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Flashcards in 2010 Deck (150)
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1

Which of the following statements is true?
a. The most common cause of thoracic radiculopathy is diabetes mellitus
b. The most common levels affected by herniated disc at cervical elvel are C4-5, C5-6 and C6-7
c. L4-5 disc more commonly herniates than L5-S1
d. The nerve root involved most commonly in thoracic outlet syndromes are C8 and T1

D

2

An 80 yo man presents w/ a 2 year history of LBP radiating down from both legs to his ankles. He also notes numbness in his left foot and slight weakness. The pain is increased w/ walking and relieved within seconds of cessation of activity. Leaning forward eases his pain and lying supine relieves it. Which of the following is most likely diagnosis?
a. HNP
b. Facet arthopathy
c. Muscle spasm
d. Spinal stenosis

D

3

Phantom pain refers to
a. Any sensation of the missing llimb, except pain
b. Painful sensation referred to the missing limb
c. Spontaneous movement of the visible contractions
d. Pain referred to the amputation stump

B

4

Stump pain and phantom pain are often confused. There are however, notable differences. One of the following statements is WRONG
a. Unlike phantom pain, stump pain occurs in the body part that actually exists, in the stump that remains
b. Stump pain typically is described as a ‘sharp’, ‘burning’, ‘electric like’ or ‘skin sensitive’ pain
c. Surgical revision of the stump or removal of the neuroma is some times considered when treating stump pain
d. Stump pain is the precursor of phantom pain

D

5

One of the following signs and symptoms is NOT consistently found with cervical radiculopathy
a. Gait disturbance
b. Normal muscle tone
c. Negative babinski test
d. Positive axial compression test (spurling maneuver)

A

6

Which of the following statements is TRUE regarding arthritis?
a. OA, often cause malaise, fatigue, weight loss and fever
b. AS is a chronic disease that primarily affect the spine and may lead to stiffness of the back
c. Diagnosis for gouty arthritis is made thru blood test for HLA-B27 genu
d. RA actually have acute onset of symptoms that develop over days

B

7

A 34 yo female patient came to the outpatient clinic w/ complaint of LBP, what is the 1st exam you will do?
a. SLR test
b. Flx-ext trunk
c. Observation of gait pattern
d. 6MWT

C

8

A 34 yo female patient came to the outpatient clinic w/ complaint of LBP
From exam you find that patient has a thoraco-lumbar scoliosis w/ 45 deg Cobb angle. What will be your choice of treatment?
a. Exc program
b. Treatment w/ modalities
c. Bracing program
d. Treatment w/ modalities & exc

D

9

Which one is the cause of postural/functional back pain?
a. Scoliosis
b. Spondulosis
c. Hyperlordosis
d. Spondylolisthesis

C

10

You have a 15 yo female patient w/ D/ idiopathic scoliosis, major curve in thoracal vertebrae, w/ 45 deg Cobb angle. When and/or what is the indication to refer her to the orthopaedic surgeon?
a. She complains of back pain
b. She complains of shortness of breath
c. She has problems w/ her appearance
d. She complains of asymmetry of breasts

A

11

Patient who suffer from trochanteric bursitis, will have a specific pathological gait
a. Antalgic gait
b. Spastic gait
c. Limping gait
d. Swinging gait

B

12

One of the most effective methods of decreasing the load on the hip joint is
a. Reduced weight
b. Use of external support
c. Use of HKAFO
d. Immobilized the hip

D

13

Classification of pain by type of origin/organ affected are
a. Nociceptive, neuropathic, visceral, mixed type
b. Musculoskeletal, neuropathic, visceral, psychogenic
c. Nociceptive and neuropathic
d. Nociceptive, neuropathic, psychogenic

D

14

The purpose of using pressure garment for burned patient in recovery phase is to
a. Reduce capillary perfusion
b. Increase tissue oxygenation
c. Increase cellular activity
d. Increase collagen synthesis

A

15

Phys exc component for trunk osteoporotic patient that should be avoided is
a. Forward bending
b. Backward bending
c. Lateral bending
d. Rotation

A

16

Below is NOT TRUE regarding OA
a. Pain is the most important symptom
b. There is continuous process of joint cartilage destruction
c. There is always concomitant osteoporosis
d. There is malalignment of knee joint

C

17

A 70 yo white man presents w/ axial back pain that is worse w/ standing and walking. At times he also experiences pain radiating from lumbar spine into the legs when walking. What is the most likely diagnosis?
a. Lumbar canal stenosis
b. Sacroiliac joint pain
c. Piriformis syndrome
d. Ischial bursitis

A

18

The RA is not likely to involve the following joint
a. Wrist joint
b. Elbow joint
c. Atlanto-axial joint
d. Suprahumeral joint

D

19

In lateral epicondylitis the overused of the following muscle is very important for its development
a. Extensor carpi ulnaris
b. Ext carp radialis brevis
c. Ext carp radialis longus
d. Ext indicis proprius

C

20

A test for foraminal intervertebralis closure in which rotates the head to one side, side bends to the same side and extends is
a. Cervical spine compression test
b. Cervical spine distraction test
c. Spurling test
d. Lhermite test

C

21

A test for foraminal intervertebralis closure in which rotates the head to one side, side bends to the same side and extends is
a. Cervical spine compression test
b. Cervical spine distraction test
c. Spurling test
d. Lhermite test

C

22

The test is used in the exam and evaluation of suspected cubital tunnel syndrome which the wrist in full extension is
a. Tinnel’s test
b. Roos test
c. Phalen’s test
d. Elbow flexion test

D

23

Mr. Ali, a 56 yo man suffers a R hemisphere stroke w/ a consequence of L hemiplegia, L neglect and L homonymous hemianopsia. He had trouble w/ swallowing, he was completely dependent for grooming, eating or dressing, however he is able to ambulate w/ help of 1 person and a quad cane. The persistent neglect and L homonymous hemianopsia make him unable to drive and therefore unable to return to work.
The following is NOT classified as his activity limitation or dissabilities: difficulty w/
a. Grooming
b. Eating
c. Socializing
d. Dressing

C

24

Mr. Ali, a 56 yo man suffers a R hemisphere stroke w/ a consequence of L hemiplegia, L neglect and L homonymous hemianopsia. He had trouble w/ swallowing, he was completely dependent for grooming, eating or dressing, however he is able to ambulate w/ help of 1 person and a quad cane. The persistent neglect and L homonymous hemianopsia make him unable to drive and therefore unable to return to work
The following is NOT his participation limitation or handicap
a. Inability to drive
b. Inability to work
c. Difficulty in bathing
d. Inability to socialize

C

25

One of the following statements for spasticity post stroke is NOT true
a. Usually seen days to weeks post ischemic stroke
b. Usually follows classic UE flexor and LE extensor pattern during amulation
c. Velocity dependent resistance to passive movement of affected muscle at rest
d. Pill rolling tremor of the fingers is very common

D

26

the positive effect of spasticity on a stroke patient
a. Allows hemiplegic patient to weight bear on affected leg during stance phase
b. Better results in movement of the affected leg w/ electrical stimulation
c. Easier to apply back splint on affected leg
d. Improve coordination of affected leg

A

27

The following is NOT true for botulinum toxin injection
a. Works by weakaning spastic muscles by blocking the neuromuscular junction
b. Works for up to 18 months
c. In LE, most treatment is focused on spastic equinovarus deformity
d. Primary goal of treatment are improvement in gait velocity

B

28

To reduce tone in a spastic muscle, the following is NOT appropriate
a. Performing a sustained stretch of the spastic muscle
b. Placing pressure on the tendon of a spastic muscle
c. Performing a quick stretch to the spastic muscle
d. Gentle massage of the spastic muscle

C

29

Splinting, serial casting and seating & positioning are all therapeutic techniques used to reduce tone in hypertonic muscle group. These techniques are based on the following principle.
a. A quick stretch of a spastic muscle group facilitates the GTO which inhibit the spastic muscle
b. Placing pressure on the muscle belly of a spastic muscle group facilitates the GTO which inhibit the spastic muscle
c. A sustained stretch of a spastic muscle group facilitates the GTO which inhibit the spastic muscle
d. None of the above

C

30

The correct statements of autonomic dysreflexia is
a. A noxious stimulus below the lesion level in persons w/ injuries generally above T10
b. Results in a parasympathetic discharge from the splanchnic outflow
c. Because of the ability of supraspinal inhibitory signals to modulate the exagerated sympathetic response that is brought on by a noxious stimulus
d. The most common causes are bladder and bowel distension

C