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Missed sample exam questions > exam 1 > Flashcards

exam 1 Flashcards

1
Q

Hoeksma 2004 and 2005 study made what recommendation regarding hip manipulations

A

Start in the open pack position and progress towards to closed pack position or position of greatest restriction

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2
Q

JOSPT cibulka 2009 hip OA guideline made what conclusion regarding aquatic therapy a

A

short term benefit but should also engage in land based exercise

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3
Q

What is the key finding that will direct you to the specific exercise treatment category for back pain

A

clear pattern of directional preference

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4
Q

What are the diagnostic criteria from Fritz’s 2007 study regarding lumbar traction and how does it impact symptoms

A
  1. leg symptoms
  2. peripheralization with extension
  3. positive cross SLR
  4. findings of nerve root compression

Quicker symptom relief - 2 weeks of treatment improved Oswestry and FABQ scores and 6 weeks both groups were equal

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5
Q

Describe the traction treatment parameters from the 2007 Fritz study

A

Prone in position of slight flexion and/or SB where symptoms are relieved for several minutes

  • progressed to position of slight extension
  • 40-60% of body weight
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6
Q

What MSK conditions can also have ocular impairments

A

systemic inflammatory condition leading to arthritis can also cause inflammation of the eyes that leads to ocular impairments

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7
Q

How does headache symptom location presentation vary in the difference headache classifications

A
  • Tension headaches are (B)

- cervicogenic and migraine are typically unilateral

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8
Q

At what ROM does C2 move with cervical rotation

A

it shoulder move immediately

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9
Q

Cervical radiculopathy is most often seen in what decades

A

40s and 50s

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10
Q

Occipital numbness coupled with gait impairments is suggestive of what cervical pathology

A
  • Upper cerivcal instability

- cervical myelopathy would not have the occipital numbness

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11
Q

what peripheral neuropathy are hysterectomies associated with

A

CTS

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12
Q

what is the wrist ratio index

A

dividing the AP width of the wrist by the mediolateral width in centimeters
- greater than 0.67 is a predisposing factor to CTS (most sensitive test of the CTS CPR)

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13
Q

CTS CPR

A
  1. shaking hands to relieve symptoms
  2. wirst ratio greater than 0.67
  3. symptom severity greater than 1.9
  4. decreased median nerve sensation in the thumb
  5. greater than 45 years old
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14
Q

What muscle would you expect weakness in with anterior interosseous syndrome

A

FPL
lateral FDP
PQ

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15
Q

what is found in the carpal tunnel

A

P.L.O.M.S.

  • produndus
  • pollicis longus
  • median nerve
  • superficialis
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16
Q

4 mm of valgus joint gapping of the knee at 0 is normal or abnormal

A

normal 1-2 mm
nearly normal 3-5nn
abnormal 6-10mm
severally abnormal 10 mm or greater

Logerstedt 2010

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17
Q

At 90 degree of knee flexion what is the primary restraint to varus and ER

A

PCL

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18
Q

what is the best knee position for identifying posterior lateral instability

A

30 degree of knee flexion - covey 2001

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19
Q

What side to side difference would you expect in tibial ER in a patient with posteriolateral instability

A

grade I - less than 5 degrees
grade II- 5-10 degrees
grade III - greater than 10 degree

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20
Q

What test are best for ruling in subacrominal impingement

A

Alquanaee 2012 systematic review

  • drops arm and lift off
  • HK, neer and empty can are better for ruling out
21
Q

what shoulder test are best for ruling out subacrominal impingement

A

Alquanaee 2012 systematic review

  • drops arm and lift off
  • HK, neer and empty can are better for ruling out
22
Q

Under anesthesia a frozen shoulder patient will have same ROM as they do when they are awake in what stages

A

II and III

23
Q

which increase risk of OA development most: ACL tear, meniscus tear, PFS, or PCL tear

A

meniscus tear

Heidari 2010

24
Q

which of the following is most likely to contribute to knee OA: hypothyroid or hyperparathyroid

A

hyperparathyroid - do to its relationship with the endocrine system
hypothyroid has not shown any relations according to Michael 2010 and chaisson 2010

25
Q

what is the insertion and innervation of the teres minor

A

inferior facet of greater tubercle and axillary nerve

26
Q

Weakness in the hands is correlated with what MSK conditions

A

chronic neck pain

27
Q

what is the norm for the DNF endurance test and what is considered impaired

A

50 seconds, 24 seconds childs 2008 and harris 2005

28
Q

what headache classification would you expect provocative cervical ROM

A

neck pain with headache

-SYMPTOMS ON ONE SIDE ONLY

29
Q

What is the difference between Erb palsy and Klumpke’s palsy

A

Erb’s - upper trunk injury - C5-6 nerve roots

Klumpke - lower trunk injury - C8-T1

30
Q

What is parsonage-turner syndrome

A

idiopathic brachial plexopathy or neuralgic amyotrophy, is a rare disorder consisting of a complex constellation of symptoms with abrupt onset of shoulder pain, usually unilaterally, followed by progressive neurologic deficits of motor weakness, dysesthesias, and numbness.
- etiology of the syndrome is unclear, it is reported in various clinical situations, including postoperatively, postinfectious, posttraumatic, and postvaccination.

31
Q

what manual intervention is least likely to impact PF symptoms: cuboid thrust, distal TF non thrust, proximal TF thrust, mid tarsal non thrust

A

mid tarsal non thrust - shashua 2015 and cleland 2009 found these had no impact on symptoms

32
Q

Martin 2014 concluded what regarding iontophoresis and heel pain

A

it may or may not provide 2-4 weeks of pain control and improved function

33
Q

Park 2005 identified what diagnostic criteria for full thickness RTC tears

A
  • drop arm
  • weak ER
  • painful arc of motion
34
Q

How does coracoid impingement typically present

A
  • anterior shoulder pain
  • pain with shoulder flexion, adduction and IR
    ROCHE 2006
35
Q

what is the normal ROM for cervical flexion and side bending

A

45 degrees

36
Q

what is causalgia

A
  • CRPS type II

- typical in patient with preganlonic brachial please injury according to Turk and Okifuji 2012

37
Q

how would you differentiate breast CA, hodgkin’s lymphoma and pancoast tumur

A
  • breast CA - neck, shoulder and breat pain, constitutional signs, strength testing does not provoke symptoms
  • Pancoast - peripheral signs, pulmonary impairment, neck/shoulder/scapular pain, constitutional signs
  • Hodgins will have swollen lymph nodes in addition the the upper quarter and cervical symptoms
38
Q

describe Stimson reduction of a shoulder dislocation

A

also known as prone technique, the person lies on their stomach on a bed or bench and the arm hangs off the side, being allowed to drop toward the ground. A 5–10 kg weight is suspended from the wrist to overcome spasm and to permit reduction by the force of gravity

39
Q

What is the milch reduction of shoulder dislocation

A

This is an extension of the external rotation technique. The externally rotated arm is gently abducted (brought away from the body into an overhead position) while external rotation is maintained. Gentle in-line traction is applied to the arm while some pressure is applied to the humeral head via the operator’s thumb in the armpit to keep the head from moving inferiorly.

40
Q

What imaging is used to identify Hill-Saches lesions

A

x-ray should be sufficient since it is a dent in the bone

41
Q

In patient with BPPV what is the longest you should see nystagmus after dix-halpix procedure

A

60 seconds

42
Q

what cervical nerve root is at the greatest risk for development of radiculopathy

A

C6-7

Warner and Gill 2000

43
Q

what type of manipulations are recommend for headache classification, radiculopathy and mobility classification of neck pain

A

headache - cervical spine childs 2008
mobility - thoracic spine
radiculopathy - CT junction cleland 2010

44
Q

Muscle spindle reflex is demsontrated in what part of an EMG test

A

H-relfex

45
Q

what is a somatosensory evoked potential

A

electrical activity of the brain that results from the stimulation of touch

46
Q

describe the activity of the muscle fiber at rest

A

the endplate is spontaneously active, but the fiber is not

47
Q

what impact does obesity have on electrodiagnositc testing

A

reduced wave amplitude

48
Q

cleland 2007 found what variable predicted the most success in treatment of individuals with radiculopathy

A
  • less than 54
  • dominant arm NOT affected
  • looking down does not increase symptoms
  • multi-modal treatment 50% of visits
49
Q

what types of EMG findings would you expect with axonotmesis

A

fibrillation and postive sharp waves will appear several weeks after the injury

Missed sample exam questions (3 decks)

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