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Joint Structure and Function: A Comprehensive Analysis 5th Edition Test Bank

Joint Structure and Function: A Comprehensive Analysis 5th Edition Test Bank ensures a deep understanding of topics with carefully crafted notes, diagrams, and examples.

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    Chapter 1: Biomechanical Applications to Joint Structure and Function Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. When you raise a cup to your mouth, a ____________________ of motion occurs at the elbow joint. a. rotation only b. translation only c. translation and rotation d. None of the above answers are correct. ____ 2. Hip abduction from an anatomic position would occur in which plane? a. Sagittal b. Frontal c. Transverse d. Horizontal ____ 3. Which of the following describes the phenomenon that when two forces come in contact, the second force will respond to the contact by the first force with equal magnitude and in the opposite direction? a. Law of Inertia b. Law of Reaction c. Law of Acceleration d. None of the above answers are correct. ____ 4. A ____________________ class lever is described by the fulcrum occurring at one end, followed by the resistance (load or weight) and then the force (effort). a. First b. Second c. Third d. Fourth ____ 5. In what type of lever is the M Ad always less than one? a. First b. Second c. Third d. Fourth ____ 6. Which of the following best describes torque? a. The force a muscle generates b. A force times the perpendicular distance from the line of force to the axis of rotation c. A force times the distance measured along the lever from the line of force to the axis of rotation d. The distance a muscle can move

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    Figure 1 - 7 ____ 7. In Figure 1 - 7, the biceps is acting on the forearm. What is the force of the biceps, F B , given the following: moment arm of the biceps, d = 0.02 m and torque due to the biceps, T M = – 5 Nm? a. – 0.1 N b. 1,250 N c. 5 N d. – 250 N ____ 8. As your patient abducts her shoulder from 90° to 120°, the moment arm decreases. If the torque from the deltoid remains constant , the force of the deltoid would ____________________ as the shoulder abducted. a. remain the same b. increase c. decrease d. become 0 N Figure 1 - 9 ____ 9. In Figure 1 - 9, at which position does the weight have the greatest torque capabilities on the knee joint? a. A b. B c. C d. D

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    ____ 10. In Figure 1 - 9, at which position does the weight produce the greatest distractive on the knee joint? a. A b. B c. C d. D Figure 1 - 11 ____ 11. Which of the following represents the magnitude of each of the two component forces of the resultant, F R , in Figure 1 - 11? a. F 1 = 86.6 N, F 2 = 50 N b. F 1 = 50 N, F 2 = 60 N c. F 1 = 10 N, F 2 = 90 N d. F 1 = 20.6 N, F 2 = 79.4 N ____ 12. Considering the figure below, which of the following answers best represents the direction of the resultant force? a. b. c. d. ____ 13. Which of the following describes the phenomenon that causes a body moving at a constant speed to remain at that speed, unless it is acted upon by another body or force? a. Impulse b. Energy level c. Law of Reaction d. Law of Inertia ____ 14. Which of the following statements describes the relationship between joint reaction forces and the translational/rotatory component forces? a. The contact force and translation component force run parallel to each other.

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    b. The contact force and rotatory component force run parallel to each other. c. The shear force and translation component force run parallel to each other. True/False Indicate whether the statement is true or false. ____ 1. When the centers of mass (CoM) of two adjacent segments are combined, the combined CoM will be located somewhere along a line connecting the two individual CoMs. ____ 2. The relative line of gravity changes with changes in body position. ____ 3. An eccentric muscle contraction is an example of a second - class lever system. Short Answer 1. Is naming the plane of motion considered part of kinetics or kinematics? Why? 2. What happens to the center of gravity (CoG) of the body when the body segments are rearranged? What happens to the CoG if the right upper extremity is amputated? 3. A student is carrying all his books for his Fall semester courses (first year) in his right arm. What does the additional weight do to the combined center of gravity (CoG) of body and books? How will his body most likely respond to this change? 4. Upon what variables is the magnitude of friction dependent? 5. What kind of force system do the fibers within a muscle form? Explain. 6. How do you determine the net effect of two muscle pulls applied to the same spot? What is this process called? 7. Explain how anatomical pulleys affect the magnitude and direction of a muscle force (Fms). 8. If a force is applied at an angle to a lever (not 90°, not 0°), what is the process by which you determine the torque applied to the lever by that force? 9. If a force is applied at an angle to a lever (not 90°, not 0°), what is the process by which you determine the torque applied to the lever by that force? 10. If not all of a muscle’s force is contributing to rotation, what happens to the “wasted” force? Describe by resolution of forces. 11. Using the values given in the following problem, determine whether the lever is in rotational or linear (translatory) equilibrium. Fms = 50 lb. (rt. of axis) Wt = 10 lb. (rt. of axis) Fr = 15 lb. Wr = 6 lb. (clockwise)

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    (counterclockwise) Ft = 40 lb. (toward jt) Wt = 6 lb. (away from joint) la = 1  (rt. of jt) la = 12  (rt. of jt) 12. If you have a patient with a recent ligamentous injury to his knee, which of the following positions would you want to avoid and why: sitting, prone, supine, sitting with legs over the edge of the bed, or prone with knees flexed to 90°.

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    Chapter 1: Biomechanical Applications to Joint Structure and Function Answer Section MULTIPLE CHOICE 1. ANS: C Rotatory and translatory motions in the human body most commonly occur together. PTS: 1 2. ANS: B The frontal (coronal) plane divides the body into front and back halves. Movements in this plane occur side to side, such as the case in abduction of the hip. PTS: 1 3. ANS: B PTS: 1 4. ANS: B PTS: 1 5. ANS: C A mechanical advantage occurs when the effort arm is greater than the resistance arm. This is always the case in a third - class level if all forces are equal. PTS: 1 6. ANS: B Torque equals force times distance. The distance must be represented by the moment arm of the force, not just the direct distance as measured up the lever. The moment arm is the perpendicular distance of the line of the force from the axis of rotation. PTS: 1 7. ANS: D Because T = ( F ) (MA) therefore, F = T /MA: ( – )5 Nm/0.02 m = ( – )250 N. The negative sign is used to show direction of the force. Due to the small moment arm, the force necessary to produce ( – )5 Nm of torque is quite large. PTS: 1 8. ANS: B If the torque were to remain the same, the force would have to increase as the moment arm decreases. Force and moment arm have an inverse relationship if torque is to remain constant. PTS: 1 9. ANS: D The force of the weight did not change from position to position; therefore, position D would have the greatest torque capabilities due to this position offering the largest moment arm of the weight on the lever. PTS: 1

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    10. ANS: A When the line of force is parallel with the moving segment, it will create either a distractive or compressive force between the two boney segments. Distraction occurs when there is a pull or movement of one bony segment away from another. Because the weight would be moving the tibia away from the femur, it will create a distractive force. PTS: 1 11. ANS: A Sin 60 = 0.866 multiplied by the force of 100 N = 86.6 N, and Cos 60 = 0.05 multiplied by the force of 100 N = 50 N. PTS: 1 12. ANS: C You find the resultant pull of the two forces by drawing the two forces, creating a parallelogram by adding sides parallel to each of the forces, and drawing a diagonal within the parallelogram. The resultant is the diagonal with its point of application at the original source and whose arrow head (limit of magnitude) is at the opposite corner of the parallelogram. This is called composition of forces. PTS: 1 13. ANS: D Newton’s Law of Inertia addresses the conditions under which an object will be in equilibrium. PTS: 1 14. ANS: A The contact force runs perpendicular to the joint surface which is in the same p lane as the lever. The translational force runs parallel with the lever; therefore, these two forces run parallel to each other. PTS: 1 TRUE/FALSE 1. ANS: T PTS: 1 2. ANS: T The human body can be considered as a single rigid object. Even though the center of gravity does not change base on position, the relative line of gravity will shift so that it remains vertically downward. PTS: 1 3. ANS: T

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    In this case, the force of gravity would be considered the effort force, and the muscle resisting this force would be considered the resistance force. Because gravity typically acts at a distance farther from the axis than does the pull of the muscle, this would mean that the force involved is acting on the system as a second - class lever. PTS: 1 SHORT ANSWER 1. ANS: Kinematics. It is purely a description of motion without regard to the forces causing it. PTS: 1 2. ANS: (1) The CoG shifts in the direction(s) of the location of the segments with the greatest mass. (2) The CoG shifts down and to the left once the mass of the right arm is removed, because the lower and left halves of the body are now relatively heavier.) PTS: 1 3. ANS: The center of gravity (for body and books) will be higher and to the right of S2. Because this new location of the CoG would bring the line of gravity (LoG) to the right side of his base of support, he will lean to the left to bring the LoG back to the middle of the base of support (most stable place). The shift in the CoG is unavoidable. The shift of the LoG is an automatic adaptation but under some volitional control. PTS: 1 4. ANS: The magnitude of friction is dependent upon (1) the magnitude of contact between the two surfaces on which the friction is occurring — increased contact increases the maximum value of static friction or the absolute value of kinetic friction; (2) the nature of the contacting surfaces — the rougher one or both of the surfaces (increased coefficient of static or kinetic friction), the greater is the maximum value of static friction or the absolute value of kinetic friction; and (3) the shear force(s) on the objects — friction has magnitude only when there is attempted motion (static friction) or actual motion (kinetic friction) between the two surfaces — the magnitude of friction on a static object will always equal the net shear force on that object; the magnitude of friction on a moving object is always the product of the contact force and the coefficient of kinetic friction. PTS: 1 5. ANS: Concurrent. Each fiber represents a separate force vector with the same general point of application but which pulls at an angle to each other. PTS: 1 6. ANS:

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    You find the resultant pull of the two forces by drawing the two forces, creatin g a parallelogram by adding sides parallel to each of the forces, and drawing a diagonal within the parallelogram. The resultant is the diagonal with its point of application at the original source and whose arrow head (limit of magnitude) is at the opposite corner of the parallelogram. This is called composition of forces. PTS: 1 7. ANS: Anatomical pulleys (always single pulleys) do not affect the magnitude of Fms but do change the direction of pull. The change in action line generally brings the action line away from the joint axis, thus increasing the moment arm or rotatory component of the applied force. PTS: 1 8. ANS: Resolve the force into its components, which are perpendicular (rotatory) and parallel (translatory) to the lever. Torque for the force is then determined by multiplying the magnitude of the rotatory component by its distance (lever arm) from the joint axis. PTS: 1 9. ANS: Resolve the force into its compone nts that are perpendicular (rotatory) and parallel (translatory) to the lever. Torque for the force is then determined by multiplying the magnitude of the rotatory component by its distance (lever arm) from the joint axis. PTS: 1 10. ANS: The “wasted” force goes toward translation. The translatory component (ft) is a force applied parallel to the shaft of the bone, either toward the joint (compression or joint reaction force) or away from the joint (distraction). PTS: 1 11. ANS: In this instance, the lever is rotating clockwise with a magnitude of 57 in - lb. The lever is not in linear equilibrium according to the information given. There is a net joint compression of 34 lb. PTS: 1 12. ANS: Sitting with legs over the edge of the bed. In this position, gravity is parallel to the limb, creating a full distractive force. Because this is usually a position of relaxation for the muscles, the only force to counteract the distraction of the limb weight is tension in the injured ligaments. PTS: 1

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    Chapter 2: Joint Structure and Function Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Which of the following statements is true concerning fibroblasts? a. They synthesize the extracellular matrix of connective tissue. b. They are not normally present in healthy connective tissue. c. They are undifferentiated precursor cells. d. They are circulating cells. ____ 2. Which of the following statements is true concerning nutrition of articular cartilage? a. Articular cartilage can easily repair itself due to its very efficient and effective nutritional system. b. Nutrients are found in large proportions in the more superficial layers of articular cartilage. c. Nutrients from synovial fluid can pass into articular cartilage when external pressure is applied. d. All forms of joint loading will cause poor nutrition to articular cartilage. ____ 3. Which of the following statements is true concerning articular cartilage injury? a. A superficial laceration is capable of healing itself by filling in with fibrovascular tissue. b. A deep cartilage lesion does not extend beyond the tidemark. c. A deep laceration may heal by forming new fibrocartilage. d. A superficial lesion is likely to heal faster than a deep one. ____ 4. Which of the following best describes the structural composition of the extracellular matrix of bone? a. Glycosaminoglycans, glycoproteins, water, and proteoglycans b. Collagen fibers, glycosaminoglycans, water, and mineralized bone salts c. Collagen fibers, glycosaminoglycans, glycoproteins, water, proteoglycans, and mineralized bone salts d. Glycosaminoglycans, glycoproteins, water, proteoglycans, and unmineralized bone salts ____ 5. Which of the following statements is true concerning the biomechanical properties of ligaments, if the rate of application of the force is increased? a. The ligament stores less energy to failure. b. The ligament requires more force to rupture. c. The ligament has decreased stiffness. d. The stiffness of the ligament is unchanged.

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    Figure 2 - 6 ____ 6. For the stress - strain curve in Figure 2 - 6, identify the point of ultimate failure. a. Point A b. Point B c. Point C d. Point D Figure 2 - 7 ____ 7. The plastic portion of the stress - strain curve pictured above lies between: a. Point A and point B b. Point A and point D c. Point B and point D ____ 8. In Figure 2 - 7, point A can best be describes as: a. The point indicating the end of the elastic modulus b. The point where permanent deformation of the tissue begins to occur c. The point where “uncrimping” of the tissue ends d. The point where the greatest amount of force is being applied ____ 9. As a clinician, you are attempting to produce permanent elongation in a severely contracted flexor digitorum profundus tendon. Which of the following general strategies concerning treatment will be least effective in achieving permanent lengthening of the tendon? a. Apply force slowly to decrease the stiffness of the tendon. b. Apply a short duration force, keeping the force in the elastic range. c. Apply enough force to cause microfailure of some fibers in the tendon. d. Use a splint that will apply a low load to the tendon (at the beginning of the elastic

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    range) for 3 weeks. ____ 10. When describing the biomechanical properties of cancellous and cortical bone, which of the following statements is true? a. Cancellous bone is stiffer than cortical bone and can withstand less strain before failure. b. Cortical bon e is stiffer than cancellous bone and can withstand less strain before failure. c. Cancellous bone is stiffer than cortical bone and can withstand more strain before failure. d. Cortical bone is stiffer than cancellous bone and can withstand more strain before failure. ____ 11. When a bone is repeatedly loaded with low - level forces over an extended period of time, fatigue fractures may occur within the bone. This is due to: a. Increased stiffness, decreased yield strength, increased permanent deformation b. Decreased stiffness, increased yield strength, no effect on deformation c. Decreased stiffness, decreased yield strength, increased permanent deformation d. Increased stiffness, increased yield strength, no effect on deformation ____ 12. Which of the following is true about the biomechanical properties of a ligament (or tendon) if the width of the ligament is doubled? a. Greater elongation before failure b. Less elongation before failure c. Increased strength before failure d. Decreased strength before failure ____ 13. Which of the following joints has two or more degrees of freedom of osteokinematic motion? a. Third proximal interphalangeal (PIP) joint b. Superior radioulnar joint c. Radiocarpal joint d. Humeroulnar joint ____ 14. Which of the following would constitute a closed kinematic chain activity of the left shoulder complex? a. Using your left arm to push yourself out of a chair b. Throwing a Frisbee with your left hand c. Combing your hair with your left hand d. Waving with your left hand ____ 15. Which of the following statements is true concerning “joint play” of a joint? a. Joint play is not considered a “normal” motion at the joint. b. They must be tested by application of an external force. c. They can be performed voluntarily by a subject. d. They occur only in the close - packed position of the joint.

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    ____ 16. A man is sitting on a chair. He brings himself up into a standing position. His tibiofemoral joint moves from a flexed position to full extension during the maneuver. Which of the following best describes what is happening at the tibiofemoral joint during this maneuver? Think in anatomical terms. a. Anterior glide of the proximal tibia on the distal femur b. Posterior glide of the proximal tibia on the distal femur c. Anterior glide of the distal femur on the proximal tibia d. Posterior glide of the distal femur on the proximal tibia ____ 17. Which of the following statements is true concerning the close - packed position of any joint? a. Capsular structures are loose. b. Ligaments around the joint are slack. c. The joint is relatively easy to separate with distraction. d. There is a maximum area of surface contact occurring. ____ 18. Cartilage primarily receives its nutrition from ____________________. a. its high level of permeability b. diffusion c. a process of joint loading and unloading ____ 19. Which of the following statements is true regarding articular cartilage injury? a. A deep cartilage lesion does not extend beyond the tidemark. b. A deep laceration may heal by forming new fibrocartilage. c. A superficial lesion is likely to heal faster than a deep one. d. A cartilage injury cannot heal. ____ 20. Increasing the rate of application of a force causes a ligament to ____________________. a. store less energy to failure b. require more force to rupture c. decrease stiffness d. elongate more ____ 21. To increase a patient’ s wrist extension range of motion by using an accessory motion gliding technique, the therapist would want to perform a(n) ____________________. a. posterior glide of the carpals on the radius b. anterior glide of the carpals on the radius c. anterior glide of the radius on the carpals Short Answer 1. Describe the arrangement of fibers in hyaline cartilage. Why is this arrangement suited to its function? 2. Describe what happens when cartilage undergoes compression. What are the factors that determine the response, and how does each factor affect it? 3. What are the characteristics of viscoelasticity, and which of the following tissues exhibits viscoelasticity: ligaments, tendons, hyaline cartilage, fibrocartilage, or bone?

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    4. Define stress and strain. 5. Define modulus of elasticity, stiffness, brittleness, and ductility. 6. How is the synovial fluid within a joint formed? Of what is it composed? 7. Define the motions of spin, slide, and roll as they relate to intra - articular joint motions? Which is most common within a joint? 8. What is the general effect of immobilization on connective tissues? What are the implications for these changes? 9. What are the mechanisms by which overuse may affect connective tissues? 10. Define the terms hypermobility and hypomobility as each refers to human motion.

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    Chapter 2: Joint Structure and Function Answer Section MULTIPLE CHOICE 1. ANS: A Connective tissue is made of cells and extracellular matrix. Fibroblasts are a type of resident cell that not only serves a role as the cellular component but actually synthesizes the extracellular matrix in which the cells reside. Fibroblasts play a large role in the synthesis of collagen, which is the fibrillar component of most extracellular matrixes. PTS: 1 2. ANS: C Articular cartilage in adults is highly porous, but compression is necessary to allow for fluid mechanics, which will provide nutrition to the multiple layers of the structure. Articular cartilage is devoid of blood vessels in adults, and a movement of fluids caused by intermittent compression and rest to the cartilage allows nutrients to be carried from the deeper layers, closer to the subchondral bone (where there is a blood supply), to the more superficial layers. PTS: 1 3. ANS: C Unless an i njury breaks through the uncalcified cartilage layer, known as the tidemark, it is unlikely that it will heal. If an injury breaks through this layer, it is likely that the blood supply from the subchondral bone may play a role in forming new fibrocartilage in place of hyaline cartilage. This may lead to endochondral ossification over time, but it is the only opportunity cartilage has for self - repair. PTS: 1 4. ANS: C Each extracellular matrix has a combination of fibers (collagen) and an interfibrillar component (proteoglycans and glycoproteins). The proteoglycans can further be broken down into polysaccharide chains called glycosaminoglycans (GAGs). In addition to this normal combination of components, bone contains mineralized bone salts (calcium and phosphate crystals), which give this structure its hard surface. PTS: 1 5. ANS: B All viscoelastic tissues exhibit rate - dependent properties that cause a change in tissue behavior based on rate of application of a force. When viscoelastic materials are loaded rapidly, they exhibit greater resistance to deformation than when loaded more slowly and require more force to failure than when loaded more slowly. PTS: 1 6. ANS: D

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