DHA Physiotherapist

During glenohumeral abduction in an open-chain movement, which arthrokinematic motion normally accompanies the superior roll of the humeral head?

• ASuperior glide of the humeral head
• BInferior glide of the humeral head
• CAnterior glide of the humeral head
• DPosterior spin only with no glide

A patient's pelvis drops on the right side when standing on the left leg. Which muscle group is most likely weak?

• ALeft hip abductors
• BRight hip abductors
• CLeft hip adductors
• DRight hip flexors

Weakness of great toe extension and reduced sensation over the dorsum of the foot most strongly suggests involvement of which nerve root?

• AL2
• BL4
• CL5
• DS2

Which muscle fiber type is most associated with endurance activities and resistance to fatigue?

• AType I slow oxidative fibers
• BType IIx fast glycolytic fibers
• CDenervated fibers only
• DFibrotic scar tissue fibers

Which example best describes a closed-chain lower-limb exercise?

• ASeated knee extension with the foot moving freely
• BStraight-leg raise in supine
• CMini-squat with both feet fixed on the floor
• DProne hamstring curl with ankle weight

The SAID principle is most useful when choosing exercises because it states that the body adapts according to:

• AThe therapist's preferred treatment style
• BThe specific demands imposed during training
• CThe patient's chronological age only
• DThe amount of passive modality time received

A posture with increased lumbar lordosis and anterior pelvic tilt is commonly associated with which muscle imbalance pattern?

• ATight hip flexors/lumbar extensors; weak abdominals and gluteals
• BTight hamstrings and abdominals with weak hip flexors
• CTight hip abductors only with strong gluteus maximus
• DWeak lumbar extensors with tight gluteals only

During the proliferative phase of soft-tissue healing, which process is most expected?

• AComplete remodeling into mature collagen type I only
• BCollagen deposition, angiogenesis, and granulation tissue
• CImmediate return of full tensile strength
• DPermanent absence of inflammatory cells

Before applying heat, cold, or electrical stimulation, which screening step is most important for local treatment safety?

• AAsk the patient to choose the color of the towel
• BCheck skin integrity and sensation in the area
• CMeasure grip strength only
• DAsk whether the patient has used a gym before

Which outcome measure is commonly used to screen functional mobility and fall risk in an older adult?

• ATimed Up and Go test
• BVisual analog scale only
• CGoniometry of wrist flexion
• DManual muscle test of elbow flexion only

A patient with low back pain reports new saddle anesthesia and loss of bladder control. What is the best physiotherapy action?

• ABegin lumbar stabilization and reassess in two weeks
• BApply heat and traction before further questioning
• CUrgently refer for emergency medical assessment
• DContinue treatment if pain decreases during exercise

Which goal is written in the best SMART format?

• APatient will feel better soon
• BImprove the knee as much as possible
• CWalk 100 m with a cane, no balance loss, within 2 weeks
• DTherapist will strengthen the patient

A patient twists an ankle and has tenderness over the posterior edge of the lateral malleolus plus inability to walk four steps. Which decision is most consistent with the Ottawa Ankle Rules?

• ANo imaging is needed because swelling is common
• BRefer for ankle radiographs
• CTreat with ultrasound only and avoid weight bearing for 6 weeks
• DDiagnose Achilles rupture

A post-operative patient has new unilateral calf swelling, warmth, tenderness, and shortness of breath. What should the physiotherapist do first?

• AMassage the calf to reduce swelling
• BContinue gait training at lower intensity
• CStop treatment; seek urgent medical evaluation
• DApply deep heat before exercise

An older adult completes the Timed Up and Go in 18 seconds with a slow turn and reaches for furniture. What is the most appropriate interpretation?

• AMobility is normal and no fall-risk intervention is needed
• BSuggests higher fall risk; needs targeted assessment
• CThe test proves vestibular neuritis
• DThe score means the patient cannot participate in exercise

A patient taking a beta blocker is beginning aerobic exercise after cardiac clearance. Which monitoring approach is most useful for setting exercise intensity?

• AUse age-predicted maximal heart rate only
• BUse RPE plus symptoms and vital signs
• CIgnore blood pressure because heart rate is blunted
• DProgress intensity by time alone regardless of symptoms

In spinal cord injury classification, what does sacral sparing indicate?

• AThe injury is neurologically complete
• BSome sensory or motor function remains below the lesion
• CThe patient has no bowel or bladder risk
• DUpper motor neuron signs are impossible

During a slump test, the patient's leg symptoms increase with knee extension and decrease when the neck is extended. What does this response most suggest?

• AA purely local hamstring strain with no neural contribution
• BMechanosensitivity of neural tissue
• CA normal cardiovascular response
• DHip osteoarthritis as the only diagnosis

A clinic wants goniometric knee range measurements to be more reliable between sessions. Which action best supports measurement reliability?

• AUse different landmarks each visit to avoid memorization
• BUse the same position, landmarks, and recording method
• CEstimate range visually when the clinic is busy
• DRound all measurements to the nearest 30 degrees

A patient reports lateral shoulder pain, but cervical rotation reproduces the symptoms and shoulder active motion is full and painless. What is the best next reasoning step?

• AAssume isolated rotator cuff tendinopathy
• BScreen the cervical spine and neurologic status further
• CApply shoulder ultrasound before examination
• DDischarge because full shoulder motion rules out all pathology

The anterior talofibular ligament is most commonly injured during which ankle mechanism?

• ADorsiflexion and eversion
• BPlantarflexion and inversion
• CKnee valgus with tibial rotation
• DForced hip internal rotation

Which capsular pattern is most typical for adhesive capsulitis of the shoulder?

• AExternal rotation most limited, then abduction, then IR
• BInternal rotation only, with all other motion normal
• CElbow extension most limited
• DWrist flexion and extension equally limited

Which test is commonly used to assess anterior cruciate ligament integrity after knee trauma?

• ALachman test
• BFinkelstein test
• CPhalen test
• DThomas test

For many patients with knee osteoarthritis, which intervention is most appropriate as a core physiotherapy approach?

• ALong-term bed rest to protect cartilage
• BEducation plus progressive strengthening and aerobic exercise
• CHigh-velocity manipulation as the only treatment
• DAvoiding all weight-bearing activity permanently