COKO REGISTRATION
PRACTICE EXAM 180
QUESTIONS
Question 1: Case 1: A 42-year-old recreational runner reports gradual-onset lateral knee pain after increasing weekly mileage by 40% over three weeks. There was no fall or direct trauma. Pain is worse late in runs and settles with rest. Which biomechanical �nding would be MOST relevant to investigate as a possible contributor to the runner's symptoms?
Choices:
1) Reduced hip abductor control during single-leg stance 2) Increased elbow �exion during arm swing 3) Restricted wrist extension 4) Reduced cervical rotation
Correct Answer: Reduced hip abductor control during single-leg stance
Explanation: Poor hip abductor control can increase femoral adduction and internal rotation during single-leg loading, altering lower-extremity mechanics. The other �ndings are not closely related to lateral knee loading during running.Question 2: Case 1: A 42-year-old recreational runner reports gradual-onset lateral knee pain after increasing weekly mileage by 40% over three weeks. There was no Page 1
fall or direct trauma. Pain is worse late in runs and settles with rest. What is the BEST initial assessment approach?
Choices:
1) Order diagnostic imaging before taking a history 2) Obtain a detailed training and health history, then perform a focused movement and lower-extremity assessment 3) Begin maximal plyometric testing immediately 4) Prescribe a new running program without examining the client Correct Answer: Obtain a detailed training and health history, then perform a focused movement and lower-extremity assessment Explanation: An entry-level kinesiologist should �rst collect a comprehensive history and select assessment procedures based on the presentation, goals, and possible precautions. Imaging is not automatically required and should not replace an appropriate assessment.Question 3: Case 1: A 42-year-old recreational runner reports gradual-onset lateral knee pain after increasing weekly mileage by 40% over three weeks. There was no fall or direct trauma. Pain is worse late in runs and settles with rest. If serious pathology is not suspected, which intervention is MOST appropriate initially?
Choices:
1) Complete avoidance of all lower-extremity activity for six weeks 2) Immediate return to the prior high mileage 3) Gradual load modi�cation combined with targeted strengthening and movement retraining 4) Daily maximal sprint intervals Correct Answer: Gradual load modi�cation combined with targeted strengthening and movement retraining Explanation: A graded plan that reduces the provoking load while addressing contributing strength and movement factors is consistent with rehabilitation principles. Abrupt overload or unnecessary complete rest can delay a safe return to activity.Page 2
Question 4: Case 1: A 42-year-old recreational runner reports gradual-onset lateral knee pain after increasing weekly mileage by 40% over three weeks. There was no fall or direct trauma. Pain is worse late in runs and settles with rest. During reassessment the runner reports new progressive numbness and weakness in the leg. What should the kinesiologist do?
Choices:
1) Continue the same program because pain is common in runners 2) Increase resistance to test whether weakness improves 3) Ignore the report unless swelling appears 4) Stop or modify care and arrange appropriate referral because the presentation is outside routine musculoskeletal management Correct Answer: Stop or modify care and arrange appropriate referral because the presentation is outside routine musculoskeletal management Explanation: Progressive neurologic symptoms are a red �ag that warrants prompt referral and care within the kinesiologist's competence. Continuing routine exercise without addressing the new �ndings could compromise safety.Question 5: Case 2: A 58-year-old client is entering supervised exercise after a myocardial infarction. The client has medical clearance, takes a beta-blocker, and has no current chest pain. How is the beta-blocker MOST likely to a�ect exercise monitoring?
Choices:
1) It may blunt the heart-rate response to exercise 2) It always raises maximal heart rate 3) It prevents any rise in blood pressure 4) It makes perceived exertion unusable
Correct Answer: It may blunt the heart-rate response to exercise
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