Orthopedic Physical Assesment Flashcards
(84 cards)
60 to 90 degrees of forward flexion and 60 to 120 degrees of horizontal adduction of the shoulder would allow which activity of daily living?
Select one:
a. Wash opposite shoulder
b. Put something on a shelf
c. Tuck in shirt
d. Eat
a. Wash opposite shoulder
Complete range of motion against gravity with moderate resistance would be given an approximate grade of
Select one:
a. 5+ or normal
b. 2 or poor
c. 3 or fair
d. 4 or good
d. 4 or good
Complete range of motion against gravity would be given an approximate grade of
Select one:
a. 5+ or normal
b. 3 or fair
c. 2 or poor
d. 4 or good
b. 3 or fair
Determination of a capsular pattern of restriction can only be achieved if the joint is taken to
Select one:
a. the end of the available range
b. anywhere in the available range
c. the midrange
d. the inner range
a. the end of the available range
Determining the number of repetitions a client can sit in a chair and return to standing, is part of functional testing of
Select one:
a. the knee
b. the hip
c. the ankle
d. the toes
b. the hip
During the midstance stage of the gait cycle, if there is pain in the foot or ankle, a possible reason is
Select one:
a. weak gluteus medius
b. osteoarthritis
c. short foot plantar flexors
d. L4 nerve root lesion
b. osteoarthritis
During the intitial contact stage of the gait cycle, if the trunk lurches forward with increased lordosis, a possible reason is
Select one:
a. knee extensors are weak
b. short foot plantar flexors
c. foot dorsifexors are weak
d. hip extensors are weak
d. hip extensors are weak
If foot dorsiflexors are weak during the initial and midswing stages of the gait cyle, a possible sign is
Select one:
a. heel pain
b. foot drop
c. knee snaps out excessively
d. push off from lateral aspect of foot
b. foot drop
If hip adductors are weak during the preswing stage of the gait cycle, a possible sign is
Select one:
a. foot drop
b. knee snaps out excessively
c. hip and leg rotation
d. knee buckles
c. hip and leg rotation
Muscle weakness may be caused by
Select one:
a. upper motor neuron lesion
b. a nerve root lesion
c. any of these reasons
d. tendon pathology
c. any of these reasons
Normal end feel for elbow extension is
Select one:
a. tissue stretch
b. soft tissue approximation
c. soft capsular
d. bone to bone or bony
d. bone to bone or bony
Osteophyte formation may cause a joint to have a
Select one:
a. bone to bone or bony endfeel
b. early muscle spasm endfeel
c. empty endfeel
d. hard capsular endfeel
a. bone to bone or bony endfeel
Respiratory rate of 30, heart rate of 130, diastolic blood pressure of 48, systolic blood pressure of 80 are normal results for
Select one:
a. newborn
b. adult
c. adolescent
d. toddler
d. toddler
Results of range of motion testing that are strong and painful, indicates
Select one:
a. a local lesion of the muscle or tendon
b. no lesion of the contractile unit
c. rupture of a muscle
d. fracture
a. a local lesion of the muscle or tendon
Results of range of motion testing that are weak and painfree, indicates
Select one:
a. local lesion of muscle or tendon
b. rupture of a muscle or its tendon and or nerve involvement
c. fracture
d. no lesion in contractile tissue
b. rupture of a muscle or its tendon and or nerve involvement
Which of the following is not necessary to perform an adequate client interview?
Select one:
a. use of formal medical jargon to demonstrate the therapists knowledge
b. development of rapport with the client
c. speaking at a level the client will understand
d. demonstrating empathy, caring, and interest in the client
a. use of formal medical jargon to demonstrate the therapists knowledge
The range of motion necessary at the shoulder to perform the activity of eating is
Select one:
a. 70 to 100 degrees of horizontal adduction and 45 to 60 degrees of abduction
b. 10 to 15 degrees of horizontal adduction, 110 to 125 degrees of forward flexion, and 90 degrees of lateral rotation
c. 70 to 100 degrees of horizontal adduction, 45 to 60 degrees of abduction, and 90 degrees of medial rotation
d. 60 to 90 degrees of forward flexion and 60 to 120 degrees of horizontal adduction
a. 70 to 100 degrees of horizontal adduction and 45 to 60 degrees of abduction
To achieve a functionally poor result for wrist flexion, a client would be able to lift a maximum of
Select one:
a. 3 to 4 pounds
b. less than one pound
c. 5 or more pounds
d. 1 to 2 pounds
d. 1 to 2 pounds
Which of the following is an example of an open-ended question?
Select one:
a. how is your pain altered during activities?
b. does your pain hurt worst during the day or the night?
c. do you take narcotic medications?
d. does this increase your pain?
a. how is your pain altered during activities?
What are the main reasons for performing an orthopedic assessment?
Select one:
a. to determine a course of treatment
b. to determine whether the client has an orthopedic condition
c. to determine if the client should be referred to another health care provider
d. all of the above
d. all of the above
What are the main reasons for performing an interview?
Select one:
a. to gather information as it relates to the chief complaint
b. to determine whether the client has an orthopedic condition
c. to determine if the client should be referred to another health care provider
d. all of the above
d. all of the above
Radicular pain is most likely associated with what condition?
Select one:
a. nerve root compression
b. both muscle and joint injury
c. muscle injury
d. joint injury
a. nerve root compression
If the client indicates they have pain, what is the most logical question to ask next?
Select one:
a. has there been a trauma
b. what is the clients occupation
c. are they on medication
d. what is the nature of the pain
a. has there been a trauma
Radicular pain may also be accompanied by what other signs or symptoms?
Select one:
a. bright, well localized pain
b. deep somatic pain
c. paresthesia and muscle weakness
d. diffuse pain
c. paresthesia and muscle weakness