quiz 2 Flashcards
(12 cards)
You are evaluating a 35-year-old male patient for lateral elbow pain with marked trigger points and soreness. During trigger point identification, while palpating and locating taut bands or hyper-irritable muscles you should elicit ______?
A. Jump sign
B. Numbness and tingling
C. Muscle spasm
D. Localized twitch response
A. Jump sign
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A patient complaining of foot paresthesia has a positive sharp-purser test. The BEST interpretation of this finding is:
A. A positive test rules OUT cervical myelopathy
B. A positive test rules OUT atlantoaxial instability
C. A positive test rules IN cervical myelopathy
D. A positive test rules IN atlantoaxial instability
D. A positive test rules IN atlantoaxial instability
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A patient is referred to physical therapy with neck pain and an acute right C6 radiculopathy. Imaging studies reveal stenosis of the intervertebral foramen resulting in impingement of the involved nerve root. The therapist decides to intervene with a manual therapy approach to reduce the patient’s pain. Which mobilization technique BEST meets the therapist’s intended purpose?
A. Grade III cervical rotation to the left
B. Grade IV cervical rotation to the right
C. Grade II cervical rotation to the left
D. Grade I cervical rotation to the right
C. Grade II cervical rotation to the left
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A patient in a physical therapy clinic exhibits a forward head posture, excessive thoracic kyphosis, and rounded shoulder. Which muscles, in addition to the pectoralis minor, should be the focus of a therapeutic stretching plan for the patient?
A. Rectus capitis posterior major, upper trapezius
B. Rectus capitis posterior minor, lower trapezius
C. Upper trapezius, lower trapezius
D. Rectus capitis posterior major, lower trapezius
A. Rectus capitis posterior major, upper trapezius
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Dynamic needling versus static needling (needle is left in place) where the needle is slowly moved up and down out of the trigger point is referred to as?
A. Winding
B. Gapping
C. Sliding
D. Pistoning
D. Pistoning
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While performing an examination, the physical therapist finds a positive Spurling’s test, positive upper limb tension testing A, and a positive cervical distraction test. The test findings are MOST consistent with which of the following?
A. Thoracic outlet syndrome
B. Atlanto-axial instability
C. Cervicogenic headaches
D. Cervical radiculopathy
D. Cervical radiculopathy
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A 72-year-old male arrives at outpatient physical therapy with his lumbar radiograph report, which states the patient has L5-S1 spondylolysis. This means the patient has:
A. Degenerative changes of L5-S1
B. L5 nerve root compression
C. Pars interarticularis fracture
D. Anterior slippage of L5 on S1
C. Pars interarticularis fracture
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A patient presents with decreased motion at the occipito-atlantal joint (OA). The PT wants to use the principles of coupled motions that occur in that area of the spine during manual therapy techniques. In order to improve OA mobility, when the occiput is side bent to the right, how should the therapist mobilize C1?
A. Back into extension
B. Forward into flexion
C. Into rotation to the right
D. Into rotation to the left
D. Into rotation to the left
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A 60-year-old patient presents with complaints of right-sided neck pain that began after “sleeping wrong” 5 days ago. They exhibit limited cervical extension, right rotation, and right sidebending actively and passively with reports of pain at end ranges. They exhibit decreased unilateral PA joint accessory mobility at C5-C6 & C6-C7 on the right side, which also reproduces their complaints of stiffness and pain. The patient was referred to physical therapy by their PCP after receiving an x-ray that showed moderate degenerative changes in the cervical spine. The patient’s past medical history includes high cholesterol and high blood pressure, and they are taking Lisinopril and Levonox. Which of the following interventions is MOST appropriate to address their neck stiffness?
A. Grade III–IV right unilateral PAs for C5-C5 & C6-C7
B. Mechanical Traction
C. Dry needling of cervical paraspinals at C5-C6 & C6-C7
D. Lower cervical spine HVLA in right sidebend
A. Grade III–IV right unilateral PAs for C5-C5 & C6-C7
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A physical therapist prepares to treat a 30-year-old female with low back pain. She reports a sudden onset of pain one week ago while carrying a laundry basket. She denies any symptoms below her buttocks. As part of the treatment plan, the therapist performs joint manipulation on her lumbar spine. This treatment is BEST documented in the chart as:
A. Grade IV manipulation
B. Grade IV adjustment
C. Grade V adjustment
D. Grade V manipulation
D. Grade V manipulation
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It is contraindicated for dry needling to be performed on which of the following findings?
A. Suboccipital muscles
B. Radiculopathy areas of an extremity
C. Into the knee joint space (periosteal)
D. Lymphedema
D. Lymphedema
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Patient presents with complaints of lower back pain that extends into his left buttock that started 10 days ago after rollercoaster riding with his kids. Upon examination, he exhibits decreased trunk extension and sidebending to the left. He has decreased PA mobility at L4-L5 and L5-S1. He exhibits bilateral hip ROM WNL but has weakness in his hip abductors, flexors, and extensors. Which treatment is MOST appropriate for this patient?
A. Traction
B. Manipulation
C. Core stabilization exercises
D. Movement control exercises
B. Manipulation
this is right due to quiz review
