1) Short AKA a) A. >60% b) B. 35% c) C. 60% d) D. <35% 2) This classification indicates the femoral shaft fractures is based on comminution a) A. Gustilo-Anderson b) B. Salter-Harris c) C. Garden d) D. Winquist-Hansen 3) A surgical technique used to create a more functional and aesthetically pleasing closure of a limb after amputation. This flap technique involves using a section of skin and underlying tissue that is mobilized to cover the amputation site. This technique is used in order for the posterior tissues of the limb to have a better blood supply than the anterior skin. a) A. Anterior Flap b) B. Burgess Flap c) C. Skew Flap d) D. Fish Mouth 4) Most common cause of amputation a) A. PVD b) B. Trauma c) C. CA d) D. Congenital 5) Virchow’s Triad a) A. Venous stasis b) B. Endothelial Injury c) C. Venous Stasis d) D. Decreased Oxygen Supply 6) Energy Expenditure: Single BKA c Prosthesis a) A. 9% b) B. 60% c) C. 10-40% d) D. 41% 7) Outermost layer of a blood vessel is called a) A. Tunica interna b) B. Tunica Intima c) C. Tunica Media d) D. Tunica Adventitia 8) During an internship in the neurology unit at a major university hospital, the neurosurgeon asks you to perform the test for reflex C5. Which of the following should be tested to determine the reflex at level C5? a) A. Elbow extension b) B. Triceps c) C. Biceps d) D. Brachioradialis 9) Referred as a joint fusion, the uniting of two bones at a joint, is typically completed through surgery. a) A. Arthrocentesis b) B. Arthrodesis c) C. Meniscectomy d) D. Arthroscopy 10) COG: trunk a) A. Sphenoid Sinus b) B. Basioccipital c) C. Anterior to T11 d) D. 12th rib 11) A procedure where a doctor uses a needle to take fluid out of a joint. a) A. Arthrocentesis  b) B. Arthrodesis c) C. Meniscectomy d) D. Arthroscopy 12) Type of spondylolisthesis which are common in children that has a congenital abnormality of the facet joints of the lumbosacral. a) A. Dysplastic  b) B. Isthmic c) C. Degenerative d) D. Pathological 13) Low oxygen levels in your blood a) A. Anemia b) B. Hypoxia c) C. Hypoxemia d) D. Leukemia 14) Movement between articulating surfaces. a) A. Kinematics b) B. Osteokinematics c) C. Kinesiology d) D. Arthrokinematics 15) Movement between the shafts of two bones. a) A. Kinematics b) B. Osteokinematics c) C. Kinesiology d) D. Arthrokinematics 16) Stimulation of CN X will cause which of the following effects? a) A. Atrial fibrillation b) B. Sinus bradycardia c) C. Cardiac rigor d) D. Ventricular fibrillation 17) The volume of air moved going from full forced expiration to full forced inspiration is known as a) A. Inspiratory capacity b) B. Vital capacity c) C. Total lung capacity d) D. Inspiratory reserve volume 18) A general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs). a) A. HNP b) B. Spinal Stenosis c) C. Spondylosis d) D. Osteoporosis 19) Muscles affected in RCT a) A. Deltoid b) B. Subscapularis c) C. Infraspinatus d) D. Supraspinatus 20) An abnormal end-feel that indicates meniscal tear a) A. Firm b) B. Early Muscle Spasm c) C. Late Muscle Spasm d) D. Springy-block 21) A vertebral defect mostly seen in children and adolescents at the L5 vertebral level. It occurs at the pars interarticularis, which is formed at the junction of the pedicle, transverse process, lamina, and the two articular processes. a) A. Spinal Stenosis b) B. Spondylosis c) C. Spondylolysis d) D. Spondylolisthesis 22) Most common etiological factor of spondylolisthesis a) A. Dysplastic b) B. Isthmic c) C. Degenerative d) D. Traumatic 23) A type of arthritis that causes inflammation in the joints and ligaments of the spine which also known as “bamboo spine”. a) A. Henriated Nucleus Pulposus b) B. Scheurmann’s Disease c) C. Scoliosis d) D. Ankylosing Spondylitis 24) T2 spine landmark a) A. Superior angle of scapula  b) B. Scapular Spine of Scapula c) C. Cricoid Cartilage d) D. Hyoid Cartilage 25) A type of scoliosis that is associated with cerebral palsy, spinal cord trauma, muscular dystrophy, and spina bifida that generally progresses fast affecting the muscles and nerves that support the spine a) A. Idiopathic Scoliosis b) B. Neuromuscular Scoliosis c) C. Degenerative Scoliosis d) D. Congenital Scoliosis 26) Navicular a) A. Scaphoid b) B. Lunate c) C. Triquetrum d) D. Pisiform 27) Floor of the anatomical snuff box a) A. extensor pollicis longus b) B. Scaphoid c) C. Abductor Pollicis Longus d) D. Extensor Pollicis Brevis 28) Type of fracture when a bone breaks into three or more pieces; (+) fragmentation a) A. Comminuted b) B. Segmented c) C. Transverse d) D. Oblique 29) Orthopedic surgeons reposition the pieces of your fractured bone surgically so that your bones are back in their proper alignment with the use of mechanical devices to set and stabilize the bones. Metal screws, pins, plates, or rods used to hold the bone pieces together can be temporary or permanent. a) A. Ilizarov Fixator b) B. Internal Fixators c) C. CRIF d) D. Skeletal Traction 30) Most common site of clavicular fracture a) A. Lateral 1/3 b) B. Medial 1/3 c) C. Middle 2/3 d) D. NOTA 31) Shoulder replacement surgery (TSA) is done to relieve pain and other symptoms that result from damage to the shoulder joint. Which of the following conditions that can severely damage the shoulder region leading to surgery?houlder replacement surgery (TSA) is done to relieve pain and other symptoms that result from damage to the shoulder joint. Which of the following conditions that can severely damage the shoulder region leading to surgery? a) A. AVN b) B. Osteoporosis c) C. Degenerative Joint Disease d) D. AOTA 32) Which of the following hormones cause the “letdown Reflex” a) A. ACTH b) B. Oxytocin c) C. TSH d) D. Estrogen 33) Rotatory motion in the frontal plane occurs in what axis? a) A. Y axis b) B. X axis c) C. Z axis d) D. Longitudinal axis 34) Based on the “rule of nines”, an adult who has burns on their anterior right arm, the anterior portion of the thorax and the genital region would be classified as having burns over ____ percent of their body? a) A. 19 b) B. 22.5 c) C. 23.5 d) D. 28 35) Restrictive lung diseases limit to varying degrees the maximum volumes of air than can be inhaled and exhaled. Examples of restrictive diseases include all of the following EXCEPT a) A. emphysema b) B. a paralysis of respiratory muscles c) C. pneumonia d) D. a bony abnormality of the chest 36) A physical therapist observes a patient dragging their toe during the swing phase of gait. All of the following are possible causes EXCEPT a) A. weakness of dorsiflexors b) B. spasticity of plantarflexors c) C. weakness of plantarflexors d) D. inadequate knee flexion 37) A therapist performs a range of motion screening on a 14 year-old female. The therapist instructs the patient to stand on their tiptoes. The therapist uses this command to evaluate a) A. dorsiflexion and toe extension b) B. dorsiflexion and toe flexion c) C. plantarflexion and toe extension d) D. plantarflexion and toe flexion 38) A patient with latissimus dorsi and lower trapezius weakness would have the most difficulty performing which of the following activities? a) A. four point gait with Lofstrand crutches b) B. three point gait with a straight cane c) C. swing through gait with axillary crutches d) D. wheelchair propulsion 39) A patient performs bridging in supine as part of his exercise program The therapist increases the difficulty by applying resistance as the patient maintains the bridge position. Resisted bridging reinforces the coactivation of the a) A. hip extensors, abductors, knee flexors b) B. hip flexors, abductors, knee extensors c) C. hip extensors, adductors, knee extensors d) D. hip flexors, adductors, knee flexors 40) Hypertrophy is the muscular response to strength training. This can be expected to occur following at least: a) A. 1-2 weeks of training. b) B. 2-3 weeks of training. c) C. 3-4 weeks of training. d) D. 6-8 weeks of training. 41) It is important to note the status of the pars interarticularis on the X-ray report. A problem with this part of the vertebra could possibly lead to: a) A. spondylolisthesis with discal herniation. b) B. spondylolisthesis with possible anterior slippage of the vertebral body. c) C. spondylolysis resulting in early nerve root compression. d) D. spondylolysis with early degeneration of the vertebra. 42) A seventy year-old male retired carpenter who has had long term lumbar pain with a previous diagnosis of degenerative joint disease (DJD) of his lumbar facet joints. He complains of numbness, paresthesias and weakness of his bilateral lower extremities which increase with extended positions or walking greater than 100 feet. His pain persists for hours after assuming a resting position. He reports he can ride his stationary bike for 30 minutes without any problems. Primary physical therapy intervention should include: a) A. abdominal and back extension strengthening as the result of spondylolysis. b) B. increasing cardiovascular endurance as the result of degenerative arthritis. c) C. stretching and limiting extended spinal positions as the result of spinal stenosis. d) D. traction and limitation of weight bearing positions as the result of discal dysfunction. 43) Which of the following is the most frequent location for a myocardial infarction to occur? a) A. Left atrium b) B. Left ventricle c) C. Right atrium d) D. Right ventricle 44) Normal End-Feel: MCP Extension a) A. Soft b) B. Firm c) C. Hard d) D. Spring Block 45) Long bones except: a) A. Femur b) B. Tibia c) C. Ribs d) D. Humerus 46) Most commonly dislocated carpal bone a) A. Scaphoid b) B. Lunate c) C. Trapezoid d) D. Pisiform 47) Stem cells that have developed to the stage where they are committed to forming a particular type of new bone cell. a) A. Osteoprogenitor Cells b) B. Osteoblast c) C. Osteoclast d) D. Osteocyte 48) Paget’s Disease is characterized by an abnormally increased activity of a) A. Collagen b) B. Osteoblast c) C. Osteoclast d) D. Osteocyte 49) The sympathetic nervous system is activated in all of the following, EXCEPT: a) A. Exercise b) B. Emergency c) C. Excitement d) D. Energy Conservation 50) Sesamoid bone a) A. Navicular b) B. Hamate c) C. Lunate d) D. Pisiform

APK Practice Test 2

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