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Post test - WNPP

Beyond the Kegel Pelvic Health Clinician post-test. 

You are ready to complete the 55 question Beyond the Kegel Pelvic Health Clinician post-test. All answers are multiple choice and a passing grade is 90% in order to get your CEU credits.

We wish you luck and look forward to having you integrate pelvic floor into your clinical practice. Hurray! 

Start

Question 1 of 54

Identify which of the following is NOT a function of the pelvic floor muscles (PFM)

A

Sphincteric

B

Supports posture and breathing

C

Supports bowel, urinary and sexual health

D

Supports scapular health

Question 2 of 54

All of the following are bony borders of the PFM except

A

Sacrum

B

Lumbar spine

C

Pubic bone

D

Ischial tuberosities

Question 3 of 54

The function of layer 1 and 2 of the PFM is to close and support the urethra, vagina, and anus

A

True

B

False

Question 4 of 54

The 3 muscles that make up layer 3 of the PFM include all of the following except

A

Pubococcygeus

B

Coccygeus

C

Bulbospongiosus

D

Iliococcygeus

Question 5 of 54

The deepest layer of PFM include the obturator internus and the puborectalis

A

True

B

False

Question 6 of 54

The 3 ligaments connected to the pelvic floor muscles (PFM) include all of the following except

A

Sacrotuberous ligament

B

Inguinal ligament

C

Sacrospinous ligament

D

Intratransverse ligament

Question 7 of 54

The pudendal nerve is one of the most important nerves of the PF

A

True

B

False

Question 8 of 54

The perineal branch of the pudendal nerve innervates the skin of perineum, labia minora and majora

A

True

B

False

Question 9 of 54

Decreased blood flow to the PFM can result in all of the following except

A

Decreased vaginal lubrication

B

PFM hypertonicity

C

Optimal pH

D

Pelvic pain

Question 10 of 54

Choose the muscle group that sits above the pelvic girdle that can affect the PFM

A

Quadratus Lumborum (QL)

B

Piriformis

C

Bulbospongiosus

D

Iliococcygeus

Question 11 of 54

Select the muscle group below the level of the pelvic girdle that affects the PFM

A

Psoas

B

Transverse abdominus

C

Quadratus lumborum

D

Adductor

Question 12 of 54

We use the PIP to palpate layer 1 of PFM

A

True

B

False

Question 13 of 54

We utilize the pelvic clock @ 1 and 11 o’clock to palpate layer 2 of PFM

A

True

B

False

Question 14 of 54

The inability to insert a tampon is most often associated with

A

Anxiety

B

PFM hypertonicity

C

PFM hypotonicity

D

Poor posture

Question 15 of 54

Select which PFM can become hypertonic and cause hypersensitivity along the vestibule and urethra

A

Bulbospongiosus

B

Pubococcygeus

C

Piriformis

D

Puborectalis

Question 16 of 54

One underlying etiology of chronic constipation can be hypertonic PFM

A

True

B

False

Question 17 of 54

The vulvar vestibule is hormonally mediated by

A

Estrogen + progesterone

B

Estrogen + testosterone

C

Estrogen + LH

D

Estrogen + FSH

Question 18 of 54

Identify which hormone is increased with the breakdown of COCs in the liver

A

Estrogen

B

Testosterone

C

Sex hormone binding globulin (SHBG)

D

Progesterone

Question 19 of 54

Selective estrogen receptor modulators impact PF health by

A

Increasing circulating estrogen in the bloodstream

B

Decreasing circulating estrogen in the bloodstream

C

Increasing vaginal lubrication

D

Increasing vulvar lubrication

Question 20 of 54

Foot rests are required for a pelvic exam

A

True

B

False

Question 21 of 54

Recall what test is used to assess for tenderness/sensitivity of the vestibule

A

Tinel’s test

B

Q Tip test

C

Romberg Test

D

Cremaster reflex

Question 22 of 54

Identify which parts of the pelvic clock are associated with hypertonicity of the PFM

A

1 and 11 o’clock

B

3 and 9 o’clock

C

2 and 10 o’clock

D

5 and 7 o’clock

Question 23 of 54

The perineal body is the central tendon of the perineum and is located at the junction of

A

The anus and urogenital triangle

B

The pubic bone and coccyx

C

The sacrum and ilium

D

The coccyx and ischial tuberosities

Question 24 of 54

Recall which interphalangeal joint corresponds to layer 1 of the PFM

A

DIP

B

PIP

C

MCP

Question 25 of 54

Recall which interphalangeal joining corresponds to layer 2 of the PFM

A

DIP

B

PIP

C

MCP

Question 26 of 54

Recall which interphalangeal joint corresponds to layer 3 of the PFM

A

DIP

B

PIP

C

MCP

Question 27 of 54

All of the following could be symptoms of hypertonic PFM except

A

Abdominal guarding

B

Easily placing speculum

C

Adductor shaking

D

Difficulty placing speculum

Question 28 of 54

Name the muscle that makes up the introitus

A

Piriformis

B

Compressor urethrae

C

Ischiocavernosus

D

Bulbospongiosus

Question 29 of 54

Name the muscle that works in concert with the PFM and responsible for PFM motor control

A

Psoas

B

Quadratus Lumborum

C

Respiratory Diaphragm

D

Adductor

Question 30 of 54

Describe what happens to the PF with inhalation

A

The diaphragm descends and the PF lifts

B

The diaphragm lifts and the PF lifts

C

The diaphragm descends and the PF drops

D

The diaphragm lifts and the PF drops

Question 31 of 54

All of the following are types of excursion that occur with diaphragmatic breathing except

A

Lateral

B

Anterior

C

Posterior

D

Sagittal

Question 32 of 54

Identify an optimal position for your patient when prescribing diaphragmatic breathing to your patient

A

Hook lying

B

Sitting

C

Standing

D

Sidelying

Question 33 of 54

Compromised diaphragmatic breathing impacts the PFM by

A

Causing the PFM to be hypotonic

B

Causing the PFM to be hypertonic

C

Causing the PFM to be lengthened

D

Causing the PFM to be softened

Question 34 of 54

Palpation of the ASIS  and iliac crest is used to assess

A

Rotation and upslip of the pelvis

B

Flexion/extension of pelvis

Question 35 of 54

Palpation of the iliac crest and base of lateral rib cage is used to assess

A

Rotation of pelvis

B

Flexion of pelvis

C

Extension of pelvis

D

Upslip of pelvis

Question 36 of 54

Name the manual technique we would use to correct a pelvic upslip

A

QL release

B

Scapula release

C

Hip flexor release

D

Adductor release

Question 37 of 54

Name the manual technique we would use to correct an anterior pelvic rotation

A

QL release

B

Scapula release

C

Hip flexor release

D

Occipital release

Question 38 of 54

The following anatomical structures can be affected by constant afferent pain signals except

A

Sacral cord

B

Pons

C

Dorsal horn

D

Cerebral cortex

Question 39 of 54

Pelvic pain can be

A

Multifactorial in etiology

B

Diagnosed by pelvic ultrasound

C

Diagnosed by vaginal cultures

D

Diagnosed by urine and stool cultures

Question 40 of 54

Select which symptom is NOT associated with pelvic pain

A

Hypertonic muscles in pelvis, abdomen, hips, lower back, and pelvic floor

B

Good pelvic floor motor control

C

Poor seated posture

D

Poor standing posture

Question 41 of 54

Dyspareunia can be caused by all of the following except

A

Hypertonic PFM

B

Normal tone PFM

C

Endometriosis

D

Vulvodynia

Question 42 of 54

Select the best patient education plan for your dyspareunia patient

A

Have a glass of wine

B

“Just relax”

C

Diaphragmatic breathing and dilator routine

D

Prescribe lidocaine

Question 43 of 54

Downtraining of the PFM is beneficial for our vaginismus patients because

A

It relaxes the PFM

B

It strengthens the PFM

C

It shortens the PFM

D

It restricts the diaphragm

Question 44 of 54

The classifications of vestibulodynia include all of the following except

A

Atrophic Vestibulitis

B

PFM normal tone

C

Vulvar Dermatoses

D

Irritant or Allergic Contact Vestibulitis

Question 45 of 54

Hormonally mediated vestibulodynia can be caused by all of the following except

A

COC use

B

Oophorectomy

C

Statin use

D

Chemotherapy

Question 46 of 54

Posterior vestibule (near perineum) is affected more than the anterior vestibule in hypertonic PFM dysfunction

A

True

B

False

Question 47 of 54

Muscles and fascia respond to inflammation caused by infectious or non infectious vaginitis with sympathetic response of shortening- causing PFM hypertonicity

A

True

B

False

Question 48 of 54

Lichen sclerosus plaques can cause hypertonic pelvic floor muscles

A

True

B

False

Question 49 of 54

90% of patients with IC/BPS have pelvic floor dysfunction (PFD)

A

True

B

False

Question 50 of 54

The following stretches can be prescribed to address PFM hypertonicity except

A

Supported squat against the wall

B

Traditional squat

C

Anterior thigh off the bed

D

QL stretch off the bed

Question 51 of 54

The following small ball trigger point release techniques can be prescribed to address PFM hypertonicity except

A

Small ball to adductor

B

Small ball into rhomboids

C

Small ball to abdominals

D

Small ball to piriformis

Question 52 of 54

When prescribing dilator therapy to your patient the labia should be spread gently apart

A

True

B

False

Question 53 of 54

The vaginal mucosa is highly permeable

A

True

B

False

Question 54 of 54

Vulvar skin care best practices include all of the following except

A

100% cotton underwear

B

Scented dryer sheets

C

No scented detergents

D

Stop all use of soaps and creams

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