Knee Exam

Question 1

Which of the following knee ranges of motion should be avoided with medical exercise therapy during the acute phases with Patellofemoral Pain and the following Anterior Cruciate ligament injury or reconstruction?

Answer 1

45 to 0 degrees of open chain extension

Question 2

During the knee scan, you notice an elastic end feel with limited range of passive knee flexion. The patient reports a light sensation over the anterior thigh. Which of the following intervention should be MOST specific to the indicated restriction?

Answer 2

Muscle stretching of the Quadriceps muscles

Question 3

In preparation from return to play following either an Anterior Cruciate Ligament tear or a Hamstring strain, which of the following Hamstring to Quadriceps ratios should you ensure is present?

Answer 3

Hamstrings> 66% for males and >75% for females of the Quadriceps

Question 4

Which of the following should be implemented or understood with exercises for a surgically repaired Anterior Cruciate Ligament?

Answer 4

Incorrect form with weight-bearing exercise will excessively load the ACL

Question 5

In order to BEST achieve pure strength gains following a muscle strain, which of the following Medical Exercise Therapy parameters should be ultimately included with exercises for return to their sport?

Answer 5

3 sets of 7 repetitions with a heavy load

Question 6

For both Iliotibial Band or Patellar Tendinopathy, which of the following exercises should BEST be used initially to target the involved tendons?

Answer 6

Hip flexion with the knee extended in a shortened range

Question 7

During the knee examination, you are considering the Medial Collateral Ligament to be sprained and are concerned that structures like the capsule and cruciate ligaments are also damaged. Which of the following special tests would help determine if these additional structures are also involved?

Answer 7

Valgus stress test at 0 degrees

Question 8

While performing the Lachman’s and Anterior Drawer special tests to assess the Anterior Cruciate Ligament, which of the following is MORE likely to create a false negative result?

Answer 8

Severe knee swelling

Question 9

You ask the patient to perform an active straight leg raise while in supine. The knee starts straight and then bends almost immediately upon lifting it off the table, but the knee remains straight when the lower extremity is passively raised to 60 degrees of hip flexion. Which of the following is MOST indicated?

Answer 9

Quadriceps inhibition

Question 10

Which of the following will MOST likely occur when other tissues are damaged along with an Anterior Cruciate ligament tear?

Answer 10

Better outcomes occur delaying ACL repair with an MCL tear

Question 11

Following a knee injury, a patient is nearing return to play. The physician asks you to make a recommendation on their readiness. Which of the following provides the MOST specific and functional information of the injured knee?

Answer 11

The involved hop tests are 92% of the uninvolved side

Question 12

Which of the following hip exercises should be included and performed with the involved side, just prior to weight-bearing exercises, in a patient with Iliotibial Band Friction Syndrome to BEST target the involved tendon?

Answer 12

Isotonic abduction in a lengthened position

Question 13

Which of the following is a modifiable risk factor for an Anterior Cruciate Ligament injury?

Answer 13

Muscle weakness

Question 14

Which of the following should be shared with patients regarding possible knee surgeries?

Answer 14

Most degenerative knee meniscal tears should not undergo surgery

Question 15

A 60-year-old patient presents directly to physical therapy without seeing a physician, one day after falling directly onto their knee with pain localized and isolated to the patella. Which of the following directions should you provide?

Answer 15

Urgently refer the patient to a physician for imaging

Question 16

While working with a patient diagnosed with Age-related Joint changes, you notice that motion is no longer improving into knee extension despite your manual therapy and Medical Exercise Therapy at the involved knee. Which of the following areas should also be assessed for motion that may need increased and MOST likely help improve knee symptoms?

Answer 16

Ankle

Question 17

Which of the following should be considered with a Bone-Patellar tendon-bone allograft surgery used to reconstruct the Anterior Cruciate Ligament?

Answer 17

The graft takes longer to incorporate versus an autograft