MES 3
A pt with LBP has been undergoing tx
1. A 27 y/o woman is referred to a
physical therapy clinic with a diagnosis
of torticollis, the right SCM is involved.
What is the most likely position of the
pt’s cervical spine?
a. (R) lateral cervical flexion and (L)
cervical rotation
b. (R) lateral cervical flexion and (R)
cervical rotation
c. (L) lateral cervical flexion and (L)
cervical rotation
d. (L) lateral cervical flexion and (R)
cervical rotation
2. A physical therapist is evaluating a pt
with an acute lumbar disc protrusion
and a (R) lateral shift of the thoracic
spine. Which of the ff findings is the
BEST indicator that symptoms will
respond positively to PT intervention
A. The pain is referred _____ into the
buttock and not the thigh
B. The pt prefers standing and walking
to sitting
C. There is a decrease in lumbar
lordosis
D. Repeated backward bending
centralizes the pain
3. A physical therapist is screening a
young adult patient for a possible (R)
thoracic, (L) lumbar structural scoliosis.
The postural deviation commonly seen
with this dx is:
a. Spinous processes of thoracic spine
rotated to the right
b. High left shoulder
c. Posteriorly protruding scapula on
the left
d. Prominent right posterior rib cage
4.
for 2 sessions. The pt tells the PT that
today the pain is centralizing with the
extension exercises, but is as intense as
it was at the first tx session. The pt is
frustrated by this reaction the MOST
appropriate response of the therapist is
to:
a. Continue with the present program
b. Eliminate extension exercises
c. Consult the pt’s physician about the
______
d. __________ to trunk flexion
exercises
5. Pre disposing factors to back pain
except:
a. Lifting
b. Smoking
c. High force activity
d. Heavy work
e. NOTA
6. True are regarding flexion exercises
except
a. Decreasing tension in posterior
anular fiber
b. Stretching hip flexors and lumbar
extensors
c. Strengthening of abdominal and
gluteal mm
d. Decreasing joint compressive forces
e. Decreasing compressive load o
posterior disc and opening of IV
foramen
7. Clinical manifestations of radiculopathy
a. Reflex changes
b. Sensory alterations
c. Paraspinal muscle spasm
d. Listing of the spine away from thde
of root pain
e. AOTA
8. Which of the following clinical feature/s
is NOT a manifestation of L5
radiculopathy
a. Impaired heel walking
b. Impaired toe waling
c. Paresthesia and sensory loss on the
outer leg and dorsum of foot to
great toe
d. Wakiness of Tibialis anterior
and____
e. NOTA
9. A mechanical provocation test in which
symptom is relief indicates the
presence of foraminal encroachment is
called which of the following
a. Cervical compression
b. Cervical distraction
c. Spurling’s test
d. Quadrant test
10. A 13 y/o girl with (R) thoracic scoliosis is
referred to PT. the therapist should
expect which of the following findings?
a. (L) shoulder high, (L) scapula
prominent, and (R) hip high
b. (L) shoulder low, (R) scapula
prominent, and (L) hip high
c. (R) shoulder high, (R) scapula
prominent, and (R) hip high
d. (R) shoulder high, (L) scapula
prominent, and (L) hip high
11. Core strengthening is advocated by
many rehabilitation specialist as a
means of improving muscular control
around the lumbar spine to maintain
functional stability. Which of the
following core muscle in the lumbar
region can be activated with the
“drawing in” maneuver?
a. Multifidus muscle
b. Rectus abdominis
c. Transverse abdominis
d. Quadrates Lumborum (lateral
portion
e. AOTA
12. An S curve with a primary
dextroscoliosis at high thoracic level will
have a compensatory curve at the
lumbar level. This will present the
following postural asummetry:
a. An elevated (R) shoulder and right
pelvis
b. An elevated (R) shoulder and (L)
pelvis
c. An elevated (L) shoulder and
(L)pelvis
d. NOTA
e. An elevated (L) shoulder and right
pelvis
13. After tx a pt for LBP for one week the pt
has no resolution of pain and is
complaining of problems with gait.
After re-examination the therapist finds
weakness of the qudraceps femoris and
hip abductors, with altered sensation at
the inner leg and diminished patellar
reflex. The is most likely d/t:
a. L3 nerve root compression
b. L4 nerve root compression
c. L5 nerve root compression
d. S1 nerve root compression
e. NOTA
14. Which of the following ha the highest
load on the lumbar spine?
a. Trunk extension in prone position
b. Normal standing
c. Sitting in slouch position
d. Forward bending with straight
knees carrying weights
e. Bilateral SLR
15. Landmarks for Schoeber’s test EXCEPT:
a. L5 spine
b. 5cm above the spine
c. 10cm above the spine
 d. dimples of venus
e. NOTA
16. The pt is diagnosed with dextroscoliosis.
You are about to check the rotation of
the vertebra using pedicle method. If
rotation is evident, the pedicles appear
to move towards?
a. Right
b. Left
a. Risser-Fegurson method
c. Neutral
b. Cobb method
d. NOTA
c. Nash-Moe scale
e. AOTA
d. Risser stage
17. X ray revealed that an anterior slippage
of L5 on the vertebra below, this spinal
20. The pt is diagnosed with
defect should be manage with
dextroscoliosis. You are about to check
avoidance of what lumbar spinal
the rotation of the vertebra using
motion:
pedicle method. If rotation is evident,
a. Flexion
the pedicles appear to move towards?
b. Rotation
a. Right
c. Extension
b. Left
d. Lateral flexion
c. Neutral
e. AOTA
d. NOTA
18. A dancer with unilateral
e. AOTA
spondylolisthesis at L4 is referred for
21. Pain in piriformis syndrome is usually
PT. she complains of generalized LBP
reproduced when the extended leg is
when she stands longer than one hour.
tested with:
During sub acute stage of rehabilitation,
a. Hip IR
exercise intervention should include
b. Knee flexion
a. Strengthening of extensor muscles
c. Hip Add
of the back
d. Hip ER
b. Strengthening of the abdominal
e. NOTA
muscles
22. A pt is referred to PT reporting severe
c. Exercise that flattens the low back
pain in the right hip and groin area,
d. AOTA
Which increases during walking. The pt
e. NOTA
reports tenderness when the therapist
19. What is the method used to measure
palpates the area over the trochanter
the lateral curvature of the spine?
the MOST likely cause of the pt’s signs
and symptoms is:
a. SI joint derangement
b. Hip fx
 c. A strain of the adductor longus
muscle
d. Hip bursitis
23. A PT is developing a gait training
program for a pt following a THA at the
right hip done via anterolateral
approach 2 weeks ago. The proper
instructions and rationale for crutch
training using 1 crutch include the
holding the crutch in the:
a. (R) hand to decrease activity in the
right hip abductors
b. (R) hand to facilitate activity in the
right hip abductors
c. (L) hand to decrease activity in the
right hip abductors
d. (L) hand to facilitate activity in the
right hip abductors
24. You are palpating the hamstring of an
ACL injured patient. You palpate along
the lateral portion of the hamstring
musculature to the tendinous
attachment on the fibular head. The
muscle should be identified as the:
a. Biceps femoris
b. Gracilis
c. Sartorius
d. Semitendinosus
25. Most common contact ACL injuring
mechanism:
a. Deceleration
b. Rotation
c. Hyperextension
d. Varus force