MES Musculoskeletal Conditions & Special Populations 2

Question 1

Which exercise is generally contraindicated for clients with moderate-to-severe knee osteoarthritis due to excessive compressive loading?

Accepted Answer

Deep squats with heavy loading

Answer

Deep heavy squats produce patellofemoral and tibiofemoral compressive forces many times body weight, which is harmful for moderate-to-severe knee OA.

Question 2

For an older adult with sarcopenia, which training type is the MOST important to prioritize?

Accepted Answer

Progressive resistance training

Answer

Progressive resistance training is the primary intervention for sarcopenia because it stimulates muscle protein synthesis and reverses muscle mass loss.

Question 3

A pregnant client in her second trimester should avoid exercising in which position?

Accepted Answer

Supine

Answer

Supine exercise after the first trimester can cause the uterus to compress the inferior vena cava, reducing venous return and causing supine hypotensive syndrome.

Question 4

Which gait deviation is commonly observed in clients with hip abductor weakness (Trendelenburg sign)?

Accepted Answer

Contralateral pelvic drop during single-leg stance

Answer

Weak hip abductors fail to stabilize the pelvis, causing the opposite side to drop (positive Trendelenburg) during the stance phase of walking.

Question 5

Which chronic condition is most associated with the development of carpal tunnel syndrome due to soft tissue changes?

Accepted Answer

Type 2 diabetes mellitus

Answer

Diabetes causes glycosylation of connective tissue, leading to thickening of the flexor retinaculum and increasing carpal tunnel pressure.

MES - ACE Medical Exercise Specialist Practice Test

MES - ACE Medical Exercise Specialist Practice Test

MES Musculoskeletal Conditions & Special Populations 2