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OCS: Practice Tests > Deck 5 > Flashcards

Deck 5 Flashcards

1
Q

According to the rule of 3’s, where are the thoracic vertebra spinous processes of T4, 5, and 6 relative to their transverse processes?

A. Spinous processes are at the same level of the transverse processes
B. Spinous processes are ½ level below the transverse processes
C. Spinous processes are 1 level below the transverse processes
D. Spinous processes are at the same level of the vertebrae

A

B. Spinous processes are ½ level below the transverse processes

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2
Q

T1-3 spinous processes are (where in relation) to the transverse processes

A

same level as transverse processes

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3
Q

T7-9 spinous processes are (where in relation) to the transverse processes to which they are attached

A

1 level below

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4
Q

The T10-12 spinous processes are (where in relation to) as the vertebrae to which they are attached

A

same level of the vertebra

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5
Q

T4 syndrome is characterized by which of the following

A. Radiculopathy affecting the 4th and 5th digits
B. Radiculopathy affecting the 1st, 2nd, and 3rd digits
C. B stocking glove paresthesia
D. Localized pain in upper/mid-thoracic region

A

C. B stocking glove paresthesia

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6
Q

Pt c/o RUQ pain in conjunction with R infra scapular pain. Pain has lasted ~ 1 week. He reports increase in pain 2 hrs after eating dinner. What is the most likely dx?

A. Acute pancreatitis
B. Acute pyelonephritis
C. Ankylosing spondylitis
D. Acute cholecystitis

A

D. Acute cholecystitis

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7
Q

Gallbladder refers where?

A
  • RUQ

- infrascapular region

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8
Q

Pancreatitis referral pattern

A
  • epigastric

- radiates to TLJ

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9
Q

Pyelonephritis will result in pain where?

A

costovertebral/flank pain

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10
Q

Treating a pt for cervical pain and want to perform an upper thoracic manipulation. Which of the following meds would make you not want to perform this?

A. Gabapentin
B. Ibuprofen
C. Naproxen
D. Prednisone

A

D. Prednisone

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11
Q

Manipulation and long term corticosteroid use

A

can predispose to vertebral fracture

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12
Q

Naproxen and Ibuprofen are both (type of med)

A

NSAIDs

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13
Q

Gabapentin is typically used to treat

A

nerve pain

epilepsy

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14
Q

For a pt with neck pain, which would result in a greater rate of change at 6 mos from starting physical therapy?

A. Repeated chin tucks
B. Thoracic manipulation
C. Cervical strengthening/stretching
D. Thoracic manipulation and cervical strengthening/stretching

A

D. Thoracic manipulation and cervical strengthening/stretching

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15
Q

Patients who received thoracic manipulation and cervical strengthening/stretching had a significantly greater rate of change at (timeframe) than pts who only received strengthening and stretching

A

6 mos

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16
Q

Which of the following statements would best support a clinician’s use of thoracic manipulation for a pt with neck pain?

A. FABQPA < 12
B. Duration < 30 days
C. Pt reports looking up does not aggravate symptoms
D. Neck pain without any contraindications to manipulation

A

D. Neck pain without any contraindications to manipulation

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17
Q

After performing thoracic manipulation on a pt with neck pain, she asks “how will this affect my outcome?” Which statement is the best answer?

A. You will have less pain and dysfunction compared to a pt who only received Estim/thermal modalities beyond 1 mo
B. You will have less pain and dysfunction compared to a pt who only received Estim/thermal modalities beyond 3 mo
C. You will have less pain and dysfunction compared to a pt who only received Estim/thermal modalities beyond 6 mo
D. You will have less pain and dysfunction compared to a pt who only received Estim/thermal modalities beyond 1 week

A

A. You will have less pain and dysfunction compared to a pt who only received Estim/thermal modalities beyond 1 mo

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18
Q

You decide to use DN on a pt with thoracic pain. You’ve located a trigger point in the thoracic multifidi. In order to ensure that you do not penetrate the lung with the dry needle, which of the following techniques is the best answer choice?

A. 50 mm needle inserted 1 finger width from spinous process in a caudal > medial direction
B. 70 mm needle inserted 2 finger widths from spinous process in a caudal > medial direction
C. 50 mm needle inserted 2 finger widths from spinous process in a caudal > medial direction
D. 70 mm needle inserted 1 finger width from spinous process in a caudal > medial direction

A

A. 50 mm needle inserted 1 finger width from spinous process in a caudal > medial direction

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19
Q

35M presents with L shoulder pain, worst when throwing a football. Stiff in the morning and worse in cold weather. Has been waking up d/t pain about 5 hrs after falling asleep. Denies hx smoking. Exam reveals B symmetrical restricted shoulder AROM/PROM. Thoracic ext/SB grossly limited. Which of the following conditions should you screen for?

A. Pancoast tumor
B. Thoracic facet arthropathy
C. Adhesive capsulitis
D. Ankylosing spondylitis

A

D. Ankylosing spondylitis

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20
Q

Which of the following terms best describes the inflammatory process that occurs where a tendon attaches to bone?

A. Enthesitis
B. Ankylosis
C. Tendinopathy
D. Osteoclast formation

A

A. Enthesitis

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21
Q

ankylosis =

A

bone fusion

22
Q

All of the following can be present with a pt with ankylosing spondylitis except which of the following?

A. Elevated C-reactive protein
B. HLA-B27 gene expression
C. Crohn’s disease
D. All of the above are suggestive of AS

A

D. All of the above are suggestive of AS

23
Q

Of pts who have thoracic disc herniations, the peak incidence occurs during which ages?

A. 30 and 50 - males only
B. 50 and 70 - males/females
C. 30 to 50 - males/females
D. 50 to 70 - males only

A

C. 30 to 50 - males/females

24
Q

A pt is able to perform a squat with less pain and improved movement quality after manual technique performed in clinic. The pt’s decrease in pain can be attributed to what structure?

A. Thyroid
B. Periaqueductal gray
C. Prefrontal cortex
D. Pons

A

B. Periaqueductal gray

25
Q

Periaqueductal gray is one of the ____ structures that can be stimulated with manual therapy intervention and produce analgesia

A

supraspinal

26
Q

Periaqueductal gray is one of the supraspinal structures that can be stimulated with manual therapy intervention and produce analgesia through the

A

descending pain pathway

27
Q

If a pt experienced a change in skin temperature and skin conductance after spinal mobilization, which system caused this response?

A. Somatic nervous system
B. Parasympathetic nervous system
C. Autonomic nervous system
D. Sympathetic nervous system

A

D. Sympathetic nervous system

28
Q

A change in skin conductance and skin temperature after joint mobilization is due to stimulation of

A

dorsal periaqueductal matter of the midbrain

29
Q

35M reports increase in pain in RLQ after running a marathon earlier that day. Pain worse with hip extension and decreases with hip flexion. Pain appears constant and worsening. Which dx should the therapist screen for?

A. Iliopsoas strain
B. Splenomegaly
C. Diverticulitis
D. Appendicitis

A

D. Appendicitis

30
Q

The therapist should assess what to screen for appendicitis?

A

McBurney’s point - for rebound tenderness

31
Q

Performing scoliosis checks at a middle school. 13M with significant kyphosis. No radicular symptoms into arms or legs. C/o mild back pain exacerbated with prolonged postures or excessive movement. What is the most likely pathology?

A. Scoliosis
B. Ankylosing spondylitis
C. Thoracic disc herniation
D. Scheurmann’s disease

A

D. Scheurmann’s disease

32
Q

When a younger pt demos significantly more kyphosis than their peers, you should suspect

A

Scheurmann’s disease

33
Q

For thoracic disc herniation, you would suspect the pt be between what ages?

A

30-50

34
Q

54F with chronic neck pain. Within the past year, she has developed paresthesia into 4th and 5th digits on R hand. Sedentary job. Fails to centralize with repeated movements in any cervical ROM. Manual distraction of cervical spine has no effect. You suspect she may have an elevated R first rib contributing to paresthesia. You decide to perform the cervical rotation-lateral flexion to detect an elevated 1st rib. What would you suspect with a positive test?

A. Significant decrease in ROM when the pt is passively rotated to the R and laterally flexed to the L
B. Significant decrease in ROM when the pt is moved into cervical flexion and passively rotated to L
C. Significant decrease ROM when the pt is passively rotated to the L and laterally flexed to the R
D. Significant decrease in ROM when the pt is moved into cervical flexion and passively rotated to the R

A

C. Significant decrease ROM when the pt is passively rotated to the L and laterally flexed to the R

35
Q

What is the best statement in regards to the use of cervicothoracic manual therapy and exercise vs exercise alone in pts with shoulder pain?

A. Pts who received a dose of cervicothoracic manual therapy did not experience significant decreases in pain or disability compared to the exercise only group
B. The exercise only group experienced significantly decreased pain and disability compared to manual therapy and exercise group
C. There is no difference between groups in regard to pain and disability, but pts who received cervicothoracic manual therapy had improved pt perceived success
D. There is no difference between groups in regard to pain and disability, but pts who received exercise only had improved pt perceived success

A

C. There is no difference between groups in regard to pain and disability, but pts who received cervicothoracic manual therapy had improved pt perceived success

36
Q

A pt is referred for upper thoracic and lower cervical pain. You’re having difficulty differentiating where his neck begins , as his head appears to rest on his slopping shoulders. What is the most likely dx?

A. Congenital torticollis
B. Klippel-Feil syndrome
C. Scheurmann’s disease
D. Cervical fusion of C5-6

A

B. Klippel-Feil syndrome

37
Q

Klippel-Feil syndrome presents with (appearance)

A
  • no neck

- lower hairline

38
Q

Klippel-Feil syndrome - no neck secondary to

A

fusion of two or more cervical vertebrae

39
Q

Scheurmann’s disease is characterized by a thoracic kyphosis >

A

> 40˚

40
Q

Scheurmann’s disease: characterized by a thoracic kyphosis > 40˚ and anterior wedging of at least (#) of sequential vertebrae

A

3

41
Q

Scheurmann’s disease: characterized by a thoracic kyphosis > 40˚ and anterior wedging of at least 3 of sequential vertebrae by at least (#)˚ on radiographs

A

5˚

42
Q

65M with COPD referred for mid back pain and reconditioning. You use 6MWT. After 12 weeks of PT, 6MWT improves by 70m. Which of the following is not true in regards to the test?

A. The pt made a clinically significant change on the 6MWT
B. Pts with stable exertion angina can take the 6MWT
C. Pts are allowed to use an oxygen tank during the test
D. Pt did not make a clinically significant change on the 6MWT

A

D. Pt did not make a clinically significant change on the 6MWT

43
Q

All of the following are tests for TOS except what?

A. Adson’s test
B. Hyperabduction test
C. Roos test
D. Adam’s test

A

D. Adam’s test

44
Q

Adam’s test is used to identify

A

scoliosis

45
Q

According to the CPG for neck pain, what grade evidence did they give thoracic manipulation for neck pain?

A

C

46
Q

According to the CPG for neck pain, what grade evidence did they give cervical mobilization/manipulation for neck pain?

A

A

47
Q

According to the CPG for neck pain, what grade evidence did they give stretching for neck pain?

A

C

48
Q

According to the CPG for neck pain, what grade evidence did they give coordination, strengthening, and endurance exercises for neck pain?

A

A

49
Q

According to the CPG for neck pain, what grade evidence did they give centralization procedures for neck pain?

A

C

50
Q

According to the CPG for neck pain, what grade evidence did they give UQ and nerve mobilization procedures for neck pain?

A

B

51
Q

According to the CPG for neck pain, what grade evidence did they give cervical traction for neck pain?

A

B

52
Q

According to the CPG for neck pain, what grade evidence did they give patient education and counseling for neck pain?

A

A

OCS: Practice Tests (25 decks)

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