a. Impaired heel walking 12. An S curve with a primary
b. Impaired toe waling dextroscoliosis at high thoracic level will
c. Paresthesia and sensory loss on the have a compensatory curve at the
outer leg and dorsum of foot to lumbar level. This will present the
great toe following postural asummetry:
d. Wakiness of Tibialis anterior a. An elevated (R) shoulder and right
and____ pelvis
e. NOTA b. An elevated (R) shoulder and (L)
9. A mechanical provocation test in which pelvis
symptom is relief indicates the c. An elevated (L) shoulder and
presence of foraminal encroachment is (L)pelvis
called which of the following d. NOTA
a. Cervical compression e. An elevated (L) shoulder and right
b. Cervical distraction pelvis
c. Spurling’s test 13. After tx a pt for LBP for one week the pt
d. Quadrant test has no resolution of pain and is
10. A 13 y/o girl with (R) thoracic scoliosis is complaining of problems with gait.
referred to PT. the therapist should After re-examination the therapist finds
expect which of the following findings? weakness of the qudraceps femoris and
a. (L) shoulder high, (L) scapula hip abductors, with altered sensation at
prominent, and (R) hip high the inner leg and diminished patellar
b. (L) shoulder low, (R) scapula reflex. The is most likely d/t:
prominent, and (L) hip high a. L3 nerve root compression
c. (R) shoulder high, (R) scapula b. L4 nerve root compression
prominent, and (R) hip high c. L5 nerve root compression
d. (R) shoulder high, (L) scapula d. S1 nerve root compression
prominent, and (L) hip high e. NOTA
11. Core strengthening is advocated by 14. Which of the following ha the highest
many rehabilitation specialist as a load on the lumbar spine?
means of improving muscular control a. Trunk extension in prone position
around the lumbar spine to maintain b. Normal standing
functional stability. Which of the c. Sitting in slouch position
following core muscle in the lumbar d. Forward bending with straight
region can be activated with the knees carrying weights
“drawing in” maneuver? e. Bilateral SLR
a. Multifidus muscle 15. Landmarks for Schoeber’s test EXCEPT:
b. Rectus abdominis a. L5 spine
c. Transverse abdominis b. 5cm above the spine
c. 10cm above the spine
 d. dimples of venus
e. NOTA
16. The pt is diagnosed with dextroscoliosis.
You are about to check the rotation of
the vertebra using pedicle method. If
rotation is evident, the pedicles appear
to move towards?
a. Right
b. Left
a. Risser-Fegurson method
c. Neutral
b. Cobb method
d. NOTA
c. Nash-Moe scale
e. AOTA
d. Risser stage
17. X ray revealed that an anterior slippage
of L5 on the vertebra below, this spinal
20. The pt is diagnosed with
defect should be manage with
dextroscoliosis. You are about to check
avoidance of what lumbar spinal
the rotation of the vertebra using
motion:
pedicle method. If rotation is evident,
a. Flexion
the pedicles appear to move towards?
b. Rotation
a. Right
c. Extension
b. Left
d. Lateral flexion
c. Neutral
e. AOTA
d. NOTA
18. A dancer with unilateral
e. AOTA
spondylolisthesis at L4 is referred for
21. Pain in piriformis syndrome is usually
PT. she complains of generalized LBP
reproduced when the extended leg is
when she stands longer than one hour.
tested with:
During sub acute stage of rehabilitation,
a. Hip IR
exercise intervention should include
b. Knee flexion
a. Strengthening of extensor muscles
c. Hip Add
of the back
d. Hip ER
b. Strengthening of the abdominal
e. NOTA
muscles
22. A pt is referred to PT reporting severe
c. Exercise that flattens the low back
pain in the right hip and groin area,
d. AOTA
Which increases during walking. The pt
e. NOTA
reports tenderness when the therapist
19. What is the method used to measure
palpates the area over the trochanter
the lateral curvature of the spine?
the MOST likely cause of the pt’s signs
and symptoms is:
a. SI joint derangement
b. Hip fx
 c. A strain of the adductor longus
muscle
d. Hip bursitis
23. A PT is developing a gait training
program for a pt following a THA at the
right hip done via anterolateral
approach 2 weeks ago. The proper
instructions and rationale for crutch
training using 1 crutch include the
holding the crutch in the:
a. (R) hand to decrease activity in the
right hip abductors
b. (R) hand to facilitate activity in the
right hip abductors
c. (L) hand to decrease activity in the
right hip abductors
d. (L) hand to facilitate activity in the
right hip abductors
24. You are palpating the hamstring of an
ACL injured patient. You palpate along
the lateral portion of the hamstring
musculature to the tendinous
attachment on the fibular head. The
muscle should be identified as the:
a. Biceps femoris
b. Gracilis
c. Sartorius
d. Semitendinosus
25. Most common contact ACL injuring
mechanism:
a. Deceleration
b. Rotation
c. Hyperextension
d. Varus force