Physical medicine Quiz
Physical Medicine Mastery Quiz
Test your knowledge on the intricate systems of physical medicine with our comprehensive quiz! Covering various energetic systems, cardiovascular responses, and classification systems, this quiz is designed for anyone interested in enhancing their understanding of physical medicine.
- 106 thought-provoking questions
- Multiple-choice format for easy participation
- Perfect for students, educators, and health enthusiasts
The ATP–creatine phosphate energetic system:
Is aerobic energetic system
Is anaerobic energetic system
Provides energy for prolonged low intensity activities
Provides energy from carbohydrates
The ATP–creatine phosphate energetic system:
Lasts for about 30 seconds
Is aerobic energetic system
Provides energy for prolonged moderate intensity activities
Provides energy from free fatty acids
The ATP–creatine phosphate energetic system:
Provides energy for prolonged moderate intensity activities
Provides energy for activities such as sprinting and weightlifting.
Lasts for about 60 seconds
Provides energy from amino acids
Lactic acid system:
Is aerobic energetic system
Is anaerobic energetic system
Provides energy from free fatty acids
Lasts for about 30 seconds
Lactic acid system:
Is aerobic energetic system
Provides energy for high intensity activities during first 2 minutes
Provides energy from amino acids
Lasts for about 30 minute
Lactic acid system:
Provides energy from amino acids
Provides energy from free fatty acids
Provides energy from carbohydrates
Lasts for about 30 minute
Lactic acid system:
Is the first step for aerobic metabolism of carbohydrates
In end of cycle provides ATP, CO2 and H2O
Provides energy for low intensity prolonged activities
Is anearobic energetic system
Lactic acid system:
Provides energy from liver and muscle glycogen
Lasts for about 30 seconds
Provides energy with glycogen and needs O2
Provides energy with lactic acid system during Cory cycle
Aerobic oxidation system:
Provides energy without O2
For ATP production combines two metabolic processes: the krebs cycle and Cory cycle
For ATP production combines two metabolic processes: the krebs cycle and electron transport chain
For ATP production combines two metabolic processes: Cory cycle and electron transport chain
Aerobic oxidation system:
Resides in mitochondria
Resides in cytoplasm
Provides energy with PCr and ATP
Provides energy for only high intensity activities during 25-30 seconds
Aerobic oxidation system:
Resides in cytoplasm
Provides energy with PCr and ATP
Provides energy for only high intensity activities during 25-30 seconds
Provides energy with carbohydrates, fat and amino acids.
Maximal oxygen consumption:
Is a measurement of the power of aerobic energetic system
It is generally regarded as the best indicator of anaerobic fitness
Is a measurement of the power of lactic acid energetic system
Is a measurement of the power of anerobic energetic systems
Choose a correct answer:
The longer the activity and the lower the intensity, the greater the contribution of aerobic energy production
The shorter and more intense the activity, the greater the contribution of aerobic energy production
During prolonged exercise of low to moderate intensity body uses energy from anaerobic glycolysis
The longer the activity and the lower the intensity, the greater the contribution of aneerobic energy production
Choose a correct answer:
In general, carbohydrates are used as the primary fuel at the onset of exercise and during high-intensity work.
During prolonged exercise of low to moderate intensity body uses energy from anaerobic glycolysis
The longer the activity and the lower the intensity, the greater the contribution of aneerobic energy production
The shorter and more intense the activity, the greater the contribution of aerobic energy production
Choose a correct answer:
The longer the activity and the lower the intensity, the greater the contribution of aneerobic energy production
During prolonged exercise of low to moderate intensity a gradual shift from carbohydrate toward an increasing reliance on fat as a substrate occurs.
During prolonged exercise of low to moderate intensity body uses energy from anaerobic glycolysis
The shorter and more intense the activity, the greater the contribution of aerobic energy production
In normal condition, during increasing of exercise intensity:
Systolic blood pressure can increases at about 190-220 mm/hg
Diastolic blood pressure increase at about 200 mm/hg
Heart rate decreases
Oxygen uptake decreases
In normal condition, during increasing of exercise intensity:
Diastolic blood pressure increases only about 10-15 mm/hg from resting level
Diastolic blood pressure increase at about 200 mm/hg
Heart rate decreases
Oxygen uptake decreases
In normal condition, during increasing of exercise intensity:
Oxygen uptake decreases
Heart rate increases
Diastolic blood pressure increase at about 200 mm/hg
Maximal heart rate increases
In normal condition, during increasing of exercise intensity:
HR during maximal exercise is not depending on the person’s age and training state.
HR increases in a linear fashion with the work rate and oxygen uptake during exercise
The magnitude of HR response is not related to environmental factors such as temperature and humidity.
With the onset of dynamic exercise, HR decreases in proportion to the relative workload.
In normal condition, during increasing of exercise intensity:
With the onset of dynamic exercise, HR increases in proportion to the relative workload.
HR decreases in a linear fashion with the work rate and oxygen uptake during exercise
The magnitude of HR response is not related to environmental factors such as temperature and humidity.
HR during maximal exercise is not depending on the person’s age and training state.
The maximal HR (HRmax)
Can be estimated in individuals after cardiac surgery by using the following formula: HRmax = 220 – age.
Can be estimated in healthy men and women by using the following formula: HRmax = 220 – age.
Stroke volume
It is calculated by the following formula: Q (L/min) = HR (beats/min) × SV (mL/beat).
SV is equal to the difference between enddiastolic volume and endsystolic volume.
Choose an incorrect answer.
DBP should be greater than 150 mm Hg.
SBP increases linearly with increasing work intensity, at 8 to 12 mm Hg per metabolic equivalent (MET)
Pulmonary ventilation ( V e)
During vigorous activity ( V e) increases primarily by increasing tidal volume
Is the volume of air exchanged per minute
Pulmonary ventilation ( V e)
During mild to moderate exercise, Ve increases by increasing the respiratory rate
During mild to moderate exercise( V e) dose not increases.
25.ICF classification
Is a functional classification and contains information about health condition and contextual factors
Contains 3 basic parts for clinical diagnosis:health condition, body functions and body structures.
Is classification what we use for clinical diagnosis
Is not useful nowadays because of stigmatizing ideas.
25.ICF classification
Contextual factors contains information about external environment area and patients personal information
Contextual factors must not be evaluated because we can not modify them
Contextual factors contains information about patients difficulties in IDL
Contextual factors are information about personal care and physical abilities.
Health condition part in ICF classification
Contains information about participation *
Contains information about age, gender and profession
Contains information about devices what are useful during every day activities
Contains information about patients home and workplace.
Part of activity in ICF classification
Contains questions about assistive devices
Contains information about ADL and I-ADL*
Contains information about muscle strength
Part of body function and structure in ICF classification
Contains information about muscle strength, pain and ROM*
Is evaluated by wee-FEEM questionary
Contains information about ADL and I-ADL
Contains questions about assistive devices
Part of body function and structure in ICF classification
Contains information about patients age, gender and profession
Contains information about anatomical structures*
Contains questions about feeding and eating
Is evaluated by FEEM questionary
ICF classification
Is useful only for classification of disabled people
Uses an alphanumeric system to classify and categorize the levels of functioning and disability
Is not classification of “people’s health characteristics within the context of their individual life situations and environmental impacts, it is a classification of people
The rehab team
May include medical and nonmedical professionals
Have a Discussion about person's plan of care
Have a discussion about discharge plane and length of stay
All answers are correct
Which tests are not useful for evaluation of patients cognition
MMSE test
MOCA test
Mini Cog test
FEEM
Which tests are useful for evaluation of cognitive abilities
MOCA test
Lawton I-ADL
Wee-FEEM
FEEM
Choose correct answer:
Type 1 muscle fibers are slower peak tension and relaxation
Type 1 muscle fibers are used for high-intensity, short-duration activities.
Choose correct answer:
Type II muscle fibers are slower peak tension and relaxation
Type II muscle fibers are used for high-intensity, short-duration activities.
During isotonic exercises
Muscle force generated with visible joint movement and variable speed
Muscle force generated with visible joint movement and constant speed
During isometric exercises
Muscle force generated with no visible joint movement
Muscle force generated with visible joint movement and constant speed
During isokinetic exercises
Muscle force generated with visible joint movement and constant speed
Muscle force generated with no visible joint movement.
During isotonic exercises
Muscle force generated with variable external resistance
Muscle force generated with visible joint movement and variable speed.
Open kinetic chain exercises
Are typically nonweight-bearing
Include leg presses, squats, and push-ups.
Are initially better tolerated because they cause fewer shear forces and provide joint stabilization through muscle co-contractions
During this type pf exercises the distal segment of a joint meets a fixed source of resistance such as the ground
Choose incorrect answer: closed kinetic chain exercises
Are typically nonweight-bearing
During this type pf exercises the distal segment of a joint meets a fixed source of resistance such as the ground
During this type pf exercises the distal segment of a joint meets a fixed source of resistance such as the ground
Aerobic exercises
High-resistance, short-duration exercises at 80% to 100% of maximum exertion capacity.
Combination of cardiopulmonary endurance exercise with strengthening. *
Anaerobic exercises
Combination of cardiopulmonary endurance exercise with strengthening
High-resistance, short-duration exercises at 80% to 100% of maximum exertion capacity
Mobility exercises
Should be done at least three times a week, and should consist of three to five repetitions once or twice a day.
Include running, swimming, walking, and stair climbing
Strengthening exercises
Increase muscle strength
Increase ROM by lengthening tendon and muscle beyond the available range
Stretching exercises
Increase ROM by lengthening tendon and muscle beyond the available range
Include static stretching with contraction of the agonist muscle, and ballistic stretching.
Include static stretching, static stretching with contraction of the antagonist muscle
All answers are correct
What are not the principals of stress testing
Use only quantitative functional tests
Changing the workload by increasing the resistance on the bicycle ergometer
Choose a incorrect answer: Principles of stress testing include:
Maintaining each workload for 1 minute or less
Terminate the test when subject wishes to stop
Whan we can not terminate the stress test?
When diastolic pressure in response to an increasing workload dose not changes more than 10-15 mm/Hg
During excessive rise in blood pressure
What is not absolute contraindications of stress testing
Acute myocardial infarction (3-5days)
Orthopedic impairments that prevents walking
Unstably angina within the previous 4 weeks
Uncontrolled asthma
Whan we can terminate the stress test?
When diastolic pressure in response to an increasing workload dose not changes more than
When systolic pressure in response to an increasing workload increases slowly
Onset and/or progressive angina
When HR increases in response to an increasing workload
What is not absolute contraindications of stress testing?
Acute pulmonary embolism
Mental impairment leading to instability to cooperate
Room air SpO2 at rest <80%
Electrolyte abnormalities
What is not absolute contraindications of stress testing?
High degree atrioventricular block
Left main coronary stenosis
Electrolyte abnormalities
Syncope
What are the autonomic neural system functional tests?
Orthostatic test
6 min. Walk test
Step test
PWC 170
What are the autonomic neural system functional tests?
W170
Step test
Clino-orthostatic test
PWC 170
Phasis of normal gait cycle are
Dabble stance phase
Swing phase
Single leg stance
Initial support
Phasis of swing phase are not
Pre swing
Initial swing
Mid swing
Terminal swing
Phasis of stance phase are
Pre swing
Initial swing
Mid swing
Terminal swing
types of balance control are not
Feedforward (open loop motor control)
Anticipatory control
Closed loop control
Lateral plane control
Motor strategies for balance control are:
Ancle strategy, hip strategy and stepping strategy
All answers are correct
All answers are false
Weight shift strategy
Static balance tests are:
The Romberg and sharpened Romberg test
The Five-times-sit-to-stand test (5 × STS)
The Functional Reach Test
The Star Excursion Balance Test (SEBT)
Anticipatory Postural Control Tests are
He Romberg and sharpened Romberg test
The Functional Reach Test and the Star Excursion Balance Test (SEBT)
The Five-times-sit-to-stand test (5 × STS)
The Stork Stand Test
Reactive Postural Control Tests are
Pushes and the Pull Test
The Functional Reach Test and the Star Excursion Balance Test (SEBT)
The Romberg and sharpened Romberg test
The Stork Stand Test
Functional Tests for balance assessment are:
Pushes and the Pull Test
The Functional Reach Test and the Star Excursion Balance Test (SEBT)
The Romberg and sharpened Romberg test
Timed Up and Go Test [TUG] and Berg Balance Scale
Functional Tests for balance assessment are:
The Romberg and sharpened Romberg test
The Stork Stand Test
The Romberg and sharpened Romberg test
Four Square Step Test [4SST] and Dynamic Gait Index
Functional Tests for balance assessment are:
Functional Gait Assessment and Balance Evaluation Systems Test (BESTest )
The Romberg and sharpened Romberg test
The Stork Stand Test
The Romberg and sharpened Romberg test
Functional Tests for balance assessment are:
The Romberg and sharpened Romberg test
The Stork Stand Test
The Romberg and sharpened Romberg test
Mini-BEST test, Performance-Oriented Mobility Assessment [POMA], Timed Up and Go Test [TUG]
Performance-Oriented Mobility Assessment [POMA] ,Timed Up and Go Test [TUG] , Berg Balance Scale, Four Square Step Test [4SST] are
Functional Tests for balance assessment
Reactive Postural Control Tests
Static balance tests
Choose an incorrect answer:Therapeutic application of cold will result in
Will result in increased blood flow and tissue metabolism
Will result in reduced blood flow and tissue metabolism
Therapeutic application of cold
Is useful during acute inflammation
S useful during chronic inflammation
Therapeutic application of cold
Decreases pain
Increases pain after exercises and because this we newer use it after physical activities.
Therapeutic application of cold
Is useful before stretches
After exercises
All answers are correct.
Is useful before physical exercises
Therapeutic application of cold
Could be reason of damage skin surfaces in patients with sensory deficits.
Could be reason of bleeding
Could be used before exercises and balance testing
Could be used more than 30 minutes per session.
Primary goals of cold therapy is
Minimize inflammation promote the most expedient and effective healing process because of decreasing of blood flow
Minimize inflammation promote the most expedient and effective healing process because of decreasing muscle contractility
Choose an incorrect answer: Heat therapy
Is useful during acute inflaMmation *
May be delivered through the use of light, sound, and electromagnetic energies
Benefits of heat therapy are not:
Decreasing of neural transmission
Increasing of blood flow and metabolism
Benefits of heat therapy are not:
Photochemical reaction in subcutaneous adipose tissue
Increasing of muscle and soft tissue elasticity
Increasing of blood flow and metabolism
Pain reduction
Benefits of heat therapy are not:
Cavitation
Increasing of muscle and soft tissue elasticity
Increasing of blood flow and metabolism
Pain reduction
Benefits of heat therapy are not:
Depolarization of muscle fibers
Increasing of muscle and soft tissue elasticity
Increasing of blood flow and metabolism
Pain reduction
Benefits of heat therapy are not:
Decreasing of energy expenditure
Increasing of muscle and soft tissue elasticity
Increasing of blood flow and metabolism
Pain reduction
Physiological Events of the inflammatory stage are:
Vasoconstriction, Vasodilation, Hemostasis/clot formation
Vasoconstriction, Vasodilation, Closure/contraction, Revascularization
During proliferation stage we need increase processes of
Epithelialization, Collagen production, Closure/contraction, revascularization
Hemostasis/clot formation,Cell-mediated phagocytosis
Assessment of patient's functional mobility is important to:
Determine independence,Determine safety
Predict risks linked to immobility,Need for assistive devices
Identify environmental hindering factors
All of the above
Which of the following is not a contextual factor?
Lost function
Home environment
Which of the following is not a contextual factor?
Impaired structure
Home environment
For the non-pharmacologic pain management in cancer patients which of the following cannot be applied on the site of tumor
Massage
Iontophoresis
Cryotherapy
Biofeedback
For the non-pharmacologic pain management in cancer patients which of the following cannot be applied on the site of tumor?
Iontophoresis
Ultrasound
Cryotherapy
Biofeedback
Which of the following is not used for patients rehabilitation with oncologic pathologies?
Massage therapy
Soft-tissue mobilization
ROM exercises
Meticulous skin care
Which of the following is not used for patients rehabilitation with oncologic pathologies?
Paraffin application
Soft-tissue mobilization
ROM exercises
TENS
Which of the following is not used for patients rehabilitation with oncologic pathologies?
SWD
Soft-tissue mobilization
ROM exercises
CRYO therapy
Which of the following is not used for patients rehabilitation with oncologic pathologies?
Heat therapy
Soft-tissue mobilization
ROM exercises
ICE therapy
Which of the following is not used for patients rehabilitation with oncologic pathologies?
Ultra sound therapy
Soft-tissue mobilization
ROM exercises
ICE therapy
Which of the following is not used for patients rehabilitation with oncologic pathologies?
Laser therapy
Soft-tissue mobilization
ROM exercises
ICE therapy
From the listed below which activities are not ADL
Communication device use
Bowel and bladder management
Transfers from bed to chair
Eating
From the listed below which activities are not ADL
Bowel and bladder management
Financial management
Feeding
Eating
From the listed below which activities are not ADL
Bowel and bladder management
Shopping
Climbing the stairs
Grooming
From the listed below which activities are not ADL
Bowel and bladder management
Cooking
Climbing the stairs
Grooming
Which from the following is not characteristic for a chronic pain?
Pain lasting more than 1 month beyond the course of an acute illness or injury
Patient who has chronic pain does not know how to cope with it and seeks for help
Pain often is associated with depression
Pain recurring at intervals of months or years
All is true about primary hyperalgesia except:
It is widespread hypersensitivity to touch, bright light, noise and mental stressor
Peripheral sensitization of the nociceptors occurs
It is related to the tissue damage
Which from the listed below are characteristic for musculoskeletal pain?
Is aggravated by mechanical stress*
It is associated with a variety of systemic symptoms
It has deep aching or throbbing character
It disturbs sleep
Which from the following is not characteristic for a chronic pain?
Pain is not related to cancer and lasts more than 3 month
Patient who has chronic pain does not know how to cope with it and seeks for help
Pain recurring at intervals of months or years
Pain lasting more than 1 month beyond the course of an acute illness or injury
Which from the following is not characteristic for a chronic pain?
Pain is not related to cancer and lasts more than 3 month
Patient who has chronic pain does not know how to cope with it and seeks for help
Pain recurring at intervals of months or years
Pain lasting more than 1 month beyond the course of an acute illness or injury
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