COKO Patient Assessment and Evaluation 2

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?

Accepted Answer

Right-sided upper trapezius hypertonicity

Answer

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?

Accepted Answer

A palpable or audible click with pain during knee rotation and flexion

Answer

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?

Accepted Answer

Subjective

Answer

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?

Accepted Answer

Hip flexors and rectus femoris

Answer

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?

Accepted Answer

Timed Up and Go (TUG) test

Answer

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.

(COKO) College of Kinesiologists of Ontario Practice Test

(COKO) College of Kinesiologists of Ontario Practice Test

COKO Patient Assessment and Evaluation 2