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216/ A patient is referred to physical therapy with a ruptured Achilles tendon
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Which of the following would be proper location
for the Achilles tendon insertion?
a- Talus
b- Calcaneus
c- Cuboid
d- Navicular
217/What is true about this muscle?
A-this is biceps femoris ms
...

b-Tibiotalar, calcaneocuboid and talonavicular
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d-None of the above

219/Patient has chondromalacia chontra indicated to use?
a-mobilization
b-taping , bandage
c-strengh hamstring

*The talonavicular (blue arrow)
* subtalar (red arrow)
* calcaneocuboid (green arrow)

joint
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Internal rotation and abduction
b
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Internal rotation and adduction
d
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To test the
semispinalis capitis muscle,which of the following movements is not required ?
a-flexion
b-extention
c-rotation
d-lateral flexion
225/If the therapist is evaluating a patient who has been diagnosed as having hammer toes
and low metatarsal arch deformity,which of the following physical findings could the
therapist detect during the physical evaluation ?
a-metatarsophalangeal joint flexion-proximal interphalangeal joint extension
b- metatarsophalangeal joint hyperextension- proximal interphalangeal joint hyperextension
c- metatarsophalangeal joint abducted-proximal interphalangeal joint flexion
d- metatarsophalangeal joint hyperextension-proximal interphalangeal joint flexion
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the therapist needs to
perform a very gradual stretch to:a- avoid disuse atrophy
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c-prevent muscle and tendon tear
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227/which of the following training exercises can be defined as a training program that uses
selected exercises or activities performed in a sequence?
a-closed chain exercise
b-open chain exercise
c-circuit training
d-isometric exercise
228/A 24year old patient with a shoulder dislocation for 3 weeks,has been referred to a
physical therapist for early mobilization of shoulder joint
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?
a – labrum
245/ spondylolythesis definition ?
a-Vertebra above vertebra move forward
246/ burst fracture ?
a-Humerus
b-Vertebra
c- Ankle
d-spine
245/patient make exercise feel pain in leg and thighs after 48 hrs of exercise ?
a- Delayed onset muscle soreness
266/Contraction in which no change in muscle length:a- Isometric
267/type of stretch which is progressive to end of range?
a-ballistic
b- dynamic
268/Palpation for piriforms
a-From ASIS to greater trochanter
b-From PSIS to greater trochanter
c-From coocyx and iliac creast
d-From sacrum to greater trochanter
269/patient have problems in ROM and muscle weakness is classified as
a-participation limitation
b-functional impairment
c-personal factors
d-activity limitation

270/Main purpose from semi lying position:a-Gravity assistance
b-Efficiency
271/Before strength hip flexors we do:a-Knee extension
b-Extension hip
c- Internal rotation hip
272/Stretch for wrist flexor repair in
a-2 days
b-3 days
c-4 days
d-5 days ** coz patient immobilized in first 3-5 days after surgery
273/Which intensity is most appropriate for normal elder adult for ex
a-Low intensity
b-Moderate intensity
c-High intensity
d- Extreme
274/Patient have 4/5 muscle power what is the minimum number of sessions per week to
achieve full strength ?
a-3
b-4
c-5
275/Exercise in elderly to keep bone density ?
a-Aerobic
b-Resistive
c-Hydro exe
276/Patient have locking knee during going down stairs?
a-Hamstring weaknes
b-Rectus femoris
278/exercise professional autonomy
a-Hard work
b-Patient safety
c- Critical thinking
d- All of the above
279/Benefits from ex?
a-Larger lung volume
b- Normal tidal volume
c- Larger vital capacity
d-Maximum minute ventilation

280/To do max strech to biceps
a-Ext shoulder, ext elbow pronation
b- Ext shoulder, ext elbow supination
c- Lat rot shoulder ext elbow pronation
d-Lat rot shoulder , ext elbow supination
281/football player fall in full knee flexion and medial rotation injury to
a- Acl
b-Pcl ** if there is meniscus we choose it first
c-Medial collateral
282/the most common action cause acl injury
a- Lateral twist
b- Posterior blow to knee
c- Anterior blow to knee
283/convex concave role of knee joint in open chain movement
a-Tibia roll and glide on femur in the same direction
b-Tibia roll and glide on femur in different direction **choose it in closed chain
c-Femur roll and glide on tibia in same direction
d-Femur roll and glide on tibia in different direction
284/Guidelines for safe stretching which of the following ?
a- Slow low force
b-straight line
285/ Regarding closed chain exercise, what of the following?
a-No resistance to disal part
b- avoid strengthening from 45 to 15 knee extension
c- avoid strengthening 90 120 flexion d-Knees doesn't go posterior to toes
286/30 years old man
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Which is the reason for the pain
A
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Levator scapula
C
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Coracobrachialis
287/ which fiber support pelvic floor
a- ant fiber
b- post fiber
c- antro post d circle
288/Which movement not accompany with hyperextension of cervical spine
A-poking chin
B- decrease flexion of lower cervical spine
C-increase activity of scm and levator scapulae

289/Burst fracture, which area affected?
a- Spine
b- talus
c- scaphoid
290/Which negative factor you treat if you increase strength of ms and rom a-a-Personal
factor
b-Activity limitation
c- Participant
d- Impairment
291/Which ms using in climb stairs , go up inclin:a- Hamstring
b-Soules
c-Quadriceps
d- Ankle planer flexor
292/Which of the following has the greatest percentage composition of type 1 slow twitch
fibers:A-gastronomies
B-supraspinatous
C-biceps brachii
D-biceps femoris
293/Which of the following muscles has least effect in Q angle :
A- lateral retinaculum
B- biceps femoris (second most common)
C- quad
D- iliosoas
E- tibials ant
294/During weight bearing a soft tissue contracture resulting in supination of the forefoot
will be compensated by:A- pronation of forefoot
B- pronation of rear foot
C-supination of rear foot
D- pronation of rear and fore foot
295/To decrease load on medial aspect of knee?
A- lateral heel wedge
B- soft knee splint
C- strength extensor
296/Football playrr fall in full flexion and media rotation ?
A-Acl
B-Pcl (second most common choose it if there is no meniscus)
C-Medial collateral
D-medial meniscus

161- isometric contraction as a test in minor lesion:A-Strong painful
B- Strong painless
C-Weak painful
D- Weak painless
162/Passive stretch in healing stage:A- Acute
B-Sub acute
C-Chronic
163/Osteomyolitis abcess spread
A-Acute stage
B-Sub acute stage
C- Chronic stage
164/Patient has lateral ankle minor pain at rest, palpation increase pain ?
A-Grade 1
B- grade 2
C- grade 3
165/ Guidelines for safe stretching which of the following ?
A-Slow
B-Low force
C-straight line
166/Stages of spondylolisthesis, 75 % displacement ?
A-1
B- 2
C- 3
D- 4
167/PNF which include repetive contractions of the antagonist pattern ?
ARevesal hold
B- repetitive contractions
C-rythmic initiation
D- rythmic stabilization
168/PNF which include after relaxation, passive, active assisted , and resisted contractions of
the agonist pattern ?
A-Revisal hold
B- repetitive contractions
C- rhythmic initiation
D- rhythmic stabilization
169/ Treatment of myositis ossificans?
A-Active and active assisted movement ( avoid stretching)
B- massage
C- strengthening ex

D- stretching ex
170/After strengthening exercises for elderly, what should done to prevent OA in elderly ?
A-Stretching
B- non wt bearing
C- flexibility
D- resistive training
171/ What is the most appropriate preventive intervention in elderly?
A-Medical review
B- balance ex
C- individualized program
D- strengthening ex
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Upon examination, the patient is noted to have pain with
left side bending with left rotation and reports pain on the left at the C5-6 junction
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Which of the following techniques
will be most appropriate to decrease pain?
A- Closing technique for the mid- thoracic spine
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D-Flexion/opening manipulation for mid-thoracic spine
174/pt complain of groin pain with limited abduction with external rotation you expect the
diagnosis is :a-inguinal hernia
b- adductor strain
c- abductor sprain
d- external obliques weakness
175/Patient have lumbar lordosis when he stand and disappears when he sits we stretch:A-Iliopsoas
B-Gluteus maximus
C-Flex lumbar
176/ patient walking on slippery surface we teach him to do:
A-COG keeping close to the body
B-Wide base of support
C- Walking fast
177/muscle waste recovery to normal after?
A-2-3 months (10 weeks )
178/ the best hand placement to palpate piriforms : From ASIS to greater trochanter:A-From PSIS to greater trochanter
B-From coccyx to iliac crest

C-From sacrum to greater trochanter
179/semi fowler position?
A-More accesses
B-Gravity assisting position
180/guyon tunnel Injury of which nerve:a-ulnar
b-radial
c-median
d-peroneal
181/what should do to prevent Osteoarthritis in elderly:
a-stretching ex
b-strengthening ex
c-flexibility ex
d-non weight bearing ex
182/what is the most appropriate intervention to prevent falling in elderly:
a-medical review
b-balance ex
c- individualized program
d-strengthening ex
183/Most common cause of ACL injury ?
1 - Hyperextension of knee
2- lateral twist
3-posterior blow to knee
4- anterior blow to knee
184/What decrease symptoms of spinal stenosis :
a- 0 flexion
b-0 extension
c-15 extension
d-15 flexion
185/ 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
186/ which fiber support pelvic floor:a- ant fiber
b-post fiber
c -antro post
d-circle
187/passive stretch used in healing stage:
A- acute
B -subacute
C- chronic

188/During extreme exercise in a well conditioned athlete blood flow through skeletal
muscle can increase to :
A- 15-25 fold rising to 50to 80 ml/min/100g of ms
B- 6-7ml/min/100g of ms
C- averages 1-2ml/min/100g of ms
D- it’s not estimated
189/ What does mean by partial osteotomy :
A-internal fixation of bone
B-bone sectioning
C-remove periosteum
D-epiphysis fixation
190/ Fracture of Lowe third of humerus cause stiffness in elbow physiotherapist must do
very gentle stretch to avoid:A- disuse muscle atrophy
B-hypertrophy
C-muscle and tendon tear ( also to avoid myositis ossificans)
191/ Patient Feel a pain in insertion of this ms
...
what contraindication of this surgery?
A-Not enough bone stock
B-Paralysis of forearm flexors
C-Myositis ossificans
202/ to benefit from muscle strength, power and performance, muscles must have?
A-endurance
203/back pain radiated to L
...
And lateral rotation:a- Frozen shoulder ( adhesive capsulitis)
b- Supra spinatus tendenitis
c- Rotator cuff tears
d- Acromioclavicular dysfunction
Physiotherapy for chondromalacia
Strengthening exercises for the quads mainly vastus lateralis, tapping of patella and mobilization << lateral gliding

206/In treatment of chondromalacia which not needed?
A- Strengthening exercises for the quads

B- Strength hamstring
C- Ice application
207/An abnormal Babinski reflex indicates damage to the:a-Spinal cord
b- Brainstem
c-cerebellum
d- Pyramids
208/While assessing the standing posture of a patient, the therapist notes that a spinous
process in the thoracic region is shifted laterally
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Her recovery has been
good,however she still complains that she cannot reach the upper shelves in her kitchen
cupboards and closets
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Exercises to increase ROM will be best
utilized if:a-both the MCP and IP joints are moved into flextion
b- both the MCP and IP joints are moved into extension
c-the MCP joints are extended and the IP joints are flexed
d- the MCP joints flexed and the IP joints are extended
211/your interview with an 18year-old female cross country runner elicits a history of
stiffness and diffuse ache in her right knee which is aggravated by prolonged sitting
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To increase elbow range of motion, joint mobilization
in the maximum loose-packed position should be performed at:

A- full extension
B- 90 degrees of flexion
C- 70 degrees of flexion
D-30 degrees of flexion
213/ A patient with degenerative joint disease of the right hip complains of pain in the
anterior hip and groin, which is aggravated by weightbearing
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Right gluteus medius weakness is evident during
ambulation and there is decreased tolerance of functional activities including transfers
and lower extremity dressing
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It is most likely that this is
a manifestation of:a-thoracic outlet syndrome
b-vertebral artery obstruction
c-cervical radiculitis
d-complex regional pain syndrome type I
217/while crossing the finish line of a 100meter race an athlete lunged and fell on her
dorsiflexed wrist
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You suspect a possible
fracture of the:a-lunate
b-capitate
c-scaphoid
d-hook of the humate

218/to prevent maximal compressive forces being placed on the patella, a therapist
should minimize placing the patient:a- prone and flexion the knee to 30 degrees
b-in a sitting position with the knee flexed to 90 degrees
c-supine and flexing both the hip and knee to 110 degrees
d-prone and flexing the knee to 110 with the hip extended
219/as a result of diminished movement associated with Parkinson's disease a physical
therapist might employ rhythmic initiation primarily to help improve:a-trunk stability and proximal tone
b- trunk rotation
c-upper extremity function
d-active and passive ROM
220/a therapist has decided to use mechanical lumbar traction on a patient with
posterior herniated nucleus pulposus 1
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if tolerated by the patient ,the best
positioning for this treatment would be:a-prone, with no pillow under the hips or abdomen
b-prone, with a pillow under the hips and abdomen
c-supine, with the hips and knees flexed to 45 degrees
d-supine with hips and knees flexed to 90 degrees
221/A patient has limited motion in supination and calcaneal inversion at the subtalar
joint, using manual techniques, the accessory motion of the calcaneus that needs to be
emphasized in order to increase the motions that are limited would be:a-anterior glide
b- posterior glide
c- medial glide
d- lateral glide
222/during weight bearing a soft tissue contracture resulting in supination of the
forefoot will be compensated for by:a- pronation of the forefoot
b- pronation of the rear foot
c-supination of the rear foot
d- pronation of the forefoot and rear foot
232/A PT is manual muscle testing the supraspinatus muscle of the shoulder
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b- arm neutral, elbow flexed 90 degree, resist internal rotation
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d- arm abducted 90 degree, horizontally adducted 30 degree,externally rotated,resist
shoulder flexion
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Her goal in
treatment is to open the affected foramen to decrease nerve root irritation
...

foramen, the neck should be forward
b- forward flexion, contralateral sidebending, contralateral rotation
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Option A
c- forward flexion, ipsilateral sidebending, ipsilateral rotation
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facet joint
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During muscle
testing which joint would be expected to show a painless weakness?
234/A:- endocrine system disease
a-hip
can be manifested with proximal,
painless muscle weakness
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d- wrist
235/a college student presents with pain in the shoulder that began the week after
finals, but she cannot recall any mechanism of injury
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During evaluation the patient has difficulty
with elevation greater than 120 degree
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What would
be the best differential diagnosis ?
235/C:- The long thoracic nerve innervates the serratus anterior
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The nerve can be compressed with a backpack
strap as it lies along the chest wall
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Damage to the spinal
c-long thoracic nerve lesion
accessory nerve will inhibit elevation of the scapula
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c- DAPRE
D-DOMS
237/which one of the following has the greatest percentage composition of type I slowtwitch muscle fibers?
237/D:- the supraspinatus is a phasic or postural muscle, which indicates it has
a-gastrocnemius
higher composition of slow-twitch oxidative muscle fibers
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c- biceps brachialis
d- supraspinatus
238/which grade of joint mobilization would be most appropriate for improving joint
motion using a large-amplitude movement into end range?
238/C:- Grade III Joint mobilizations utilize a large-amplitude mobilization into the
end range of accessory joint motion to improve range of motion

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