BPT2015 | BPT2015 Physiotherapy Exam 2
Version 2 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. Which of the following is a primary goal during the immediate post-operative phase
(0-2 weeks) of ACL reconstruction?
A. Full weight bearing without any assistive devices
B. Achieving 120 degrees of knee flexion
C. Restoring full active and passive knee extension
D. High-intensity plyometric training for power
Correct Answer: C
Expert Explanation: Restoration of extension is the most critical goal in the early
post-operative period. This prevents the development of a cyclops lesion and
permanent extension loss. Therapists use passive stretching and superior patellar
glides to maintain mobility. Quadriceps sets are also encouraged to regain
neuromuscular control without overstressing the graft. Maintaining full extension is
essential for a normal gait pattern during later phases.
2. In post-surgical management of Total Knee Arthroplasty (TKA), which intervention is
most effective for DVT prevention?
A. Continuous Passive Motion (CPM) for 12 hours a day
,B. High-load resistance training of the hip
C. Ankle pumps and early mobilization
D. Complete bed rest for the first 48 hours
Correct Answer: C
Expert Explanation: Deep vein thrombosis is a major complication following total
knee replacement surgery. Early mobilization and ankle pumps are evidence-based
methods to increase venous return. Compression stockings and sequential
pneumatic devices are often used concurrently in the hospital. The physiotherapist
monitors for signs like calf pain, swelling, and redness to ensure safety. Preventing
these vascular issues is a cornerstone of acute post-surgical care.
3. According to Maitland’s mobilization grades, which grade is characterized by large
amplitude oscillations within the available range?
A. Grade I
B. Grade IV
C. Grade III
D. Grade II
Correct Answer: D
,Expert Explanation: Maitland Grade II mobilizations are specifically designed for
pain modulation rather than increasing range of motion. These large-amplitude
oscillations stimulate mechanoreceptors to inhibit nociceptive pathways according
to the gate control theory. They are performed within the available range and do not
reach the limit of tissue resistance. Clinicians apply these techniques when the
patient is in the subacute phase of injury. Effective pain management through
mobilization facilitates earlier progression to active exercises.
4. Which clinical sign is most characteristic of the ‘freezing’ stage in Adhesive
Capsulitis (Frozen Shoulder)?
A. Spontaneous recovery of all range of motion
B. Pain only at the end range of motion
C. Significant loss of internal rotation only
D. Severe pain with a progressive loss of the capsular pattern
Correct Answer: D
Expert Explanation: Adhesive capsulitis typically follows a capsular pattern where
external rotation is the most restricted movement. In the freezing phase, the
primary goal of physiotherapy is pain relief and gentle mobility maintenance. High-
intensity stretching is generally avoided to prevent exacerbation of the
inflammatory response. Mobilization techniques are applied cautiously to improve
, the joint volume and reduce stiffness. Patient education regarding the long recovery
timeline is crucial for compliance and psychological well-being.
5. Following a meniscal repair, why is weight-bearing usually restricted or controlled
for several weeks?
A. To prevent muscle atrophy in the quadriceps
B. To avoid excessive joint effusion
C. To protect the healing fibrocartilage sutures from shear forces
D. To encourage the formation of fibrous scar tissue
Correct Answer: C
Expert Explanation: Weight-bearing is restricted after a meniscal repair to protect
the healing fibrocartilage sutures from shear forces. Unlike a meniscectomy, the
repair requires a period of non-weight bearing or partial weight bearing for several
weeks. Range of motion is often limited to ninety degrees of flexion to avoid
posterior horn compression. Quadriceps strengthening is performed in open-chain
positions initially to maintain muscle bulk. Careful adherence to these restrictions
ensures the long-term success of the surgical intervention.
6. Which precaution is essential for a patient who underwent a Total Hip Replacement
(THR) via a posterior approach?
A. Avoid hip flexion beyond 90 degrees and internal rotation
Version 2 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. Which of the following is a primary goal during the immediate post-operative phase
(0-2 weeks) of ACL reconstruction?
A. Full weight bearing without any assistive devices
B. Achieving 120 degrees of knee flexion
C. Restoring full active and passive knee extension
D. High-intensity plyometric training for power
Correct Answer: C
Expert Explanation: Restoration of extension is the most critical goal in the early
post-operative period. This prevents the development of a cyclops lesion and
permanent extension loss. Therapists use passive stretching and superior patellar
glides to maintain mobility. Quadriceps sets are also encouraged to regain
neuromuscular control without overstressing the graft. Maintaining full extension is
essential for a normal gait pattern during later phases.
2. In post-surgical management of Total Knee Arthroplasty (TKA), which intervention is
most effective for DVT prevention?
A. Continuous Passive Motion (CPM) for 12 hours a day
,B. High-load resistance training of the hip
C. Ankle pumps and early mobilization
D. Complete bed rest for the first 48 hours
Correct Answer: C
Expert Explanation: Deep vein thrombosis is a major complication following total
knee replacement surgery. Early mobilization and ankle pumps are evidence-based
methods to increase venous return. Compression stockings and sequential
pneumatic devices are often used concurrently in the hospital. The physiotherapist
monitors for signs like calf pain, swelling, and redness to ensure safety. Preventing
these vascular issues is a cornerstone of acute post-surgical care.
3. According to Maitland’s mobilization grades, which grade is characterized by large
amplitude oscillations within the available range?
A. Grade I
B. Grade IV
C. Grade III
D. Grade II
Correct Answer: D
,Expert Explanation: Maitland Grade II mobilizations are specifically designed for
pain modulation rather than increasing range of motion. These large-amplitude
oscillations stimulate mechanoreceptors to inhibit nociceptive pathways according
to the gate control theory. They are performed within the available range and do not
reach the limit of tissue resistance. Clinicians apply these techniques when the
patient is in the subacute phase of injury. Effective pain management through
mobilization facilitates earlier progression to active exercises.
4. Which clinical sign is most characteristic of the ‘freezing’ stage in Adhesive
Capsulitis (Frozen Shoulder)?
A. Spontaneous recovery of all range of motion
B. Pain only at the end range of motion
C. Significant loss of internal rotation only
D. Severe pain with a progressive loss of the capsular pattern
Correct Answer: D
Expert Explanation: Adhesive capsulitis typically follows a capsular pattern where
external rotation is the most restricted movement. In the freezing phase, the
primary goal of physiotherapy is pain relief and gentle mobility maintenance. High-
intensity stretching is generally avoided to prevent exacerbation of the
inflammatory response. Mobilization techniques are applied cautiously to improve
, the joint volume and reduce stiffness. Patient education regarding the long recovery
timeline is crucial for compliance and psychological well-being.
5. Following a meniscal repair, why is weight-bearing usually restricted or controlled
for several weeks?
A. To prevent muscle atrophy in the quadriceps
B. To avoid excessive joint effusion
C. To protect the healing fibrocartilage sutures from shear forces
D. To encourage the formation of fibrous scar tissue
Correct Answer: C
Expert Explanation: Weight-bearing is restricted after a meniscal repair to protect
the healing fibrocartilage sutures from shear forces. Unlike a meniscectomy, the
repair requires a period of non-weight bearing or partial weight bearing for several
weeks. Range of motion is often limited to ninety degrees of flexion to avoid
posterior horn compression. Quadriceps strengthening is performed in open-chain
positions initially to maintain muscle bulk. Careful adherence to these restrictions
ensures the long-term success of the surgical intervention.
6. Which precaution is essential for a patient who underwent a Total Hip Replacement
(THR) via a posterior approach?
A. Avoid hip flexion beyond 90 degrees and internal rotation
