MSK I Exam 1 and Practical 1 with
Complete Solutions
((# of reps/30) +1) x weight used - ANSWER-What is the formula for 1 RM?
> or = 80% of 1 RM - ANSWER-According to Kisner, what is the training zone for highly
trained patients?
0 - ANSWER-Normal ROM for DIP finger extension
0 - ANSWER-Normal ROM for elbow extension
0 - ANSWER-Normal ROM for MCP extension of thumb
0 degrees - ANSWER-What is the normal ROM for PIP finger extension?
1-2 minutes - ANSWER-What is the ACSMs recommendation for rest intervals following
assistance exercise?
1. 8-12 reps/set
2. 2-3 sets
3. 50-60% of 1 RM w/ 2-3 minutes rest between sets
4. 2-3x/week, then 4-5x/week - ANSWER-What are the parameters for resistance
exercise? (4)
1. Acute tissue inflammation
2. Paralysis
3. Bed rest
4. Coma - ANSWER-Indications for PROM (4)
1. Addson's maneuver
2. Roo's test
3. Allen's test (modified) - ANSWER-What are the special tests to rule in/out TOS?
1. Alignment
2. Stabilization
3. Duration
4. Frequency
5. Mode - ANSWER-What are the elements of a good stretch? (5)
1. Allen's test (modified) - ANSWER-What are the special tests to assess wrist/ hand
circulation?
1. Anterior-lateral pain
,2. Pain with flexion and lifting ADLs
3. Symptoms worse with repetitive activities - ANSWER-What are the most common
symptoms of Bicipital Tendinitis? (3)
1. APL
2. EPB - ANSWER-What muscles may be weak with de Quervain's tenosynovitis? (2)
1. Appropriate healing status
2. Strength deficits
3. Aerobic conditioning deficits
4. Joints above and below immobilized joints - ANSWER-Indications for AAROM and
AROM (4)
1. Biceps Load II
2. Anterior slide test
3. Compression-Rotation test
4. Crank Test
5. Posterior endurance test
6 Obrien test* - ANSWER-What special tests are used to rule in/ out SLAP pathology?
1. Bony block limiting motion
2. Recent or unhealed fracture
3. Acute inflammation or inflammation of soft tissues
4. if short tissues provide necessary joint stability to complete functional tasks
5. Hypermobility already exists - ANSWER-What are the contraindications for
stretching? (5)
1. Bunnel-Littler test*
2. Tight retinacular ligament test* - ANSWER-Finger mobility special tests
1. Cozen's test
2. Mill's test
3. Grip strength - ANSWER-What are the special tests for lateral epicondylalgia?
1. DASH
2. ASES
3. SPADI - ANSWER-What outcome measures should be used to assess adhesive
capsulitis? (3)
1. Don't force joint past normal ROM
2. Extra caution applied to pt with OA, prolonged bed rest, or prolonged steroid use
3. Avoid increased intensity and short duration after immobilization
4. If pt sore after >24 hours after stretch, too much force was used
5. Avoid during acute phase of healing/ edema
6. Don't overstretch weak anti-gravity muscles - ANSWER-What are the precautions for
stretching? (6)
, 1. Dynamic exercises
2. Stretch - ANSWER-A warm up should begin with what two things?
1. Elbow flexion test
2. Tinel - ANSWER-What are the special tests for Cubital Tunnel Syndrome?
1. ER and ABD limited
2. Pain at end range - ANSWER-What would you expect to find upon examination of
someone with Adhesive Capsulitis? (2)
1. Extensor Carpi Radialis Brevis
2. Extensor Carpi Radialis Longus - ANSWER-What muscles would be weak and
painful in a patient with tennis elbow? (2)
1. Finkelsteins test
2. Wrist hyperabduction & abduction of the thumb test (WHAT)* - ANSWER-What are
the special tests for de Quervain's tenosynovitis?
1. Flexion limited more than extension
2. Pain at end ranges
3. Limited HU joint accessory motions - ANSWER-What would you expect to see upon
examination in a patient with Ulnohumeral Capsulitis? (3)
1. Form of exercise
2. Type of muscle contractions (isometric, isotonic, isokinetic, dynamic)
3. Open or Closed chain
4. WB or NWB - ANSWER-Mode encompasses these 4 variables
1. Have pt concentrically contract the muscle OPPOSITE to the muscle being stretched
2. Have pt hold this position for several seconds
3. Brief rest and repeat several times - ANSWER-Steps for Agonist-Contraction
stretching technique (3)
1. Hypermobility
2. Joint effusion*
3. Inflammation*
*gentile oscillating is OK if the patient is "pain dominant" - ANSWER-What are the
contraindications to joint mobilization? (3)
1. IR lag sign
2. Drop arm test
3. Hornblower's sign
4. ER lag sign - ANSWER-What special tests are used to rule in/ out RC pathology?
1. Isolate muscle groups
Complete Solutions
((# of reps/30) +1) x weight used - ANSWER-What is the formula for 1 RM?
> or = 80% of 1 RM - ANSWER-According to Kisner, what is the training zone for highly
trained patients?
0 - ANSWER-Normal ROM for DIP finger extension
0 - ANSWER-Normal ROM for elbow extension
0 - ANSWER-Normal ROM for MCP extension of thumb
0 degrees - ANSWER-What is the normal ROM for PIP finger extension?
1-2 minutes - ANSWER-What is the ACSMs recommendation for rest intervals following
assistance exercise?
1. 8-12 reps/set
2. 2-3 sets
3. 50-60% of 1 RM w/ 2-3 minutes rest between sets
4. 2-3x/week, then 4-5x/week - ANSWER-What are the parameters for resistance
exercise? (4)
1. Acute tissue inflammation
2. Paralysis
3. Bed rest
4. Coma - ANSWER-Indications for PROM (4)
1. Addson's maneuver
2. Roo's test
3. Allen's test (modified) - ANSWER-What are the special tests to rule in/out TOS?
1. Alignment
2. Stabilization
3. Duration
4. Frequency
5. Mode - ANSWER-What are the elements of a good stretch? (5)
1. Allen's test (modified) - ANSWER-What are the special tests to assess wrist/ hand
circulation?
1. Anterior-lateral pain
,2. Pain with flexion and lifting ADLs
3. Symptoms worse with repetitive activities - ANSWER-What are the most common
symptoms of Bicipital Tendinitis? (3)
1. APL
2. EPB - ANSWER-What muscles may be weak with de Quervain's tenosynovitis? (2)
1. Appropriate healing status
2. Strength deficits
3. Aerobic conditioning deficits
4. Joints above and below immobilized joints - ANSWER-Indications for AAROM and
AROM (4)
1. Biceps Load II
2. Anterior slide test
3. Compression-Rotation test
4. Crank Test
5. Posterior endurance test
6 Obrien test* - ANSWER-What special tests are used to rule in/ out SLAP pathology?
1. Bony block limiting motion
2. Recent or unhealed fracture
3. Acute inflammation or inflammation of soft tissues
4. if short tissues provide necessary joint stability to complete functional tasks
5. Hypermobility already exists - ANSWER-What are the contraindications for
stretching? (5)
1. Bunnel-Littler test*
2. Tight retinacular ligament test* - ANSWER-Finger mobility special tests
1. Cozen's test
2. Mill's test
3. Grip strength - ANSWER-What are the special tests for lateral epicondylalgia?
1. DASH
2. ASES
3. SPADI - ANSWER-What outcome measures should be used to assess adhesive
capsulitis? (3)
1. Don't force joint past normal ROM
2. Extra caution applied to pt with OA, prolonged bed rest, or prolonged steroid use
3. Avoid increased intensity and short duration after immobilization
4. If pt sore after >24 hours after stretch, too much force was used
5. Avoid during acute phase of healing/ edema
6. Don't overstretch weak anti-gravity muscles - ANSWER-What are the precautions for
stretching? (6)
, 1. Dynamic exercises
2. Stretch - ANSWER-A warm up should begin with what two things?
1. Elbow flexion test
2. Tinel - ANSWER-What are the special tests for Cubital Tunnel Syndrome?
1. ER and ABD limited
2. Pain at end range - ANSWER-What would you expect to find upon examination of
someone with Adhesive Capsulitis? (2)
1. Extensor Carpi Radialis Brevis
2. Extensor Carpi Radialis Longus - ANSWER-What muscles would be weak and
painful in a patient with tennis elbow? (2)
1. Finkelsteins test
2. Wrist hyperabduction & abduction of the thumb test (WHAT)* - ANSWER-What are
the special tests for de Quervain's tenosynovitis?
1. Flexion limited more than extension
2. Pain at end ranges
3. Limited HU joint accessory motions - ANSWER-What would you expect to see upon
examination in a patient with Ulnohumeral Capsulitis? (3)
1. Form of exercise
2. Type of muscle contractions (isometric, isotonic, isokinetic, dynamic)
3. Open or Closed chain
4. WB or NWB - ANSWER-Mode encompasses these 4 variables
1. Have pt concentrically contract the muscle OPPOSITE to the muscle being stretched
2. Have pt hold this position for several seconds
3. Brief rest and repeat several times - ANSWER-Steps for Agonist-Contraction
stretching technique (3)
1. Hypermobility
2. Joint effusion*
3. Inflammation*
*gentile oscillating is OK if the patient is "pain dominant" - ANSWER-What are the
contraindications to joint mobilization? (3)
1. IR lag sign
2. Drop arm test
3. Hornblower's sign
4. ER lag sign - ANSWER-What special tests are used to rule in/ out RC pathology?
1. Isolate muscle groups