Therapeutic Exercise Exam study test
questions and answers
Indications for surgery for MSK disorders of the extremities and spine include: - ANS
Incapacitating pain at rest or with functional activities
marked limitation with active or passive motion
gross instability of a joint or bony segments
joint deformity or abnormal joint alignment
significant structural degeneration
failed conservative or previous surgical management
What is a benefit of preoperative contact with a patient? - ANS exam & eval of a patient's
pre-op impairments and functional status to establish a baseline for documenting post-op
improvement
Tests and measures are components of both the initial pre-op exam & eval and the subsequent
post-op eval during rehab. Name some of these: - ANS Pain, ROM & Joint Integrity, Integrity
of the skin, Muscle performance, Posture, Gait analysis, Functional status
Muscle setting, deep breathing, coughing, and active ankle pumping exercises are examples of
which component of preoperative pt education? - ANS initial postoperative exercises
The integrity of an incision across a joint should be noted during and after exercise. - ANS
TRUE
During the maximum protection phase, which interventions are used to decreasing post-op pain,
muscle guarding or spasm? - ANS relaxation exercises, TENS, cold or heat, CPM
There are 9 plans of care for the maximum protection phase. Name a few: - ANS Maintain
motion and strength in areas above and below the operative site
Maintain functional mobility while protecting operative site
Prevent pulmonary complications and joint stiffness / soft tissue contractures
Your patient is in the moderate protection / controlled motion phase of his post-op rehab. Your
plan of care is to establish a mobile scar. Which of the following will you use to do this? - ANS
gentle massage across and around the maturing scar
Your patient is in the moderate protection / controlled motion phase of her post-op rehab. Your
plan of care is to strengthen the involved muscles and improve joint stability. Which of the
following is the appropriate intervention for your patient's phase? - ANS use of modalities
such as TENS, hot packs, and ice
,self stretching techniques
cleaning and dressing the incision
gentle massage across and around the maturing scar
Avoid vigorous / high intensity stretching or resistance exercises with soft tissues that have been
repaired or reattached for at least _(how long)_ to ensure adequate healing and stability -
ANS 6 weeks
Deep breathing exercises initiated on the day of surgery and early standing and ambulation may
reduce the risk of which of the following potential post-op complications? - ANS pneumonia,
atelactasis
If a joint capsule has been incised during surgery, as is the case for total joint replacements or
labrum repairs, there is an increased risk for what potential post-op complications? - ANS
dislocation
Proper use of supportive devices, such as crutches or a walker, to control WB during ambulation
can reduce the risk of which of the following post-op complications? - ANS Failure,
displacement, or loosening of internal fixation device
During the early stages of a DVT, only 25% to 50% of cases can be identified by clinical
manifestations such as: - ANS dull aching or severe pain, swelling, heat and redness of the
skin
Sudden onset of SOB, rapid and shallow breathing, and chest pain located at the lateral aspect
of the chest that intensifies with deep breathing and coughing are hallmark signs of what
post-op complication? - ANS pulmonary embolism
You suspect your pt has acquired DVT and thrombophlebitis. According to box 12.8, your plan
of care is to relieve pain during the acute inflammatory period. Which intervention sets will you
use to do this? - ANS bed rest, pharm management, elevation of affected lower extremity,
keeping the knee slightly flexed
You suspect your pt has acquired DVT and thrombophlebitis. According to box 12.8, your plan
of care is to: Prevent recurrence of the acute disorder. Which of the following intervention sets
will you use to do this? - ANS continuation of appropriate medical and pharmacological
management and use of strategies to prevent DVT.
All of the following are CONTRAINDICATED for patients with DVT and thrombophlebitis: -
ANS use of a sequential pneumatic compression pump
passive or active motion
application of moist heat
Table 12.1 pp361
, Tenorrhaphy, tendon repair, meniscus or ligament repair, articular cartilage repair are all
examples of what type of MSK surgery? - ANS repair
Table 12.1 pp361
Myotomy, tenotomy, fasciotomy, capsulotomy, tenolysis, muscle-tendon lengthening, retinacular
release, and arthroscopic subacromial decompression are all examples of which MSK surgery?
- ANS release or decompression
Table 12.1 pp361
Synovectomy, meniscectomy, capsulectomy, debridement and lavage, laminectomy, and
excision of soft tissue or boney neoplasms are all examples of which type of MSK surgery? -
ANS resection or removal
Examples of surgical realignment or stabilization procedures for the MSK system include: -
ANS tenodesis
capsulorrhaphy
extensor mechanism realignment
tendon transfer
Table 12.1 pp361
MSK surgeries to reconstruct or replace a structure include: - ANS capsulolabral and
ligamentous reconstruction
chondroplasty, tenoplasty, arthroplasty
Table 12.1 pp361
Arthrodesis and ORIFs (open reduction with internal fixation) are examples of which type of
MSK surgery? - ANS fusion or fixation for boney union
pp362
Your pt underwent a surgery which took a graft from his own patellar tendon in order to
reconstruct his torn ACL. Which type of graft did he have? - ANS autograft
pp362 What type of graft is used when an autograft in a previous surgery has failed or when an
appropriate autograft is unavailable? This type of graft uses fresh or cryopreserved tissue that
comes from a cadaver or some source other than the pt. - ANS allograft
What type of grafts have had a high rate of failure and have also been associated with chronic
synovitis of the knee? - ANS synthetic grafts
pp362 All of the following are components of post-op management for a muscle repair, except
one, which is a CONTRAINDICATION. Select the contraindication. - ANS low load, high
repetition resistance exercises progressed very gradually to protect the healing muscle
WB partially restricted until strength and flexibility of the repaired muscle are returned to
functional level
questions and answers
Indications for surgery for MSK disorders of the extremities and spine include: - ANS
Incapacitating pain at rest or with functional activities
marked limitation with active or passive motion
gross instability of a joint or bony segments
joint deformity or abnormal joint alignment
significant structural degeneration
failed conservative or previous surgical management
What is a benefit of preoperative contact with a patient? - ANS exam & eval of a patient's
pre-op impairments and functional status to establish a baseline for documenting post-op
improvement
Tests and measures are components of both the initial pre-op exam & eval and the subsequent
post-op eval during rehab. Name some of these: - ANS Pain, ROM & Joint Integrity, Integrity
of the skin, Muscle performance, Posture, Gait analysis, Functional status
Muscle setting, deep breathing, coughing, and active ankle pumping exercises are examples of
which component of preoperative pt education? - ANS initial postoperative exercises
The integrity of an incision across a joint should be noted during and after exercise. - ANS
TRUE
During the maximum protection phase, which interventions are used to decreasing post-op pain,
muscle guarding or spasm? - ANS relaxation exercises, TENS, cold or heat, CPM
There are 9 plans of care for the maximum protection phase. Name a few: - ANS Maintain
motion and strength in areas above and below the operative site
Maintain functional mobility while protecting operative site
Prevent pulmonary complications and joint stiffness / soft tissue contractures
Your patient is in the moderate protection / controlled motion phase of his post-op rehab. Your
plan of care is to establish a mobile scar. Which of the following will you use to do this? - ANS
gentle massage across and around the maturing scar
Your patient is in the moderate protection / controlled motion phase of her post-op rehab. Your
plan of care is to strengthen the involved muscles and improve joint stability. Which of the
following is the appropriate intervention for your patient's phase? - ANS use of modalities
such as TENS, hot packs, and ice
,self stretching techniques
cleaning and dressing the incision
gentle massage across and around the maturing scar
Avoid vigorous / high intensity stretching or resistance exercises with soft tissues that have been
repaired or reattached for at least _(how long)_ to ensure adequate healing and stability -
ANS 6 weeks
Deep breathing exercises initiated on the day of surgery and early standing and ambulation may
reduce the risk of which of the following potential post-op complications? - ANS pneumonia,
atelactasis
If a joint capsule has been incised during surgery, as is the case for total joint replacements or
labrum repairs, there is an increased risk for what potential post-op complications? - ANS
dislocation
Proper use of supportive devices, such as crutches or a walker, to control WB during ambulation
can reduce the risk of which of the following post-op complications? - ANS Failure,
displacement, or loosening of internal fixation device
During the early stages of a DVT, only 25% to 50% of cases can be identified by clinical
manifestations such as: - ANS dull aching or severe pain, swelling, heat and redness of the
skin
Sudden onset of SOB, rapid and shallow breathing, and chest pain located at the lateral aspect
of the chest that intensifies with deep breathing and coughing are hallmark signs of what
post-op complication? - ANS pulmonary embolism
You suspect your pt has acquired DVT and thrombophlebitis. According to box 12.8, your plan
of care is to relieve pain during the acute inflammatory period. Which intervention sets will you
use to do this? - ANS bed rest, pharm management, elevation of affected lower extremity,
keeping the knee slightly flexed
You suspect your pt has acquired DVT and thrombophlebitis. According to box 12.8, your plan
of care is to: Prevent recurrence of the acute disorder. Which of the following intervention sets
will you use to do this? - ANS continuation of appropriate medical and pharmacological
management and use of strategies to prevent DVT.
All of the following are CONTRAINDICATED for patients with DVT and thrombophlebitis: -
ANS use of a sequential pneumatic compression pump
passive or active motion
application of moist heat
Table 12.1 pp361
, Tenorrhaphy, tendon repair, meniscus or ligament repair, articular cartilage repair are all
examples of what type of MSK surgery? - ANS repair
Table 12.1 pp361
Myotomy, tenotomy, fasciotomy, capsulotomy, tenolysis, muscle-tendon lengthening, retinacular
release, and arthroscopic subacromial decompression are all examples of which MSK surgery?
- ANS release or decompression
Table 12.1 pp361
Synovectomy, meniscectomy, capsulectomy, debridement and lavage, laminectomy, and
excision of soft tissue or boney neoplasms are all examples of which type of MSK surgery? -
ANS resection or removal
Examples of surgical realignment or stabilization procedures for the MSK system include: -
ANS tenodesis
capsulorrhaphy
extensor mechanism realignment
tendon transfer
Table 12.1 pp361
MSK surgeries to reconstruct or replace a structure include: - ANS capsulolabral and
ligamentous reconstruction
chondroplasty, tenoplasty, arthroplasty
Table 12.1 pp361
Arthrodesis and ORIFs (open reduction with internal fixation) are examples of which type of
MSK surgery? - ANS fusion or fixation for boney union
pp362
Your pt underwent a surgery which took a graft from his own patellar tendon in order to
reconstruct his torn ACL. Which type of graft did he have? - ANS autograft
pp362 What type of graft is used when an autograft in a previous surgery has failed or when an
appropriate autograft is unavailable? This type of graft uses fresh or cryopreserved tissue that
comes from a cadaver or some source other than the pt. - ANS allograft
What type of grafts have had a high rate of failure and have also been associated with chronic
synovitis of the knee? - ANS synthetic grafts
pp362 All of the following are components of post-op management for a muscle repair, except
one, which is a CONTRAINDICATION. Select the contraindication. - ANS low load, high
repetition resistance exercises progressed very gradually to protect the healing muscle
WB partially restricted until strength and flexibility of the repaired muscle are returned to
functional level
