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Chapter 002 Neuromuscular Fundamentals True / False Questions 1. In most cases, muscles work independently to achieve a particular joint motion and this is known as aggregate muscle action. True False 2. Agonists are muscles that, when contracting concentrically, cause joint motion through a specified plane of motion. True False 3. Innervation is defined as the segment of the nervous system categorized as being responsible for providing a stimulus to muscle fibers within a specific muscle or portion of a muscle. True False 4. Extensibility is the muscle's ability to be passively stretched beyond its normal resting length. True False 5. Kinesthesis is the conscious awareness of the position and movement of the body in space. True False 6. A muscle's line of pull has nothing to do with its effect on the joint. True False 7. The insertion of a muscle is defined structurally as the distal attachment of a muscle, or the part that attaches farthest from the midline or center of the body. True False 2-1 Chapter 002 Neuromuscular Fundamentals 8. A defined area of bone supplied by a specific spinal nerve is known as a dermatome. True False 9. Contractibility is the muscle's ability to contract and develop tension or an internal force against resistance when stimulated. True False 10. Elasticity is the muscle's ability to return to its original resting length following a stretch. True False Multiple Choice Questions 11. A term pertaining, usually, to muscles that arise or originate outside (proximal to) the body part on which they act. A. Extrinsic B. Intrinsic C. Lateral D. Contralateral 12. The range of muscle-fiber length between maximal and minimal lengthening is called A. lengthening core. B. vectortude. C. rectitude. D. amplitude. 13. During contraction, the Sliding Filament Theory says that A. a muscle shortens. B. a sarcomere as a unit shortens. C. joint action occurs. D. energy is produced. 2-2 Chapter 002 Neuromuscular Fundamentals 14. _____________ is a term pertaining, usually, to muscles that are within or belong solely to the body part on which they act. A. Extrinsic B. Agonist C. Intrinsic D. Stabilizer 15. The fibrous connective tissue, often cordlike in appearance that connects muscles to bones and other structures. A. Ligament B. Tendon C. Fascia D. Collagen 16. The _________ reflex provided by the muscle spindle may be utilized to facilitate a greater response, as in the case of a quick, short squat before attempting a jump. A. stretch B. golgi C. Meissner's D. tendon 17. Regardless of the number involved, the individual muscle fibers within a given motor unit will fire and contract either maximally or not at all. This is referred to as the A. contraction. B. innervation principle. C. neural signal. D. all-or-none principle. 2-3 Chapter 002 Neuromuscular Fundamentals 18. These types of muscles are those that cross and act directly on only the joint that they cross. A. Biarticular B. Uniarticular C. Multiarticular D. Synarthrodial 19. The process that antagonist muscle groups must relax and lengthen when the agonist muscle group contracts is known as A. active insufficiency. B. reciprocal innervations. C. passive insufficiency. D. Sherrington's law. 20. ______ is the muscle's ability to return to its original resting length following a stretch. A. Contraction B. Muscle memory C. Innervation D. Elasticity 21. The specific movement of a joint that results from a concentric contraction of a muscle that crosses the joint. A. Potential B. Action C. Eccentric D. Angled 22. _________ muscles act on three or more joints due to the line of pull between their origin and insertion crossing multiple joints. A. Triarticular B. Uniarticular C. Biarticular D. Multiarticular 2-4 Chapter 002 Neuromuscular Fundamentals 23. The central, fleshy portion of the muscle that generally increases in diameter as the muscle contracts. A. Tendon B. Ligament C. Fascia D. Gaster 24. This is a type of dynamic exercise usually using concentric and/or eccentric muscle contractions in which the speed (or velocity) of movement is constant. A. Isoathletic B. Isometric C. Isokinetics D. Concentric 25. This proprioceptor, serially located in the tendon close to the muscle-tendon junction is continuously sensitive to both muscle tension and active contraction. A. Golgi tendon organ (GTO) B. Stretch reflex C. Myotactic reflex D. Pacinian corpuscle 26. Muscles that assist in the action of agonists, but are not necessarily prime movers for the action. A. Prime movers B. Stabilizers C. Synergists D. Agonists 2-5 Chapter 002 Neuromuscular Fundamentals 27. A(n) _________ contraction occurs when tension develops within the muscle, but the joint angles remain constant. A. isometric B. concentric C. eccentric D. isotonic 28. These muscles are usually located on the opposite side of the joint from the agonist and have the opposite concentric action. A. Synergist B. Antagonist C. Prime mover D. Stabilizer 29. These types of muscles are those that cross and act directly on two different joints. A. Uniarticular B. Triarticular C. Multiarticular D. Biarticular 30. This type of contraction occurs when the muscle develops tension as it shortens. A. Eccentric B. Concentric C. Isometric D. Isotonic 31. Eccentric contractions involve A. no movement of fibers. B. static movement. C. a shortening of muscle fibers. D. a lengthening of muscle fibers. 2-6 Chapter 002 Neuromuscular Fundamentals 32. Isotonic contractions occur when the muscle develops tension to A. move an object. B. stabilize the body. C. correct balance. D. either cause or control joint movement. 33. Muscles that surround the joint or body part and contract to fixate or stabilize the area to enable another limb or body segment to exert force and move are A. assistors. B. isolators. C. stabilizers. D. prime movers. 34. Internal receptors located in the skin, joints, muscles, and tendons that provide feedback relative to the tension, length, and contraction state of muscles, the position of the body and limbs, and movements of the joints. A. Golgi tendons B. Proprioceptors C. Meissner's corpuscle D. Sarcomeres 35. A type of muscle contraction that occurs when multiple maximal stimuli are provided at a low-enough frequency to allow complete relaxation between contractions. A. Eccentric B. Treppe C. Concentric D. Threshold stimulus 2-7 Chapter 002 Neuromuscular Fundamentals 36. The proximal attachment of a muscle, or the part that attaches closest to the midline or center of the body. A. Insertion B. Tuberacle C. Distal end D. Origin 37. These are concentrated primarily in the muscle belly between the fibers, are sensitive to stretch and rate of stretch. A. GTO B. Muscle spindles C. Tendons D. Sarcomeres 38. This is defined as a muscle or group of muscles supplied by a specific spinal nerve. A. Dermatome B. Myotome C. Spinal nerve root D. Reflexes 39. The basic functional units of the nervous system responsible for generating and transmitting impulses. A. Neurons B. Motor units C. Nerve signal D. Nerve units 40. Muscles that counteract or neutralize the action of other muscles to prevent undesirable movements such as inappropriate muscle substitutions. A. Prime movers B. Neutralizers C. Stabilizers D. Synergists 2-8 Chapter 002 Neuromuscular Fundamentals 41. The preciseness of the kick depends on the involvement of many other muscles and A. myotactic reflex arc. B. stretch organ. C. eccentric contraction. D. the number of motor units not innervated. 42. When a muscle is in a stretch, and pressure is applied to the tendons, the golgi tendon response occurs, also known as A. myotactic reflex arc. B. inverse stretch reflex. C. golgi inversion response. D. GTO. 43. These receptors are concentrated around joint capsules, ligaments, and tendon sheaths and beneath the skin, are activated by rapid changes in the joint angle, and by pressure changes affecting the capsule. A. Meissner's corpuscles B. Ruffini's corpuscles C. Pacinian corpuscles D. Krause's end-bulbs 44. Concentric contractions may be thought of as A. a lengthening of muscle fibers. B. necessary for return phase of a bicep curl. C. dynamic shortening with light weight. D. causing movement against gravity or resistance. 45. Students well educated in kinesiology should be able to read the description of an exercise or observe an exercise and A. know the type of injury a patient has. B. immediately know the most important muscles being used. C. know if a patient's balance is compromised. D. give advice on diet. 2-9 Chapter 002 Neuromuscular Fundamentals 46. On the return phase of triceps extension, the triceps ______ and controls elbow flexion. A. contracts B. stabilizes C. lengthens D. neutralizes 47. For every muscle group the agonist and antagonist are strengthened or stretched together so that a A. conditioning effect can take place. B. muscle can be strengthened. C. balance is maintained between the groups during joint movement. D. Sherrington's Law can be employed. 48. For most of the skeletal muscles, this is a very useful way to determine muscle action. A. Observing movement B. Palpation C. Locate only the insertion D. Video tape the movement 49. When discussing muscular activity, one should really refer to it as A. contraction. B. movement. C. range of motion. D. neuromuscular activity. 50. This type of neuron transmits impulses to the spinal cord and brain from all parts of the body. A. Motor B. Sensory C. Dendrite D. Axon 2-10 Chapter 002 Neuromuscular Fundamentals Fill in the Blank Questions 51. All muscles possess a(n) ______, or stretch, reflex. ________________________________________ 52. ________ muscle groups must relax and lengthen when the agonist muscle group contracts. ________________________________________ 53. As a muscle shortens, its ability to exert _______ diminishes. ________________________________________ 54. ______ is the muscle's ability to return to its original resting length following a stretch. ________________________________________ 55. Another factor relative to a muscle's ability to move a joint through a large range of motion is its ability to _______. ________________________________________ 56. ______ is the muscle property of being sensitive or responsive to chemical, electrical, and mechanical stimuli. ________________________________________ 57. Functionally and historically, the most movable part of a bone is generally considered the _______. ________________________________________ 2-11 Chapter 002 Neuromuscular Fundamentals 58. Hugh Huxley and Jean Hanson, two researchers at the Massachusetts Institute of Technology, developed a model called the ______. ________________________________________ 59. Contraction is a result of a shortening of the _________ and the sliding mechanism of the thin and thick filaments. ________________________________________ 60. All muscle contractions or actions can be classified as being either _________. ________________________________________ 61. When performing a biceps curl, ________ is developed to overcome the force. ________________________________________ 62. _________ is a type of dynamic exercise usually using concentric and/or eccentric muscle contractions in which the speed (or velocity) of movement. ________________________________________ 63. __________ are muscles that surround the joint or body part and contract to fixate or stabilize the area to enable another limb or body segment to exert force and move. ________________________________________ 64. Muscles work in _______ to produce movement. ________________________________________ 2-12 Chapter 002 Neuromuscular Fundamentals 65. Studying a muscle's _________ against forces such as gravity and resistance is vital in a clinical setting. ________________________________________ 66. _________ is the most accurate way of detecting the presence and extent of muscle activity. ________________________________________ 67. The ___________ is the highest level of control. ________________________________________ 68. ___________ are central or connecting neurons that conduct impulses from sensory neurons to motor neurons. ________________________________________ 69. Proprioceptors, in combination with the body's other sense organs, are vital in _________. ________________________________________ 70. Golgi tendon organs are known as ________. ________________________________________ 71. Muscle spindles, concentrated primarily in the muscle belly between the fibers, are sensitive to ________. ________________________________________ 2-13 Chapter 002 Neuromuscular Fundamentals 72. When a rapid stretch occurs, an impulse is sent to the ______. ________________________________________ 73. _________ are responsible for the knee jerk effect. ________________________________________ 74. Motor units function as a(n) _______ unit. ________________________________________ 75. The number of _________ recruited may be increased by activating the motor units. ________________________________________ 2-14 Chapter 002 Neuromuscular Fundamentals Key True / False Questions 1. In most cases, muscles work independently to achieve a particular joint motion and this is known as aggregate muscle action. FALSE Muscles work together in paired opposition. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-4 Learning Outcome: 2-5 2. Agonists are muscles that, when contracting concentrically, cause joint motion through a specified plane of motion. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-3 3. Innervation is defined as the segment of the nervous system categorized as being responsible for providing a stimulus to muscle fibers within a specific muscle or portion of a muscle. TRUE Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-4 Learning Outcome: 2-5 2-15 Chapter 002 Neuromuscular Fundamentals Key 4. Extensibility is the muscle's ability to be passively stretched beyond its normal resting length. TRUE Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-3 Learning Outcome: 2-4 5. Kinesthesis is the conscious awareness of the position and movement of the body in space. TRUE Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 6. A muscle's line of pull has nothing to do with its effect on the joint. FALSE The direction a muscle's fibers run help determine its effect on a joint. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-5 7. The insertion of a muscle is defined structurally as the distal attachment of a muscle, or the part that attaches farthest from the midline or center of the body. TRUE Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 2-16 Chapter 002 Neuromuscular Fundamentals Key 8. A defined area of bone supplied by a specific spinal nerve is known as a dermatome. FALSE A defined area of skin supplied by a specific spinal nerve is known as a dermatome. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Difficult Learning Outcome: 2-1 Learning Outcome: 2-2 9. Contractibility is the muscle's ability to contract and develop tension or an internal force against resistance when stimulated. TRUE Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 10. Elasticity is the muscle's ability to return to its original resting length following a stretch. TRUE Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-3 Learning Outcome: 2-5 2-17 Chapter 002 Neuromuscular Fundamentals Key Multiple Choice Questions 11. A term pertaining, usually, to muscles that arise or originate outside (proximal to) the body part on which they act. A. Extrinsic B. Intrinsic C. Lateral D. Contralateral Examples are the forearm muscles that attach proximally on the distal humerus and insert on the fingers. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-2 12. The range of muscle-fiber length between maximal and minimal lengthening is called A. lengthening core. B. vectortude. C. rectitude. D. amplitude. Muscles can be measured to calculate muscle reactions. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-3 Learning Outcome: 2-4 2-18 Chapter 002 Neuromuscular Fundamentals Key 13. During contraction, the Sliding Filament Theory says that A. a muscle shortens. B. a sarcomere as a unit shortens. C. joint action occurs. D. energy is produced. Myofilaments in muscle do not shorten during a contraction but, rather, that the thin filaments (actin) slide over the thick ones (myosin) and pull the Z disks behind them. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 14. _____________ is a term pertaining, usually, to muscles that are within or belong solely to the body part on which they act. A. Extrinsic B. Agonist C. Intrinsic D. Stabilizer Examples are the small intrinsic muscles found entirely within the hand. Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 2-19 Chapter 002 Neuromuscular Fundamentals Key 15. The fibrous connective tissue, often cordlike in appearance that connects muscles to bones and other structures. A. Ligament B. Tendon C. Fascia D. Collagen Only the accessory nerve innervates the trapezius. In some cases, two muscles may share a common tendon, such as the Achilles tendon of the gastrocnemius and soleus muscles. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 16. The _________ reflex provided by the muscle spindle may be utilized to facilitate a greater response, as in the case of a quick, short squat before attempting a jump. A. stretch B. golgi C. Meissner's D. tendon The quick stretch placed on the muscles in the squat enables the same muscles to generate more force when the body subsequently jumps off the floor. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 2-20 Chapter 002 Neuromuscular Fundamentals Key 17. Regardless of the number involved, the individual muscle fibers within a given motor unit will fire and contract either maximally or not at all. This is referred to as the A. contraction. B. innervation principle. C. neural signal. D. all-or-none principle. Depending on the number of muscle fibers within each activated motor unit, and the number of motor units activated, muscle contractions may be powerful for doing sports movements or delicate for performing surgery. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 18. These types of muscles are those that cross and act directly on only the joint that they cross. A. Biarticular B. Uniarticular C. Multiarticular D. Synarthrodial The brachialis of the elbow is one example in that it can only pull the humerus and ulna closer to each other on concentric contraction. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Difficult Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-4 2-21 Chapter 002 Neuromuscular Fundamentals Key 19. The process that antagonist muscle groups must relax and lengthen when the agonist muscle group contracts is known as A. active insufficiency. B. reciprocal innervations. C. passive insufficiency. D. Sherrington's law. Activation of the motor units of the agonists causes a reciprocal neural inhibition of the motor units of the antagonists. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-3 Learning Outcome: 2-4 Learning Outcome: 2-5 20. ______ is the muscle's ability to return to its original resting length following a stretch. A. Contraction B. Muscle memory C. Innervation D. Elasticity As an example, the triceps brachii displays elasticity by returning to its original resting length when the elbow flexors cease contracting and relax. Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-4 Learning Outcome: 2-5 2-22 Chapter 002 Neuromuscular Fundamentals Key 21. The specific movement of a joint that results from a concentric contraction of a muscle that crosses the joint. A. Potential B. Action C. Eccentric D. Angled An example is the biceps brachii, which has the action of flexion at the elbow. In most cases, a particular action is caused by a group of muscles working together. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-5 22. _________ muscles act on three or more joints due to the line of pull between their origin and insertion crossing multiple joints. A. Triarticular B. Uniarticular C. Biarticular D. Multiarticular Muscles of the hip and knee have multiple functions. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 2-23 Chapter 002 Neuromuscular Fundamentals Key 23. The central, fleshy portion of the muscle that generally increases in diameter as the muscle contracts. A. Tendon B. Ligament C. Fascia D. Gaster The gaster is the contractile portion of the muscle. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-5 24. This is a type of dynamic exercise usually using concentric and/or eccentric muscle contractions in which the speed (or velocity) of movement is constant. A. Isoathletic B. Isometric C. Isokinetics D. Concentric Isokinetic forms of resistance are advantageous to rehabilitation. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 2-24 Chapter 002 Neuromuscular Fundamentals Key 25. This proprioceptor, serially located in the tendon close to the muscle-tendon junction is continuously sensitive to both muscle tension and active contraction. A. Golgi tendon organ (GTO) B. Stretch reflex C. Myotactic reflex D. Pacinian corpuscle GTO is much less sensitive to stretch than are muscle spindles and requires a greater stretch to be activated. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 26. Muscles that assist in the action of agonists, but are not necessarily prime movers for the action. A. Prime movers B. Stabilizers C. Synergists D. Agonists Known as guiding muscles, they assist in refined movement and rule out undesired motions. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 2-25 Chapter 002 Neuromuscular Fundamentals Key 27. A(n) _________ contraction occurs when tension develops within the muscle, but the joint angles remain constant. A. isometric B. concentric C. eccentric D. isotonic Isometric contractions may be thought of as static contractions, because a significant amount of tension may be developed in the muscle to maintain the joint angle in a relatively static or stable position, without an actual shortening of muscle fibers. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 28. These muscles are usually located on the opposite side of the joint from the agonist and have the opposite concentric action. A. Synergist B. Antagonist C. Prime mover D. Stabilizer The coracoid process is in the wrong location for the angle of pull; the humerus is not a shoulder girdle bone; and the vertebral border of the scapula below the root of the spine is the insertion for rhomboid major. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-4 2-26 Chapter 002 Neuromuscular Fundamentals Key 29. These types of muscles are those that cross and act directly on two different joints. A. Uniarticular B. Triarticular C. Multiarticular D. Biarticular Depending on a variety of factors, a biarticular muscle may contract to cause, control, or prevent motion at either one or both of its joints. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 30. This type of contraction occurs when the muscle develops tension as it shortens. A. Eccentric B. Concentric C. Isometric D. Isotonic This contraction occurs when the muscle develops enough force to overcome applied resistance. Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-2 Learning Outcome: 2-4 2-27 Chapter 002 Neuromuscular Fundamentals Key 31. Eccentric contractions involve A. no movement of fibers. B. static movement. C. a shortening of muscle fibers. D. a lengthening of muscle fibers. Eccentric contractions help muscles grow in strength. Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-3 Learning Outcome: 2-4 32. Isotonic contractions occur when the muscle develops tension to A. move an object. B. stabilize the body. C. correct balance. D. either cause or control joint movement. The isotonic type of muscle contraction is classified further as being either concentric or eccentric on the basis of whether shortening or lengthening occurs. Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 Learning Outcome: 2-3 Learning Outcome: 2-4 2-28 Chapter 002 Neuromuscular Fundamentals Key 33. Muscles that surround the joint or body part and contract to fixate or stabilize the area to enable another limb or body segment to exert force and move are A. assistors. B. isolators. C. stabilizers. D. prime movers. Known asfixators, they are essential in establishing a relatively firm base for the more distal joints to work from when carrying out movements. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-2 Learning Outcome: 2-3 Learning Outcome: 2-4 34. Internal receptors located in the skin, joints, muscles, and tendons that provide feedback relative to the tension, length, and contraction state of muscles, the position of the body and limbs, and movements of the joints. A. Golgi tendons B. Proprioceptors C. Meissner's corpuscle D. Sarcomeres These proprioceptors, in combination with the body's other sense organs, are vital in kinesthesis, which is the conscious awareness of the position and movement of the body in space. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 2-29 Chapter 002 Neuromuscular Fundamentals Key 35. A type of muscle contraction that occurs when multiple maximal stimuli are provided at a low-enough frequency to allow complete relaxation between contractions. A. Eccentric B. Treppe C. Concentric D. Threshold stimulus The maximal ability of a muscle to develop tension and exert force varies depending upon the length of the muscle during contraction. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 36. The proximal attachment of a muscle, or the part that attaches closest to the midline or center of the body. A. Insertion B. Tuberacle C. Distal end D. Origin From a functional and historical perspective, the least movable part or attachment of the muscle has generally been considered to be the origin. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 2-30 Chapter 002 Neuromuscular Fundamentals Key 37. These are concentrated primarily in the muscle belly between the fibers, are sensitive to stretch and rate of stretch. A. GTO B. Muscle spindles C. Tendons D. Sarcomeres Specifically, they insert into the connective tissue within the muscle and run parallel with the muscle fibers. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 38. This is defined as a muscle or group of muscles supplied by a specific spinal nerve. A. Dermatome B. Myotome C. Spinal nerve root D. Reflexes Certain spinal nerves are also responsible for reflexes. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-2 2-31 Chapter 002 Neuromuscular Fundamentals Key 39. The basic functional units of the nervous system responsible for generating and transmitting impulses. A. Neurons B. Motor units C. Nerve signal D. Nerve units Neurons consist of a neuron cell body; one or more branching projections known as dendrites, which transmit impulses to the neuron and cell body; and an axon, which is an elongated projection that transmits impulses away from neuron cell bodies. Bloom's: Application Bloom's: Knowledge Difficulty: Difficult Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-4 Learning Outcome: 2-5 40. Muscles that counteract or neutralize the action of other muscles to prevent undesirable movements such as inappropriate muscle substitutions. A. Prime movers B. Neutralizers C. Stabilizers D. Synergists Referred to as neutralizing, they contract to resist specific actions of other muscles. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-3 2-32 Chapter 002 Neuromuscular Fundamentals Key 41. The preciseness of the kick depends on the involvement of many other muscles and A. myotactic reflex arc. B. stretch organ. C. eccentric contraction. D. the number of motor units not innervated. The myotactic reflex arc is also known as a stretch reflex. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-3 Learning Outcome: 2-4 42. When a muscle is in a stretch, and pressure is applied to the tendons, the golgi tendon response occurs, also known as A. myotactic reflex arc. B. inverse stretch reflex. C. golgi inversion response. D. GTO. The inverse stretch reflex helps protect a muscle from overstretching by relaxing the muscle being stretched. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-4 2-33 Chapter 002 Neuromuscular Fundamentals Key 43. These receptors are concentrated around joint capsules, ligaments, and tendon sheaths and beneath the skin, are activated by rapid changes in the joint angle, and by pressure changes affecting the capsule. A. Meissner's corpuscles B. Ruffini's corpuscles C. Pacinian corpuscles D. Krause's end-bulbs Pacinian corpuscles are helpful in providing feedback regarding the location of a body part in space after quick movements such as running or jumping. Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-4 Learning Outcome: 2-5 44. Concentric contractions may be thought of as A. a lengthening of muscle fibers. B. necessary for return phase of a bicep curl. C. dynamic shortening with light weight. D. causing movement against gravity or resistance. In this contradiction, the force developed by the muscle is greater than that of the resistance. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-3 Learning Outcome: 2-5 2-34 Chapter 002 Neuromuscular Fundamentals Key 45. Students well educated in kinesiology should be able to read the description of an exercise or observe an exercise and A. know the type of injury a patient has. B. immediately know the most important muscles being used. C. know if a patient's balance is compromised. D. give advice on diet. Understanding what muscles are employed in an exercise is important in addressing specific issues. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-5 46. On the return phase of triceps extension, the triceps ______ and controls elbow flexion. A. contracts B. stabilizes C. lengthens D. neutralizes The triceps contract eccentrically during this movement. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-5 2-35 Chapter 002 Neuromuscular Fundamentals Key 47. For every muscle group the agonist and antagonist are strengthened or stretched together so that a A. conditioning effect can take place. B. muscle can be strengthened. C. balance is maintained between the groups during joint movement. D. Sherrington's Law can be employed. This basic rule is a template of how the body should be exercised. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-5 48. For most of the skeletal muscles, this is a very useful way to determine muscle action. A. Observing movement B. Palpation C. Locate only the insertion D. Video tape the movement This is done through using the sense of touch to feel or examine a muscle as it is contracted. Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-5 2-36 Chapter 002 Neuromuscular Fundamentals Key 49. When discussing muscular activity, one should really refer to it as A. contraction. B. movement. C. range of motion. D. neuromuscular activity. Muscles cannot be active without nervous innervation. All voluntary movement is a result of both the muscular and nervous systems working together. Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-4 Learning Outcome: 2-5 50. This type of neuron transmits impulses to the spinal cord and brain from all parts of the body. A. Motor B. Sensory C. Dendrite D. Axon Neurons are classified into three types, according to the direction in which they transmit impulses. Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-4 2-37 Chapter 002 Neuromuscular Fundamentals Key Fill in the Blank Questions 51. All muscles possess a(n) ______, or stretch, reflex. myotatic Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-2 Learning Outcome: 2-5 52. ________ muscle groups must relax and lengthen when the agonist muscle group contracts. Antagonist Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-5 53. As a muscle shortens, its ability to exert _______ diminishes. force Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-5 54. ______ is the muscle's ability to return to its original resting length following a stretch. Elasticity Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-1 2-38 Chapter 002 Neuromuscular Fundamentals Key 55. Another factor relative to a muscle's ability to move a joint through a large range of motion is its ability to _______. shorten Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-5 56. ______ is the muscle property of being sensitive or responsive to chemical, electrical, and mechanical stimuli. Irritability or excitability Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-4 Learning Outcome: 2-5 57. Functionally and historically, the most movable part of a bone is generally considered the _______. insertion Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-4 Learning Outcome: 2-5 58. Hugh Huxley and Jean Hanson, two researchers at the Massachusetts Institute of Technology, developed a model called the ______. sliding-filament theory Bloom's: Comprehension Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-3 Learning Outcome: 2-4 2-39 Chapter 002 Neuromuscular Fundamentals Key 59. Contraction is a result of a shortening of the _________ and the sliding mechanism of the thin and thick filaments. sarcomere Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-3 Learning Outcome: 2-4 60. All muscle contractions or actions can be classified as being either _________. isometric or isotonic Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-1 Learning Outcome: 2-3 61. When performing a biceps curl, ________ is developed to overcome the force. tension Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-3 Learning Outcome: 2-4 62. _________ is a type of dynamic exercise usually using concentric and/or eccentric muscle contractions in which the speed (or velocity) of movement. Isokinetics Bloom's: Application Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-3 Learning Outcome: 2-4 2-40 Chapter 002 Neuromuscular Fundamentals Key 63. __________ are muscles that surround the joint or body part and contract to fixate or stabilize the area to enable another limb or body segment to exert force and move. Stabilizers Bloom's: Application Bloom's: Comprehension Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-5 64. Muscles work in _______ to produce movement. synergy Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-5 65. Studying a muscle's _________ against forces such as gravity and resistance is vital in a clinical setting. line of pull Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-2 Learning Outcome: 2-5 66. _________ is the most accurate way of detecting the presence and extent of muscle activity. EMG Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-3 2-41 Chapter 002 Neuromuscular Fundamentals Key 67. The ___________ is the highest level of control. cerebral cortex Bloom's: Comprehension Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-4 Learning Outcome: 2-5 68. ___________ are central or connecting neurons that conduct impulses from sensory neurons to motor neurons. Interneurons Bloom's: Comprehension Bloom's: Knowledge Difficulty: Difficult Difficulty: Medium Learning Outcome: 2-4 69. Proprioceptors, in combination with the body's other sense organs, are vital in _________. kinesthesis Bloom's: Knowledge Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-4 70. Golgi tendon organs are known as ________. proprioceptors Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-4 2-42 Chapter 002 Neuromuscular Fundamentals Key 71. Muscle spindles, concentrated primarily in the muscle belly between the fibers, are sensitive to ________. stretch Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-2 Learning Outcome: 2-4 72. When a rapid stretch occurs, an impulse is sent to the ______. CNS Bloom's: Comprehension Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-4 73. _________ are responsible for the knee jerk effect. Muscle spindles Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-4 74. Motor units function as a(n) _______ unit. single Bloom's: Application Bloom's: Knowledge Difficulty: Easy Learning Outcome: 2-2 Learning Outcome: 2-3 Learning Outcome: 2-4 2-43 Chapter 002 Neuromuscular Fundamentals Key 75. The number of _________ recruited may be increased by activating the motor units. muscle fibers Bloom's: Application Bloom's: Knowledge Difficulty: Easy Difficulty: Medium Learning Outcome: 2-2 Learning Outcome: 2-3 Learning Outcome: 2-4 2-44