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Anterior cruciate ligament - Quiz
Contributed by: Bassett
  • 1. What is the typical timeframe for a patient to return to life as it was prior to an ACL injury?
A) 12 to 18 months
B) 1 to 3 months
C) 3 to 6 months
D) 6 to 12 months
  • 2. Which of the following is considered a possible graft type for ACL surgery?
A) Lateral meniscus
B) Achilles tendon
C) Medial collateral ligament
D) Bone-patella tendon-bone
  • 3. What percentage of patients are happy with their graft choice?
A) 85.5%
B) 98.1%
C) 75.2%
D) 92.9%
  • 4. What is the primary purpose of prehabilitation?
A) Maintain range of motion and strength
B) Reduce post-operative pain only
C) Guarantee no future injuries
D) Speed up the surgical procedure
  • 5. During which phase of rehabilitation does a patient typically begin running?
A) Phase five
B) Phase two
C) Phase three
D) Phase one
  • 6. What is a major risk factor of ACL reconstruction in children?
A) Chronic infection of the bone
B) Complete loss of leg sensation
C) Injury to open growth plates
D) Total failure of the immune system
  • 7. Which exercises are appropriate for phase two of rehabilitation?
A) Quad sets only
B) Multiplanar movements
C) Plyometric drills
D) Core strengthening and balance
  • 8. What did the 2010 Los Angeles Times review find regarding adults aged 18 to 35?
A) Delayed surgery led to permanent disability
B) Early surgery was significantly better
C) Rehabilitation alone is always superior to surgery
D) Early surgery outcomes were similar to delayed surgery with rehab
  • 9. What is included in phase four of ACL rehabilitation?
A) Sport-specific motions only
B) Initial protection of the graft
C) Weight shifting drills only
D) Agility and plyometric drills
  • 10. How does prehabilitation affect function postoperatively?
A) It decreases function for the first 6 weeks
B) Benefits disappear immediately after surgery
C) Effects were sustained 12 weeks postoperatively
D) It has no impact on long-term function
  • 11. Which graft type involves the semitendinosus and gracilis tendons?
A) Allograft
B) Quadrupled hamstring tendon
C) Quadriceps tendon
D) Bone-patella tendon-bone
  • 12. What is the focus of phase five of the rehabilitation process?
A) Initiating aquatic workouts
B) Correction of gait patterns
C) Decreasing swelling
D) Sport- or life-specific motions
  • 13. According to the text, how does the surgeon usually choose a graft?
A) By flipping a coin
B) Based on the type they are most comfortable with
C) Always the allograft
D) Exclusively based on patient age
  • 14. Why might serious athletes still require ACL reconstruction?
A) To perform sports requiring pivoting and twisting
B) To avoid all physical therapy
C) To increase overall height
D) Because it guarantees zero pain
  • 15. What type of workout is mentioned to help with reducing joint stresses and cardiorespiratory endurance?
A) Aquatic workouts
B) High-intensity sprinting
C) Weight lifting
D) Static stretching
  • 16. What does the Latin word 'cruciate' mean?
A) Band
B) Cross
C) Triangle
D) Twist
  • 17. What percentage of restraining force does the ACL provide to anterior tibial displacement at 30 and 90 degrees of flexion?
A) 85%
B) 95%
C) 75%
D) 50%
  • 18. Why is conservative treatment for ACL injuries often unsuccessful?
A) Lack of blood flow to the entire knee joint
B) Synovial fluid washes away reparative cells
C) The ligament is too thick to heal
D) The ligament is not made of fibrous material
  • 19. What is an autograft?
A) Tissue taken from the patient's own body
B) Tissue taken from a donor
C) Synthetic material used to replace the ligament
D) A robotic surgical repair
  • 20. Which mechanism is used for stable terminal extension in athletes?
A) Screw-home mechanism
B) Tibial translation
C) Pivot-shift phenomenon
D) Neuromuscular compensation
  • 21. What structures detect changes in acceleration, speed, and tension in the ACL?
A) Fibroblasts
B) Bone plugs
C) Synovial cells
D) Mechanoreceptors
  • 22. What does the ACL cross to form an 'X'?
A) Posterior cruciate ligament
B) Lateral collateral ligament
C) Medial collateral ligament
D) Patellar tendon
  • 23. What is the most common treatment for an ACL tear?
A) Physical therapy only
B) ACL reconstruction
C) Injections
D) Bracing
  • 24. Which of the following is a goal of ACL rehabilitation?
A) Strict bed rest
B) Regaining functional stability
C) Surgery for everyone
D) Complete immobilization
  • 25. What is the primary focus of the acute phase of rehab?
A) Cardiovascular conditioning
B) Neuromuscular control
C) Return to sport
D) Addressing acute symptoms
  • 26. What is suggested during the return to sport phase to assist with stability?
A) Strict immobilization
B) A functional performance brace
C) A cast
D) Total rest
  • 27. According to the text, how do operative and nonoperative outcomes compare regarding muscle strength?
A) They have not been studied
B) Nonoperative is significantly better
C) Operative is significantly better
D) No significant differences
  • 28. Which of the following is an example of an extrinsic risk factor for ACL injury?
A) Dynamic movement patterns
B) Anatomical size of the notch
C) Hormonal levels
D) Genetic predisposition
  • 29. Which of the following describes the shape of the lateral tibiofemoral articular surfaces?
A) Flatness
B) Convexity
C) Concavity
D) Irregularity
  • 30. Besides size, what is a physical measurement of the ACL studied by researchers?
A) Blood flow capacity
B) Elasticity
C) Oxygenation
D) Volume
  • 31. What shape describes the medial tibial plateau mentioned in the text?
A) Squareness
B) Triangularity
C) Convexity
D) Concavity
  • 32. Which of these is listed as a category of factors contributing to ACL risk differences?
A) Educational
B) Social
C) Dietary
D) Hormonal
  • 33. What magnitude is identified as a risk factor related to the tibia?
A) Tibial length
B) Tibial slope
C) Tibial rotation
D) Tibial density
  • 34. According to the text, which category of risk factors might be the most important?
A) Genetic factors
B) Extrinsic factors
C) Anatomical factors
D) Hormonal factors
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