Deck 22 Flashcards
When assessing a patient for upper cervical ligamentous instability, which of the following tests should be assessed first?
A. Alar ligament stress test
B. Anterior shear test
C. Aspinall test
D. Sharp-Purser test
D. Sharp-Purser test
When should the provocative tests for cervical instability be performed?
only if no sx generated and no excessive mobility with Sharp purser test
A 73-year-old male of Hispanic descent is referred to physical therapy with a confirmed diagnosis of cervical myelopathy. The radiograph and MRI showed that the patient had significant degeneration of the C5–C6 disc and had thickening of ligamentous tissue that extended into the spinal canal at that same level. The physical therapist had no doubt the patient had cervical myelopathy based on the patient’s demographics and the imaging. Which of the findings did NOT help confirm the diagnosis?
A. Hispanic descent
B. Male gender
C. Patient’s age
D. Thickening of ligamentous tissue at C5–C6
A. Hispanic descent
A physical therapist is performing an examination/evaluation on a patient with suspected cervical radiculopathy. The physician’s script said “evaluate and treat for compressive cervical radiculopathy.” Which of the following would be a compressive cause for cervical radiculopathy?
A. Demyelination of the nerve root
B. Hypertrophy of the uncovertebral joints
C. Infection
D. Nerve root avulsion
B. Hypertrophy of the uncovertebral joints
In those who have idiopathic carpal tunnel syndrome, what is the most common cause?
A. An increase in fluid in the carpal tunnel due to either a pathology or pregnancy that leads to compression of the median nerve
B. Deposition of amyloid in the median nerve
C. Increased pressure in the carpal tunnel that leads to compression of the median nerve
D. Space occupying lesion, such as a tumor, that compresses the median nerve
C. Increased pressure in the carpal tunnel that leads to compression of the median nerve
An individual with a five-year history of carpal tunnel syndrome is weighing the different treatment options before moving forward with management of her condition. Based on current evidence, which is true?
A. Splinting and corticosteroid injections are more effective than surgical intervention
B. Splinting has been seen as more effective than surgical intervention
C. Surgical treatment is more effective than splinting
D. Surgical treatment is better than corticosteroid injections
C. Surgical treatment is more effective than splinting
Double crush injuries have been implicated in the development of carpal tunnel syndrome. Which of the following injuries would constitute a double crush injury if accompanied by carpal tunnel syndrome?
A. Cervical radiculopathy of C5–C6
B. Hook of hamate fracture
C. Medial epicondylalgia
D. Triangular fibrocartilage complex tear
A. Cervical radiculopathy of C5–C6
A 18-year-old patient has pain with third-digit proximal interphalangeal flexion, resisted elbow flexion, and forearm supination. There is mild weakness seen with the strength assessment of the same muscles. Which of the following pathologies is likely present with this limited information?
A. Anterior interosseous nerve entrapment
B. Cubital tunnel syndrome
C. Posterior interosseous nerve entrapment
D. Pronator teres syndrome
D. Pronator teres syndrome
When carpal tunnel syndrome causes sensory issues, several areas can be impacted. However, the sensory (or palmar) cutaneous branch of the median nerve is not impacted by carpal tunnel syndrome, so no sensory issues occur in the region that it innervates. Which of the following areas is supplied by the sensory (or palmar) cutaneous branch of the median nerve?
A. Index finger
B. Lateral half of the ring finger
C. Middle finger
D. Palm of the hand
D. Palm of the hand
It is believed a patient has sustained a posterolateral corner injury, and a physical therapist is providing guidelines on motions to avoid until the injury is confirmed. Which of the following motions does NOT need to be avoided with this injury?
A. External rotation of the tibia
B. Hyperextension
C. Valgus
D. Varus
C. Valgus
After a grade 3 posterior cruciate ligament injury, what is recommended regarding weight-bearing status?
A. Full weight-bearing 2–4 weeks after injury
B. Non-weight-bearing for 2–4 weeks after injury
C. Partial weight-bearing for 2–4 weeks after injury
D. Weight-bearing as tolerated for 2–4 weeks after injury
C. Partial weight-bearing for 2–4 weeks after injury
A 28-year-old male is referred to physical therapy for knee pain that occurred after a fall while walking down the stairs distracted by his cell phone. The patient has sharp pain in the lateral knee at all times, but this pain increases with terminal stance and push-off during gait. The patient has limited range of motion in both active/passive knee flexion and extension due to effusion. The physical therapist assesses the external rotation recurvatum test, the posterior sag sign, and the Lachman test. The external rotation recurvatum test and the posterior sag sign are positive, but the Lachman test is negative. What injury does this patient most likely have based on clinical findings?
A. Posterior cruciate ligament injury and lateral collateral ligament injury only
B. Posterolateral corner injury and anterior cruciate ligament injury
C. Posterolateral corner injury and posterior cruciate ligament injury
D. Posterior cruciate ligament injury only
C. Posterolateral corner injury and posterior cruciate ligament injury
A 28-year-old male is referred to physical therapy for knee pain that occurred after a fall while walking down the stairs distracted by his cell phone. The patient has sharp pain in the lateral knee at all times, but this pain increases with terminal stance and push-off during gait. The patient has limited range of motion in both active/passive knee flexion and extension due to effusion. The physical therapist assesses the external rotation recurvatum test, the posterior sag sign, and the Lachman test. The external rotation recurvatum test and the posterior sag sign are positive, but the Lachman test is negative. What other finding in this patient’s subjective and objective examination is consistent with a posterolateral corner injury?
A. Constant lateral knee pain
B. Joint effusion
C. Limited range of motion with both knee flexion and extension
D. Sharp pain in the knee during terminal stance and push-off during gait
D. Sharp pain in the knee during terminal stance and push-off during gait
A 28-year-old male is referred to physical therapy for knee pain that occurred after a fall while walking down the stairs distracted by his cell phone. The patient has sharp pain in the lateral knee at all times, but this pain increases with terminal stance and push-off during gait. The patient has limited range of motion in both active/passive knee flexion and extension due to effusion. The physical therapist assesses the external rotation recurvatum test, the posterior sag sign, and the Lachman test. The external rotation recurvatum test and the posterior sag sign are positive, but the Lachman test is negative.
Because the patient sustained a trauma, it is possible that radiographic imaging is necessary for the patient. Which of the following is a part of the Ottawa Knee Rule and would warrant an immediate radiograph if present?
A. Age 65 or older
B. Inability to flex knee to 80 degrees
C. Isolated tenderness to the tibial tuberosity
D. Tenderness of the head of the fibula
D. Tenderness of the head of the fibula
Which activity is most likely to be limited in the long term after a posterior cruciate ligament injury?
A. High-speed running
B. Hopping on one leg
C. Jumping
D. Squatting bilaterally
A. High-speed running
