final

Question 1

Of the three joints around the knee which one is not part of the knee

Answer 1

proximal tibiofibular joint

Question 2

which collateral ligament of the knee does not attach to the tibia

Answer 2

lateral collateral ligament

Question 3

what is the strongest ligament of the knee

Answer 3

posterior cruciate ligament

Question 4

which meniscus is more susceptible to tearing

Answer 4

medial meniscus

Question 5

what position is the knee in during the loose packed position

Answer 5

25 degrees of flexion

Question 6

When figuring out a patients Q angle, what three landmarks are used

Answer 6

ASIS, patella and tibial tubercle

Question 7

What muscle is responsible for unlocking the knee in the screw home mechanism

Answer 7

Popliteus

Question 8

A patient presenting with osteoarthritis of the knee will point to which side of the knee

Answer 8

medial side

Question 9

if a patient has a history of previous macro trauma to the knee, how many more times as likely are they to develop osteoarthritis

Answer 9

4xs

Question 10

What type of adjustment or manipulation will benefit a patient with osteoarthritis

Answer 10

long axis traction

Question 11

What is the most common athletes complaint involving the knee

Answer 11

Patellofemoral pain syndrome

Question 12

What age range would more likely present with PFPS

Answer 12

15-25 yo

Question 13

what gender does PFPS affect more often

Answer 13

Females

Question 14

What muscle would you focus on strengthening for PFPS

Answer 14

Vastus Medialis

Question 15

What other areas of the spine and pelvis would you assess

Answer 15

Pelvis, SI joints, lumbar and extremities

Question 16

Following years of running, what is most likely Dx for knee pain

Answer 16

Chondromalacia patella

Question 17

What would be a likely DDx for Chondromalacia Patella

Answer 17

Patellofemoral Pain Syndrome

Question 18

When viewing radiographic findings, what view would be the best way to view

Answer 18

Lateral view

Question 19

What percentage of athletes will experience chondromalciaa patella

Answer 19

30%

Question 20

Can a person have chondromalacia patella and be completely asymptomatic

Answer 20

yes

Question 21

On the femoral head there is a small depression in the hyaline cartilage known as the fovea capitis. What inserts on here?

Answer 21

Ligamentum teres

Question 22

When examining the trabecular patterns on the femur, what are the lines running more inferior to superior.

Answer 22

Compression (vertical) Trabecular System

Question 23

The iliofemoral ligament sometimes goes by what name

Answer 23

Y ligament of Bigelow

Question 24

Which ligament plays a significant role in resisting valgus stress

Answer 24

medial collateral ligament

Question 25

What is the strongest ligament of the knee

Answer 25

PCL

Question 26

When adjusting the hip with long axis traction, it should be in

Answer 26

Open pack (30 of flexion, 30 abduction, 5* external rotation)

Question 27

what is a good management option for stage 2 patellar tendinopathy

Answer 27

stretching, ice, possible activity modification- stage 2 is pain during and after activity but can perform at normal levels doesn't require surgical intervention

Question 28

your patient works on the third floor in a building with no elevator. he complains of tearing or velcro ripping sound coming from underneath his patella

Answer 28

patellar tendinopathy

Question 29

A softening of the patella's articular cartilage is known as

Answer 29

chondromalacia patellae (runners knee)

Question 30

what may contribute to the development of patellofemoral pain syndrome

Answer 30

increased Q angle, hyperpronation, muscular imbalances

Question 31

During examination, you apply a valgus force to the knee and the patient reports pain along the medial joint line. What structure is most likely injured?

Answer 31

medial collateral ligament

Question 32

where will you find point tenderness on a patient with meniscus tear

Answer 32

joint line

Question 33

Which of the following may be contraindication for long axis distraction at the hip, using a bimanual grip above the malleoli

Answer 33

Knee injury- use bimanual grip above femoral condyles so your not adjusting through the knee

Question 34

what is the most common cause of hip pain in adults

Answer 34

Osteoarthritis, degenerative joint Disease

Question 35

Which of the following structures resists posterior displacement of the tibia relative to femur

Answer 35

PCL

Question 36

The ACL is responsible for preventing excessive

Answer 36

anterior movement of the tibia

Question 37

what bone is not part of the knee joint, Tibia, fibula, femur

Answer 37

fibula

Question 38

Your patient is a chef. She presents with pain along the medial joint line of her left knee after slipping on a greasy floor. She says her body twisted to the right while her leg felt like it twisted to the left. what condition do you most likely suspect

Answer 38

Medial meniscus tear

Question 39

What is an appropriate treatment for mild to moderate hip osteoarthritis

Answer 39

Manual therapy and manipulation weight reduction therapeutic exercise NSAIDs corticosteroid injections Surgery: Arthroplasty

Question 40

A common condition of athletes participating in running, kicking, and jumping is

Answer 40

iliotibial band syndrome

Question 41

individuals with macrotrauma such as ACL sprain, are ____ times more likely to develop knee osteoarthritis

Answer 41

4x

Question 42

The most common location of osteoarthritis of the knee is the

Answer 42

medial cartilaginous side of the knee wears down first

Question 43

types of meniscal tears

Answer 43

vertical longitudinal bucket handle oblique Flap radial/transverse Parrot beak Horizontal Degenerativ

Question 44

Meralgia Paresthetica is located along the lateral portion of the thigh, due to entrapment of what nerve

Answer 44

lateral femoral cutaneous nerve

Question 45

Two primary functions of the knee menisci are:

Answer 45

increase surface area thereby distributing weight over a larger area Shock absorber

Question 46

Stance phase of gait would be a ____ kinetic chain activity while swing phase of gait would be a ____ kinetic chain activity

Answer 46

closed, open

Question 47

which of the following structures can contribute to snapping hip syndrome?

Answer 47

Psoas tendon, IT band and rectus femoris tendon

Question 48

when figuring a patients Q angle which landmarks are used?

Answer 48

a line drawn from ASIS to central patella and a second line drawn from central patella to tibial tubercle

Question 49

The joint capsule of the hip is reinforced and supported by 3 major extracapsular ligaments including

Answer 49

ischiofemoral, iliofemoral and pubofemoral

Question 50

true/false - Femoroacetabular Impingement is more common in males males

Answer 50

false can occur in males or females

Question 51

An increased angle of inclination at the hip will cause a _____ deformity at the knee

Answer 51

Valgus (knock Knees)

Question 52

The medial menisci is shaped like a what

Answer 52

C shape

Question 53

The lateral menisci is shaped like a what

Answer 53

O shape

Question 54

your patient is a runner with pain at the inferior pole of the patella after running. Their knee pain began gradually after significantly increasing the frequency and duration of the training runs on cement roads. what condition do you most likely suspect

Answer 54

patellar tendinopathy

Question 55

Which region of the meniscus is the most likely to heal after injury?

Answer 55

Red Zone

Question 56

A 22 year old male soccer player presents to your office with hip pain. When you ask the patient to point to where he feels it, he has his hand in a C shape on the laterak hip, between the iliac crest and greater trochanter and describes it as a deep pain. What is your top choice for differential diagnosis?

Answer 56

Femoralacetabular impingement (FAI)

Question 57

Which of the following is a good choice in treatment for a grade 3 collateral ligament injury?

Answer 57

Refer for orthopedic surgical consult

Question 58

A pincer mechanism is most likely to cause femoroacetabular impingement syndrome in which demographic

Answer 58

females 30s-40s

Question 59

which of the following muscles does not attach to the pes anserine?

Answer 59

Muscles that DO attach are gracilis, sartorius, and semitendinosis