Musculoskeletal Flashcards
(204 cards)
The patient is positioned in sitting or standing. The therapist flexes wrists maximally and asks the patient to hold the position for 60 seconds. A positive test is indicated by tingling in the thumb, index finger, middle finger, and lateral half of the ring finger and may be indicative of carpel tunnel syndrome.
A. Froment’s Sign
B. Tinel’s Sign
C. Phalen’s Test
D. Ely’s Test
C. Phalen’s Test
The patient is positioned in prone while the therapist passively flexes the patient’s knee. A positive test is indicated by spontaneous hip flexion occurring simultaneously with knee flexion?
A. Ober’s Test
B. Ely’s Test
C. Thomas Test
D. Piriformis Test
B. Ely’s Test - indicative of a rectus femoris contracture.
A patient is positioned in supine with the knee flexed to 90 degrees and the hip flexed to 45 degrees. The therapist stabilizes the lower leg by sitting on the forefoot. The therapist grasps the patient’s proximal tibia with two hands, places their thumbs on the tibial plateau, and administers an anterior directed force to the tibia. This special test is indicated by excessive anterior translation of the tibia on the femur.
A. Anterior Drawer Test
B. Lachman Test
C. Lateral Pivot Shift Test
D. Posterior Drawer Test
A. Anterior Drawer Test - Indicating an anterior cruciate ligament injury.
What shoulder disorder occurs more often in the middle-aged population with females having a greater incidence than males. Range of motion restriction typically in a capsular pattern (lateral rotation, abduction, medial rotation). Often characterized by inflammation and fibrotic thickening of the anterior joint capsule of the shoulder. Physical therapy is usually prescribed on an outpatient basis for three to five months after diagnosis. This disorder usually follows a nonlinear patter of recovery. Spontaneous recovery is said to take place 12-24 months in duration.
A. Lateral epicondylitis
B. Rotator Cuff Tear
C. Bicipital Tendonitis
D. Adhesive Capsulitis
D. Adhesive Capsulitis
The vast majority of ankle sprains occur due to?
A. Significant eversion involving damage to the deltoid ligament
B. Medial Ligament Complex
C. Significant inversion involving the lateral ligament complex.
D. Damage to one or more of the syndesmotic ligament commonly referred to as a “high ankle sprain.”
C. Significant inversion involving the lateral ligament complex
Which lateral ligament is the most likely to sustain damage during a lateral ankle sprain?
A. ATFL, Anterior talofibular
B. CFL, Calcaneofibular
C. PTFL, posterior talofibular
A. ATFL
What special test specifically assesses the integrity of the anterior talofibular ligament.
A. Talar Tilt Test
B. Anterior Drawer Test
C. Thompson Test
D. Lachman Test
B. Anterior Drawer Test
An “unhappy triad” is referred to when what structures are damaged?
A. ACL, PCL, medial meniscus
B. MCL, PCL, Medial meniscus
C. ACL, MCL, and medial meniscus
D. MCL, PCL, and lateral meniscus
C. ACL, MCL and medial meniscus
The most common mechanism of injury for a PCL sprain is?
A. Dashboard injury
B. Knee hyperextension and rapid deceleration
C. Knee hyperflexion
D. Landing in an unbalanced position
A. Dashboard injury
An inflammatory process of the tendon of the long head of the biceps. Repeated full abduction and lateral rotation of the humeral head can lead to irritation that produces inflammation, edema, microscopic tears within the tendon, and degeneration of the tendon itself. Often caused by continuous or repetitive overhead shoulder motion. Examples of high risk athletes include baseball pitchers, tennis players, gymnasts, rowers, and simmers.
A. Glenoid labrum tear
B. Bicipital Tendonitis
C. Rotator Cuff Tendonitis
D. Bankart lesion
B. Bicipital Tendonitis
Lateral Epicondylitis is also referred to as _________________ ?
Tennis Elbow
What condition is characterized by inflammation or degenerative changes at the common extensor tendon?
A. Medial Epicondylitis
B. Rotator Cuff Tendonitis
C. Lateral Epicondylitis
D. Bicipital Tendonitis
C. Lateral Epicondylitis
What ligament is the primary stabilizer of the medial side of the knee against valgus force.
A. Lateral collateral ligament
B. Medial Collateral Ligament
C. Anterior Cruciate ligament
D. Posterior Cruciate Ligament
B. Medial Collateral Ligament
A type of non-invasive imaging technique that can be utilized to view soft tissue structures such as a ligament?
A. MRI
B. X-ray
C. Arthrogram
D. Bone scan
A. MRI
Is a degenerative chronic disorder resulting from the biochemical breakdown of articular cartilage in the synovial joints?
Osteoarthritis
Other factors associated with patellofemoral syndrome include?
- Patella alta
- Insufficient lateral femoral condyle
- Weak VMO
- Excessive pronation
- Excessive knee valgus
- Lower extremity tightness in muscles such as iliopsoas, hamstrings, gastrocnemius, and vastus laterais
A patient with patellofemoral syndrome that undergoes conservative management may be able to return to their previous activities within ___________?
A. 2 -3 months
B. 4 - 6 weeks
C. 8 - 10 weeks
D. 3 - 5 months
B. 4 - 6 weeks
A chronic overuse condition that develops secondary to repetitive stretching of the plantar fascia through excessive foot pronation during the loading phase of gait. Often characterized by severe pain in the heel when first standing up in the morning. Intervention consists of ice massage, deep friction massage, joint mobilization, arch tapping for patients that overpronate, orthotic orthoses, activity modification, and gentle stretching of the Achilles Tendon. It is more common in the middle-age population.
A. Tarsal Tunnel Syndrome
B. Achilles Tendon Rupture
C. Plantar Fasciitis
D. Metatarsalgia
C. Plantar Fasciitis
A condition that may occur as a result of an acute traumatic incident or due to a chronic degenerative pathology such as chronic supraspinatus tendonitis. Patients often complain of pain and weakness. Other symptoms may include complaints of shoulder instability or stiffness, a sense of GH grinding with mobility, crepitus, night pain, and discomfort when lying on the affected side. Medical management usually includes pharmacological intervention with analgesics and anti-inflammatory agents including oral NSAIDs and local cortisone injections.
A. Biceps Tendon Rupture
B. Shoulder impingement
C. Rotator Cuff Tendonitis
D. Rotator Cuff Tear
D. Rotator Cuff Tear
Rotator cuff tears most commonly involve which tendon?
A. Infraspinatus
B. Supraspinatus
C. Subscapularis
D. Teres Minor
B. Suprasinatus
What diagnosis is caused by repetitive overhead activities producing a weak supraspinatus muscle. Individuals participating in activities that require excessive overhead activity such as swimming, tennis, baseball, painting, and other manual labor activities are at increased risk. Individuals from 25 - 40 years of age are the most likely to develop this condition. The patients usually presents with pain with palpation of the musculotendinous junction of the involved muscle and/or with stretching or resisted contraction of the muscle. The patient may experience a feeling of weakness and identify the presence of a painful arc of motion most commonly occurring between 60 and 120 degrees of active abduction.
A. Rotator Cuff Tendonitis
B. Rotator Cuff Tear
C. Bicipital Tendonitis
D. Adhesive Capsulitis
A. Rotator Cuff Tendonitis
A condition that presents with lateral curvature of the spine. The curvature is usually found in the thoracic or lumbar vertebrae and can be associated with kyphosis or lordosis. The curvature disrupts normal alignment of the ribs and muscles and can create compensatory curves that attempts to keep the body in proper alignment, The vertebral column, rib cage, supporting ligaments, and muscles are all affected by a scoliosis of the spine. A device called a scoliometer can be used to measure the angle of trunk rotation.
A. Torticollis
B. Scoliosis
C. Spinal Stenosis
D. Spondylolisthesis
B. Scoliosis
A condition that is caused by forward slippage of one vertebral segment on the vertebra below and the most common site is L4 - L5. The intervertebral disk loses some of its ability to resist motion and as a result the vertebral facets increase in size and develop bone spurs to compensate. William’s flexion exercises may be indicated too strengthen the abdominals and reduce lumbar lordosis.
A. Congenital Spondylolisthesis
B. Scoliosis
C. Degenerative Spondylolisthesis
D. Spinal Stenosis
C. Degenerative Spondylolisthesis
A patient with scoliosis that is greater than _________ degrees usually requires surgical spinal stabilization.
A. 40
B. 50
C. 20
D. 30
A. 40 degrees