Deck 25 Flashcards
Of the following, which is not a variable from the clinical prediction rule for the use of thoracic manipulation for those who have shoulder pain?
A. Negative Neer Impingement Test
B. Patient reports not taking any medications of any kind for shoulder pain
C. Pain-free flexion greater than 127 degrees
D. Symptoms present for less than 90 days
C. Pain-free flexion greater than 127 degrees
What is the CPR for use of thoracic manipulation of those who have shoulder pain?
(-) Neer Impingement test pt not taking any medications for shoulder pain pain free flexion < 127˚ sx presents x 90 days ....one other one I don't know
A patient is referred to physical therapy with Parsonage-Turner syndrome. Of the following, which is true regarding this pathology?
A. Pain is the primary symptom of this diagnosis throughout the course of the disorder
B. Parsonage-Turner syndrome is not self-limiting, and intervention is required in order to address symptoms
C. The first symptom is weakness in the upper extremity
D. Weakness of muscles will often occur in a peripheral nerve distribution
D. Weakness of muscles will often occur in a peripheral nerve distribution
When looking at the range-of-motion values, which of the following is most important for helping determine if a patient may have cervical radiculopathy?
A. The patient has 50 degrees of cervical rotation bilaterally
B. The patient has 50 degrees of painful cervical rotation to the right
C. The patient has full cervical extension
D. The patient has peripheralization of symptoms into the dorsal wrist with cervical extension
B. The patient has 50 degrees of painful cervical rotation to the right
If an individual who had a diminished C7 deep tendon reflex also had a sensory deficit, where would the sensory deficit most likely be located?
A. Dorsum of middle finger
B. Lateral deltoid
C. Lateral thumb
D. Medial side of little finger
A. Dorsum of middle finger
A 72-year-old female is referred to physical therapy for left cervical radiculopathy. Upon examination, the physical therapist is not convinced that cervical radiculopathy is the correct diagnosis. The patient does have left-sided neck pain, but she indicates that she gets numbness and tingling down her arm into her little finger. The numbness and tingling happens sporadically and does not change with an activity or position change. The physical therapist also observes that the patient has atrophy of her anterior forearm musculature. Based on the subjective and objective data, which of the following diagnoses is most likely?
A. Angina
B. Medial epicondylitis
C. Pancoast tumor
D. Primary bone cancer
C. Pancoast tumor
A 48-year-old female patient is seen in physical therapy for rib and left shoulder pain. In her second week of physical therapy, she tells the physical therapist that the pain has been increasing and that it is making her very anxious. She also feels like she has been far more tired than usual, and her GERD has gotten much worse. What should the physical therapist do?
A. Educate the patient on deep breathing techniques for her anxiety that will also assist the patient in decreasing her rib pain
B. Refer the patient back to her referring physician for further medical assessment
C. Refer the patient for a psychology/psychiatry consult due to her anxiety
D. Treat the patient with modalities for this session to calm down her symptoms
B. Refer the patient back to her referring physician for further medical assessment
A patient being seen for left shoulder pain presents to physical therapy with a reported body temperature of 100.9 degrees Fahrenheit. The physical therapist decides to take all vitals on the patient, and blood pressure, respiratory, and pulse rate are all normal. What is the correct course of action for the physical therapist?
A. Ask the patient about recent weight loss, recent night pain, and prior history of cancer because this finding points toward a possible neoplasm
B. Document all vital signs, including body temperature, blood pressure, and respiratory and heart rate, as normal in the patient’s chart for his daily systems review
C. Document the 100.9 degrees Fahrenheit temperature, as well as the normal findings from blood pressure, respiratory rate, and pulse rate, and continue to monitor the patient’s symptoms at each visit
D. Refer the patient to his referring physician because he is showing signs of inflammatory disease with this high body temperature
C. Document the 100.9 degrees Fahrenheit temperature, as well as the normal findings from blood pressure, respiratory rate, and pulse rate, and continue to monitor the patient’s symptoms at each visit
A patient is seen postoperatively after a revision of an open repair for a rotator cuff tear. The patient’s initial surgery failed due to early active range of motion with one particular muscle. Which muscle, if used actively before 6–8 weeks after surgery, can lead to failure of an open rotator cuff repair?
A. Biceps
B. Deltoid
C. Infraspinatus
D. Supraspinatus
B. Deltoid
During an open RTC repair, there is splitting and detachment of this muscle
deltoid
A 16-year-old male is referred to physical therapy with a stinger and is consequently diagnosed with Klumpke’s palsy. The patient describes symptoms in his hand, with grasp mainly affected. He states it is difficult to hold onto any objects that require him to use fine motor skills. Which of the following regions of the brachial plexus was impacted to create the patient’s symptoms?
A. Anterior division
B. Inferior trunk
C. Medial cord
D. Posterior division
B. Inferior trunk
Which acromion shape contributes most to the possible development of a rotator cuff tear?
A. Type I
B. Type II
C. Type III
D. Type IV
C. Type III
A female patient reports an insidious onset of left shoulder pain one day prior to referral to physical therapy. She has a history of abdominal pain, and on the morning of the examination/evaluation, she feels cramping in her stomach that began the night before and comes in waves. The patient has struggled with infertility and reproductive issues since she was a teenager, and the physical therapist feels the patient should be seen for immediate medical attention. Which of the following is the most likely cause of the medical emergency?
A. Ectopic pregnancy
B. Endometriosis
C. Nonruptured ovarian cyst
D. Pelvic inflammatory disease
A. Ectopic pregnancy
A patient is diagnosed with a neurapraxia, and a physical therapist is working on regaining sensation. Which of the following is true regarding neurapraxia?
A. A patient with a neurapraxia will have difficulty regaining sensation due to the severity of the injury
B. In neurapraxia, there is no Wallerian degeneration
C. Surgery is required in order to regain function in patients with a neurapraxia
D. This patient will not have any motor issues due to the injury
B. In neurapraxia, there is no Wallerian degeneration
Neurapraxia occurs when the axon is
separated from the cell body