Phys med quiz Q & As:

Question 1

When performing a range of motion assessment, which type of motion is always assessed first?

a. Active
b. Passive
c. Resisted
d. Assisted

Answer 1

a. Active

Question 2

When performing a range of motion assessment, the practitioner starts on:

a. The affected side
b. The unaffected side
c. Either side since it doesn’t matter
d. Patient chooses

Answer 2

b. The unaffected side

Question 3

During a gait analysis, the stance phase is 40% of the normal walking cycle?

True
False

Answer 3

False

Question 4

If a patient feels a sharp, lightening like characteristic of pain, it usually indicates a problem with:

a. Nerve root
b. Muscle
c. Joint Capsule
d. Vasculature

Answer 4

a. Nerve root

Question 5

When using the muscle strength grading scale, a 2 would indicated

a. Complete ROM with some assistance and gravity eliminated

b. Complete ROM against gravity with no resistance

c. Complete ROM against gravity with full resistance

d. No evidence of muscle contraction

Answer 5

a. Complete ROM with some assistance and gravity eliminated

Question 6

When performing an end feel assessment, this is done during

a. Active ROM
b. Passive ROM
c. Resisted ROM
d. Assisted ROM

Answer 6

b. Passive ROM

Question 7

An abnormal gait pattern can be due to:

a. A pathology or injury in a specific joint

b. Compensation for an injury or a pathology in other joints

c. Compensation for an injury on the contralateral limb

d. All answers are correct

Answer 7

d. All answers are correct

Question 8

Passive range of motion is best used to assess all of the following except:

a. Ligaments
b. Joint Capsule
c. Bone
d. Muscle

Answer 8

d. Muscle

Question 9

A “Springy Block” end feel during a passive range of motion assessment with overpressure, can indicate

a. Meniscus tear
b. Protective spasm
c. Tissue stretch
d. Synovitis

Answer 9

a. Meniscus tear

Question 10

In a Lateral View for a postural assessment. The plumb line should pass through all the following structures except:

a. Ear lobe
b. Greater trochanter
c. Just in front of the mid knee
d. Acromion

Answer 10

c. Just in front of the mid knee

Question 11

A patient comes into your office with neck and interscapular pain on the right side. On physical exam you note that they have decreased sensation to pain and light touch on the posterior aspect of their right hand and middle finger. You suspect a cervical radiculopathy. Please match the nerve root affected with the correct brachial stretch test (upper limb tension test) maneuver most likely to reproduce the patients’ radicular symptoms.

a. C8; shoulder abduction, shoulder external rotation, arm flexed at the elbow with wrist extension

b. C7; shoulder abduction, shoulder internal rotation, arm extended with wrist and MCP in flexion

c. C7; shoulder abduction, shoulder external rotation, arm flexed at the elbow with wrist extension

d. C8; shoulder abduction, shoulder external rotation, arm extended with wrist and MCP extension

Answer 11

b. C7; shoulder abduction, shoulder internal rotation, arm extended with wrist and MCP in flexion

Question 12

A patient comes into your office with neck pain. They note that the pain is sharp and pinpoint. They note that there is no radiation, numbness or tingling and it often feels better if they lay down. When you move the patient passively into extension or rotation it increases their pain. Which is the MOST likely diagnosis:

a. Brachial Plexus Compression

b. Cervical Radiculopathy

c. Cervical Facet Syndrome

d. Cervical Disc Herniation

Answer 12

c. Cervical Facet Syndrome

Question 13

A patient comes into your office with progressively worsening neck pain. When prompted, they describe their pain as dull and achy and when the weather changes their “joints hurt”. When they wake up they have stiffness that takes 30-60 minutes to resolve and they have noticed that they have numbness and tingling down their arm in the last few weeks.What is the MOST likely diagnosis:

a. Whiplash

b. Cervical Facet Syndrome

c. Cervical Radiculopathy

d. Cervical Degenerative Joint Disease

Answer 13

d. Cervical Degenerative Joint Disease

Question 14

A patient presents with lateral upper arm pain with decreased sensation over the C5/C6 dermatomes. Which deep tendon reflexes are most likely to be affected with this dermatomal distribution and what would be the deep tendon reflex finding.

a. Biceps only; 1+
b. Biceps & Brachioradialis; 1+
c. Triceps & Brachioradialis; 2+
d. Brachioradialis; 4+

Answer 14

b. Biceps & Brachioradialis; 1+

Question 15

The cervical distraction test can be diagnostic and therapeutic when there is pressure on a nerve root leading to cervical radiculopathy. In what cases will the cervical distraction test cause pain rather than relief.

a. Ligamentous injury, muscle strain, degenerative disc disease

b. Muscle strain, facet impingement, degenerative disc disease

c. Intervertebral foramen encroachment, ligamentous injury, facet impingement

d. Ligamentous injury, joint capsule damage, muscle strain

Answer 15

d. Ligamentous injury, joint capsule damage, muscle strain

Question 16

The right leg alone carries the body weight while the left leg goes through its swing phase and becomes the leading leg. The right foot is in:

a. Heel off
b. Flat foot
c. Mid-stance
d. Toe off

Answer 16

c. Mid-stance

Question 17

Which of the following is a normal or expected lateral plumb line view when assessing posture.

a. Lateral malleolus (slightly posterior) Tibia (parallel), Greater Trochanter (bisects), Mid Thoracic(bisects), Acromion (slightly posterior) Cervical Bodies(bisects), Auditory Meatus(bisects).

b. Lateral malleolus (slightly posterior) Tibia (parallel), Greater Trochanter (bisects), Mid Thoracic(bisects), Acromion (bisects) Cervical Bodies (slightly anterior), Auditory Meatus(bisects).

c. Lateral malleolus (slightly posterior) Tibia (parallel), Greater Trochanter (bisects), Mid Thoracic(bisects), Acromion (bisects) Cervical Bodies(bisects), Auditory Meatus(bisects).

d. Lateral malleolus (bisects) Tibia (parallel), Greater Trochanter (bisects), Mid Thoracic(bisects), Acromion (bisects) Cervical Bodies(bisects), Auditory Meatus(bisects).

Answer 17

c. Lateral malleolus (slightly posterior) Tibia (parallel), Greater Trochanter (bisects), Mid Thoracic(bisects), Acromion (bisects) Cervical Bodies(bisects), Auditory Meatus(bisects).

Question 18

Which of the following special tests is likely to reproduce the pain of a facet joint pathology.

a. Cervical Distraction Test
b. Brachial Stretch Test
c. Valsalva
d. Cervical Compression Test

Answer 18

d. Cervical Compression Test

Question 19

You are in your office with a patient who you have not seen before who is complaining of neck and shoulder pain that makes them very dizzy sometimes. What test should be conducted on this patient before you move forward with any treatment. What does this test suggest?

a. Cervical Compression Test; Indicates vertebral basilar artery compression

b. Vertebral Artery Test; Indicates that you can move forward with treatment if positive

c. Vertebral Artery Test; Indicates vertebral basilar artery insufficiency

d. Cervical Compression Test; Indicates brainstem compression

Answer 19

c. Vertebral Artery Test; Indicates vertebral basilar artery insufficiency

Question 20

You suspect your patient’s neck and radicular arm pain is secondary to a C6 disc herniation. What special test can not be used to rule in this etiology?

a. Cervical Compression Test
b. Valsalva Test
c. Cervical Distraction Test
d. Vertebral Artery Test

Answer 20

d. Vertebral Artery Test