Deck 18 Flashcards
(33 cards)
A 27-year-old masters swimmer comes into your clinic with R shoulder pain. She complains of chronic shoulder pain through college that has worsened over the last year. She states her pain is often a dull ache but she can get intermittent sharp pains in the anterior right shoulder by the end of practice, which usually consists of ~4,000 yards. The patient has seen her PCP and was referred to your clinic with a diagnosis of shoulder impingement. Given this information, at what stage of impingement would you classify her based on Neer’s classification?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
B. Stage 2
A 45-year-old male attorney has recently been diagnosed with knee osteoarthritis, and his physician told him that he was fairly young to develop premature osteoarthritis. He has a normal BMI and no signs of osteopenia or osteoporosis. The patient has played basketball twice a week in a recreational league since he was 25 years old. Prior to that, he started playing basketball in junior high and continued through college, averaging an hour and a half of basketball five days a week from the time he was 13 years old. What factor played the largest role in the patient’s development of knee osteoarthritis?
A. Age
B. Gender
C. Hx of playing sports
D. Occupation
C. Hx of playing sports
Which of the following knee pathologies puts an individual at the highest risk for developing knee osteoarthritis?
A. Anterior cruciate ligament tear
B. Meniscal tear
C. PFPS
D. PCL tear
B. Meniscal tear
Which of the following diagnoses is not a cause of secondary knee osteoarthritis?
A. Acromegaly
B. Hyperparathyroidism
C. Hypothyroidism
D. Rickets
C. Hypothyroidism
What are endocrine disorders that may be a cause of secondary knee OA?
acromegaly
hyperparathyroidism
Rickets is a _____ disorder linked as a cause of secondary knee OA
metabolic
A patient has recently been diagnosed with knee osteoarthritis via the Kellgren-Lawrence classification system. The patient reports knee pain after walking or standing for six to eight hours, as well as a significant increase in the amount of knee stiffness present over the last few months. Based on the radiograph, bone osteophytes are present, but the articular cartilage is still very healthy. Which of the following grades of osteoarthritis does this patient have?
A. Grade 1
B. Grade 2
C. Grade 3
D. Grade IV
B. Grade 2
With grade 1 knee OA, what are the symptoms?
fewer symptoms present
no pain or discomfort present
The patellofemoral joint is also at risk for the development of osteoarthritis. Which part of the patella is typically involved in knee osteoarthritis?
A. Knee
B. Lateral
C. Anterior
D. Posterior
B. Lateral
In almost ___% of individuals who have PF OA, the lateral patellofemoral involvement is common bc of abnormal kinematics such as lateral patellar tilt
80%
Which is not a specific feature of osteoarthritis?
A. Crepitation
B. Decreased sensitivity to cold and/or temp
C. Impairment in everyday activities
D. Nocturnal pain
B. Decreased sensitivity to cold and/or temp
If a physical therapist wanted to use a Kaltenborn traction technique to stretch a patient’s joint capsule and soft tissues, what grade of traction would the physical therapist use?
A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4
C. Grade 3
This grade traction technique from Kaltenborn is used to neutralize joint pressure without any separation of joint surfaces.
Grade 1
This grade Kaltenborn traction technique separates articulating surfaces, taking up slack or eliminating play within the joint capsule
Grade 2
How many grades of traction per Kaltenborn?
3
A physical therapist believes an autonomic response has occurred in relation to the manual therapy technique she just applied to a patient with knee osteoarthritis. What autonomic response may occur due to manual therapy?
A. Change in skin temperature
B. Hypoalgesia
C. Increase in muscle strength
D. Increase in range of motion
A. Change in skin temperature
These are the autonomic response that may occur with use of manual therapy
changes in
- skin temp
- skin conductance
- cortisol levels
- heart rate
An axillary nerve lesion has caused significant impairments for a patient who was in a motor vehicle accident. Of the following, which is a distal attachment site of a muscle that is innervated by the axillary nerve?
A. Inferior facet of the greater tuberosity of the humerus
B. Lateral third of clavicle, acromion, and spine of scapula
C. Medial part of the bicipital groove
D. Middle third lateral border of the scapula
A. Inferior facet of the greater tuberosity of the humerus
A patient has weakness in both the anconeus and the serratus anterior. The physical therapist is working with a resident physical therapist and asks the resident which deep tendon reflex would be diminished based on the weakness in both of these muscles. Which reflex would be impacted here?
A. Biceps
B. Brachioradialis
C. Triceps
D. No reflex would be impacted
C. Triceps
The anconeus is innervated by which nerve?
radial
Anconeus is innervated by which nerve roots?
C7-T1
Long thoracic nerve is innervated by which roots?
C5-7
Of the following objective findings, which is related to the development of chronic neck pain?
A. Hyporeflexia of any upper extremity deep tendon reflex(es)
B. Positive upper limb tension test for median nerve
C. Significant loss of active range of motion
D. Weakness in the hands
D. Weakness in the hands
Pts who have weakness where are predisposed to chronic neck pain?
hands
