After a shoulder stabilisation procedure, a patient needs to improve dynamic joint stability with co-contraction around the glenohumeral joint. Which technique fits best?

Slow reversal-hold relax into a stretch

Three weeks after ACL reconstruction, which exercise best limits anterior tibial shear on the graft while strengthening the quadriceps?

Mini-squats in the 0 to 45 degree range

Resisted open chain knee extension from 45 to 0 degrees

Prone hamstring curls with a heavy cuff

Isokinetic knee extension at high speed through full range

A patient with controlled hypertension begins a strengthening programme. Which advice is correct?

Breathe out during the effort and avoid holding the breath

Hold the breath at maximum effort to protect the spine

Skip the warm-up entirely to save time before lifting

Use maximal isometric holds of 30 seconds on each set

Why is a gradual cool-down recommended after aerobic exercise?

To maintain venous return and avoid hypotension

To increase the glycogen stored in muscle

To raise the heart rate further after exercise

To prevent every kind of muscle soreness later

Therapeutic exercise prescription

50 Gulf Prometric Physiotherapist (DHA, DOH, MOH, SCFHS, QCHP) practice questions on Therapeutic exercise prescription, part of Therapeutic Exercise. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Medium
After a shoulder stabilisation procedure, a patient needs to improve dynamic joint stability with co-contraction around the glenohumeral joint. Which technique fits best?
1. ARhythmic stabilisation
2. BSlow reversal-hold relax into a stretch
3. CRhythmic initiation
4. DContract-relax
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Answer: A · Rhythmic stabilisation
Rhythmic stabilisation alternates isometric contractions of agonists and antagonists with no intended motion, so it trains co-contraction and stability. Initiation helps to start movement, and contract-relax is a stretching technique.
- B: A stretching technique gives range and does not train co-contraction.
- C: Rhythmic initiation trains movement onset.
- D: Contract-relax aims to gain range.
Remember this
Rhythmic stabilisation trains co-contraction through alternating isometrics.
Question 2 · Medium
Three weeks after ACL reconstruction, which exercise best limits anterior tibial shear on the graft while strengthening the quadriceps?
1. AResisted open chain knee extension from 45 to 0 degrees
2. BMini-squats in the 0 to 45 degree range
3. CProne hamstring curls with a heavy cuff
4. DIsokinetic knee extension at high speed through full range
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Answer: B · Mini-squats in the 0 to 45 degree range
Closed chain squats produce co-contraction of the hamstrings and quadriceps, which balances shear forces at the knee. Resisted open chain extension from 45 to 0 degrees increases anterior tibial translation and strains the graft. Early rehabilitation therefore favours closed chain work in a protected range.
- A: Resisted extension near full extension loads the graft the most.
- C: Heavy hamstring curls are not the aim and do not strengthen the quadriceps.
- D: Fast full-range extension adds shear near terminal extension.
Remember this
Early ACL rehab favours closed chain work in a protected range.
Question 3 · Medium
A patient with controlled hypertension begins a strengthening programme. Which advice is correct?
1. AHold the breath at maximum effort to protect the spine
2. BBreathe out during the effort and avoid holding the breath
3. CSkip the warm-up entirely to save time before lifting
4. DUse maximal isometric holds of 30 seconds on each set
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Answer: B · Breathe out during the effort and avoid holding the breath
Breath-holding raises blood pressure sharply, as does sustained maximal isometric effort. Exhaling during the lift, using moderate loads and warming up properly are recommended.
- A: Breath-holding raises blood pressure further.
- C: A warm-up is required for safety.
- D: Long maximal holds raise blood pressure.
Remember this
Exhale during effort, especially with hypertension.
Question 4 · Medium
How long should a patient usually rest between sets when training for maximal strength with heavy loads?
1. A10 minutes or more
2. B2 to 5 minutes
3. C10 to 15 seconds
4. D30 seconds
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Answer: B · 2 to 5 minutes
Heavy loads deplete the phosphagen system, which needs a few minutes to recover. Rests of 2 to 5 minutes let the patient keep the load high on the next set. Short rests suit endurance work.
- A: Ten minutes or more wastes session time and adds nothing.
- C: Very short rests leave the muscle fatigued.
- D: Thirty seconds suits endurance work.
Remember this
Maximal strength training needs longer rests of about 2 to 5 minutes.
Question 5 · Medium
Why is a gradual cool-down recommended after aerobic exercise?
1. ATo increase the glycogen stored in muscle
2. BTo maintain venous return and avoid hypotension
3. CTo raise the heart rate further after exercise
4. DTo prevent every kind of muscle soreness later
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Answer: B · To maintain venous return and avoid hypotension
Skeletal muscle pumping keeps venous return up. Stopping suddenly can cause blood pooling in the legs, hypotension and dizziness. A cool-down reduces this risk.
- A: A cool-down does not raise glycogen.
- C: The goal is a gradual fall in heart rate.
- D: It does not prevent every episode of soreness.
Remember this
Cool down gradually to maintain venous return.
Question 6 · Medium
A patient cannot complete full shoulder flexion alone, but the therapist's hand helps finish the range. Which type of exercise is this?
1. AResisted range of motion work
2. BPassive range of motion only
3. CActive-assisted range of motion
4. DIsometric exercise at rest
Answer and explanation in LearnFree account
Question 7 · Medium
A patient with Parkinson disease has difficulty starting movement and has marked rigidity. Which PNF technique is most appropriate to begin movement training?
1. AResisted isometric holds at end range
2. BRhythmic stabilisation
3. CHold-relax
4. DRhythmic initiation
Answer and explanation in LearnFree account
Question 8 · Easy
The SAID principle states that the body adapts to:
1. AThe specific demands imposed on it
2. BRest periods between sessions only
3. CAny exercise, whatever its type
4. DThe patient's age rather than the load
Answer and explanation in LearnFree account
Question 9 · Easy
In an isometric contraction:
1. AThe muscle lengthens while it is still under tension
2. BThe muscle shortens while moving against a constant load
3. CThe limb moves through its range at a constant velocity
4. DTension develops with no change in muscle length or joint angle
Answer and explanation in LearnFree account
Question 10 · Medium
In plyometric training, which phase of the stretch-shortening cycle should be as short as possible for maximum power?
1. AThe concentric phase
2. BThe amortisation phase
3. CThe warm-up phase
4. DThe eccentric loading phase
Answer and explanation in LearnFree account
Question 11 · Medium
A patient has an elbow flexion contracture. Why is a prolonged low-load stretch more effective than a brief, forceful stretch?
1. AIt prevents all pain from the contracture permanently
2. BIt works only by neural relaxation of the muscle
3. CConnective tissue creeps under low sustained tension
4. DIt directly increases the strength of the muscle itself
Answer and explanation in LearnFree account
Question 12 · Medium
For healthy adults, what is the minimum recommended frequency of resistance training for each major muscle group?
1. AOnce every two weeks
2. BSeven days per week, all muscle groups
3. CTwo non-consecutive days per week
4. DDaily, with the same muscle group
Answer and explanation in LearnFree account
Question 13 · Medium
Stretching should be avoided or applied with great caution in which situation?
1. ARecent fracture or an area of haematoma
2. BA tight hamstring in a healthy adult
3. CA stiff calf before a running programme
4. DAdaptive shortening after prolonged immobilisation
Answer and explanation in LearnFree account
Question 14 · Medium
A patient with tight hamstrings cannot straighten the knee while the hip is fully flexed, although the knee extends fully with the hip flexed less. This is an example of:
1. APassive insufficiency of a two-joint muscle
2. BA bony block
3. CActive insufficiency of the quadriceps alone
4. DA capsular pattern of the knee
Answer and explanation in LearnFree account
Question 15 · Medium
A sprinter in Dubai is preparing for a 100 m race. Which warm-up is best for the lower limbs?
1. ANo movement beforehand, only a firm massage of the legs
2. BDynamic movements such as leg swings and high knees
3. CA slow 60 minute run at a low heart rate beforehand
4. DThree static stretches of 90 seconds held for each muscle
Answer and explanation in LearnFree account
Question 16 · Hard
A patient can complete 5 repetitions at 60 kg. Using the Brzycki formula, 1RM = weight / (1.0278 - 0.0278 x repetitions), what is the estimated 1RM?
1. A75 kg
2. B90 kg
3. C67.5 kg
4. D60 kg
Answer and explanation in LearnFree account
Question 17 · Easy
In the FITT principle of exercise prescription, the letter I stands for:
1. AInhibition
2. BIntervals
3. CIntensity
4. DIsometrics
Answer and explanation in LearnFree account
Question 18 · Medium
A pressure biofeedback unit is placed under the lower abdomen with the patient prone and inflated to 70 mmHg. The patient draws in the lower abdomen without moving the spine or pelvis. Which reading shows correct transversus abdominis activation?
1. AA fall of about 30 mmHg with a posterior pelvic tilt
2. BA rise of about 10 mmHg as the abdomen presses down
3. CNo change, with the reading staying at 70 mmHg
4. DA fall of about 4 to 10 mmHg held for about 10 seconds
Answer and explanation in LearnFree account
Question 19 · Medium
Which pairing best reduces patellofemoral joint compressive force during quadriceps strengthening?
1. AOpen chain knee extension from 90 to 45 degrees and closed chain from 0 to 45 degrees
2. BOpen chain knee extension from 45 to 0 degrees and closed chain from 90 to 45 degrees
3. CDeep squats to 120 degrees with heavy load
4. DFull range isokinetic extension at slow speed
Answer and explanation in LearnFree account
Question 20 · Medium
A patient lifts 60 kg for a maximum of 10 repetitions. Approximately what percentage of 1RM is a 10RM load?
1. A90%
2. B50%
3. C100%
4. D75%
Answer and explanation in LearnFree account
Question 21 · Easy
Why should patients with cardiac or blood pressure problems avoid the Valsalva manoeuvre during resisted exercise?
1. AIt reduces recruitment of muscle fibres in the lifted muscle
2. BIt causes immediate hypoglycaemia during the lift
3. CIt sharply raises intrathoracic and blood pressure
4. DIt stretches the diaphragm until it fails
Answer and explanation in LearnFree account
Question 22 · Medium
Isometric strength gains are greatest at:
1. ANo particular angle, as there is no specificity at all
2. BEvery angle of the range, to an equal extent
3. COnly the extreme ends of the available range
4. DJoint angles close to the training angle
Answer and explanation in LearnFree account
Question 23 · Hard
A patient lifts 3 sets of 8 repetitions at 50 kg in week one and 3 sets of 10 repetitions at 55 kg in week two. By what percentage does the volume load (sets x repetitions x load) increase?
1. A25%
2. B10%
3. C37.5%
4. D50%
Answer and explanation in LearnFree account
Question 24 · Hard
A patient trains leg press at 70% of a 1RM of 120 kg. After four weeks a retest gives a 1RM of 130 kg. If the same relative intensity is kept, what is the new training load?
1. A117 kg
2. B91 kg
3. C100 kg
4. D84 kg
Answer and explanation in LearnFree account
Question 25 · Easy
Delayed onset muscle soreness usually peaks:
1. ADuring the exercise bout
2. BWithin 5 minutes of stopping
3. CTwo weeks after exercise
4. D24 to 72 hours after unaccustomed exercise
Answer and explanation in LearnFree account

25 more Therapeutic exercise prescription questions

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Study Therapeutic Exercise

Therapeutic exercise prescription

After a shoulder stabilisation procedure, a patient needs to improve dynamic joint stability with co-contraction around the glenohumeral joint. Which technique fits best?

Three weeks after ACL reconstruction, which exercise best limits anterior tibial shear on the graft while strengthening the quadriceps?

A patient with controlled hypertension begins a strengthening programme. Which advice is correct?

How long should a patient usually rest between sets when training for maximal strength with heavy loads?

Why is a gradual cool-down recommended after aerobic exercise?

A patient cannot complete full shoulder flexion alone, but the therapist's hand helps finish the range. Which type of exercise is this?

A patient with Parkinson disease has difficulty starting movement and has marked rigidity. Which PNF technique is most appropriate to begin movement training?

The SAID principle states that the body adapts to:

In an isometric contraction:

In plyometric training, which phase of the stretch-shortening cycle should be as short as possible for maximum power?

A patient has an elbow flexion contracture. Why is a prolonged low-load stretch more effective than a brief, forceful stretch?

For healthy adults, what is the minimum recommended frequency of resistance training for each major muscle group?

Stretching should be avoided or applied with great caution in which situation?

A patient with tight hamstrings cannot straighten the knee while the hip is fully flexed, although the knee extends fully with the hip flexed less. This is an example of:

A sprinter in Dubai is preparing for a 100 m race. Which warm-up is best for the lower limbs?

A patient can complete 5 repetitions at 60 kg. Using the Brzycki formula, 1RM = weight / (1.0278 - 0.0278 x repetitions), what is the estimated 1RM?

In the FITT principle of exercise prescription, the letter I stands for:

A pressure biofeedback unit is placed under the lower abdomen with the patient prone and inflated to 70 mmHg. The patient draws in the lower abdomen without moving the spine or pelvis. Which reading shows correct transversus abdominis activation?

Which pairing best reduces patellofemoral joint compressive force during quadriceps strengthening?

A patient lifts 60 kg for a maximum of 10 repetitions. Approximately what percentage of 1RM is a 10RM load?

Why should patients with cardiac or blood pressure problems avoid the Valsalva manoeuvre during resisted exercise?

Isometric strength gains are greatest at:

A patient lifts 3 sets of 8 repetitions at 50 kg in week one and 3 sets of 10 repetitions at 55 kg in week two. By what percentage does the volume load (sets x repetitions x load) increase?

A patient trains leg press at 70% of a 1RM of 120 kg. After four weeks a retest gives a 1RM of 130 kg. If the same relative intensity is kept, what is the new training load?

Delayed onset muscle soreness usually peaks: