PHYSICAL AND OCCUPATIONAL OCCUPATIONAL THERAPY LICENSURE EXAMINATION EXAMINATION ANATOMY, ANATOMY, PHYSIOLOGY AND KINESIOLOGY KINESIO LOGY 1.
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Congenita !"#$"a% to%ti$oi# i# a !"#$"o#&eeta ano!a' (it) t)e t)e *oo(ing *oo(ing $)a%a$te%i#ti$#, $)a%a$te%i#ti$#, EXCEPT+ EXCEPT+ a. C)i%en C)i%en %e*e%%e %e*e%%e to PT -e*o%e -e*o%e one one 'ea% o* age )ae )ae -ette% o"t$o! o"t$o!e# e# t)an t)o#e t)o#e %e*e%%e %e*e%%e ate%. ate%. -. Con#e%ati Con#e%atie e t%eat!ent t%eat!ent a//%oa$) a//%oa$) i# a #t%et$)i #t%et$)ing ng /%og%a! /%og%a! to engt)en engt)en t)e t)e inoe inoe !"#$e !"#$e $. Cini$ Cini$a a *eat"%e# *eat"%e# in$"e in$"e a )ea )ea tit a(a' *%o! t)e #ie #ie o* t)e #)o%ten #)o%tene e !"#$e !"#$e an )ea %otati %otation on to(a% to(a% t)e i/#iate%a #ie. . Re#t%i$te Re#t%i$te ne$& ne$& %ange o* !otion !otion #e$on #e$ona%' a%' to a #)o%tene #)o%tene #te%no$ #te%no$eio eio!a#to !a#toi i e. A #"%gi$a #"%gi$a t%eat!en t%eat!entt a//%oa$) a//%oa$) i# engt)eni engt)ening ng o* t)e t)e inoe inoe !"#$e !"#$e )i$) )i$) o* t)e *oo(in *oo(ing g #tate!ent# #tate!ent# i# t%"e o* inii" inii"a# a# (it)o"t (it)o"t $a%io/"! $a%io/"!ona%' ona%' a-no%!a a-no%!aiti itie#2 e#2 a. T)e in$%ea#e# in$%ea#e# in entiat entiation ion 34E5 an CO a%e ine%#e ine%#e' ' /%o/o%tion /%o/o%tiona a to t)e in$%ea#e in$%ea#e in !eta-oi$ !eta-oi$ %ate, ao(i ao(ing ng eno"# eno"# -oo ga# an /H ee# to %e!ain $o#e to -a#eine a"e# "%ing e6e%$i#e -. T)e e$%ea#e e$%ea#e in entiatio entiation n 34E5 an CO a%e $o#e' $o#e' !at$)e !at$)e to t)e e$%ea#e e$%ea#e in !eta-oi$ !eta-oi$ %ate ao(ing ao(ing eno"# eno"# -oo -oo ga# an /H ee# to %e!ain $o#e to -a#eine a"e# "%ing e6e%$i#e $. T)e e$%ea#e e$%ea#e in entiatio entiation n 34E5 an CO a%e $o#e' $o#e' !at$)e !at$)e to t)e in$%ea#e in$%ea#e in !eta-oi$ !eta-oi$ %ate, ao(in ao(ing g eno"# -oo -oo ga# an /H ee# to %e!ain $o#e to -a#eine a"e# "%ing e6e%$i#e . T)e in$%ea#e# in$%ea#e# in entiat entiation ion 34E5, 34E5, an CO a%e $o#e' $o#e' !at$)e !at$)e to t)e in$%ea#e in !eta-o !eta-oi$ i$ %ate, ao(in ao(ing g a%te%ia a%te%ia -oo ga# an /H ee# to %e!ain $o#e to -a#eine a"e# "%ing e6e%$i#e e. T)e in$%ea#e in$%ea#e in entiatio entiation n 34E5 an CO a%e $o#e' $o#e' !at$)e !at$)e to t)e e$%ea#e e$%ea#e in %e#/i%ato%' %e#/i%ato%' %ate, %ate, ao(ing ao(ing a%te%ia a%te%ia -oo ga# an /H ee# to o(e% t)an -a#eine a"e# "%ing e6e%$i#e To -e a!itte a!itte to t)e PT8OT PT8OT e6a!inati e6a!ination, on, t)e a//i$ant a//i$ant at t)e ti!e o* *iing o* a//i$ati a//i$ation on !"#t #ati#*' #ati#*' t)e *oo(ing *oo(ing %e"i%e!ent#, EXCEPT+ a. A *o%eign *o%eign a//i$a a//i$ant nt $an -e a!itte a!itte to t)e PT8OT PT8OT e6a!in e6a!inati ation on een i* )i# $o"nt%' $o"nt%' o* $iti:e $iti:en#) n#)i/ i/ oe# not ao( ao( ;ii/ino t)e%a/i#t# to /%a$ti$e in )i# $o"nt%' on t)e #a!e a# t)e #"-
GOLD RANK PROPERTY DO NOT REPRODUCE
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
1?. De$%ea#e# a#$"a% %e#i#tan$e -' in)i-iting $a$i"! !eiate $ont%a$tion o* a#$"a% #!oot) !"#$e+ a. Ca$i"! $)anne -o$&e%# . Ca$i"! $)anne -o$&e%# -. @eta a%ene%gi$ -o$&e%# e. Angioten#in8$one%ting 3ACE5 en:'!e in)i-ito%# $. Di"%eti$#
1. A ee/ #"$"# t)at o"tine# an #(ee/# -a$&(a% a-oe t)e te!/o%a /oe, an t)en $ontin"e# on t)e #"/e%oate%a #"%*a$e, a!o#t )o%i:onta' -a$&(a%#, !a%&ing t)e ine aong ()i$) t)e )e!i#/)e%e -e$a!e *oe. T)e #/ee$) an )ea%ing a%ea a%e -ot) $o#e' a##o$iate ( it) it. a. Meia . Coate%a -. Cent%a e. Ca$a%ine $. Late%a 1. T)i#
. T)e *oo(ing #tate!ent $)a%a$te%i:e t)e Raia Ne%e, EXCEPT+ a. A itte *at)e% o(n t)e a%!, it /a##e# o-i"e' ate%a (a%# to %"n -e)in t)e )"!e%"# in it# #/i%a g%ooe, ee/ to t)e T%i$e/# -. A# it $%o##e# t)e e-o(
GOLD RANK PROPERTY DO NOT REPRODUCE
To God Be the Glory 78
PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
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AUGUST 1999
a. Ke%nig Te#t . Hooe% Te#t -. Mig%a! Te#t e. Na**:ige% Te#t $. Gae#an# Sign T)e o#!oti$ g%aient in t)e !e"a%' inte%#titia i# !aintaine -e$a"#e a. T)e a#a %e$ta i# /e%!ea-e on' to (ate% an not to t)e #o"te# -. T)e on$oti$ $on$ent%ation in t)e a#a %e$ta in$%ea#e# *%o! t)e $o%te6 to t)e !e"a $. T)e %ate o* *"i *o( in t)e a#a %e$ta i# #o(e% t)an t)e t"-"e# . T)e *o( o* *"i in t)e a#$ening e6t%e!itie# o* t)e a#a %e$ta i# /e%/eni$"a% -"t aong t)e #a!e i%e$tion e. T)e i%e$tion o* *"i in t)e e#$ening an a#$ening i!- o* t)e a#a %e$ta i# /a%ae an $o"nte% to ea$) ot)e% Ne"%oeeo/!ent t%eat!ent 3NDT5 i# t)e !o#t $o!!on' "#e a//%oa$) to t%eat!ent (it) $e%e-%a /a#'. T)e *oo(ing #tate!ent# e#$%i-e NDT, EXCEPT+ a. T%eat!ent o"t$o!e# a%e #"//o#e to -e a$)iee t)%o"g) $)i !o%e no%!a #en#o%i!oto% e6/e%ien$e# -. A# t)e $)i gain# /o#t"%a $ont%o, t)e t)e%a/i#t g%a"a' (it)%a(# #"//o%t $. T)i# a//%oa$) *o$"#e# on en$o"%aging an -"iing "/on no%!a !oe!ent /atte%n# an no%!a /o#t"%a %ea$tion# ()ie t%'ing to %e"$e a-no%!a !oe!ent# . C"%%ent inte%/%etation# o* NDT oe# not in$"e t)e i!/o%tan$e o* *"n$tiona #&i /%a$ti$e in t%eat!ent e. It i# i!/i$it in NDT t)at i!/%oe /o#t"%a $ont%o (i ea to i!/%oe!ent in *"n$tiona #&i# (it)o"t ne$e##a%i' (o%&ing on t)e#e #/e$i*i$ #&i# T%"e )i/ /ain in %)e"!atoi inoe!ent o* t)e )i/ /%o"$e# /ain in t)e a. Late%a a#/e$t o* t)e )ig) -. G%oin $. On t)e a$eta-"a% a%ea . !eia a#/e$t o* t)e t)ig) e. /o#te%io% a#/e$t o* t)e t)ig) Re#o"tion No. 71, Se%ie# o* 199? #tana%i:e t)e g"ieine# an /%o$e"%e# *o% t)e i!/e!entation o* t)e $ontin"ing /%o*e##iona e"$ation /%og%a!, ()i$) in$"e# t)e *oo(ing, EXCEPT+ a. T)e CPEC i# $o!/o#e o* a $)ai%!an, *%o! t)e !e!-e%# o* t)e PR@, an t(o !e!-e%#, t)e *i%#t i# t)e /%e#ient o* t)e PPTA an OTAP, t)e #e$on i# t)e /%e#ient o* t)e A##o$iation o* PT an OT S$)oo# -. T)e Contin"ing P%o*e##iona E"$ation 3CPE5 Co"n$i *o% PT an OT a##i#t# it# $o%%e#/oning P%o*e##iona Reg"ato%' @oa% 3PR@5 *o% PT an OT in i!/e!entation# CPE /%og%a!. $. T)e CPEC oe# not a$$e/t, a//%oe a//i$ant# *o% a$$%eitation o* CPE /%oie%# . T)e te%! o* o**i$e o* t)e $)ai%!an o* ea$) CPE $o"n$i i# $o8te%!in"# (it) )i#=)e% in$"!-en$' in t)e PR@. e. T)e te%! o* o**i$e o* t)e *i%#t an #e$on !e!-e% i# $o8te%!in"# (it) )i#=)e% in$"!-en$' a# o**i$e% o* t)ei% %e#/e$tie o%gani:ation#. Di#in*e$tion i# a /%o$e## i#tin$t *%o! #te%ii:ation. T)e *oo(ing #tate!ent# a%e t%"e, EXCEPT+ a. So!et)ing t)at i# #te%ie i# *%ee o* an' !i$%o-ia i*e. -. Di#in*e$tion i# a /%o$e## t)at %e#"t# in t)e $o!/ete %e!oa o* a !i$%o-ia i*e *%o! an o-
GOLD RANK PROPERTY DO NOT REPRODUCE
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
>F. T)e#e !e$)ano%e$e/to%# a%e *o"n in t)e #&in an $onne$tie ti##"e# #"%%o"ning -one# an 1. A /at)(a' o* $o!!"ni$ation -et(een t)e t(o )e!i#/)e%e# to $%eate a# t)e#e *i-e%# $%o## t)e !iine *%o! one )e!i#/)e%e to t)e ot)e%. a. T%an#)e!i#/)e%e . S"/e%io% Longit"ina @"ne -. P%o0. T)e ao%ta eae# t)i# $)a!-e% o* t)e )ea%t. a. Rig)t ent%i$e . Le*t ent%i$e -. It -'/a##e# t)e )ea%t e. Le*t a"%i$e $. Rig)t a"%i$e >7. Ne%e $e# at %e#t a%e /o#itie' $)a%ge on t)e o"t#ie an negatie' $)a%ge on t)e in#ie a. A$tie Potentia# . De/oa%i:ation -. A$tion Potentia e. Re#ting !e!-%ane /otentia $. H'/e%/oa%i:ation >>. T)e *oo(ing #tate!ent# e#$%i-e# Do(n S'n%o!e, EXCEPT+ a. De*i$it in e'e8)an $oo%ination ate%ait', an i#"a $ont%o (e%e /%e#ent in oe% $)i%en. -. T)e /%e#ent o* !ono#'na/ti$ %e*e6 "%ing /at*o%! /e%t"%-ation# #"gge#te t)at -aan$e /%o-e! o not %e#"t *%o! )'/otonia -"t *%o! e*e$t# (it)in )ig)e%8ee /o#t"%a $ont%o !e$)ani#!# $. In 811 'ea%# o* age g%o"/, t)o#e (it) Do(n S'n%o!e #$o%e e"a' in %"nning #/ee, -aan$e #t%engt) an i#"a !oto% $ont%o# t)an t)e g%o"/ (it)o"t . In $)i%en 18 'ea%# o* age /o#t"%e# %e#/on#e# to o## o* -aan$e (e%e #o( an t)e%e*o%e in#"**i$ient *o% !aintaining #ta-iit' e. Attain!ent o* ea%' !oto% !ie#tone# i# t)o"g) to -e ea'e -e$a"#e o* /%o-e!# (it) iga!ento"# a6it' in #o!e ?. T%an#a$tion o* t)e /it"ita%' #ta& (i /%o"$e a. In$%ea#e LH Ant. . in$%ea#e ;SH -. De$%ea#e TSH Ant. e. in$%ea#e ACTH $. De$%ea#e /%oa$tin >. T)e *oo(ing #tate!ent# a//' to D"$)enne 3/#e"o)'/e%t%o/)i$5 '#t%o/)', EXCEPT+ a. S"-. T)i# #t%"$t"%e %e#i#t t)e tenen$' o* t)e *e!"% to #ie *o%(a%# o** t)e /atea" i&e ti-ia #"%*a$e in a$tion# #"$) a# in <"!/ing (it) &nee# -ent+ a. Late%a $oate%a iga!ent . Ante%io% $%"$iate iga!ent -. Po#te%io% $%"$iate iga!ent e. Meia $oate%a iga!ent $. Meia an ate%a !eni#$i >. Panta%8*e6ion $ont%a$t"%e# $an inte%*e%e (it) t)e /e%*o%!an$e o* *"n$tiona ta#&# t)%o"g) t)e *oo(ing, EXCEPT+ a. So*t ti##"e# /a##ie' i!it o%#i*e6ion to t)e !"#$e !o!ent eeo/e a-o"t t)e an&e "%ing t)e #tan$e /)a#e. -. De$%ea#e t)e /anta% *e6o% !o!ent ()en t)e an&e i# in o%#i*e6e /o#ition#. $. T)e%e i# &nee )'/e%e6ten#ion "%ing t)e #tan$e /)a#e . T)e%e i# e$%ea#e an&e o%#i*e6ion "%ing t)e #(ing /)a#e e. T)e%e i# e$%ea#e /ea& )i/ e6ten#ion in ate #tan$e /)a#e >9. T)i# F '.o.5 an o 3F8F '.o5 /eo/e i**e% in t)ei% gait /e%*o%!an$e a# *oo(#, EXCEPT+ a. An&e o%#i*e6ion i# #ig)t' in$%ea#e in oe%, ()ie an&e /anta% *e6ion (a# e$%ea#e in oe% /eo/e. -. Pea& )i/ *e6ion e6)i-it a #ig)t' in$%ea#e in t)e oe% /e%#on#. $. Pea& &nee e6ten#ion i# #igni*i$ant' e## in t)e oe% /e%#on#. . St%ie engt) i# #igni*i$ant' g%eate% in t)e 'o"nge% /e%#on#. e. St%ie ti!e i# #)o%te% *o% t)e 'o"ng t)an t)e o ?>. T)e *oo(ing #tate!ent# e#$%i-e $ai$"a% !otion, EXCEPT+ a. A*te% t)e #)o"e% )a# -een a-"$te 9F eg%ee#, $ai$"a% t%an#e%#e %otation o$$"%# to $o!/ete #$a/"a% "/(a% %otation an #)o"e% *e6ion -. T)e $ai$e %otate# at t)e #te%no$ai$"a% F eg%ee a%o"n it# ong a6i#. $. Cai$e !otion in$"e eeation8e/%e##ion an /%ot%a$tion8%et%a$tion . Tig)tening o* t)e t%a/e:oi an $onoi iga!ent# $a"#e t)e "/(a% %otation o* t)e $ai$e
GOLD RANK PROPERTY DO NOT REPRODUCE
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
e. )en $ai$"a% %otation i# /%eente, a%! eeation i# i!ite to 9F eg%ee#. ??. T)e *oo(ing #tate!ent# a%e t%"e o* t)e )i/#, EXCEPT+ a. T)e ante%io% an ate%a /o%tion# o* t)e g%eate% t%o$)ante% a%e $oe%e -' t)e ten#o% *a#$ia atae an t)e g"te"# !ei"# !"#$e -. )en t)e iia$ $%e#t# a%e not ee in %eation to ea$) ot)e%, it i# "#"a' -e$a"#e o* /ei$ o-i"it' $. )en t)e g%eate% t%o$)ante% i# "ne"a, t)e' !a' -e "e to a $ongenita i#o$ation o* t)e )i/ o% a )i/ *%a$t"%e t)at )a# )eae in a /oo% /o#ition. . T)e /"-i$ t"-e%$e# a%e <"#t a-oe t)e to/ o* t)e g%eate% t%o$)ante%. e. A-o"t t)%ee in$)e# *%o! t)e to/ o* t)e iia$ $%e#t, t)e iia$ t"-e%$e !a%&# t)e (ie#t /oint on t)e $%e#t ?. ;"n$tiona $a/a$it' ea"ation a%e o*ten "#e to ete%!ine t)e *oo(ing, EXCEPT+ a. A /e%#on# %eaine## to %et"%n to (o%& -. T)e eg%ee o* t)e /e%#on# i#a-iit' in o%e% to $oe$t i#a-iit' /a' $. T)e nee *o% *"%t)e% %e)a-iitation . P)'#i$a $a/a-iitie# an (o%& toe%an$e e. T)e nee *o% . T)e *oo(ing #tate!ent# $)a%a$te%i:e $a%/a t"nne #'n%o!e, EXCEPT a. Pain, n"!-ne## an tinging o* t)e )an# -. Aan$e $a#e# !a' in$"e (a#ting o* t)e )'/ot)ena% e!inen$e an an a//a%ent $"!#ine## o* t)e )an $. Conition !a' a**e$t -ot) )an# o% on' t)e o!inant )an . S'!/to!# a%e !o#t o*ten a$"te ()ie #ee/ing e. Un$o!*o%ta-e #en#ation# a%e "#"a' *et on t)e *i%#t t)%ee *inge%# an t)e -a#e o* t)e t)"!?. In t)e %ei#e $atego%'8%atio %ating o* /e%$eie e6e%tion 3RPE5, a %ating o* i# e#$%i-e a# a. 4e%' #t%ong . ea& -. 4e%', e%' #t%ong e. Moe%ate $. So!e()at #t%ong . ;ee-a$& in*o%!ation a-o"t t)e &ine!ati$ o% &ineti$ $o!/onent# o* t)e !oe!ent -eing atte!/te -' t)e /atient. a. Re#"t O%iente . Kno(ege o* Re#"t# -. Kno(ege o* Pe%*o%!an$e e. Pe%*o%!an$e O%iente $. Kno(ege o* ;"n$tion . T)e *oo(ing $)a%a$te%i#ti$# e#$%i-e T'/e IIA !"#$e *i-e%#, EXCEPT+ a. Containe in !oto% "nit# $)a%a$te%i:e -' a )ig) *i%ing *%e"en$' o% i#$)a%ge %ate -. Hig) t)%e#)o *o% a$tiation an #o(8t(it$) $ont%a$tion. $. Hae $'toogi$a /%o/e%tie# t)at *a -et(een t'/e I an t'/e II@ *i-e% . Reatie' *atig"e %e#i#tant e. it) inte%!eiate ee# o* g'$o'ti$ an o6iatie en:'!e a$tiit' . I* t)e%e i# ante%io% $%"$iate in#ta-iit', t)e ti-ia (i %o$& a. @a$&(a% . ate%a' -. Meia' e. iagona' $. *o%(a% 9. A #o"te (it) a )ig) /o%tion $oe**i$ient i# a. Moe# t)%o"g) t)e $e !e!-%ane (it) i**i$"t' -. )e%e #at"%ation $an o$$"% $. Di%e$te again#t a $)e!i$a g%aient . Mo%e #o"-e in *at t)an in (ate% e. Mo%e #o"-e in (ate% t)an in *at.
GOLD RANK PROPERTY DO NOT REPRODUCE
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
F. S"gge#te i!en#ion 3in *eet5 *o% a t%eat!ent $"-i$e a%ea i# a. 1F 6 1F . 6 10 -. 6 e. 6 1F $. 6 1. T)i# e%ti$a'8i%e$te ei$e a$t# a# t)e /%iet %o"n ()i$) t)e %otation o$$"%# an ()i$) -%ing# t)i# ate%a %otation o* t)e ti-ia 3o% !eia %otation o* t)e *e!"%5 to a )at. a. Late%a $oate%a iga!ent . Se!i"na% $a%tiage# -. Po#te%io% $%"$iate iga!ent e. Ante%io% $%"$iate iga!ent $. Meia iga!ent 0. Ene%g' $o#t# "%ing (a&ing a"t# (it) -eo( &nee a!/"tation# 3@KA#5 an t)o#e (it)o"t a!/"tation !a' -e gene%ai:e a# *oo(#, EXCEPT+ a. )en a"t# (it) @KA# (a&e at t)e #a!e #/ee a# a"t# (it)o"t, t)ei% ene%g' $o#t# (e%e a//%o6i!ate' 70 g%eate%. -. Ene%g' $o#t# a%e t)e #a!e -et(een a"t# (it) @KA# an t)o#e (it)o"t ()en (a&ing at t)e #a!e #/ee. $. T)e' )ae t)e #a!e ene%g' $o#t# -e$a"#e t)e /e%#on (it) a!/"tation# (a&e at #o(e% #/ee#. . A"t# (it) @KA# an #)o%t %e#i"a i!-# 3e## t)an o* tota -o' )eig)t5 )a# a >F in$%ea#e ()en t)e' /e%*o%! t)e #a!e a$tiitie#. e. A"t# (it) @AK# an ong %e#i"a i!-# 3g%eate% t)an o* tota -o' )eig)t5 )a a 1F in$%ea#e in o6'gen $on#"!/tion $o!/a%e (it) a"t# (it)o"t. 7. H'/o$oag"o/at)' $an ea to a. In$%ea#e )ea%t (o%&oa . t)%o!-"# *o%!ation -. He!o%%)age an ee!a e. in$%ea#e -%eat)ing $. E!-o"# *o%!ation >. No%!a', t)e !oe!ent o* t)e $ontent# o* t)e ga#t%ointe#tina t%a$t i# #o(e#t aong t)i# #eg!ent. a. Mo"t) . #!a inte#tine -. La%ge inte#tine e. #to!a$) $. e#o/)ag"# ?. T)e *oo(ing #tate!ent# $)a%a$te%i:e t)o%a$i$ o"tet #'n%o!e, EXCEPT+ a. T)e%e i# n"!-ne## in t)e *inge%# o* t)e )an -. Inoe# -ot) t)e ne%e# an a. M"#$e $ont%a$tion #t%engt) g%aation $an -e a$$o!/i#)e in t)e *oo(ing !anne%, EXCEPT+ a. Moto% ne"%on# (it) g%eate#t inne%ation# %atio a%e a$tiate initia' a$tiating *e( !"#$e *i-e%#. -. In$%ea#ing t)e *%e"en$' o* #ti!"ation o* inii"a !oto% "nit# $. Si!"taneo"#' %e$%"iting t)e n"!-e% o* a$tiate !oto% "nit . Initia' a$tiating *e( !"#$e *i-e%#. e. A# ea$) a$tie !"#$e *i-e% i# eeo/ing !a6i!"! ten#ion, t)e /e%$entage o* ti!e i# in$%ea#e.
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To God Be the Glory 82
PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
?. ;a$to%# $ont%i-"ting to ne"%o/at)i$ /anta% "$e%ation in /atient# (it) ia-ete# in$"e t)e *oo(ing, EXCEPT+ a. ;oo e*o%!itie# -. Li!ite !o-iit' o* t)e g%eat toe# !etata%#o/)aangea ? eg%ee ange. e. It# e**e$tiene## a# a #"/inato% i!ini#)e# a# t)e e-o( i# e6tene 91. T)e *oo(ing #tate!ent# e#$%i-e %e/ai% o* a$"te in#ta-iit', EXCEPT a. Aan$e!ent o* t)e /o#te%io% o-i"e iga!ent i# a %e$on#t%"$tie /%o$e"%e t)at i# a!o#t a(a'# "#e -. Pe%i/)e%a tea%# o* t)e !eia !eni#$"# i# #aage -"' #"t"%ing t)e #t%"$t"%e to t)e $a/#"a% iga!ent# $. T)e nee to %i )oe# in -one to %eatta$) iga!ent# i# #eo! ne$e##a%' ina#!"$) a# t)e /e%io#te"! i# "#"a' inta$t an (i )o #"t"%e# (e . Re/ai% o* an a$"te $a#e -' i%e$t #"t"%e i# "#"a' aoie 90. Seg!enta eeo/!ent i# eien$e o* t)e )"!an to%#o# ne%e #"//' o* an o%e%' #e%ie# o* #/ina ne%e# i. e one /ai% o* #/ina ne%e #"//ie# t)i# #t%i/8i&e a%ea o* #&in, an i# &no(n a# a a. M'oto!e . S/ina Ne%e# -. Te%!ina @%an$)e# e. 4e%te-%a Ne%e# $. De%!ato!e 97. Di**e%entiation o* t)e#e t)%ee e#i$e# at t)e %o#t%a en o* t)e ne"%a t"-e initiate# -%ain eeo/!ent. a. P%o#en$e/)aon, !e#en$e/)aon an !eten$e/)aon -. Teen$e/)aon, ien$e/)aon, an !e#en$e/)aon $. P%o#en$e/)aon, !e#en$e/)aon an %)o!-en$e/)aon . Me#en$e/)aon, %)o!-en$e/)aon an !eten$e/)aon e. P%o#en$e/)aon, %)o!-en$e/)aon an !'een$e/)aon 9>. )en igita !"#$e# )ae t)ei% /%o6i!a atta$)!ent in t)e *o%ea%! o% )"!e%"#, t)e' a%e $a##i*ie a# a. E6t%in#i$ . !it%in#i$ -. T)ena% e. )'/ot)ena% $. Int%in#i$ 9?. T)e#e !"#$e# %et%a$t t)e /%ot%a$te #$a/"a an t"%n t)e genoi *o##a o(n(a%#, t)"# *o%$i-' o(e%ing t)e %ai#e a%!, (it) ot)e% !"#$e#, t)e' &ee/ t)e #$a/"a a//ie to t)e $)e#t (a. a. Se%%at"# Ante%io% . R)o!-oi# -. T%a/e:i"# e. Leato% S$a/"ae $. Pe$to%ai# !ino% 9. T)e !o#t i!/o%tant *a$to% giing %i#e to a $on$ent%ate "%ine i# t)e /%e#en$e o* a. Digita $ono"te t"-"e -. P%o6i!a t"-"e $. Anti8i"%eti$ )o%!one . e eeo/ :on"a o$$"e# at t)e $oe$ting t"-"e e. Non8%ea-#o%-a-e #o"te in t)e "!en o* t)e $onne$ting t"-"e 9. Ne"%o!"#$"a% ee$t%i$a #ti!"ation )a# -een "#e *o% t)e *oo(ing, EXCEPT+ a. ;a$iitate !oto% $ont%o . i!/%oe %ange o* !otion -. In$%ea#e #t%engt) e. !"#$e %ee"$ation $. Te!/o%a%i' %e"$e )'/e%%e*e6ia 9. A# giing o$$"%#, t)e BNo !oe!ent ta&e# /a$e on t)e #"%*a$e o* t)e#e
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
1FF.T)e *oo(ing a%e t%"e o* /a!a% /%e)en#ion /atte%n, EXCEPT+ a. La%ge o-.)en a !"#$e $ont%a$t# to ei!inate #o!e "ne#i%e !oe!ent t)at (o" ot)e%(i#e -e /%o"$e -' t)e /%i!e !oe%, it i# #ai to -e a=an a. P%i!e% !oe% . $oo%inato% -. ;i6ato%# e. #'ne%gi#t $. antagoni#t 1F?.;oo(ing #tate!ent# a%e t%"e o* o(e% !oto% ne"%on e#ion#, EXCEPT+ a. M"#$e at%o/)' !a' -egin to #)o( (it)in a *e( (ee&# -. Een (it) t)e o## o* #en#o%' *ee-a$& to t)e ne%o"# #'#te! $oo%inate !oe!ent# a%e #ti /%o/e%' a$$o!/i#)e $. T)e !"#$e o#e# -ot) it# o"nta%' an %e*e6 %e#/on#e . H'/otonia i# o-#e%e a# (e a# a-#en$e o* !"#$e #t%et$) %e*e6 1F.)i$) o* t)e *oo(ing i# NOT t%"e o* t)e Detoi2 a. T)e ne%e #"//' i# -' C? an C ia t)e $i%$"!*e6 ne%e -. It $an $a%%' t)e a%! )ig)e% t)an t)e )o%i:onta /o#ition $. It i# a /o(e%*" a-"$to% o* t)e )"!e%"# -"t $annot initiate t)at !oe!ent . T)e !ie *i-e%# $on$e%n t)e!#ee# (it) a-"$tion aone 1F.De$%ea#e in %e#ting !e!-%ane /otentia, !a&ing it !o%e /o#itie. a. De/oa%i:ation . A$tion /otentia eg%aation -. Me!-%ane ene%ation e. 4a%ia-e $on"$tan$e $. H'/e%/oa%i:ation 1F.Di**"#ion o$$"%# *a#te% i* a. T)e te!/e%at"%e i# o(e%. -. T)e /a%tition $oe**i$ient i# )ig)e% $. T)e /a%tition $oe**i$ient i# )ig)e% an t)e !oe$"a% #i:e i# -igge% . T)e !oe$"a% #i:e i# -igge% e. T)e !oe$"a% #i:e i# -igge% an t)e te!/e%at"%e i# )ig)e% 1F9.T)e *oo(ing #tate!ent# a%e t%"e o* #t%aig)t eg %ai#ing te#t, EXCEPT+ a. T)e no%!a ange -et(een t)e ta-e an t)e eg !ea#"%e# a//%o6i!ate' F eg%ee# -. At t)e /oint ()e%e t)e /atient e6/e%ien$e# /ain, o(e% t)e eg #ig)t' an t)en o%#i*e6 t)e *oot i* t)e t)e%e i# no /ain, t)e /ain in"$e i# /%o-a-' "e to t)e #$iati$ ne%e $. De#igne to %e/%o"$e -a$& an eg /ain . I* t)e%e i# a /o#itie %ea$tion to t)e #t%aig)t eg %ai#ing te#t an t)e *oot o%#i*e6ion !ane"e%, t)e /ain !a' -e eit)e% in t)e "!-a% #/ine o% aong t)e $o"%#e o* t)e #$iati$ ne%e e. T)e *oot i# i*te "/(a% #"//o%ting t)e $a$ane"#, an (it) t)e &nee %e!aining #t%aig)t, %ai#e t)e eg to t)e /oint o* i#$o!*o%t o% /ain 11F.)i$) $%"t$)8(a&ing te$)ni"e (o" 'o" $)oo#e *o% /atient# (it) a (a&ing $a#t, egene%atie
GOLD RANK PROPERTY DO NOT REPRODUCE
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
11>.T)e *oo(ing #tate!ent# a%e t%"e in t)e te$)ni"e &no(n a# /)ono/)o%e#i#, EXCEPT+ a. Mei$ation# $o!!on' "#e in$"e )'%o$o%ti#one, e6a!et)a#one, #ai$'ate an io$aine, an *%e"ent', )'%o$o%ti#one i# $o!-ine (it) a ge -a#e to *o%!"ate a 1F )'%o$o%ti#one #o"tion -. Co!-ine "#e o* a %"g8i!/%egnate $o"/ing !ei"! (it) "t%a#o"n to %ie ()oe !oe$"e# o* to/i$a' a//ie !ei$ation /e%$"taneo"#' into in*a!e ti##"e# $. O*ten a//ie ia $ontin"o"# "t%a#o"n (it) inten#it' -et(een 1.F an 0.F .$!, at a *%e"en$' o* ? MH:, an (it) t%eat!ent "%ation o* ? !in"te#. . T)e /)'#i$a !e$)ani#! -' ()i$) /)ono/)o%e#i# a$t# i# not &no(n e. A$t# i# a *a#t, /aine##, nonina#ie ate%natie to o$a in.T)e !o#t a-"nant $ation in#ie t)e iing $e i# a. Na . C8 -. K e. Ca $. Mg 10?.T)e gate $ont%o t)eo%' o* Me:a$& an a )a# -een "#e to e6/ain t)e e**e$tiene## o* $onentiona #en#o%' ee TENS in %e"$ing /ain. T)e *oo(ing #tate!ent# i#$"## t)e t)eo%', EXCEPT a. Cent%a t%an#!i##ion o* /ain i!/"#e# ia a%ge8ia!ete%, a !'einate *i-e% i# ia in)i-ition o* #e$on o%e% ne"%on# o$ate in t)e o%#a )o%n. -. Int%a!"#$"a% %e$e/to%# #en a**e%ent i!/"#e# ia g%o"/ III an I4 *i-e%# an t)e #/inot)aa!i$ t%a$t to -%ain8#te! $a%ioa#$"a% $ente%#. $. T)e t%an#!i##ion %ate o* a$tion /otentia# *%o! /e%i/)e%a no$i$e/to%# to t)e $ent%a ne%o"# #'#te! $an -e !o"ate -' $one%gen$e o* ot)e% a**e%ent in/"t# at t)e ee o* t)e #/ina $o% . So!e g%o"/ III an I4 a**e%ent !eiate t)e /%e##"%e %e#/on#e to #"#taine i#o!et%i$ !"#$e $ont%a$tion e. T%an#$"taneo"# ee$t%i$a #ti!"ation o* g%o"/ I an II a**e%ent *i-e%# i# t)o"g)t to !o"ate $ent%a t%an#!i##ion o* /ain i!/"#e# $a%%ie -' g%o"/ III an I4 *i-e%# 10.I* a >F &iog%a! *o%$e i# a//ie oe% an a%ea o* *o"% #"a%e $enti!ete%#, t)e /%e##"%e 3in &iog%a!# /e% #"a%e $enti!ete%5 i# e"a to a. 0F . 1F -. ? e. F $. 1F 10.T)e#e !"#$e# a%e #ai to /a$e t)e )an in t)e B(%iting /o#ition 3!eta$a%/o/)aangea
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To God Be the Glory 8!
PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
$.
Kno(n o% /otentia %i#&# a##o$iate (it) t)e t%eat!ent a%e e6/aine, an t)e $ient !"#t -e a-e to a#& "e#tion# an %e$eie %e#/on#e# a-o"t an' a#/e$t# o* t%eat!ent . Con#ent *%o! a ega' "ai*ie #"%%ogate i# ne$e##a%' i* t)e /atient )a# not %ea$)e t)e ega age o* $on#ent, o% !enta' $on*"#e. e. P%oie #"**i$ient in*o%!ation a-o"t t)e /%o/o#e an ate%natie t%eat!ent=# a//%o/%iate to t)e $ient# $onition, to ao( )i! to !a&e a &no(egea-e e$i#ion. 109.T)i# i# *o%!e ()en #'noia *"i e6ten# into t)e /o/itea #/a$e an -e$o!e# e6/o#e in a !e!-%ane. a. Dee/ ein t)%o!-o#i# . T)%o!-o/)e-iti# -. Late%a !eni#$iti# e. In*a!!ation o* t)e /o#te%io% $%"$iate iga!ent $. @a&e%# $'#t 17F.To te#t t)i# !"#$e, t)e /%o6i!a IP .T)i# ne%e #"//ie# t)e Se%%at"# Ante%io% M"#$e an a%i#e# *%o! t)e C?, C an C %oot# o* t)e -%a$)ia /e6"#+ a. S"-#$a/"a% Ne%e $. Long T)o%a$i$ Ne%e -. M"#$"o$"taneo"# Ne%e . Late%a Pe$to%a Ne%e 17?.T)e n"t%itiona $o!/onent=# ne$e##a%' *o% /%o/e% e%'t)%o$'te *o%!ation an !an"t%ition i#=a%e+ a. A o* t)e#e . *oi$ a$i -. Ri-o*ain 34it @05 e. i%on $. I%on an *oi$ a$i 17.T)e *oo(ing #tate!ent# e#$%i-e t)e ante%io% $o!/a%t!ent on t)e eg# ante%oate%a #ie -et(een t)e ti-ia an t)e *i-"a, EXCEPT+ a. T)e ti-iai# ante%io%, e6ten#o% )a"$i# ong"# an t)e e6ten#o% igito%"! ong"# in#e%t#, into t)i# $o!/a%t!ent -. T)e ante%io% *a#$ia, /o#te%io% ti-ia, *i-"a, an inte%o##eo"# iga!ent %ene% it in*e6i-e an "n'ieing $. I* t)e #t%"$t"%e# a%e tig)t an int%a$ta-e, an i* t)e /a/ation ei$it# tene%ne##, t)e%e i# eien$e o* an ante%io% $o!/a%t!ent #'n%o!e. . @e$a"#e o* it# ina-iit' to e6/an, #(eing in t)e ante%io% $o!/a%t!ent $an $%eate *oot %o/ o% ante%io% $o!/a%t!ent #'n%o!e e. Ne$%o#i# o* t)e !"#$e#, ne%e# an e##e# !a' %e#"t *%o! /at)oog' t)at !a' $a"#e #(eing (it)in t)e ante%io% $o!/a%t!ent 17.T)e Una% Ne%e inne%ate# t)e *oo(ing #t%"$t"%e#, EXCEPT+ a. A inte%o##ei . Pa!a%i# Long"# -. Meia )a* o* t)e ;e6o% Digito%"! P%o*"n"# e. A H'/ot)ena% $. A"$to% Poi$i# 17.S"gge#te i!en#ion 3in *eet5 *o% an e6t%e!it' ()i%/oo inn H'%ot)e%a/' a%ea i# a. 6 . 1F 6 -. ? 6 e. 6 1F $. 6 179.T)i# te#t )e/# ete%!ine ()et)e% t)e /atient i# !ainge%ing ()en )e #tate# t)at )e $annot %ai#e )i# eg in t)at a# t)e /atient t%ie# to %ai#e )i# eg, )e /"t# /%e##"%e on t)e $a$ane"# o* )i# o//o#ite eg to gain ee%age, t)e /atient i# not %ea' t%'ing i* )e oe# not -ea% o(n a# )e atte!/t# to %ai#e )i# eg. a. Hooe% Te#t . St%aig)t Leg Rai#ing Te#t -. Ke%nig Te#t e. 4a#aa Mane"e% $. Mig%a! Te#t 1>F.@oo $e# ()i$) a%e a$tiate -' antigen on' ()en t)i# i# a##o$iate (it) anot)e% )o#t $e+ a. @8'!/)o$'te# . ne"t%o/)i# -. T8'!/)o$'te# e. -a#o/)i# $. Eo#ino/)i# 1>1.T)e#e !"#$e# !ain' *e6 t)e inte%/)aangea 0.T)i# t'/e o* t%a$tion te!/o%a%i' i!!o-ii:e an in<"%e a%ea t)%o"g) )an# /"ing on t)e in<"%e -o' /a%t+ a. Man"a T%a$tion . S&in T%a$tion -. Re"$tion T%a$tion e. S&eeta T%a$tion $. Mo-ii:ation T%a$tion 1>7.A*te% #"$$e##*"' /a##ing t)e @oa% E6a!ination, t)e *oo(ing initia# !a' -e ae a*te% t)e na!e o* t)e #"$$e##*" /)'#i$a=o$$"/ationa t)e%a/' e6a!inee a. PTRP=OTRP . RPT=ROT -. PTR=OTR e. RPT=OTRP
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To God Be the Glory 8"
PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
$. PTRP=ORT 1>>.In a %e$ent #t"' $on"$te on /)ono/)o%e#i#, ()e%e )'%o$o%ti#one (a# /%e/a%e -' -ening )'%o$o%ti#one a$etate (it) A"a#oni$ ge, ()i$) o* t)e *oo(ing #tate!ent# i# t%"e2 a. ? !in"te# o* )'%o$o%ti#one /)ono/)o%e#i# (it) 1F )'%o$o%ti#one "#ing $ontin"o"# "t%a#o"n at 1.F =$! i not %e#"t in an in$%ea#e in )"!an #e%"! $o%ti#o ee. -. ? !in"te# o* )'%o$o%ti#one /)ono/)o%e#i# (it) 1F )'%o$o%ti#one "#ing $ontin"o"# "t%a#o"n at 1.F =$! %e#"te an in$%ea#e in )"!an #e%"! $o%ti#o ee# $. ? !in"te# o* )'%o$o%ti#one /)ono/)o%e#i# (it) 1F )'%o$o%ti#one "#ing $ontin"o"# "t%a#o"n at ?.F =$! i not %e#"t in an in$%ea#e in )"!an #e%"! $o%ti#o ee# . 1F !in"te# o* )'%o$o%ti#one /)ono/)o%e#i# (it) 0F )'%o$o%ti#one "#ing $ontin"o"# "t%a#o"n at ?.F =$! %e#"te in an in$%ea#e in )"!an #e%"! $o%ti#o ee# e. ? !in"te# o* )'%o$o%ti#one /)ono/)%e#i# (it) 1F )'%o$o%ti#one "#ing $ontin"o"# "t%a#o"n at ?.F =$! %e#"te in an in$%ea#e in )"!an #e%"! $o%ti#o ee. 1>?.T)e /o(e%# an "tie# o* t)e @oa% o* P)'#i$a an O$$"/ationa T)e%a/' in$"e t)e *oo(ing, EXCEPT+ a. To #t"' t)e $onition# a**e$ting /)'#i$a an o$$"/ationa t)e%a/' e"$ation an /%e/a%e a (%itten *ao%a-e %e$o!!enation to a"t)o%i:e #$)oo# to o**e% $o"%#e in /)'#i$a o% o$$"/ationa t)e%a/' -. To #t"', /%o!ote an i!/%oe t)e $onition# o* t)e /%a$ti$e o* /)'#i$a an o$$"/ationa t)e%a/' $. To i##"e, #"#/en, %eo&e o% %e8i##"e an' $e%ti*i$ate o* %egi#t%ation *o% t)e /%a$ti$e o* /)'#i$a an o$$"/ationa t)e%a/' . To gie e6a!ination# to a//i$ant# *o% t)e /%a$ti$e o* /)'#i$a an o$$"/ationa t)e%a/' in a$$o%an$e (it) t)e /%oi#ion# o* t)e P)ii//ine P)'#i$a an O$$"/ationa T)e%a/' La(. e. To oo& into t)e $onition# a**e$ting t)e /%a$ti$e o* PT an OT an eegate to a$$%eite /%o*e##iona a##o$iation# #o t)e' !a' ao/t !ea#"%e# o* goo et)i$# an )ig) /%o*e##iona #tana% in t)e /%a$ti$e. 1>.In$o%%e$t ent%ie# in 'o"% o$"!entation !a' -e eite -' oing t)e *oo(ing, EXCEPT+ a. Co%%e$te #tate!ent !"#t -e ente%e in t)e $)%onoogi$ #e"en$e -. On t)e !a%gin, #tate ()' t)e $o%%e$tion (a# ne$e##a%' $. Singe ine %a(n t)%o"g) t)e ina$$"%ate in*o%!ation, -"t #ti !a&ing it egi-e. . Co%%e$tion !"#t -e ate an initiate e. E%a#e o% %a( !"ti/e ine# on t)e ina$$"%ate in*o%!ation. 1>.Ina#!"$) a# t)e &nee e6ten#o% !e$)ani#! i# inoe, t)e *oo(ing #tate!ent# a//', EXCEPT+ a. T)e e6e%$i#e i# in$%ea#e a$$o%ing to #"-.I* e6e%$i#e tig)tne## o* t)e )i/ iga!ent#, !"#$e#, o% *a#$iae /%eent# $o!/ete e6ten#ion o* t)e )i/ 9.T)e *oo(ing #tate!ent# a//' to T%an#ation, EXCEPT+ a. A /%o$e## -' ()i$) a /%otein !oe$"e i# *o%!e ()ie t)e !e##enge% RNA t%ae# aong t)e %i-o#o!e# -. A $oon #igna# t)e en o* a /%otein !oe$"e $. T)e /%o$e## i# initiate ()en a !oe$"e o* !e##enge% RNA $o!e# in $onta$t (it) a %i-o#o!e . T)e !an"*a$t"%ing /ant in ()i$) t)e /%otein !oe$"e# a%e *o%!e 1?F.Re$eie# t)e (eig)t o* t)e -o' ()en one #it# "/ #t%aig)t+ a. In*e%io% %a!"# -. I#$)ia t"-e%o#it' $. Le##e% #$iati$ not$) . S/ine o* i#$)i"! 1?1.@o"n -' t)e#e t enon#, t)e' $o!/%i#e t)e anato!i$a #n"** -o6. a. E6ten#o% Poi$i# Long"#, A-"$to% Poi$i# Long"# an E6ten#o% Poi$i# @%ei# -. E6ten#o% Digito%"! Co!!"ni#, E6ten#o% Ini$i# P%o/i"# an E6ten#o% Ca%/i Raiai# $. A-"$to% Poi$i# Long"#, A-"$to% Poi$i# @%ei# an E6ten#o% Ini$i# P%o/i"# . E6ten#o% Poi$i# Long"#, E6ten#o% Ini$i# P%o/i"# an E6ten#o% Poi$i# @%ei# e. E6ten#o% Ca%/i Una%i#, E6ten#o% Digito%"! Co!!"ni# an E6ten#o% Poi$i# @%ei# 1?0.A# /%o/o#e -' C'%ia6, t)e #$)e!e o* #ee$tie ten#ion te#ting i# a $ini$a #'#te! o* iagno#i# o* /ain*" /%o-e!# o* #o*t i##"e# an i# $on"$te in t)e *oo(ing !anne%, EXCEPT+ a. Re#i#te $ont%a$tion# -. Pa/ation $. A$tie !otion . A##i#te $ont%a$tion# e. Pa##ie !otion 1?7.I!!eiate /o#to/e%atie $a%e *oo(ing $a%ia$ t%an#&ineti$ in$"e t)e *oo(ing EXCEPT+ a. O%a iet i# -eg"n a# #oon a# /atient $an toe%ate it -. Mo#t /atient# a%e (eane *%o! !e$)ani$a entiato% a##i#tan$e (it)in 0> to 7 )o"%# $. T'/i$a', )ea%t %ate i# !aintaine at a-o"t F -eat# /e% !in"te *o% t)e *i%#t 0 )o"%# an t)en ta/e%e o** . ;i%#t eno!'o$a%ia -io/#' i# /e%*o%!e to 1F a'# a*te% t%an#/antation e. Enot%a$)ea an o%oga#t%i$ t"-e# a%e %e!oe (it)in 0> to 7 )o"%# 1?>.T)i# tin' o/)t)a!i$ a%te%' ()i$) a$$o!/anie# t)e o/ti$ ne%e an t)e ante%io% an !ie $e%e-%a a%te%ie# #"//' !o#t o* t)e $e%e-%a )e!i#/)e%e. a. O$$i/ita A%te%' . S"-$aian a%te%' -. E6te%na Ca%oti A%te%' e. O/ti$ A%te%' $. Inte%na Ca%oti A%te%' 1??.T)e #o!ati$ #en#o%' e6a!ination i# t)e !o#t i**i$"t an ea#t %eia-e /a%t o* t)e ea"ation. T)e *oo(ing %"e# an gene%ai:ation# (i -e )e/*", EXCEPT+ a. Con#i#ten$' o* *ining# o* #ee%a #en#o%' e6a!ination gie# #o!e a##"%an$e o* aiit'
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
-.
Pe%i/)e%a ne%e e#ion# a%e o*ten a##o$iate (it) i!ini#)e o% a-#ent #(eating, %' #&in, t%o/i$ $)ange# in t)e nai# an o## o* #"-$"taneo"# ti##"e $. T)e te#t o%ina%i' "#e *o% t)e #en#o%' e6a!ination a%e %at)e% $%"e an t)e *ining# a%e i!/%e$i#e, t)e !o%e #o t)e e## $o!/ete t)e e#ion . S"- (ee&# /o#t-i%t) e. Contin"e *"n$tiona e*i$it# !a' -e *o"n in /a%ae (it) in$o!/ete %e#o"tion o* #t%"$t"%a aa/tation# /o#t -i%t) 1F.T)e *oo(ing e#$%i-e t)e !oi*ie T)o!a# te#t, EXCEPT+ a. Hi/ ROM i# $on#ie%e no%!a i* t)e /atient )a# F eg%ee# o* &nee *e6ion -. T)e /ei# i# /a$e in a//%o6i!ate' 1F eg%ee# o* /o#te%io% tit -' *e6ion o* one )i/ an &nee to(a% t)e $)e#t ()ie 'ing #"/ine $. Hi/ ROM i# $on#ie%e no%!a i* t)e /atient )a# 1F eg%ee# o* *e!o%a e6ten#ion %eatie to t)e /ei# . T)e ot)e% eg i# /o#itione to e6ten o** t)e ege o* a t%eat!ent ta-e *a% eno"g) to ao( t)e &nee to -en *%ee' e. It on' te#t# t)e ROM an t)e engt) o* t)e one8.It i# (ie' -eiee t)at t)e#e !"#$e# a%e inoe in Btenni# e-o(, a $onition in ()i$) t)e e6ten#o% !"#$e#, #t%aine -' an "n"#"a a!o"nt o* #t%e##, $a"#e /ain at t)e ate%a e/i$on'e o* t)e e-o( an aong t)e $o"%#e o* t)e !"#$e. a. E6ten#o% Co!!"ni# $. E6ten#o% Ca%/i S"/e%*i$iai# -. ;e6o% Digito%"! S"/e%*i$iai# . T)e !o-ie (a o* t)%ee 3E6ten#o% Ca%/i Raiai# @%ei# in /a%ti$"a%5 1?."n$tion *o%!e -' t)e te%!ina -%an$)e# o* t)e -a#ia% a%te%' an t)e t(o inte%na $a%oti a%te%ie#+ a. Ante%io% $o!!"ni$ating a%te%ie# $. Ci%$e o* ii# -. None o* t)e#e . Po#te%io% $o!!"ni$ating a%te%ie# 1.An e6a!/e o* t)i# $a## o* ee i# at t)e atanto8o$$i/ita
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
19.I* t)e%e i# a $o!/%e##ion o* t)e #"-$aian a%te%', one *ee# a !a%&e i!in"tion o% a-#en$e o* t)e %aia /"#e. T)i# te#t i# $ae a. S(ao(ing Te#t . Co!/%e##ion Te#t -. A#on Te#t e. Di#t%a$tion te#t $. 4a#aa Te#t 1F.A*te% inte%na *i6ation o* t)e )i/, t)e /)'#i$a t)e%a/i#t !"#t /a' #/e$ia attention to+ a. U#e o* a t%o$)ante% %o o% /%o/e%' /a$e #an-ag# -e#ie t)e t)ig) to aoi e6t%e!e e6te%na %otation -. A o* t)e#e $. Patient !a' not ean *o%(a% *"%t)e% t)an 7F to >F ()i$) (o" in$%ea#e )i/ *e6ion . To /%eent in$%ea#e /ain an "n"e #t%ain on t)e *%a$t"%e #ite, a"$tion, e6te%na %otation o% a$"te *e6ion o* t)e /atient# )i/ !"#t not -e ao(e e. U#e o* /io( o% a-"$to% t%iange to !aintain a-"$tion an &ee/ t)e a**e$te eg to one #ie o* )i# !iine 11.T)e *oo(ing $)a%a$te%i:e# t)e /atea, EXCEPT+ a. Late%a i#o$ation i# %e#i#te -' t)e ate%a i/ o* t)e t%o"g) -eing /%o.;oot o%#i*e6o% a%e $o!/o#e o*+ a. None o* t)e#e -. Ti-iai# Ante%io%, E6ten#o% Digito%"! @%ei# an E6ten#o% Ha"$i# @%ei# $. Ti-iai# Ante%io%, E6ten#o% Digito%"! Long"# an E6ten#o% Ha"$i# Long"# . Pe%oneo"# Te%ti"#, Pe%one"# @%ei# an E6ten#o% Digito%"! @%ei# 1?.T)i# $)a%a$te%i:e# ia-ete# !eit"#. a. De$%ea#e -oo #"ga% . en)an$e /%otein #'nt)e#i# -. In$%ea#e i/ogene#i# e. in#"in e*i$ien$' $. An%ogen -ining /%otein 1.T)e /%o"$t o* -%eat)ing *%e"en$' an tia o"!e 34E5+ a. 4entiation 3in ite%# /e% !in"te5 . )ea%t %ate -. St%o&e o"!e e. $a%ia$ o"t/"t $. Meta-oi$ %ate 1.)i$) o* t)e *oo(ing e6a!/e# t)e%a/e"ti$a' in$%ea#e t)e /%e##"%e on a gien a%ea2 a. U#e o* $o#e8$e *oa! #)oe in#e%t# *o% (a&ing -. P%e#$%i-ing a (ea%ing #$)e"e *o% a /%o#t)e#i# $. U#e o* o%t)oti$# to t)e *o%$e a%! engt) . ;%e"ent -o' (eig)t #)i*t# e. De$%ea#ing t)e *o%$e a%! engt) in o%t)oti$# 1.;oo(ing #tate!ent# a%e t%"e o* t)e $o%ti$o#/ina o% /'%a!ia t%a$t, EXCEPT+ a. A-o"t 1=7 o* t)e a6on# in t)e /'%a!ia t%a$t a%i#e *%o! t)e /%i!a%' !oto% $o%te6 in a%ea# > to . -. A-o"t 9F /e%$ent o* t)e t%a$t# e$"##ate to t)e o//o#ite #ie at t)e o(e% ee# o* t)e !e"a. $. T)e *i-e%# a%i#e *%o! t)e ne"%on# in t)e ent%a /a%t o* a%ea > on t)e ate%a #"%*a$e o* t)e )e!i#/)e%e an *%o! a%ea . . Con$e%ne (it) #&ie !oe!ent# o* t)e i#ta !"#$e# o* t)e i!19.T)e *oo(ing #tate!ent# e#$%i-e t)e T%i$e/# @%a$)ii, EXCEPT+ a. T)e ong )ea !a' )e/ a#o in e6tening t)e #)o"e%
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
17.T)e *oo(ing #tate!ent# a%e t%"e o* t)e Ti-iai# Po#te%io%, EXCEPT+ a. Inne%ate -' t)e ti-ia ne%e -. T)e !o#t ee/' #it"ate !"#$e o* t)e $a* $. Ine%t# an #"/inate o* t)e #"-taa% .T)e *oo(ing #tate!ent# e#$%i-e ata6ia, EXCEPT+ a. Can %e#"t *%o! a!age to t)e o%#a an ent%i$"a% #/ino$e%e-ea% /at)(a'# an /ontine n"$ei -. Can %e#"t *%o! a!age to t)e a**e%ent /ontine o* /e%i/)e%a ne%e# an t)e o%#a $o"!n o* t)e #/ina $o%. $. Can %e#"t *%o! a!age to #ee%a i**e%ent !oto% o% #en#o%' %egion# o* t)e $ent%a ne%o"# #'#te!. . Can %e#"t in )ig) a!/it"e t%e!o% t)at a$$o!/anie# !oe!ent e. Da!age in one $e%e-ea% )e!i#/)e%e i# !ani*e#te $ont%aate%a to t)e e#ion 1?.T)e gate(a' to /ain in o/ene -' a. Inten#e #ti!"ation o* a%ge ia!ete% *i-e%# -. None o* t)e#e $. Mi #ti!"ation o* #!a ia!ete% *i-e%# . Mi #ti!"ation o* a%ge ia!ete% *i-e%# e. Inten#e #ti!"ation o* #!a ia!ete% *i-e%# 1.T)e $o!-ine a$tion o* t)e#e !"#$e# i# e%te-%a e6ten#ion, a%e $ontin"o"# *%o! t)e #a$%"! to t)e o$$i/"t+ a. None o* t)e#e $. T%an#e%#o/ina -. E%e$to% S/inae o% Sa$%o#/inai# . "a%at"# L"!-o%"! 1.In$%ea#e in %e#ting !e!-%ane /otentia, !a&ing it !oe negatie. a. De/oa%i:ation . A$tion /otentia /%o/agation -. 4eo$it' e6$itation e. 4a%ia-e $on"$tan$e $. H'/e%/oa%i:ation 1.In one eg #taning, t)e g"te"# !ei"# o* t)e #"//o%ting eg i# /e%*o%!ing+ a. I#o!et%i$ $ont%a$tion $. E$$ent%i$ $ont%a$tion -. Po#itie (o%& . No (o%& 19.E%gono!i$ e#ign in o**i$e #etting# )a# -e$o!e in$%ea#ing' i!/o%tant, /a%ti$"a%' -e$a"#e o* t)e in$%ea#e "#e o* $o!/"te%#. T)e *oo(ing a%e a$$e/ta-e %e$o!!enation#, EXCEPT+ a. ;eet *at on t)e *oo% o% *oot%e#t to /%oie #ta-iit' -. To/ o* !onito% /a$e at e'e ee to ao( /%o/e% )ea an ne$& /o#ition $. Pae (%i#t %e#t to %e"$e a%! an #)o"e% i#$o!*o%t . Ke'-oa% /a$e at 1? eg%ee *%o! e-o( )eig)t (it) a #ig)t in$ine e. Ha% $o/' )oe% $o#e to !onito% to %e"$e e'e !otion# an i#$o!*o%t an ao( /%o/e% ne$& /o#t"%e 19F.T)e *oo(ing $)a%a$te%i#ti$# e#$%i-e T'/e I !"#$e *i-e%#, EXCEPT+ a. Hig)e% !'o#in ATPa#e a$tiit' t)an t)e ot)e% *i-e% t'/e. -. Re#i#tant to *atig"e, (it) )ig) ee# o* o6iatie en:'!e a$tiit' an o( ee# o* g'$o'ti$ en:'!e a$tiit' $. Containe in !oto% "nit# $)a%a$te%i:e -' a o( *i%ing *%e"en$' o% i#$)a%ge %ate . A##o$iate (it) e6ten#ie $a/ia%' en#it' an a )ig) $on$ent%ation o* !'ogo-in e. Lo( t)%e#)o *o% a$tiation an #o( t(it$) $ont%a$tion 191.4a$""!8$o!/%e##ion t)e%a/' !a' -e a//ie *oo(ing ()i%/oo $ean#ing o* t)e ( o"n at t)i# !an"*a$t"%e% /%e#$%i-e #etting# to e!/)a#i:e t)e a$""! /)a#e o* t)e $'$e in an att e!/t to in$%ea#e $a/ia%' *iing. a. 8F.1F -a% 38? !! Hg5 o* negatie /%e##"%e *o% 9F #e$on# *oo(e -' F.F? -a% 37.? !! Hg5 o* /o#itie /%e##"%e *o% 7F #e$on# -. 8F.1F -a% 38? !! Hg5 o* negatie /%e##"%e *o% F #e$on# *oo(e -' F.F? -a% 37.? !! Hg5 o* /o#itie /%e##"%e *o% 9F #e$on# $. 8F.1F -a% 38? !! Hg5 o* negatie /%e##"%e *o% 9F #e$on# *oo(e -' 8F.F? -a% 387.? !! Hg5 o* negatie /%e##"%e *o% 7F #e$on# . 8F.1F -a% 38? !! Hg5 o* negatie /%e##"%e *o% 9F #e$on# *oo(e -' F.F? -a% 37.? !! Hg5 o* /o#itie /%e##"%e *o% 7F #e$on# e. 8F.1F -a% 38? !! Hg5 o* /o#itie /%e##"%e *o% 9F #e$on# *oo(e -' 8F.F? -a% 387.? !! Hg5 o* negatie /%e##"%e *o% 7F #e$on#. 190.Con#t%i$t# t)e /"/i an i# inoe in ig)t an a$$o!!oating %e*e6e# "e to t)ei% $onne$tion# (it) /o#tgangioni$ ne"%on#. a. ;a$ia Ne%e . T%o$)ea% ne%e -. T%ige!ina Ne%e e. O$"o!oto% ne%e $. O/ti$ Ne%e 197.Un"#"a' ioent an *inging !otion# o* t)e i!-#+ a. C)o%ea . #/a#ti$it' -. D'#tonia e. at)eto#i# $. -ai#i!"# 19>.T)e iga!ent, in $o!/an' (it) t)e S"/%a#/inat"# !"#$e, /%eent# t)e o(n(a% i#o$ation o* t)e )"!e%a )ea+ a. Geno)"!e%a . @i$e/# -. Co%a$o a$%o!ia e. Co%a$o)"!e%a $. Co%a$o$ai$"a% 19?.)en eeo/ing a t%eat!ent /%og%a!, t)e $a%egie% a. @a#e t)e t%eat!ent goa# on t)e o"t$o!e an *"n$tion. -. E#ta-i#)e# t)e *"n$tiona iagno#i# an o"t$o!e goa# $. P%e/a%e# a (%itten )o!e /%og%a! *o% t)e $ient an *a!i' !e!-e% . Ea"ate# t)e /atient# %e#/on#e to t%eat!ent ete%!ine# /%og%e## to(a%# *"n$tiona o"t$o!e#. e. Gat)e%# ate an in*o%!ation *o% o$"!entation 19.T)e &ineti$ a%ia-e t)at %e*e$t# t)e %ate o* (o%& /e%*o%!e at a gien /oint. a. To%"e . Ene%g' -. 4eo$it' e. Po(e% $. St%engt) 19.Diiing t)e -o' into %ig)t an e*t, *e6ion an e6ten#ion o$$"%# in t)i# /ane. a. T%an#agitta . T%an#e%#e -. Ho%i:onta e. ;%onta $. Sagitta
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PHYSICAL AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION ANATOMY, PHYSIOLOGY AND KINESIOLOGY
AUGUST 1999
19.T)e *oo(ing a%e ete%!inan$e o* gait, EXCEPT+ a. Knee *e6ion in #tan$e . Pei$ %otation -. T%eneen-"%g e. &nee, an&e an *oot %otation $. Meia i#/a$e!ent o* t)e /ei# 199.A*te% t%an#e%#e %e$t"# a-o!ina# !'o$"taneo"# *a/ /%o$e"%e, t)e *oo(ing te$)ni"e# !a' -e "#e to %e"$e #t%e## on t)e #"t"%e# o* t)e a-o!ina (o"n $o#"%e EXCEPT+ a. Tea$) og8%oing te$)ni"e# *o% !oing #a*e' in -e (it)o"t i#%"/ting t)e #"t"%e# -. Po#itioning t)e -e at a 9F8eg%ee ange, /atient 'ing on t)e "ninoe #ie in a *eta /o#ition. $. Li*ting an #it8"/# a%e not /e%!itte "nti a (ee&# a*te% #"%ge%' . E6e%$i#e# e#igne *o% $o8$ont%a$tion o* t)e o-i"e, t%an#e%#"# a-o!ini# an !"ti*i"# !"#$e# *o% o/ti!a t%"n& #t%engt)ening e. Aoi 4a#aa !ane"e% -' e6)aing "%ing /)'#i$a e6e%tion 0FF.O$$"/ie# an e6ten#ie a%ea n t)e !eia a#/e$t o* t)e )e!i#/)e%e, t)i# o-e o* t)e ate%a #"%*a$e o* t)e )e!i#/)e%e i# $a"a to an a%-it%a%' ine %a(n *%o! t)e /a%ieto8o$$i/ita *i##"%e# to t)e /%e8o$$i/ita not$) an a. Te!/o%a . Pa%ieta o-e -. ;%onta o-e e. O$$i/ita o-e $. In#"a% o-e
GOLD RANK PROPERTY DO NOT REPRODUCE
To God Be the Glory 91
