FMC FINAL EXAM QUESTIONS AND ANSWERS
POLICE - CORRECT ANSWER✅✅✅What new protocol has replaced the RICE?
Guide fibroblasts to lay down new collagen - CORRECT ANSWER✅✅✅What is the goal of Optimal
Loading in the POLICE protocol?
- increase GAG components
- guide fibroblasts to lay down new collagen
- strengthen type III collagen
Partial AROM within tolerance is more beneficial than rest and immobilization - CORRECT
ANSWER✅✅✅Why may the POLICE protocol benefit the patient in the acute phase more than the
standard RICE?
- rest is more important than movement in this phase
- partial AROM within tolerance is more beneficial than rest and immobilization
Subacute - CORRECT ANSWER✅✅✅What phase has the patient progressed to after the following:
demonstrates larger, pain-free ROM and improved tolerance to movement, and the tissues are in the
proliferative phase of healing?
Excessive stress to tissues - CORRECT ANSWER✅✅✅While the patient has an increased pain-free
range, what can still cause damage to the patient's tissues in the subacute phase?
- pain at end-range
- AROM with resistance
- excessive stress to tissues
Progress muscular qualities based on strength - CORRECT ANSWER✅✅✅Which of the following is
not a treatment goal of the subacute phase?
,- modify faulty joint mechanics
- protect collagen as it is being formed
- progress muscular qualities based on strength
- orient new collagen fibers parallel to the line of force they withstand
- prevent scar cross-linking and contractures
Gentle joint mobs, soft tissue mobs, gentle contract-relax - CORRECT ANSWER✅✅✅Which manual
therapy techniques should be used to a patient in the subacute phase of healing?
Chronic - CORRECT ANSWER✅✅✅In which phase of healing is the patient in who is able to perform
large ranges of motion with minimal to no pain remaining at end-range?
Gradual return to full ROM, progress muscular qualities - CORRECT ANSWER✅✅✅What are the
goals of therapy in the chronic phase?
Function - CORRECT ANSWER✅✅✅What should be the focus of therapeutic exercise in the chronic
phase?
MMTs - CORRECT ANSWER✅✅✅What assessment should you decrease in the chronic phase while
increasing functional assessments?
Mobilization - CORRECT ANSWER✅✅✅What is defined as a manual therapy technique comprising of
skilled passive motions applied at varying speeds and amplitudes to joints, muscles, or nerves with
intent to restore optimal motion, function, and/or reduce pain?
Manipulation - CORRECT ANSWER✅✅✅What is defined as a passive, high-velocity, low amplitude
thrust applied to a joint complex within its anatomical limit with the intent to restore optimal motion,
functioning, and/or reduce pain?
Physiological movement - CORRECT ANSWER✅✅✅What is defined as movements performed
actively by the patient which can be examined for quality and symptom response?
, Accessory movement (aka joint play) - CORRECT ANSWER✅✅✅What is defined as movements that
cannot be performed actively individual, including rolls/spins, glides/slides which accompany
physiological movement?
Rate of force
Location of range
Direction of force
Target of force
Relative structural movement
Patient position - CORRECT ANSWER✅✅✅What are the 6 specific parameters for describing a
manipulation technique?
Amount of motion, depth within ROM - CORRECT ANSWER✅✅✅What are the 2 frameworks of the
Maitland Grading System?
Grade V - CORRECT ANSWER✅✅✅Which grade is described by a high velocity, low amplitude
technique performed into stiffness?
Sensory nerve endings (within the surrounding capsuloligmentous, muscular and fascia structures) -
CORRECT ANSWER✅✅✅Regarding the therapeutic effects of Grades I & II mobilizations, which
sensory organs do these techniques stimulate?
Neurophysical effects (stimulate inner synovial lining to produce more synovial fluid & improve
extensibility) - CORRECT ANSWER✅✅✅What are the main therapeutic effects of Grade I & II
mobilizations?
Mechanical - CORRECT ANSWER✅✅✅What type of resistance is felt with Grades III & IV
mobilization causing a lengthening of the tissues?
Reduce guarding, maximal effects (neurophysical and mechanical) - CORRECT ANSWER✅✅✅What
are some advantages of a Maitland Grade V technique?
POLICE - CORRECT ANSWER✅✅✅What new protocol has replaced the RICE?
Guide fibroblasts to lay down new collagen - CORRECT ANSWER✅✅✅What is the goal of Optimal
Loading in the POLICE protocol?
- increase GAG components
- guide fibroblasts to lay down new collagen
- strengthen type III collagen
Partial AROM within tolerance is more beneficial than rest and immobilization - CORRECT
ANSWER✅✅✅Why may the POLICE protocol benefit the patient in the acute phase more than the
standard RICE?
- rest is more important than movement in this phase
- partial AROM within tolerance is more beneficial than rest and immobilization
Subacute - CORRECT ANSWER✅✅✅What phase has the patient progressed to after the following:
demonstrates larger, pain-free ROM and improved tolerance to movement, and the tissues are in the
proliferative phase of healing?
Excessive stress to tissues - CORRECT ANSWER✅✅✅While the patient has an increased pain-free
range, what can still cause damage to the patient's tissues in the subacute phase?
- pain at end-range
- AROM with resistance
- excessive stress to tissues
Progress muscular qualities based on strength - CORRECT ANSWER✅✅✅Which of the following is
not a treatment goal of the subacute phase?
,- modify faulty joint mechanics
- protect collagen as it is being formed
- progress muscular qualities based on strength
- orient new collagen fibers parallel to the line of force they withstand
- prevent scar cross-linking and contractures
Gentle joint mobs, soft tissue mobs, gentle contract-relax - CORRECT ANSWER✅✅✅Which manual
therapy techniques should be used to a patient in the subacute phase of healing?
Chronic - CORRECT ANSWER✅✅✅In which phase of healing is the patient in who is able to perform
large ranges of motion with minimal to no pain remaining at end-range?
Gradual return to full ROM, progress muscular qualities - CORRECT ANSWER✅✅✅What are the
goals of therapy in the chronic phase?
Function - CORRECT ANSWER✅✅✅What should be the focus of therapeutic exercise in the chronic
phase?
MMTs - CORRECT ANSWER✅✅✅What assessment should you decrease in the chronic phase while
increasing functional assessments?
Mobilization - CORRECT ANSWER✅✅✅What is defined as a manual therapy technique comprising of
skilled passive motions applied at varying speeds and amplitudes to joints, muscles, or nerves with
intent to restore optimal motion, function, and/or reduce pain?
Manipulation - CORRECT ANSWER✅✅✅What is defined as a passive, high-velocity, low amplitude
thrust applied to a joint complex within its anatomical limit with the intent to restore optimal motion,
functioning, and/or reduce pain?
Physiological movement - CORRECT ANSWER✅✅✅What is defined as movements performed
actively by the patient which can be examined for quality and symptom response?
, Accessory movement (aka joint play) - CORRECT ANSWER✅✅✅What is defined as movements that
cannot be performed actively individual, including rolls/spins, glides/slides which accompany
physiological movement?
Rate of force
Location of range
Direction of force
Target of force
Relative structural movement
Patient position - CORRECT ANSWER✅✅✅What are the 6 specific parameters for describing a
manipulation technique?
Amount of motion, depth within ROM - CORRECT ANSWER✅✅✅What are the 2 frameworks of the
Maitland Grading System?
Grade V - CORRECT ANSWER✅✅✅Which grade is described by a high velocity, low amplitude
technique performed into stiffness?
Sensory nerve endings (within the surrounding capsuloligmentous, muscular and fascia structures) -
CORRECT ANSWER✅✅✅Regarding the therapeutic effects of Grades I & II mobilizations, which
sensory organs do these techniques stimulate?
Neurophysical effects (stimulate inner synovial lining to produce more synovial fluid & improve
extensibility) - CORRECT ANSWER✅✅✅What are the main therapeutic effects of Grade I & II
mobilizations?
Mechanical - CORRECT ANSWER✅✅✅What type of resistance is felt with Grades III & IV
mobilization causing a lengthening of the tissues?
Reduce guarding, maximal effects (neurophysical and mechanical) - CORRECT ANSWER✅✅✅What
are some advantages of a Maitland Grade V technique?
