Kinesiology Questions

1. Kinesiology Questions Compiled by Laura Morse, DC

2. A patient with a fractured radial head has the arm immobilized from above the elbow to below the wrist. The patient has requested exercises that will help maintain strength in the elbow and forearm muscles while awaiting permission to move the arm. In response, the OT practitioner should provide instructions to perform: A. isometric exercises B. isotonic exercises C. progressive resistive exercises D. passive exercises

3. A patient with a fractured radial head has the arm immobilized from above the elbow to below the wrist. The patient has requested exercises that will help maintain strength in the elbow and forearm muscles while awaiting permission to move the arm. In response, the OT practitioner should provide instructions to perform: A. isometric exercises B. isotonic exercises C. progressive resistive exercises D. passive exercises A. contract muscles w/out jt. movement B. shorten muscle, w/jt. movement (concentric & eccentric) C. isotonic exercise (cannot be performed with jt. Immobilized) D. no muscle contraction occurs

4. When evaluating motor control in a beginning-level patient with TBI, the OT practitioner will MOST likely observe for: A. response to simple verbal commands B. response to pain or temperature C. tone, rigidity, and reflexes D. eye contact

5. When evaluating motor control in a beginning-level patient with TBI, the OT practitioner will MOST likely observe for: A. response to simple verbal commands B. response to pain or temperature C. tone, rigidity, and reflexes D. eye contact A. tests cognition B. tests sensation C. only one that test motor D. tests vision

6. An OT practitioner is assessing the ROM of an individual who actively demonstrates internal rotation of the shoulder to 70 degrees. The practitioner would MOST likely document this measurement as: A. within functional limits B. hypermobility that requires further treatment C. limited mobility that requires further treatment D. within normal limits

7. An OT practitioner is assessing the ROM of an individual who actively demonstrates internal rotation of the shoulder to 70 degrees. The practitioner would MOST likely document this measurement as: A. within functional limits B. hypermobility that requires further treatment C. limited mobility that requires further treatment D. within normal limits A. Observed during the performance of activities and found to be adequate for performance of functional activities B. Motion past the average ROM (>70 degrees) C. <70 degrees D. Normal = 70 degrees

8. An individual with Alzheimer�s disease has limitations in shoulder ROM. The OT goal for this individual is to improve active shoulder motion in order to resume self-care activities. Which strategy would be MOST effective in actively engaging the individual? A. Telling the individual to perform repetitions of active UE ROM exercises independently B. Training the individual to use long-handled adaptive devices to compensate for decreased shoulder motion C. Incorporating simple, familiar activities such as hanging up clothing or catching a ball D. Performing PROM exercises on the individual

9. An individual with Alzheimer�s disease has limitations in shoulder ROM. The OT goal for this individual is to improve active shoulder motion in order to resume self-care activities. Which strategy would be MOST effective in actively engaging the individual? A. Telling the individual to perform repetitions of active UE ROM exercises independently B. Training the individual to use long-handled adaptive devices to compensate for decreased shoulder motion C. Incorporating simple, familiar activities such as hanging up clothing or catching a ball D. Performing PROM exercises on the individual A. Pt. may not be able to remember to perform repetitions of exercises or may not understand the purpose and become confused B. Adaptive devices would not increase active shoulder ROM and could be confusing if cognitive deficits were present C. Incorporating simple activities would be most effective for gaining active cooperation participation from a person with Alzheimer�s D. PROM exercises would not lead to improvement of active ROM

10. An OT practitioner is performing a functional ROM assessment on an elderly individual with arthritis. How should the OT evaluate internal rotation of the shoulder? A. Ask the individual to touch the back of his neck. B. Use a goniometer to measure internal rotation in a supine position. C. Observe the individual touching the small of his back. D. Interview the individual regarding areas of pain and stiffness.

11. An OT practitioner is performing a functional ROM assessment on an elderly individual with arthritis. How should the OT evaluate internal rotation? A. Ask the individual to touch the back of his neck. B. Use a goniometer to measure internal rotation in supine position. C. Observe the individual touching the small of his back. D. Interview the individual regarding areas of pain and stiffness. A. Involves external rotation B. Goniometry is used for formal joint measurement, not functional. C. Involves abduction and internal rotation D. Useful information, but not reliable method of assessing ROM

12. While observing an individual who has just been admitted to the rehab unit after a right CVA with left hemiplegia, the OT practitioner notices that the individual�s left arm lies limply by his side. This MOST likely indicates: A. normal upper extremity function. B. flaccidity. C. subluxation. D. spasticity.

13. While observing an individual who has just been admitted to the rehab unit after a right CVA with left hemiplegia, the OT practitioner notices that the individual�s left arm lies limply by his side. This MOST likely indicates: A. normal upper extremity function. B. flaccidity. C. subluxation. D. spasticity. A. Arm lying limply is not normal. B. aka. Hypotonicity, is often present immediately after a stroke. C. The weight of the arm may eventually pull the humerus out of the GH joint. This does not usually occur directly following the CVA. D. Flaccidity may later change to spasticity/ increased muscle tone.

14. When evaluating self-care performance with an individual with functional limitations in shoulder abduction and external rotation, which of the following is MOST essential for the OT practitioner to assess? A. buttoning a shirt B. combing the hair C. tucking in a shirt in the back D. tying a shoe

15. When evaluating self-care performance with an individual with functional limitations in shoulder abduction and external rotation, which of the following is MOST essential for the OT practitioner to assess? A. buttoning a shirt B. combing the hair C. tucking in a shirt in the back D. tying a shoe

16. An OT working in an outpatient setting has completed ROM measurements on an individual who is s/p hand surgery. After bandaging the open wounds, what should the OT do with the stainless steel goniometer? A. Place it in a plastic bag and label it with the individual�s name. B. Sterilize it before using it again. C. Store it with the other goniometers, and sterilize them all at the end of the day. D. Wash it with hot, soapy water before using it again.

17. An OT working in an outpatient setting has completed ROM measurements on an individual who is s/p hand surgery. After bandaging the open wounds, what should the OT do with the stainless steel goniometer? A. Place it in a plastic bag and label it with the individual�s name. B. Sterilize it before using it again. C. Store it with the other goniometers, and sterilize them all at the end of the day. D. Wash it with hot, soapy water before using it again.

18. In order to promote tenodesis when performing PROM, the OT practitioner should position the wrist in: A. the neutral position to promote finger flexion and extension. B. flexion to promote finger flexion and extension. C. extension to promote finger flexion, and flexion to facilitate finger extension. D. flexion to encourage finger flexion, and extension to promote finger extension.

19. In order to promote tenodesis when performing PROM, the OT practitioner should position the wrist in: A. the neutral position to promote finger flexion and extension. B. flexion to promote finger flexion and extension. C. extension to promote finger flexion, and flexion to facilitate finger extension. D. flexion to encourage finger flexion, and extension to promote finger extension.

20. While measuring the active ROM of a patient�s MCP joints, it is MOST important for the OT practitioner to provide stabilization: A. proximal to the MCP joints. B. distal to the MCP joints. C. at the wrist. D. on top of the MCP joints.

21. While measuring the active ROM of a patient�s MCP joints, it is MOST important for the OT practitioner to provide stabilization: A. proximal to the MCP joints. B. distal to the MCP joints. C. at the wrist. D. on top of the MCP joints.

22. The MOST appropriate assessment instrument for the OT practitioner to use for measuring range of motion of the hand is a(n): A. goniometer B. dynamometer C. pinch meter D. aesthesiometer

23. The MOST appropriate assessment instrument for the OT practitioner to use for measuring range of motion of the hand is a(n): A. goniometer � measures available jt. movement B. dynamometer � grip strength C. pinch meter � thumb to finger pinch strength D. aesthesiometer � 2-pt. discrimination

24. An OT practitioner is working with an individual who is at risk for aspiration during swallowing. The BEST position for the individual to maintain during feeding activities is: A. slight neck extension. B. reclined in bed. C. head erect, chin slightly tucked. D. full neck flexion.

25. An OT practitioner is working with an individual who is at risk for aspiration during swallowing. The BEST position for the individual to maintain during feeding activities is: A. slight neck extension. B. reclined in bed. C. head erect, chin slightly tucked. D. full neck flexion. A. increases chances of aspiration B. sitting better than lying down C. opening of larynx smaller in this position D. difficult to swallow with full neck flexion

26. An individual with a low back injury lives alone and must be able to do laundry independently. To prevent reinjury, the OT practitioner should instruct the individual to: A. place the clean laundry basket on the floor next to a chair and sit for folding. B. stop the activity when pain becomes severe. C. divide the laundry into several small loads for carrying. D. carry the laundry in one or two large loads.

27. An individual with a low back injury lives alone and must be able to do laundry independently. To prevent reinjury, the OT practitioner should instruct the individual to: A. place the clean laundry basket on the floor next to a chair and sit for folding. B. stop the activity when pain becomes severe. C. divide the laundry into several small loads for carrying. D. carry the laundry in one or two large loads. A. Would require bending & twisting, bad for back injury. B. Pain should be avoided, therefore preventative strategies from the OT are encouraged. MUST C. Decreases strain due to lower weight of loads D. Larger loads will weigh more

28. An OT practitioner is working on keyboarding activities with an individual with asymmetrical muscle tone who keeps falling to the side while sitting in a wheelchair. Which adaptation would MOST effectively stabilize the upper body in a midline position: A. Change to a reclining wheelchair. B. Use an arm trough. C. Provide lateral trunk support. D. Provide lateral pelvic support.

29. An OT practitioner is working on keyboarding activities with an individual with asymmetrical muscle tone who keeps falling to the side while sitting in a wheelchair. Which adaptation would MOST effectively stabilize the upper body in a midline position: A. Change to a reclining wheelchair. B. Use an arm trough. C. Provide lateral trunk support. D. Provide lateral pelvic support. A. Weight would shift posterior, but not prevent lateral shift of trunk. B. May help maintain a more centered position of trunk, but weight of affected extremity would result in instability and improper alignment of shoulder. C. Helps maintain correct alignment of pelvis and trunk in chair by counteracting the twisting effect of asymmetrical muscle tone. D. Would stabilize the pelvis, but support would be too low to prevent trunk from moving laterally.

30. A child currently uses compensatory arm and hand movements while seated because of the inability to sit independently. Which aspect of therapeutic positioning should the OT stress?: A. Stabilizing the trunk. B. Placing weight on the arms. C. Stabilizing the pelvis, hips, and legs. D. Stabilizing the head and neck.

31. A child currently uses compensatory arm and hand movements while seated because of the inability to sit independently. Which aspect of therapeutic positioning should the OT stress?: A. Stabilizing the trunk. B. Placing weight on the arms. C. Stabilizing the pelvis, hips, and legs. D. Stabilizing the head and neck. A. Stabilizing trunk isn�t correct unless pelvis is stabilized, arm movements may still be compromised. B. Lap board or chair arms will compromise use of arms and hands to stabilize body. C. Pelvis, hips, and legs provide a good central base of support (if not, child resorts to compensatory movements). D. Pelvis continues to be unstable, so it isn�t a good base for arm movements.

32. An individual with a low back injury lives alone and must be able to do laundry independently. To prevent reinjury, the OT practitioner should instruct the individual to: A. place the clean laundry basket on the floor next to a chair and sit for folding. B. stop the activity when pain becomes severe. C. divide the laundry into several small loads for carrying. D. carry the laundry in one or two large loads.

33. An individual with a low back injury lives alone and must be able to do laundry independently. To prevent reinjury, the OT practitioner should instruct the individual to: A. place the clean laundry basket on the floor next to a chair and sit for folding. B. stop the activity when pain becomes severe. C. divide the laundry into several small loads for carrying. D. carry the laundry in one or two large loads. A. Would require bending & twisting, bad for back injury. B. Pain should be avoided, therefore preventative strategies from the OT are encouraged. MUST C. Decreases strain due to lower weight of loads D. Larger loads will weigh more

34. A physical education teacher is being treated for osteoarthritis of the upper and lower extremities. Using a client-centered approach to prevent further complications, the OT practitioner should recommend: A. lifting weights 3 times a week for 1 hour. B. listening to relaxation tapes 3 times a week before bedtime. C. vocational retraining. D. low-impact aerobics 3 times a week for 1 hour.

35. A physical education teacher is being treated for osteoarthritis of the upper and lower extremities. Using a client-centered approach to prevent further complications, the OT practitioner should recommend: A. lifting weights 3 times a week for 1 hour. B. listening to relaxation tapes 3 times a week before bedtime. C. vocational retraining. D. low-impact aerobics 3 times a week for 1 hour. A. lifting weights promotes hyperextension and resistance, which can increase pain, immobility and further damage joints, as well as causing joint pain and fatigue. B. Tapes would be appropriate for an individual with potential psychosocial affects of arthritis. C. Vocational retraining is not indicated based on the info provided. D. Appropriate for OA & client-centered.

36. An individual is learning how to perform transfers into a bathtub 2 weeks after a total knee replacement, but is still unable to extend of flex the knee more than 20 degrees. Which of the following would MOST likely allow for safe tub transfers? A. wait another 2-4 weeks, because tub transfers are contraindicated until 4-6 weeks after surgery. B. Use a hand rail attached to the side of the tub. C. Use a tub transfer bench and leg lifter. D. Use a low kitchen stool with rubber tips.

38. An individual who is s/p total hip arthroplasty is working on independence in lower extremity dressing. Which of the following instructions is MOST important to convey to this individual regarding safety? A. Sit during dressing activities. B. Avoid internal rotation and adduction of the involved hip. C. Use a long-handled shoe horn and dressing stick. D. Wear shoes with elastic laces. Status post (after)Status post (after)

39. An individual who is s/p total hip arthroplasty is working on independence in lower extremity dressing. Which of the following instructions is MOST important to convey to this individual regarding safety? A. Sit during dressing activities. B. Avoid internal rotation and adduction of the involved hip. C. Use a long-handled shoe horn and dressing stick. D. Wear shoes with elastic laces. A. Recommended B. Priority post-op C. Makes compliance easier D. Makes compliance easier

40. An OT practitioner is working on keyboarding activities with an individual with asymmetrical muscle tone who keeps falling to the side while sitting in a wheelchair. Which adaptation would MOST effectively stabilize the upper body in a midline position: A. Change to a reclining wheelchair. B. Use an arm trough. C. Provide lateral trunk support. D. Provide lateral pelvic support.

41. An OT practitioner is working on keyboarding activities with an individual with asymmetrical muscle tone who keeps falling to the side while sitting in a wheelchair. Which adaptation would MOST effectively stabilize the upper body in a midline position: A. Change to a reclining wheelchair. B. Use an arm trough. C. Provide lateral trunk support. D. Provide lateral pelvic support. A. Weight would shift posterior, but not prevent lateral shift of trunk. B. May help maintain a more centered position of trunk, but weight of affected extremity would result in instability and improper alignment of shoulder. C. Helps maintain correct alignment of pelvis and trunk in chair by counteracting the twisting effect of asymmetrical muscle tone. D. Would stabilize the pelvis, but support would be too low to prevent trunk from moving laterally.