COKO Patient Assessment and Evaluation 2 — Questions and Answers
Question 1: During a postural assessment, a kinesiologist observes that a client's right shoulder is elevated and the head is laterally flexed to the right. This pattern is most consistent with which condition?
- Right-sided thoracic outlet syndrome
- Left-sided upper trapezius hypertonicity
- Right-sided upper trapezius hypertonicity (Correct answer)
- Cervical radiculopathy at C5-C6
Correct answer: Right-sided upper trapezius hypertonicity
Ipsilateral shoulder elevation combined with lateral head flexion toward that side typically indicates hypertonicity of the upper trapezius on that same side.
Question 2: A kinesiologist is assessing a client's knee using the McMurray test. The test is considered positive when the client reports which finding?
- Pain with full knee extension under load
- A palpable or audible click with pain during knee rotation and flexion (Correct answer)
- Diffuse anterior knee pain during resisted quadriceps contraction
- Posterior joint line pain with passive knee hyperextension
Correct answer: A palpable or audible click with pain during knee rotation and flexion
A positive McMurray test is indicated by a palpable or audible click accompanied by pain during combined rotation and flexion of the knee, suggesting meniscal pathology.
Question 3: When documenting a client's pain using the SOAP note format, where would you record the client's self-reported pain level of 6/10?
- Objective
- Assessment
- Subjective (Correct answer)
- Plan
Correct answer: Subjective
Self-reported information, including pain ratings given by the client, is recorded in the Subjective section of a SOAP note.
Question 4: A kinesiologist performs a Thomas Test and observes that when the tested hip is passively extended, the contralateral knee extends slightly. This finding suggests tightness in which structure?
- Iliotibial band
- Hip flexors and rectus femoris (Correct answer)
- Hamstrings
- Piriformis
Correct answer: Hip flexors and rectus femoris
In the Thomas Test, failure to fully extend the hip combined with contralateral knee extension indicates tightness of the hip flexors and rectus femoris.
Question 5: Which outcome measure is most appropriate for tracking functional mobility and fall risk in older adult clients in a kinesiological assessment?
- Visual Analog Scale (VAS)
- Timed Up and Go (TUG) test (Correct answer)
- SF-36 Health Survey
- Oswestry Disability Index
Correct answer: Timed Up and Go (TUG) test
The Timed Up and Go test is a validated, widely-used measure of functional mobility and fall risk specifically designed and normed for older adults.
Question 6: During a gait assessment, a kinesiologist notes that a client demonstrates contralateral hip drop during single-leg stance. This observation is most indicative of weakness in which muscle group?
- Ipsilateral hip abductors (Correct answer)
- Contralateral hip extensors
- Ipsilateral hip flexors
- Contralateral knee extensors
Correct answer: Ipsilateral hip abductors
Contralateral (Trendelenburg) hip drop during stance indicates weakness of the ipsilateral hip abductors, which normally stabilize the pelvis during single-leg support.
Question 7: A kinesiologist is conducting a pre-participation health screening. A client discloses a family history of sudden cardiac death in a first-degree relative before age 50. What is the most appropriate next step?
- Proceed with fitness testing using standard protocols
- Refer the client to a physician before initiating any exercise program (Correct answer)
- Administer a resting 12-lead ECG immediately
- Calculate the client's 10-year cardiovascular risk score and proceed if low
Correct answer: Refer the client to a physician before initiating any exercise program
Family history of premature sudden cardiac death is a significant cardiovascular risk flag that requires medical clearance before initiating an exercise program.
COKO Patient Assessment and Evaluation 2
During a postural assessment, a kinesiologist observes that a client's right shoulder is elevated and the head is laterally flexed to the right.
This pattern is most consistent with which condition?