AAPMR Question Bank Pearls

Question 1

What is the treatment for grade III and IV osteochondritis dissecans?

Answer 1

surgery

Question 2

At what level is a cervical epidural injection preformed?

Answer 2

C7-T1

Question 3

Which model of rehabilitation utilizes synergistic patterns?

Answer 3

Brunnstrom

Question 4

Which model of rehabilitation works from proximal to distal muscles?

Answer 4

Bobath

Question 5

What medication increases GI motility by activating type 2 chloride channels

Answer 5

Lubiprostone

Question 6

Percentage wise, how accurate are blind SI joint injections?

Answer 6

20%

Question 7

What LV wall thickness is concerning?

Answer 7

> 13mm

Question 8

What type of ganglion block is used to treat trigeminal neuralgia?

Answer 8

Gasserian

Question 9

How do you calculate heart rate reserve?

Answer 9

Heart Rate Reserve = Max HR - Resting HR. Target heart zone to use of 70 - 85% of reserve.

Question 10

What defines A-A instability in Down Syndrome?

Answer 10

Atlantodens Interval (ADI) > 3.5mm

Question 11

What is the most powerful predictor of recovery after TBI?

Answer 11

Length of PTA

Question 12

What is the most frequent cause of stroke?

Answer 12

Large vessel thrombosis

Question 13

Which steroid has the longest duration of action?

Answer 13

Betamethasone

Question 14

What plane are the cervical facet joints oriented in?

Answer 14

coronal oblique

Question 15

What plane are the thoracic facet joints oriented in?

Answer 15

coronal

Question 16

What plane are the lumbar facet joints oriented in?

Answer 16

sagittal oblique

Question 17

What type of cancer are SCI patients at increased risk of?

Answer 17

squamous cell bladder cancer

Question 18

What is the main source of club foot?

Answer 18

abnormal talus

Question 19

how do dorsal column nerve fibers differ from spinothalamic nerve fibers?

Answer 19

dorsal column nerve fibers are large and myelinated and spinothalamic nerve fibers are small and unmyelinated

Question 20

Most common hormone dysfunction after TBI?

Answer 20

growth hormone deficiency

Question 21

What shoulder deformity are patients with brachial plexus palsy at increased risk for?

Answer 21

posterior subluxation

Question 22

How does cold temp affect CMAPs?

Answer 22

larger and longer

Question 23

What diagnostic feature of ALS does the Awaji Criteria notably include?

Answer 23

Fasciculations

Question 24

Does a transplanted heart develop systolic or diastolic dysfunction?

Answer 24

diastolic

Question 25

What is Sinding-Larsen-Johansson Syndrome?

Answer 25

osteochondrosis and traction epipysitis at the inferior pole of the patella

Question 26

What is the most common cause of TBI-related ED visit?

Answer 26

Fall

Question 27

What should you suspect in a patient who has a lateral tibial plateau fracture (Segond fx)?

Answer 27

ACL tear

Question 28

What classes of medication can increase the effect of botox?

Answer 28

aminoglycosides and anticholinergics

Question 29

What is the most common cause of voiding dysfunction in the elderly?

Answer 29

overactive bladder

Question 30

Where is the GRF during midstance?

Answer 30

anterior to the ankle, anterior to the knee, posterior to the hip

Question 31

A rigid heel will cause what type of moment at the knee?

Answer 31

flexion

Question 32

How does an LSO orthosis affect the circulatory system?

Answer 32

It elevates intra-abdominal pressure

Question 33

At what age should you start intermittent catheterization in the pediatric SCI population?

Answer 33

3yo

Question 34

At what age can children start self-catheterization?

Answer 34

5-7yo

Question 35

What is the inheritance pattern for myotonic dystrophy?

Answer 35

AD

Question 36

What is the most common symptom in post-traumatic syringomyelia?

Answer 36

pain

Question 37

What type of wrist splint can provide a mechanical advantage for grasp?

Answer 37

wrist cock-up

Question 38

what artery can compress CN V?

Answer 38

Superior cerebellar artery

Question 39

Where should you palpate to evaluate for a navicular stress fracture?

Answer 39

between the tib anterior and EHL tendons

Question 40

What percent of seizure related car accidents are prevented by using a 12 month seizure free interval before return to driving?

Answer 40

80%

Question 41

What innervates the SI joint?

Answer 41

L5 dorsal ramus and S1-S3 lateral branches

Question 42

What type of neuropathy is seen with repetitive hip flexion and in snowboarders?

Answer 42

pudendal

Question 43

What is the usual inheritance pattern of SMA?

Answer 43

autosomal recessive

Question 44

What is the highest level of complete SCI that can be independent with bowel care and transfers?

Answer 44

C7

Question 45

What is the most common cause of ischemic stroke in children?

Answer 45

arteriopathy

Question 46

What it the most commonly dislocated joint in the hand?

Answer 46

PIP

Question 47

Where is the rotator interval of the shoulder located?

Answer 47

between the supraspinatus and subscapularis tendons

Question 48

What is the most common cause of congenital limb deficiencies?

Answer 48

vascular conditions

Question 49

What is the most common joint involved in JIA?

Answer 49

knee

Question 50

What maneuver increases the murmur associated with HOCM?

Answer 50

Valsalva

Question 51

what is the number one cause of post-stroke disability in nursing home residents?

Answer 51

urinary incontinence

Question 52

What is the most common level of cervical radiculopathy?

Answer 52

C7

Question 53

What are the most common signs of tethered cord?

Answer 53

weakness and worsening gait