Medical Exercise Training Professional Assessment Tool

Hello and welcome to the Medical Exercise Training Professional Assessment Tool (MET-PAT). The MET assessment is designed to gauge your knowledge in medical exercise/post rehab training. The assessment takes about 90 minutes to complete. A score of 90% or better indicates a professional understanding of medical exercise/post rehab training.

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Question 1 of 72

Welcome to the Medical Exercise Training Knowledge Assessment. Please review each question and submit your answer. Once you have completed the assessment you will receive your score via email. A passing score is 75%.

Please provide your name and email address.

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Question 2 of 72

1. What is the function of the meniscus?

A

Increase motor recruitment

B

Shock Absorption

C

Improve Flexiblity

Question 3 of 72

2. Which meniscus is most often damaged?

A

Medial Meniscus

B

Lateral Meniscus

Question 4 of 72

3. Which portion of the meniscus is vascularized?

A

Periphery

B

Interior

Question 5 of 72

4. The condition patello-femoral syndrome is also termed ____________.

A

Lateral Retinaculum

B

Chondromalacia

Question 6 of 72

5. Total knee replacements are performed due to loss of _________.

A

Range of motion

B

Function

C

Strength

Question 7 of 72

6. Which is NOT replaced with the total knee arthroplasty?

A

Tibial Shaft

B

Femoral Condyles

C

Tibial Plateau

Question 8 of 72

7. The total knee replacement client should have at least ______ degrees of knee ROM to begin a medical exercise program?

A

70

B

90

C

110

Question 9 of 72

8. What is the space between the acromion process and humeral head?

A

Tarsal Tunnel

B

Gleno-Humeral Joint

C

Subacromial Space

Question 10 of 72

9. The subacromial space is _____ in the healthy shoulder.

A

10mm

B

6mm

C

4mm

Question 11 of 72

10. The function of the rotator cuff during overhead activity is to _________.

A

Pull the humeral head down and into the glenoid fossa

B

Rotate the humeral head

C

Compress the AC joint

Question 12 of 72

11. The posterior shoulder girdle muscles function to ___________.

A

Stabilize the scapula

B

Wing the scapula

C

Depress the humeral head

Question 13 of 72

12. Which activity increases the subacromial space?

A

Dips

B

Pendulum

C

Seated Push Up

Question 14 of 72

13. What is the function of the intervertebral end plate in the spine?

A

Diffusion of nutrients into the disc

B

Shock absorption

Question 15 of 72

14. Which rotator cuff muscle is most important to shoulder stability?

A

Subscapularis

B

Teres Minor

C

Infraspinatus

Question 16 of 72

15. The annulus fibrosis is made up of _____ rings of connective tissue.

A

8 - 10

B

13 - 15

C

22+

Question 17 of 72

16. The tearing of the _________ results in disc herniation.

A

Annulus Fibrosis

B

Nucleus Pulposus

Question 18 of 72

17. Lumbar lateral stenosis results in ________.

A

Central Leg Pain

B

Unilateral Leg Pain

C

Bilateral Leg Pain

Question 19 of 72

18. Which muscle is the workshorse in the lumbar spine?

A

Multifidi

B

Erector Spinae

C

Quadratus Lumborum

Question 20 of 72

19. Which is NOT part of the scope of practice for the medical exercise professional?

A

Reviewing radiographs

B

Strength training

C

Fitness assessments

Question 21 of 72

20. What is the function of the anterior cruciate ligament (ACL)?

A

Stabilize the knee during standing

B

Stabilize the knee during sporting activities

Question 22 of 72

21. The ACL is torn when the knee is in a relative position of __________.

A

Extension accompanied by rotation

B

Flexion accompanied by rotation

Question 23 of 72

22. Closed chain activities are safe for the ACL client due to ____________.

A

Co-contraction of quadriceps and hamstrings

B

Co-contraction of psoas and gluteals

Question 24 of 72

23. Sciatica may be caused by _________.

A

Sacro-iliac dysfunction

B

Disc herniation

C

Nerve root infection

D

All the above

Question 25 of 72

24. Multiple sclerosis is characterized by changes in the ________ covering the nerve endings.

A

Dendrites

B

Myelin Sheaths

C

Motor End Plate

Question 26 of 72

25. Cerebrovascular accidents (CVA) cause ___________ hemiparesis.

A

Contralateral

B

Ipsilateral

Question 27 of 72

26. Cranial nerve involvement after CVA is ____________.

A

Contralateral

B

Ipsilateral

Question 28 of 72

27. The medical term for paralysis is ___________.

A

Paresis

B

Plegia

Question 29 of 72

28. What are safe ranges of blood glucose for the diabetic client during exercise?

A

120 - 180 mg/dl

B

300 - 390 mg/dl

C

60 - 80 mg/dl

Question 30 of 72

29. The IT band is often tight with patello-femoral syndrome.

A

True

B

False

Question 31 of 72

30. Which muscles should be strengthened with "rounded shoulders and forward head" posture?

A

Pectoralis Major

B

Rhomboids

C

Latissimus Dorsi

Question 32 of 72

31. Which position produces the greatest amount of compression on the lumbar spine?

A

Standing

B

Sitting

C

Sitting with Slight Forward Bending

Question 33 of 72

32. What is the most common muscular imbalance found around the knee?

A

Strong Vastus Medialis

B

Weak Vastus Lateralis

C

Weak Vastus Medialis

Question 34 of 72

33. Achilles tendon ruptures occur more in which group?

A

Young females

B

Middle aged males

C

Teenagers

Question 35 of 72

34. The erector spinae primarily function as __________.

A

Postural Stabilizers

B

Dynamic Stabilizers

Question 36 of 72

35. Aphasia is often seen in CVA clients. Aphasia means ____________.

A

Loss of communication ability

B

Loss of facial muscle strength

C

Loss of cranial movement

Question 37 of 72

36. Which ligament is involved in the condition - "frozen shoulder"?

A

Supraspinatus Ligament

B

Coraco-Acromial Ligament

C

Transverse Ligament

Question 38 of 72

37. Pain originating in the lumbar region running along the posterior aspect of the thigh is known as ____________.

A

Reflexive compression

B

Sciatica

C

Paresthesia

Question 39 of 72

37. Julie is a 24-year old swimmer who is referred to you by her physical therapist for post rehab services due to impingement. She wants to return to competitive swimming. She has medical clearance and full shoulder ROM with no pain in all planes of movement.

Please refer to this scenario for questions 37 - 39 .

37. Which shoulder muscles should you focus on during the early stages of the program?

A

Rotator Cuff, Deltoid, Latissimus

B

Rotator Cuff, Rhomboids, Serratus Anterior

C

Deltoid, Pectoralis, Rotator Cuff

Question 40 of 72

38. Impingement may lead to what other condition in the shoulder?

A

Rupture of cervical disc

B

Tear of the rotator cuff

C

Dislocation of the shoulder

Question 41 of 72

39. Should this young lady perform overhead activities in the early stages of the MET program?

A

Yes

B

No

Question 42 of 72

40. Charlie is a 58 year old racquetball player with hypertension and a torn Achilles tendon. The rupture occurred 3 years ago and was surgically repaired. He has undergone physical therapy. Now he wants to begin training to return to racquetball.

Refer to this scenario when answering questions 40 - 43.

40. Does Charlie need a medical clearance prior to beginning the MET program?

A

Yes

B

No

Question 43 of 72

41. Which of Charlie's conditions is given the highest safety priority when developing the MET program?

A

Achilles Tendon Rupture

B

Charlie's Age

C

Hypertension

Question 44 of 72

42. Which exercise might be best to increase functional strength to return to racquetball?

A

Standing Calf Raises

B

Unilateral Step Ups

C

Sitting Calf Raises

Question 45 of 72

43. If Charlie were taking beta blockers to control his blood pressure, what effect would the meds have on his cardiovascular system during exercise?

A

Increase contractility of the heart

B

Decrease exercise heart rate and blood pressure

C

Increase exercise heart rate and blood pressure

Question 46 of 72

44. Terry is a 19 year old football player. He tore his left ACL six month ago. He underwent reconstructive surgery followed by 3 months of physical therapy. He has medical clearance from the operating physician and physical therapist to begin a medical exercise program. He meets the MET criteria.

Use this scenario to answer questions 44 - 47.

44. Which is NOT one of the MET criteria for the ACL client?

A

Possess a Functional Derotation Brace

B

Full Knee ROM

C

Excellent Cardiovascular Capacity

D

No Open Wounds

Question 47 of 72

45. In which phase should Terry begin plyometrics?

A

Phase 1

B

Phase 2

C

Phase 3

Question 48 of 72

46. What is the primary structure usually damaged when the ACL deficient client continues to participate in sports without a brace, surgery or physical therapy?

A

Medial Collateral Ligament

B

Posterior Cruciate Ligament

C

Medial or Lateral Meniscus

Question 49 of 72

47. Closed chain terminal knee extension is acceptable for this client because

A

Decreased compression on the fibula

B

Better patella tracking

C

Contraction of quads/hams eliminate knee shearing forces

Question 50 of 72

48. Hypoglycemia refers to ______.

A

Low Blood Pressure

B

Low Blood Glucose

C

High Blood Glucose

Question 51 of 72

49. The slight rotation at the end of knee extension is termed _________.

A

Screw Home Mechanism

B

Open Chain Extension

C

Anterior Drawer Test

Question 52 of 72

50. The best assessment of long term blood glucose management is ________.

A

A1c - Glycosylated Hemoglobin

B

BP - Blood Pressure

C

EKG - Electrocardiogram

Question 53 of 72

51. Type IV joint receptors send what sensation to the brain?

A

Proprioception

B

Swelling

C

Pain

Question 54 of 72

52. The multifidi are composed primarily (not entirely) of type ____ muscle fiber.

A

Type 1 - Slow Twitch

B

Type II - Fast Twitch

Question 55 of 72

53. Narrowing of the vertebral foramen occurs in what condition?

A

Lateral Stenosis

B

Central Stenosis

C

Compound Laminectomy

Question 56 of 72

54. The __________ is the ligament attaching the femoral head to the acetabulum.

A

Pubofemoral Ligament

B

Ligamentum Teres

C

Iliolumbar Ligament

Question 57 of 72

55. ____________ develops due to loss of blood supply as result of a femoral neck fracture?

A

IT Band Syndrome

B

Avascular Necrosis

C

Arthritis

Question 58 of 72

56. The medical term "itis" means?

A

Cancer

B

Inflammation

C

Pain

Question 59 of 72

57. Most shoulder dislocations occur in which direction?

A

Posterior Medial

B

Anterior Lateral

C

Anterior Inferior

Question 60 of 72

58. Which ligament is involved in carpal tunnel syndrome?

A

Transverse Carpal Ligament

B

Spring Ligament

C

Anterior Cruciate Ligament

Question 61 of 72

59. In the "Post Rehab Hierarchy" of safety precautions, which conditions are ranked higher?

A

Neurological Disorders

B

Cardiovascular Disorders

C

Joint Replacements

Question 62 of 72

60. Which conditions fall in the category of "Neurological Disorders" on the Post Rehab Hierarchy?

A

ACL Rupture, Parkinson's Disease, Rheumatoid Arthritis

B

Multiple Sclerosis, Cerebrovascular Accident, Cerebral Palsy

C

Hypertension, Diabetes, Congestive Heart Faliure

Question 63 of 72

61. Genu valgum or valgus is the term for _________.

A

Knocked Knees

B

Bowed Legs

C

Hyperextending Knees

Question 64 of 72

62. The normal Q angle in males is ____.

A

20 degrees

B

10 degrees

C

22 degrees

Question 65 of 72

63. The root myo- means?

A

Ligament

B

Muscle

C

Nerve

Question 66 of 72

64. PCL is the abbreviation for which ligament?

A

Posterior Cruciate Ligament

B

Parellel Crual Ligament

C

Plantar Cruciate Ligament

Question 67 of 72

65. Which spinal surgical procedure is usually performed first for disc herniation or nerve root compression?

A

Spinal Fusion

B

Laminectomy

Question 68 of 72

66. Your client is a 82 year old female diagnosed with osteoporosis. She wants to begin an exercise program to increase strength and endurance. She has a significant thoracic kyphosis. She has medical clearance from her physician. She has full ROM in all extremities and normal vital signs.

Refer to this scenario when answering questions 66 - 68.

66. Would weight bearing activities promote bone growth and development?

A

Yes

B

No

Question 69 of 72

67. Which type of bone is most impacted by osteoporosis?

A

Cortical

B

Trabecular

Question 70 of 72

68. Which bones are most often impacted by osteoporosis?

A

Cervical spine, calcaneous, tibia

B

Femoral head, thoracic vertebra, distal radius

C

Femoral condyles, patella, humeral head

Question 71 of 72

69. The root word "ortho" means?

A

Bone

B

Correct

C

Pain

Question 72 of 72

70. What is the meaning of the term "algia"?

A

Lung

B

Heart

C

Pain

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Medical Exercise Training Professional Assessment Tool

Click here to begin.

Welcome to the Medical Exercise Training Knowledge Assessment. Please review each question and submit your answer. Once you have completed the assessment you will receive your score via email. A passing score is 75%. Please provide your name and email address.

1. What is the function of the meniscus?

2. Which meniscus is most often damaged?

3. Which portion of the meniscus is vascularized?

4. The condition patello-femoral syndrome is also termed ____________.

5. Total knee replacements are performed due to loss of _________.

6. Which is NOT replaced with the total knee arthroplasty?

7. The total knee replacement client should have at least ______ degrees of knee ROM to begin a medical exercise program?

8. What is the space between the acromion process and humeral head?

9. The subacromial space is _____ in the healthy shoulder.

10. The function of the rotator cuff during overhead activity is to _________.

11. The posterior shoulder girdle muscles function to ___________.

12. Which activity increases the subacromial space?

13. What is the function of the intervertebral end plate in the spine?

14. Which rotator cuff muscle is most important to shoulder stability?

15. The annulus fibrosis is made up of _____ rings of connective tissue.

16. The tearing of the _________ results in disc herniation.

17. Lumbar lateral stenosis results in ________.

18. Which muscle is the workshorse in the lumbar spine?

19. Which is NOT part of the scope of practice for the medical exercise professional?

20. What is the function of the anterior cruciate ligament (ACL)?

21. The ACL is torn when the knee is in a relative position of __________.

22. Closed chain activities are safe for the ACL client due to ____________.

23. Sciatica may be caused by _________.

24. Multiple sclerosis is characterized by changes in the ________ covering the nerve endings.

25. Cerebrovascular accidents (CVA) cause ___________ hemiparesis.

26. Cranial nerve involvement after CVA is ____________.

27. The medical term for paralysis is ___________.

28. What are safe ranges of blood glucose for the diabetic client during exercise?

29. The IT band is often tight with patello-femoral syndrome.

30. Which muscles should be strengthened with "rounded shoulders and forward head" posture?

31. Which position produces the greatest amount of compression on the lumbar spine?

32. What is the most common muscular imbalance found around the knee?

33. Achilles tendon ruptures occur more in which group?

34. The erector spinae primarily function as __________.

35. Aphasia is often seen in CVA clients. Aphasia means ____________.

36. Which ligament is involved in the condition - "frozen shoulder"?

37. Pain originating in the lumbar region running along the posterior aspect of the thigh is known as ____________.

38. Impingement may lead to what other condition in the shoulder?

39. Should this young lady perform overhead activities in the early stages of the MET program?

41. Which of Charlie's conditions is given the highest safety priority when developing the MET program?

42. Which exercise might be best to increase functional strength to return to racquetball?

43. If Charlie were taking beta blockers to control his blood pressure, what effect would the meds have on his cardiovascular system during exercise?

45. In which phase should Terry begin plyometrics?

46. What is the primary structure usually damaged when the ACL deficient client continues to participate in sports without a brace, surgery or physical therapy?

47. Closed chain terminal knee extension is acceptable for this client because

48. Hypoglycemia refers to ______.

49. The slight rotation at the end of knee extension is termed _________.

50. The best assessment of long term blood glucose management is ________.

51. Type IV joint receptors send what sensation to the brain?

52. The multifidi are composed primarily (not entirely) of type ____ muscle fiber.

53. Narrowing of the vertebral foramen occurs in what condition?

54. The __________ is the ligament attaching the femoral head to the acetabulum.

55. ____________ develops due to loss of blood supply as result of a femoral neck fracture?

56. The medical term "itis" means?

57. Most shoulder dislocations occur in which direction?

58. Which ligament is involved in carpal tunnel syndrome?

59. In the "Post Rehab Hierarchy" of safety precautions, which conditions are ranked higher?

60. Which conditions fall in the category of "Neurological Disorders" on the Post Rehab Hierarchy?

61. Genu valgum or valgus is the term for _________.

62. The normal Q angle in males is ____.

63. The root myo- means?

64. PCL is the abbreviation for which ligament?

65. Which spinal surgical procedure is usually performed first for disc herniation or nerve root compression?

67. Which type of bone is most impacted by osteoporosis?

68. Which bones are most often impacted by osteoporosis?

69. The root word "ortho" means?

70. What is the meaning of the term "algia"?

Confirm and Submit

Welcome to the Medical Exercise Training Knowledge Assessment. Please review each question and submit your answer. Once you have completed the assessment you will receive your score via email. A passing score is 75%.

Please provide your name and email address.