Test Your Knowledge: Tissue Tolerances

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* 1. A 52-year-old female presents with complaints of chronic elbow pain, which has not gotten better despite numerous episodes of treatment with physical therapists, massage therapists, chiropractors, sports medicine doctors, and acupuncture. The ongoing pain has become frustrating, and she is seeking any option that could reduce her pain. She expresses interest in getting a cortisone injection, which she was told could help, and is interested in your thoughts. According to the evidence, you explain that:

Short- and long-term outcomes associated with injection are poor.

Short-term outcomes are poor but long-term outcomes are good.

Short-term outcomes are good but long-term outcomes are poor.

Short- and long-term outcomes associated with injection are good.

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* 2. The force production of muscle is dependent on a variety of factors. Which of the following statements is accurate?

An immobilized muscle will be considerably weaker than one not immobilized.

Greater forces can be generated by more rapid voluntary contractions.

The smaller the cross-sectional area, the greater the force that can be developed.

The stretch-shortening cycle is associated with electrical silence on EMG.

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* 3. A patient with adhesive capsulitis presents with 3/10 pain levels with pain occurring at the overpressures into the active and passive range of motion. Active and passive ranges are same. What is the BEST intervention for this patient?

High-grade mobilizations.

Low-grade mobilizations.

Low-intensity short duration stretching.

Transcutaneous electrical stimulation.

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* 4. Which of the following lower extremity positions is consistent with “the point of no return” for ACL and MCL injury?

Hip abduction.

Hip internal rotation.

Knee extension.

Knee adduction.

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* 5. Mesenchymal cells are critical in the embryological development and repair of articular cartilage due to:

Their ability to bind subchondral bone

Their pluripotency.

Their presence in cartilage.

Their rapid cell division.

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