1. Manual therapy is primarily used to:
(A) Improve joint mobility and reduce pain
(B) Build muscle mass
(C) Increase cardiovascular endurance
(D) Replace exercise therapy
2. Joint mobilization is classified as:
(A) Active exercise
(B) Passive technique
(C) Resistance training
(D) Electrotherapy
3. Maitland’s concept of mobilization involves:
(A) Soft tissue stretching
(B) Grades of oscillatory joint mobilizations
(C) Muscle strengthening
(D) Functional training
4. Kaltenborn’s approach emphasizes:
(A) Oscillatory movements
(B) Sustained joint mobilization techniques
(C) Soft tissue massage only
(D) Electrical stimulation
5. Grade I Maitland mobilization is used for:
(A) Pain relief
(B) Increasing joint range
(C) Strengthening muscles
(D) Improving balance
6. Grade III Maitland mobilization is mainly for:
(A) Pain modulation
(B) Increasing range of motion
(C) Relaxation
(D) Circulation
7. The convex-concave rule is applied in:
(A) Muscle stretching
(B) Joint mobilization
(C) Gait training
(D) Strength training
8. When a convex surface moves on a concave surface, the glide occurs:
(A) In the same direction
(B) In the opposite direction
(C) No glide occurs
(D) Random direction
9. When a concave surface moves on a convex surface, the glide occurs:
(A) In the same direction
(B) In the opposite direction
(C) No movement occurs
(D) Randomly
10. Muscle energy technique (MET) involves:
(A) Patient’s active muscle contraction against resistance
(B) Passive mobilization only
(C) Electrical stimulation
(D) Vibration therapy
11. Strain-counterstrain technique is based on:
(A) Stretching muscles maximally
(B) Placing muscle in a position of comfort
(C) Vigorous massage
(D) High-velocity thrusts
12. High-velocity, low-amplitude (HVLA) thrust is commonly called:
(A) Manipulation
(B) Mobilization
(C) Traction
(D) Massage
13. A contraindication to HVLA manipulation is:
(A) Joint stiffness
(B) Osteoporosis
(C) Muscle tightness
(D) Postural problems
14. Mulligan’s mobilization with movement (MWM) combines:
(A) Passive mobilization and ultrasound
(B) Therapist-applied mobilization with patient’s active movement
(C) Electrical stimulation with stretching
(D) Only passive stretching
15. The main aim of soft tissue mobilization is:
(A) Increase circulation and reduce adhesions
(B) Strengthen muscles
(C) Build bone density
(D) Increase lung volume
16. Myofascial release primarily targets:
(A) Tendons
(B) Ligaments
(C) Fascial restrictions
(D) Cartilage
17. Trigger point therapy involves:
(A) Joint traction
(B) Compression over hyperirritable muscle points
(C) Electrical stimulation
(D) Long duration stretching
18. Contraindication for manual therapy is:
(A) Joint hypomobility
(B) Acute fracture
(C) Muscle tightness
(D) Postural imbalance
19. Traction is primarily used to:
(A) Decrease nerve root compression
(B) Strengthen muscles
(C) Improve balance
(D) Increase endurance
20. Cervical traction is commonly indicated in:
(A) Frozen shoulder
(B) Cervical radiculopathy
(C) Knee osteoarthritis
(D) Ankle sprain
21. Lumbar traction is contraindicated in:
(A) Herniated disc
(B) Spinal instability
(C) Radiculopathy
(D) Facet joint dysfunction
22. Kaltenborn’s Grade I traction is used for:
(A) Pain relief
(B) Increasing joint play
(C) Restoring full ROM
(D) Strengthening
23. Kaltenborn’s Grade III traction is aimed at:
(A) Pain relief
(B) Stretching joint capsule
(C) Muscle relaxation
(D) Circulation
24. Joint play refers to:
(A) Voluntary muscle action
(B) Involuntary small joint movements
(C) Gait mechanics
(D) Postural correction
25. The “end feel” is assessed during:
(A) Joint mobilization
(B) Muscle contraction
(C) Breathing exercises
(D) Massage therapy
26. A hard end feel typically indicates:
(A) Muscle tightness
(B) Bony restriction
(C) Ligamentous laxity
(D) Capsular restriction
27. A capsular pattern of restriction suggests:
(A) Muscle weakness
(B) Joint capsule involvement
(C) Tendon rupture
(D) Bone fracture
28. Cyriax’s concept in manual therapy focuses on:
(A) Deep transverse friction massage
(B) Oscillatory mobilization
(C) Muscle stretching
(D) Joint traction
29. The primary benefit of deep transverse friction massage is:
(A) Breaking adhesions in tendons and ligaments
(B) Bone healing
(C) Muscle hypertrophy
(D) Pain-free strengthening
30. Rocabado’s approach is used in:
(A) Temporomandibular joint dysfunction
(B) Hip joint dysfunction
(C) Cervical spondylosis
(D) Shoulder impingement
31. PNF stretching is also considered part of:
(A) Manual therapy
(B) Only exercise therapy
(C) Cryotherapy
(D) Electrotherapy
32. The technique “muscle approximation” in PNF is used to:
(A) Inhibit muscles
(B) Facilitate muscle contraction
(C) Stretch ligaments
(D) Improve bone density
33. The primary effect of joint mobilization is:
(A) Increase nutrition to articular cartilage
(B) Decrease muscle hypertrophy
(C) Prevent bone growth
(D) Improve lung function
34. The “rule of three” in spinal manipulation refers to:
(A) Joint movement rhythm
(B) Anatomical vertebral orientation
(C) Breathing cycles
(D) Repetition counts
35. Contraindication for cervical manipulation includes:
(A) Cervical hypomobility
(B) Vertebral artery insufficiency
(C) Poor posture
(D) Muscle strain
36. Mobilization is safer than manipulation because it:
(A) Uses slow and controlled movements
(B) Always improves bone density
(C) Is done without therapist control
(D) Requires electrical stimulation
37. Mulligan’s NAGs are applied to:
(A) Cervical spine
(B) Lumbar spine
(C) Hip joint
(D) Ankle joint
38. Mulligan’s SNAGs are applied to:
(A) Peripheral joints only
(B) Spine with sustained glide during active movement
(C) Passive stretching
(D) Soft tissue mobilization
39. The technique used to relax overactive muscles by reciprocal inhibition is:
(A) PNF contract-relax
(B) Muscle energy technique
(C) Joint manipulation
(D) Massage
40. A contraindication for soft tissue mobilization is:
(A) Muscle tightness
(B) Acute infection
(C) Scar tissue
(D) Fibrosis
41. Which technique involves small oscillations within available ROM?
(A) Grade I and II Maitland mobilizations
(B) Grade IV manipulations
(C) HVLA thrust
(D) Deep friction massage
42. Which mobilization grade is a large amplitude movement at end range?
(A) Grade I
(B) Grade II
(C) Grade III
(D) Grade IV
43. Which mobilization grade is a small amplitude movement at end range?
(A) Grade II
(B) Grade IV
(C) Grade III
(D) Grade V
44. Mulligan’s techniques are unique because they:
(A) Combine mobilization with patient’s active movement
(B) Use only static stretching
(C) Focus only on soft tissue massage
(D) Exclude patient participation
45. Which manual therapy is most useful for tendinitis?
(A) Deep transverse friction massage
(B) HVLA manipulation
(C) Traction
(D) Mulligan MWM
46. The main physiological effect of massage is:
(A) Increased circulation and relaxation
(B) Muscle hypertrophy
(C) Bone healing
(D) Ligament stretching
47. Effleurage in massage is:
(A) Deep kneading
(B) Light stroking movement
(C) Percussion technique
(D) Vibration
48. Petrissage in massage involves:
(A) Light touch
(B) Kneading and squeezing
(C) Tapping
(D) Vibration
49. Tapotement in massage refers to:
(A) Stroking
(B) Percussion techniques like hacking and cupping
(C) Stretching
(D) Joint mobilization
50. The ultimate aim of manual therapy is:
(A) Restore function and reduce pain
(B) Replace exercise therapy
(C) Build maximum muscle mass
(D) Eliminate need for surgery in all cases