Ortho II Exam
Ortho II Exam: Nerve Mobilization Quiz
Welcome to the Ortho II Exam quiz designed to test your knowledge on nerve mobilization techniques, spinal injuries, and related treatment methodologies. This quiz consists of 32 multiple-choice questions that cover a wide range of topics within orthopedic rehabilitation.
Test your skills and understanding of:
- Nerve mobilization techniques
- Physiological mechanisms
- Surgical procedures for spinal issues
- Psychosocial factors affecting pain and rehabilitation
All of the following would be considered an indication for nerve mobilization except:
Chronic Radiculopathy
Acute Radiculopathy
Adherent Nerve Root
Severe Trauma
You have a patient with a T4 spinal Cord Injury that is complaining of nerve pain and has told you he has been reading up on nerve mobilization techniques. Which of the following is the best treatment plan?
Perform SLUMP test with active neck flexion and shoulder slouching while performing passive knee extension
Ask pt to lie on their stomach and perform a PKB
Perform nerve mobilization techniques at level of pain onset
None of the above. SCI is a contraindication to nerve mobs.
Which of the following are considered to be physiological mechanisms of Nerve Mobilizations?
Decrease intra-neural edema, increase neural vascularity
Decrease intra-neural edema, increase nerve excursion
Increase neural vascularity, increase nerve excursion
Increase nerve excursion, restore movement in neural tissues
When performing a SLR with the addition of Ankle PF and Inversion, you are biasing which nerve?
Tibial
Sciatic
Common Peroneal
Sural
The person in this video is performing…
Median n tensioner
Median n flosser
Ulnar nerve slider
Radial Nerve Tensioner
The goal of a slider nerve mobilization is to
Help glide the nerve in relation to surrounding tissues
Improve viscoelastic properties of the nerve
Elongate the nerve at both ends
Shorten the nerve at both ends
You who is experiencing subacute radiculopathy down the LE. You believe that the sciatic nerve is involved. When determining your treatment location, which one is matched correctly?
Distal - Hip
Proximal - Hip
Proximal - Ankle
None of the above. Subacute radiculopathy is a contraindication to nerve mobilization.
Golgi Tendon Organs are…
Embedded in extrafusal fibers, innvervated by alpha motor neurons, and detect muscle stretch
Embedded in intrafusal fibers, innervated by gamma/beta motor neurons, detect muscle stretch
Embedded in intrafusal fibers, innervated by alpha motor neurons, and detect tension
Embedded in extrafusal fibers, innervated by alpha motor neurons, and detect tension
When providing a thrust manipulation, you are performing a
High velocity, high amplitude movement
Low velocity, low amplitude movement
High velocity, low amplitude movement
Low velocity, high amplitude movement
This type of movement cannot be voluntarily performed
Concentric Contraction
Physiological Motion
Accessory Motion
Chewing Motion
These people were considered to be healing in England during the 19th century
Skull-crushers”
Spine-setters”
Bone-Setters”
Dr. Andrew Opett”
This law states that adjusting spinal subluxations help restore nerve flow and facilitate the body’s ability to heal
The Law of Nerve
The Law of Artery
The Law of Andrew Still
The Law of Daniel Palmer
Each of the following states restrict PT’s ability to perform manipulation except:
Washington
Arkansas
Kentucky
Indiana
Which of the following is true in regards of thrust/non-thrust manipulation
Both methods involve HVLA movements
Strong evidence supports their use in addition to exercise
Strong evidence supports their use alone
Moderate evidence supports their use with exercise
Who believed that the correct diagnosis was essential to ensure effective treatment?
James Cyriax
Freddy Kaltenborn
John Mennell
Geoffrey Maitland
Which of the following statement is true?
Joint traction techniques are applied parallel to the treatment plane
Joint Traction techniques are applied perpendicular to the treatment plane
Joint glides are applied perpendicular to the treatment plane
Joint glides are not applied, they happen as a result of traction forces.
Which of the following mobilization grades is incorrectly matched?
Grade I: Small amplitude at beginning of range
Grade II: Large amplitude within range
Grade III: Small amplitude at end range
Grade IV: Small amplitude at end range
Which graded mobilizations help to reduce pain?
Grades I and III
Grades II and III
Grades III and IV
Grades I and II
Based on evidence, which statement is true?
Joint mobilizations should be done at the end of each treatment session and combined with a HEP.
Joint mobilization interventions should be done in isolate to determine if they are truly effective
Joint mobilizations should be part of a multi-modal treatment plan
When combined with exercise, favorable outcomes decrease
The most common psychosocial factors seen in clinical practice include…
Fear avoidance and work disability
Fear avoidance, work disability, and catastrophizing
Home life and catastrophizing
Fear avoidance, work disability, and home life
You have a new patient that comes in with significant LBP. The pt tells you that nothing makes their symptoms better, they have been to multiple doctors and nobody has been able to help them, and you are their last resort. Which type of intervention approach are you most likely to use?
Strict HEP
Pathoatomic model in addition to graded exercise program
Cognitive Behavior Interventions
Postural pt education
What is the most common maladaptive response for musculoskeletal pain?
Depression
Learned helplessness
Decreased physical activity
Decreased sleep
Which of the following is defined by difficulty falling asleep, maintaining sleep, or waking up too early at least 3 nights per week over a period of 3 months?
Insomnia
Sleep Apnea
Narcolepsy
Restless Leg Syndrome
CBI and PT are superior to PT alone for all of the following except…
Pain
Quality of Life
Depression
Disability
Which of the following is the strongest predictor of disability?
Catastrophizing
Fear Avoidance
Poor Self Efficacy
Decreased Cognitive ability
All of the following are goals to spinal surgies except
Decompress a nerve root or the spinal cord
Stabilize an unstable segment
Reduce or correct a deformity
Reconstruct the vertebral column
This surgical procedure is more effective at relieving radicular vs axial pain
Microdiscectomy
Lumbar Laminectomy
Spinal Fusion
ACDF
Which of the following MOSTLY affects/alters the mechanics of the spine and can lead to instability?
HNP
Lamina removal
Facet joint disruption
Muscle stripping
The strengthening phase following an Anterior Cervical Discectomy and Fusion occurs…
0-6 weeks post op
4-8 months post op
6-12 weeks post op
8-10 months post op
This surgical approach has decreased in popularity due to an increase of adverse effects
ACDF
Lumbar Laminectomy
Kyphoplasty
Closed decompression
Which of the following is true in regards to spinal fusion trends?
Both spinal fusions and general spinal surgeries are increasing
Although overall spinal surgeries are decreasing, spinal fusion surgeries are increasing
Although spinal fusion surgeries are decreasing, the amount of overall spinal surgeries are increasing
Idk, and idc.
This procedure results in partial removal of the lamina
Laminectomy
Laminotomy
Partial Laminalomy
Closed Decompression
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