امتحان الهيئة السعودية للعلاج الطبيعي 29 مايو 2011

[حلا سيهات]

1 Which is true about SA node:
-It’s type of myocytes with higher rhythm
- type of myocytes which generate electrical impulse and control heart rate √ ( it’s also natural heart pace maker)
- in AV node
2 impulses reach atrium early to contract before ventricles through :
- Purkinje fibers
- AV node √
- Bundle of His
- Atrioventicular bundle
3 which of thefollowing doesn’t use body oxygen
- Aerobic system
- Anaerobic system√
4 physiological effects of warming up
- Decrease oxygen deficiency√
- Increase myocardial demands
5 contraindications of ice applications:
- Peripheral vascular disease √ ( also contraindicated in raynaud disease)
6 short wave (SWD) contraindications:
- Phelpitis √
- Sprain
- Muscle strain
- Heamatoma
7 to treat patient with deep heat, which is not form of deep heat
- SWD
- MWD
- IR ( infra red)√
- US ( ultra sound)
8 patient with elbow pain for 5 months and just stopped playing tennis, which type of TENS would you use:
- Conventional TENS
- Acupuncture like TENS √
- Brief intense TENS
- Bust TENS
9 When you examine shoulder joint by asking patient to abduct shoulder to 90 degrees then lower slowly, this is:
- Codman’s Test√√ ( for rotator cuff tear) ( also called drop arm test)
- Infraspinatus test
10 hip ROM
- 10 degrees extension 125 flexion
- 35 extension 125 flexion √ ( I am not sure)
- No extension 125 flexion
11 which is synovial joint
- Temporomandibular joint √
- Symphisis pubis
12 what’s the name of this muscle ( picture)
- Biceps brachi√
- Brachioradialis
13 muscle that close the jaw
- Masseter √
- Mentalis
- Buccinators
14 muscle that moves angle of mouth inferior and back
- Platysma √
- Mentalis
- Masseter
15 muscle that moves eye brows medial and inferior and make vertical wrinkles
- Currigator √
- Frontalis
16 when you examine a muscle with no evidence of contraction, which muscle grade would you give
- Poor
- Trace
- Good
- zero√
17 infrared can cause burn . what’s distance should be between patient and the device
- 75√
- 30
- 10
18frequency that can make titanic muscle contraction
- 50√
- 30
- 5
19 patient uses crutches and move the crutches forward and move his body to the crutches the gait is
- Swing to √
- Swing through
- Two point gait
20 all of the following are physiological effect of electrical stimulation except
- Vasoconstriction of blood vessels √
- Increase blood flow
- Increase metabolic rate
21 deformity associated with coll’s fracture ( fracture lower end of radius)
- Dinner fork deformity √
- Pes planus
- Talipus equinovarus
22 when you apply TENS for a patient and you find sever pain, what would you do
- Decrease frequency√
- Increase wave length
- Decrease pulse width
- Switch off device
23 type of contraction that make shortening of muscle length
- Eccentric
- Isometric
- Concentric √
24 SWD is contraindicated in
- Skin infection √
- Peripheral vascular disease
25 sudeck’s atrophy :which is not true
- Sever burning pain
- Sympathetic hyperactivity √
- Trophic changes occur
- More perspiration
26 old patient with productive cough, fever and pulmonary congestion, The diagnosis is:
- Heart failure
- Pneumonia
- Pulmonary effusion√
- Cystic fibrosis
27 raynaud’s disease
- Bilateral symmetrical
- Unilateral symmetrical
- Cyanotic unsymmetrical√
28 Burger’s disease associated with
- smoking√
29 what is contraindicated in Raynaud’s disease
- cold application√
30 patient with anterior neck pain which is contraindicated
- put patient in neck flexion position√
- use rigid neck orthoses
- neck extension
31 patient with a contaminated surgical wound on lumbar region, what would you use to clean the wound
- infrared
- ultraviolet√
- shortwave
- low laser
32 patient complain from leg pain after walking 200 feet, pain is removed by rest, diagnosis is
- peripheral vascular disease√
- nerve lesion
- calf muscle spasm
33 burn affecting epidermis and superficial part of dermis
- superficial partial thickness √
- deep partial thickness
- full thickness
34 what is best for scar tissue
- ultra sound √
- infrared
- shortwave
35 patient with angina pectoris, pain distribution
- apex of heart
- chest only
- chest with left shoulder and arm√
36 arterioles are
- have muscularwalls and move blood from heart to body tissues √√
- move blood from tissues to heart
37 an athlete performing maximum effort, the amount of blood reaching skeletal muscle reaches (I don’t know the answer of this question, if you know it please tell me)
38 patient complaining from back pain, with examination you find decreased sensation over big toe what level of lesion would you expect
- l 3 - l4 √
- l4 – l5
- l5 – S1
39 while you examine a patient you find decreased tendon jerk at Achilles tendon, what is the level of lesion
- l4 – l5
- l5 – <A href="http://www.jazannurses.com/vb/nurses15073.html">√
- – s2
40 bradykinesia means
- slowness of movement√
41 infant can make rolling at age of
- 3 months
- 4 months
- 6 months √
42 when examine patient for carpal tunnel syndrome, which nerve do you examine
- Radial n.
- Ulnar n.
- Median n. √
43 Parkinson’s gait, which is not true
- Propulsion gait
- Festinating gait
- Retropulsion
- Wide base of support with arm swing √
44 Motor area 4
- Control motor activity of opposite side of the body √
- Control motor activity of same side of the body
- Receive sensation
45 patient with myopathy
- Easy fatigue and needs rest periods √
( Myopathy: progressive weakness of LMN nature. Trunk, shoulder girdle and pelvic girdle early involved. Proximal more than distal and bilateral symmetrical. Waddling gait clumsy gait. Protuberant abdomen. Gower sign. Deformities may occur)
46 Difficult speech is called
- Dysarthria √
- Dysphagia
47 which of the following doesn’t occur with SCI ( spinal cord injury)
- Orthoststic hypotension = (postural hypotension)
- systemic hypertension √
- spasticity and hyper reflexia
48 During evaluation of a hemiplegic patient you found that there is balance deficiency, the cause is
- weakness of glutei
- weakness of quadriceps
- spasticity of planter flexors √
- weakness of dorsi flexors
49 The myotome of this muscle is
- c3-c4
- c5- c6 √
- t1- t2
50 what is the name of this muscle
- infra spinatus
- teres minor
- supraspinatus √
51 patient is suffering from pain at the insertion of this muscle, the diagnosis is
- rotator cuff tear
- infraspinatus tendinitis
- supraspinatus tendinitis √
52 young patient with post fracture elbow deformity, referred for PT, what’s contraindicated
- vigorous passive stretch √√ ( to avoid myositis ossificans)
53 hallux valgus with bursitis is called
- bunion deformity √
54 best treatment of supraspinatus tendinitis is
- infrared
- shortwave
- ultra sound with deep friction massage √
55 close pack position of knee is
- flexion 20 degrees
- extension
- extension with lateral rotation √√
56 which of the following is not included in shoulder complex
- clavicle
- scapula
- humerus
- sternum √
57 which of the following you cannot palpate while examining shoulder
- 2nd rib
- Sternoclavicular joint
- 1st rib √
58 during examination of shoulder, you found increased motion (laxity) in anterior, posterior and inferior directions, the condition is
- Global shoulder instability √
- Rotator cuff tear
59 what is the best position for artificial hip ankylosis
- Flexion 20 , abduction 10, external rotation 5
- No flexion , abduction 10, external rotation 5 √ ( not sure)
- Abduction 5 , external rotation 10
(Artificial ankylosis means arthrodesis)
60 infection of bone by microorganism is called
- Osteomyelitis √√
61 An athlete with stable fracture of neck of humerus, referred to you to improve mobility, which form of exercise will you choose
- Isometric
- Resistive exercise in all directions √
( I chose resistive exercise because the fracture is stable and the aim of exercise is mobility)
62 Motor neuron disease, which of the following is not true
- It may affect anterior horn cells and cause lower motor neuron weakness
- It may affect cranial nerve nuclei and cause upper motor neuron weakness √ ( it may affect cranial nerve nuclei but this will not cause upper motor neuron weakness)
( please study this topic well)
63 spastic diplegia means
- primarily affecting the legs but arms are less involved and less severe
- only legs are involved
- only arms are involved
- one limb is involved
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[!محمد!]

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[حلا سيهات]

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