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4- D2 extention pitcher
5- Rhythmic initiation Parkinsonism
6- Rhythmic stabilization increase stability ( Attaxia )
c- increase endurance and capacity for ex training
535- before provide ex program must do WARM UP its benefit
a- pooling of venous blood
b- increase O2 demand of heart
c- decrease 02 deficiency √

265- during ex theres subtalar pronation that’s mean
a- femur,tibia,pelvic internal rotation
b- femur,tibia,pelvic ext rot
c- femur ,tibia int rot with pelvic ext rot √
d- femur ,tibia internal rot with pelvic int rot

327- Parasympathetic action of heart
a- decrease heart rate from 120 ppm to 70 ppm √
b- increase in female more than male
c- decrease in adults more than child
d- decrease in athelets more than athelets

328- Aim of cardiac parasympathetic
a- Inhibiting all cardiac
b- decrease ventricle contractility √
c- stimulation all cardiac

Parasympathetic action of hear decreases (heart rate, force of contraction, and
blood pressure)

275- person fall on lat aspect of shoulder last thing occur is
a- dislocation sternoclavicular joint (SCJ) √
b- dislocate acromio clavicular joint
c- fracture medial clavicle
d- fracture middle third of clavicle
63- For denervated ms we use at least
a- 10 m
...
sec
c- 100 m
...
sec

24- Which current used for stimulated denervated muscle
a- TENS
b- faradic
c- diadynamic
d- direct galvanic √

Deltoid muscle
Insertion: deltoid tuberosity of humerus
Nerve: Axillary nerve or the circumflex nerve C5 and C6
Actions: shoulder abduction, flexion and extension
Antagonist: Latissimus dorsi and pectorals Major

Supraspinatus muscle
Function- Contraction of the supraspinatus muscle leads to abduction of the arm at the shoulder
joint
...

Beyond 30 degrees the deltoid muscle
The supraspinatus also helps to stabilize the shoulder joint by keeping the head of the humerus
firmly pressed medially against the glenoid fossa
Innervations - The supraspinatus muscle is supplied by the suprascapular nerve (C5 and C6)
The supraspinatus muscle is one of the musculotendinous support structures called the rotator
cuff that surround and enclose the shoulder
...
The four muscles of the
rotator cuff are over half of the seven scapulohumeral muscles
...

b- latissimus dorsi
c- teres major

102- All muscles make shoulder medial rotation except
a- subscapularis
b- teres major
c- teres minor
d- pectoralis major

59- 67-year-old woman presents to an outpatient facility with a diagnosis of right adhesive
capsulitis
...
In which
direction should the therapist mobilize the shoulder to gain abduction range of motion:
a- Posteriorly
b- Anteriorly
c- Inferiorly √

60- Capsular tightness has limited your patient’s ability to fully extend her knee
...
The clinical features you
would expect to find include:
a- a high right shoulder,a prominent right scapula and a left hip that protrudes √
b- a high left shoulder, a prominent left scapula and a right hip that protrudes
c- a high right shoulder, a prominent left scapula and a right hip that protrudes
d- a high left shoulder, a prominent right scapula and a left hip that protrudes

319-patient has scoliosis c on RT thoracolumbar we found:
a- lat flexion of thoracolumbar on Rt convex
b- lat flexion and Lt convex
c- lat flex and concave on Lt side √

320- Rt C Scoliosis we find?
a- Lateral trunk flexion & concave side to RT
b- Lateral trunk flexion &convex side to RT √
c- Lateral trunk flexion &convex side to LT
d- Lateral trunk flexion & shorten RT musculature

9 When you examine shoulder joint by asking patient to abduct shoulder to 90 degrees then
lower slowly, this is:
- Codman’s Test√√ ( for rotator cuff tear) ( also called drop arm test)

Codman's test = Drop Arm Test to assessment of a suspected rotator cuff tear

16 when you examine a muscle with no evidence of contraction, which muscle grade would you
give
- Poor completes range of motion with gravity eliminated
- Trace muscle contraction can be palpated, but there is no joint movement
- Good completes ROM against gravity with moderate resistance
- zero√ patient demonstrates no palpable muscle contraction
- Normal subject completes ROM against gravity with maximal resistance

355- Sudeck’s atrophy which is not true :
a- Sever burning pain
b- Sympathetic hyperactivity √
c- Trophic changes occur
d- More perspiration

Myopathy: progressive weakness of LMN nature
...
Proximal more than distal and bilateral symmetrical
...

Protuberant abdomen
...
Deformities may occur

patient with myopathy exhibit
- Easy fatigue and needs rest periods √

Or when the therapist examine the patient, the therapist notes that the muscle power return
after the patient take rest, what is what is the case
myopathy

52 young patient with post fracture elbow deformity, referred for PT, what’s contraindicated
- vigorous passive stretch √√ (to avoid myositis ossificans)

86- Which isn't correct about hip during gait

a- max hip flex occure in terminal swing
b- slight hip ext before inicial contact
c- hip ext occure during double limb support
d- max hip ex occure in terminal swing √

which is correct about Volkmann's contracture
a-affect flexor of forearm
b-affect palmar fascia
lead to ulnar neuritis

Volkmann's contracture results from acute ischaemia/necrosis of the muscle fibres of the flexor
group of muscles of the forearm, especially flexor digitorum profundus and flexor pollicis longus
which becomes fibrotic and short
...


Posterior Shear (POSH) Test
...
[1] Unlike the biceps, the brachialis does not
insert on the radius, and does not participate in pronation and supination of the forearm

Biceps femoris
Coxa vara is a deformity of the hip, whereby the angle between the head and the shaft of the
femur is reduced to less than 120 degrees

10- Which of following in correct about Multiple sclerosis (MS)?
A-more common in women than in men
b-cause of MS is unknown
c-more in black countries
d-progressive degenerating
Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS)
that is prevalent in the northern hemisphere (0
...
5 per 100,000) [Simpson et al
...
The
disease usually causes relapsing–remitting attacks of inflammation, demyelination and axonal
damage, leading to various degrees and spectra of neurological symptoms and disability
...
MS is now universally found to be more prevalent in women than men
Dystonia is a disorder characterized by involuntary muscle contractions that cause slow
repetitive movements or abnormal postures
...

The dystonias can be divided into three groups: idiopathic, genetic, and acquired
...
Some of the more common focal forms are:
Cervical dystonia, also called spasmodic torticollis or torticollis,
Blepharospasm, the second most common focal dystonia, is the involuntary, forcible contraction
of the muscles controlling eye blinks
...
The term Meige syndrome is sometimes applied to
cranio-facial dystonia accompanied by blepharospasm
...
Examples include writer's cramp that affects the muscles of the hand and
sometimes the forearm, and only occurs during handwriting
...

17
...
It also forms a portion of the articulation
with talus
...
What are the actions of the subtalar articulation?
This joint is pretty stiff, though it allows some inversion and eversion
...
What is the tarsal sinus?
It is a cavity lying between the talus and the calcaneus
...
What is the function of the patella?
The patella is a large sesamoid bone that developed in the tendon of the quadriceps femoris
muscle
...

24
...

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415- Which ms of body flex hip and abducting it and (Laterally) rotate it?
a- sartorius √
b- Tensor facia lata
c- illiopsoas
d- Rectus femurs
416- Which ms of body flex hip and abducting it and (Medially) rotates it?
a- sartorius
b- tensor facia lata √
c- illiopsoas
d- rectus femoris
27- Which muscle make shoulder ;flexion ;medial rotation”:
a- subscapularis
b- teres major
c- teres minor
d- pectoralis major
41- which muscle act in Medial rotation,adduction and extension of shoulder joint:
a- pectoralis minor
b- serratus anterior
c- teres minor
d- latissmus dorsi
27-Burgers disease pt complain of pain afterwalking in calf m
...
s spasm
B- Strength hamstring
C- Increase venous return***
221- PNF initially voulantny relaxation then passive or active assisted
contration and lastly resistive mov it’s
a- Rhythmic intiation √
b- Rhythmic stabilization
c- Contract-relax

d- Hold-relax
Which of the following PNF techniques start with relaxation, followed by
active then active assisted and ends with mild resistance:
a- Rhythmic Initiation √
b- Rhythmic Stabilization
c- Hold Relax
d- Contract Relax
300- Cardiac output means ?
a- Blood pumped from ventricle / min √
b- Blood pumped from ventricle /beat
c- Blood still in ventricle during systole
d- Blood still in ventricle during diastole
cardiac output is the volume of blood being pumped by the heart, in particular by a left or right
ventricle in the time interval of one minute

Stroke volume is the amount of blood put out by the left ventricle of the heart in one
contraction (beat)
209- what is not correct about bone
a- contain 90% of inorganic tissues √
b- compose of 2 types sponge ,compact
c- bone is hard
d- has blood supply nerve endings
339- Parkinson’s gait, which is not true
a- Propulsion gait
b- Festinating gait
c- Retropulsion gait

d- Wide base of support with arm swing √

340- parkinsonism patient has complain of falling and decreased balance what will you do
a- lowering COG √
b- decrease BOS
c- traction
d- passive movement
468- Patient has lung cancer and makes right lung pneumoectomy this leading to except
a- decrease vital capacity
b- decrease residual volume
c- increase tidal volume √
d- Rt shift of trachea
64-protraction and retraction of shoulder occurs at
a-glenohumeral joint
b-scapulothoracic interface
d-acromioclavicular joint
67-patient has knee effusion and need not to make active movement to avoid complication
what will you use?
a-high voltage long duration
b-faradic
c-tens
5-abnoral pattern of gait that not occur in Parkinson d is
A festinating gait
B Propulsive gait
C retropulsive gait
D high steppage gait

65-hyaline cartilage innervated by
a-blood vessels
b-synovial fluid
c-epiphyseal growth
546- protraction and retraction of shoulder occurs at
a- glenohumeral joint
b- scapulothoracic interface √
c- acromioclavicular joint
545- Pt of bells palsy long time treated with (E
...
S weakness
b- no change
c- fibrosis in the affected side √

141-all of the following muscles affected in tennis elbow except
–

a- Extensor carpi radialis brevis

–

b - Extensor carpi ulnaris

–

c - Extensor digitorum

–

d-flexor carpi ulnaris

257- child came to u with erbs palsy c5,c6 diagnosed by erb engram where is
the affection
a- weakness of external rotators
b- spasticity of external rotators
c- Up normal pattern of movement +weakness of ant deltoid +biceps spasm
d- weakness elbow extensors

51-position of erbs palsy?
a-shoulder adduction int rotation ,elbow extention,wrist flexion ,pronation

most common birth related neuropraxia (about 48%);
- lesion of C5 & C6 roots are usually produced by widening of the head shoulder interval (in
some cases C7 is involved as well);
- may occur at birth, producing lesion of axillary nerve, musculocutaneous, & suprascapular
nerve;
- muscles most often paralyzed are supraspinatus and infraspinatus because the
suprascapular nerve is fixed at the suprascapular notch; (Erb's point)
- in more severely affected patients deltoid, biceps , brachialis, and subscapular is affected (C5
and C6 );
- chronic internal rotation contracture leads to secondary osseous changes (increased glenoid
retroversion) and posterior subluxation of the shoulder;
Klumpke’s Palsy : involves C7 and T1
...
Unfortunately,
there is no specific treatment for this type of Erb’s palsy
507- Erb´s palsy branch nerve affected is
a- C5,C6 √
b- C 5,C6,C7
c- C8-T1
d- C5-T1

234- in Erbs palsy the most affected muscle

a- elbow flexors and supinators
b- shoulder flexor and abductors
c- medial rotators
d- a and b √

Fibers Types

Speed of
contraction
Force of
contraction
Anaerobic capacity
Aerobic capacity
Capillary density
Mitochondrial
density
Motor neuron size
Major substrate
Activity
Average fiber
percentage

Slow oxidative (SO) Fast Oxidative
Glycolytic (FOG)
Type I (red)
Type IIA (white)
Slow
Fast

Fast Glycolytic (FG)

Low

Medium

High

Low
High
High
High

Medium
Medium
Medium
High

High
Low
Low
Low

Small
Triglycerides
Prolonged low
intense
50%

Medium
CP, Glycogen
Prolonged high
intense
35%

Large
CP, Glycogen
Short high intense

330- Abduction to Adduction in which plan occurs:
a- From segital plan to coronal plan √
b- From coronal plan to segital plan
c- From longitudinal to transverse
Frontal plane also called coronal

Type IIX (white)
Fast

15%

Flexion – extension – frontal axis to sagital plane
These are movements in the sagital plane about the frontal axis
Abduction – adduction – sagital axis to frontal plane
These are movements in the frontal plane about the sagital axis
Internal rotation-external rotation
These are movements in the horizontal plane plane about the vertical axis
Imp
...

-TEST USED TO ASSESS anterior taleofibular ligament
A- ANTERIOR DRAWER TEST



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