Orthopedic Physical Therapy
Final Exam
Course Introduction
Orthopedic Physical Therapy focuses on the evaluation, treatment, and prevention of musculoskeletal disorders affecting bones, joints, ligaments, tendons, and muscles. This course explores key concepts such as biomechanical assessment, tissue healing, manual therapy techniques, and therapeutic exercise prescriptions for common orthopedic conditions. Students will learn to develop evidence-based rehabilitation plans for pre- and post-surgical patients, manage sports- and work-related injuries, and address chronic musculoskeletal pain through patient-centered interventions. Emphasis is placed on clinical reasoning, outcome measurement, and the integration of physical therapy within interdisciplinary care teams to optimize patient mobility, function, and quality of life.
Recommended Textbook
Joint Structure and Function 5th Edition by Pamela
K. Levangie
Available Study Resources on Quizplus
12 Chapters
299 Verified Questions
299 Flashcards
Source URL: https://quizplus.com/study-set/3869 Page 2
Chapter 1: Biomechanical Applications to Joint Structure and Function
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77116
Sample Questions
Q1) What kind of force system do the fibers within a muscle form? Explain.
Answer: Concurrent.Each fiber represents a separate force vector with the same general point of application but which pulls at an angle to each other.
Q2) The relative line of gravity changes with changes in body position.
A)True
B)False
Answer: True
Q3) What happens to the center of gravity (CoG)of the body when the body segments are rearranged? What happens to the CoG if the right upper extremity is amputated?
Answer: (1)The CoG shifts in the direction(s)of the location of the segments with the greatest mass.(2)The CoG shifts down and to the left once the mass of the right arm is removed,because the lower and left halves of the body are now relatively heavier.)
Q4) An eccentric muscle contraction is an example of a second-class lever system.
A)True
B)False
Answer: True
To view all questions and flashcards with answers, click on the resource link above.
Page 3
Chapter 2: Joint Structure and Function
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/77115
Sample Questions
Q1) When describing the biomechanical properties of cancellous and cortical bone,which of the following statements is true?
A) Cancellous bone is stiffer than cortical bone and can withstand less strain before failure.
B) Cortical bone is stiffer than cancellous bone and can withstand less strain before failure.
C) Cancellous bone is stiffer than cortical bone and can withstand more strain before failure.
D) Cortical bone is stiffer than cancellous bone and can withstand more strain before failure.
Answer: B
Q2) Define the motions of spin,slide,and roll as they relate to intra-articular joint motions? Which is most common within a joint?
Answer: Spin is rotation about a fixed axis.Slide is a pure translatory or linear movement of one surface upon another,and roll would be rolling of one surface upon another (as in a rocking chair).Generally,intra-articular surfaces slide and roll upon one another in an attempt to produce as close to a pure spin as possible.This is rarely,if ever,achieved.
To view all questions and flashcards with answers, click on the resource link above.
Page 4
Chapter 3: Muscle Structure and Function
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77114
Sample Questions
Q1) Contrast active and passive insufficiency.Give examples of each using the same muscle.
Answer: Active insufficiency occurs when a muscle is trying to shorten but generates inadequate tension to perform its desired function.That is,when a muscle is actively insufficient,it is either fully shortened or fully lengthened,and actively attempting to shorten further.Passive insufficiency occurs when a passive muscle is being stretched over the joint(s)it crosses and reaches the limits of its extensibility.When this occurs,the muscle prevents further movement.The biceps brachii is passively insufficient when both the elbow and the shoulder are fully extended and further extension is being attempted by some other force.The restriction in further movement is due to the tension in the passive muscle.
Q2) Maintaining a posture for a prolonged period of time requires muscles that are slow to fatigue and able to make small adjustments in muscle tension.Therefore,muscles with a high percentage of ________________muscle fibers would be very active during a maintained posture.
A) Type I
B) Type IIB
C) Type IIA
Answer: A
To view all questions and flashcards with answers, click on the resource link above.
Page 5
Chapter 4: The Vertebral Column
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/77113
Sample Questions
Q1) Which of the following muscles flexes the mid/lower cervical spine and extends the upper cervical spine?
A) Sternocleidomastoid muscles
B) Anterior scalene muscles
C) Rectus capitus muscles
D) Oblique capitus muscles
Q2) In the cervical spine,the greatest amount of rotation is available at which of the following motion segments?
A) C0 to C1
B) C1 to C2
C) C4 to C5
D) C6 to C7
Q3) Which of the following best describes the function of the sacrotuberous and sacrospinous ligaments?
A) They prevent excessive counternutation of the sacrum on the innominates.
B) They become most taut with end range of hip extension to effectively lock the sacrum and innominates together.
C) They counterbalance the trunk forces that flex the sacral promontory.
D) They form the superior border of the lesser sciatic foramen.
To view all questions and flashcards with answers, click on the resource link above.
Page 6
Chapter 5: The Thorax and Chest Wall
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/77112
Sample Questions
Q1) Which of the following costovertebral joint structures attaches to the intervertebral disc?
A) Superior band of the radiate ligament
B) Superior costotransverse ligament
C) Intra-articular ligament
D) All of the above attach to the intervertebral disc.
Q2) Describe the ligamentous support system for the costotransverse (CT)joint.
Q3) The "pump handle" motion of the upper ribs occurs primarily in what plane of motion?
A) Horizontal
B) Frontal
C) Sagittal
Q4) Which of the following is considered an accessory muscle of inspiration?
A) Pectoralis minor
B) Quadratus lumborum
C) Diaphragm
D) Scalenes
Q5) How does pregnancy affect the biomechanics of the chest wall?
Q6) What makes up the interchondral joints?
Q7) Describe the zone of apposition and its involvement in respiration.
To view all questions and flashcards with answers, click on the resource link above. Page 7
Chapter 6: The Temporomandibular Joint
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/77111
Sample Questions
Q1) Contraction of which muscle will pull the articular disc anteriorly during mouth opening?
A) Medial pterygoid
B) Lateral pterygoid
C) Digastric
D) Temporalis
Q2) What is the significance of a "reciprocal click"?
Q3) Upon examination of your patient's temporomandibular joint (TMJs),you observe the following amount of active range of motion (AROM): opening 55 mm; (L)lateral deviation 8 mm; (R)lateral deviation 8 mm; and protrusion 12 mm.Based on your knowledge of normal values of AROM of the TMJ,you would conclude that there is:
A) Less than expected opening and protrusion
B) Less than expected lateral deviation bilaterally
C) Greater than expected opening and protrusion
D) Excessive motion in all directions
Q4) Describe the attachments of the articular disc of the temporomandibular joint (TMJ).
Q5) What is the relationship of the temporomandibular joint (TMJ)with the cervical spine?
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: The Shoulder Complex
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/77110
Sample Questions
Q1) Elevation of the clavicle at the sternoclavicular joint involves osteokinematic motion of the clavicle in the ________________direction and arthrokinematic motion of the joint surface in the ________________direction.
A) inferior,superior
B) inferior,inferior
C) superior,inferior
D) superior,superior
Q2) What is the most frequent direction of glenohumeral (GH)dislocation? What position of the humerus puts the joint at greatest risk for dislocation?
Q3) What are the advantages to the coracoacromial arch? What are the disadvantages?
Q4) How would range and strength of abduction of the upper extremity be affected if there were a rupture of the coracoclavicular ligament?
Q5) Anterior scapular tipping is normally ________________from vertical and directly affects motion at the ________________joint.
A) 10° to 15°,glenohumeral
B) 10° to 15°,acromioclavicular
C) 35° to 45°,glenohumeral
D) 35° to 45°,acromioclavicular
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 8: The Elbow Complex
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/77109
Sample Questions
Q1) Which of the following muscles works to dynamically support the distal radioulnar joint?
A) Pronator quadratus
B) Pronator teres
C) Flexor carpi radialis longus
D) Palmaris longus
Q2) Which of the following wrist muscles can play a significant role in resisting valgus stress to the elbow?
A) Brachioradialis
B) Flexor carpi ulnaris
C) Extensor carpi radialis
D) Flexor carpi radialis
Q3) Which of the following structures is the primary stabilizer of elbow to valgus stress between 20° and 120° flexion?
A) Quadrate ligament
B) Oblique cord
C) Annular ligament
D) Medial collateral ligament
Q4) What is the causative mechanism and the structure(s)involved in "cubital tunnel syndrome"?
10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 9: The Wrist and Hand Complex
Available Study Resources on Quizplus for this Chatper
36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/77108
Sample Questions
Q1) What metacarpophalangeal (MCP)joint position is most prone to injury and why?
Q2) Describe the attachments of the interossei and lumbricales to the extensor mechanism.How do these attachments enable these muscles to contribute to interphalangeal (IP)extension?
Q3) Which of the following is the anatomical basis of the longitudinal palmar arch?
A) The adjustable positions of the first,fourth,and fifth metacarpals around the fixed second and third metacarpals,and the musculature of the flexor digitorum profundus (FDP)and flexor digitorum superficialis (FDS)
B) The fact that the third metacarpal is the longest bone in the hand
C) The relatively mobile unit formed by the second and third metacarpal as they articulate with the trapezium and trapezoid,and the musculature of the FDP and FDS
D) The carpal arch
Q4) What is the major function of the wrist complex?
Q5) If finger flexion strength is measured at each extreme of the four wrist motions,which position is least effective for grasp? If wrist positions were combined (multiplanar),which would give the most effective grip?
Q6) What are the annular pulleys (vaginal ligaments)? Where are they found and what function(s)do they serve?
To view all questions and flashcards with answers, click on the resource link above. Page 11
Chapter 10: The Hip Complex
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/77107
Sample Questions
Q1) ________________is defined as an angle of torsion of the femoral neck-head on the femoral shaft that is greater than 15° to 20°.
A) Retroversion
B) Anteversion
C) Coxa valga
D) Coxa vera
Q2) The gluteus medius and gluteus minimus muscles act:
A) To stabilize the pelvis during unilateral stance.
B) As the primary extensors of the hip.
C) To laterally rotate the hip in unilateral stance.
D) As accessory muscles to hip flexion.
Q3) The following two-joint muscle at the hip originates at the anterior inferior iliac spine (AIIS)and can contribute to both hip flexion and knee extension,dependent on joint position:
A) Sartorius
B) Rectus femoris
C) Vastus lateralis
D) Psoas major
Q4) What is the role of the ligamentum teres at the hip joint?
Q5) What forces maintain A-P equilibrium of the hip joints in bilateral stance?
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 11: The Knee Complex
Available Study Resources on Quizplus for this Chatper
22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/77106
Sample Questions
Q1) Which of the following describes the effect on the lumbar spine of a subject standing in excessive bilateral genu recurvatum?
A) Compensatory increase in lumbar lordosis
B) Compensatory increase in lumbar kyphosis
C) Compensatory increase in thoracic lordosis
D) Compensatory increase in thoracic kyphosis
Q2) During closed kinetic chain knee extension,the menisci are pushed ________________by the femoral condyles and pulled anteriorly by
A) posteriorly,semimembranosus muscle
B) posteriorly,gracilis muscle
C) anteriorly,quadriceps expansion and patellofemoral ligament
D) anteriorly,popliteus muscle and coronary ligaments
Q3) Which ligaments are responsible for medial-lateral stability of the knee joint? To which compartment do they belong?
Q4) Which aspect of the knee joint is most prone to injury? Why is this true,and what structures are most commonly involved?
Q5) Why is ascending stairs commonly cited as producing knee pain? Relate this to patellofemoral joint compression.
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: The Ankle and Foot Complex
Available Study Resources on Quizplus for this Chatper
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77105
Sample Questions
Q1) What is the function of the tarsometatarsal (TMT)joints in relation to the talocalcaneonavicular and the transverse tarsal (TT)joints?
Q2) Which functions of the foot are best achieved by supination at the foot?
A) Provide an accommodative structure at heel strike.
B) Assist in attenuating impact during early stance.
C) Provide a rigid lever for push-off.
D) Absorb transverse plane rotation of the lower limb.
Q3) What is the weight distribution through the various joints from the ankle through the metatarsal heads in unilateral stance?
Q4) Describe the superior and inferior tibiofibular joints,including classification and their composite function.
Q5) The talocrural joint functions in the motion of dorsiflexion and plantarflexion.Due to triplanar motion at this joint,what other motion occurs with dorsiflexion?
A) Abduction
B) Adduction
C) Inversion
D) Eversion
Q6) Describe the articulations of the transverse tarsal joint.
To view all questions and flashcards with answers, click on the resource link above. Page 14