Examination - subjective

Question 1

Key history findings

1. Onset of pain with WB after non-WB
2. noticeable in morning after 1st step
3. pain decreases with activity
4. recent change in level of activity
5. pain in anteromedial aspect of _______

Answer 1

Chronic plantar heel pain - Plantar fasciitis

plantar heel

Question 2

1. pain most common at central band of _____
2. linked to reiters syndrome, psoriatic arthritis, ankylosing spondylitis, SLE
3. Do they have back pain? Could be _______
4. Fear avoidance is HUGE in _________
5. education, positive exposure to activities

Answer 2

Chronic plantar heel pain – Plantar fasciitis

1. Plantar fascia
2. L5/S1 radiculopathy
3. plantar fasciitis

Question 3

altmans criteria

Test cluster 1.

Answer 3

Hip OA

1. hip pain
2. hip IR less than 15
3. hip flexion less than 115

Question 4

1. mostly the same as something else
2. Forced ext. rotation of foot and hyperdorsiflexion
3. if hyper pronation of subtalar, could damage _____
4. not much bruising
5. painful endfeel or no endfeel.

Answer 4

High ankle sprain

1. Deltoid ligament

Question 5

1. inflammation of distal pole of patella and patellar tendon
2. associated with _____ weakness, lack of hamstring flexibility, patella _____
3. repetitive ________
4. minimal inflammation
5. pain with _______ of _____ pole of patella
6. fat pad swelling
7. painful at _____ and ____ at end of activity

Answer 5

Patellar tendinopathy

1. quad, alta
2. jumping sports
3. palpation , inferior
4. start, resting

Question 6

mechanism of injury

1. direct trauma to _____
2. eccentric ______
3. cumulative microtrauma
4. _____ impingement
5. tendinosis of hip abductors

Answer 6

Greater trochanteric pain syndrome

1. lateral hip
2. hyper adduction
3. IT band

Question 7

Indications for ______

1. severe pain
2. joint destruction
3. Marked ____ deformity
   - genu varum or valgum
4. extreme ____ limitation

Answer 7

TKA

1. TKA
2. knee
3. ROM

Question 8

Subjective
1. acute or insidious pain in ____ that may radiate down to calf
pain exacerbated by:
2. lying on _____
3. repetitive ______
4. prolonged standing or single limb activities
5. repetitive ______

Answer 8

Greater trochanteric pain syndrome

1. lateral thigh
2. affected hip
3. hip flex/extension
4. hip IR/ER

Question 9

Sultive’s criteria.

1. unilateral ______ pain
2. _____ as aggravating factor
3. active hip ______ causing lateral hip pain
4. _____ test causing lateral hip or groin pain
5. active hip _____ causing pain
6. Passive hip ___

Answer 9

Hip OA

1. hip
2. squatting
3. flexion
4. scour
5. extension
6. IR, less than 25

Question 10

Pain and reproducible tenderness in ______, ____, or _____

Answer 10

Greater trochanteric pain syndrome

greater tro
buttock
lateral thigh

Question 11

altmas criteria
If hip rot. > 15 then use:
test cluster 2

Answer 11

Hip OA

1. painful hip IR
2. age >50
3. morning stiffness

Question 12

1. was there any trauma?
2. period of immobilization?
3. post op complications?
4. symptoms
   - general _______ _____ pain
   - _______ with movement
   - symptoms inc. with _____, , squatting, prolonged —-

Answer 12

Anterior knee pain - patello femoral pain syndrome

1. anterior knee pain
2. crepitation
3. stairs, sitting

Question 13

1. Pain scale- VAS
2. red flags____
3. Yellow flags _____
4. how did injury occur?
   Plantar flexion with hind foot inversion ____
   Plantar flex with hind foot inversion and adduction of forefoot _______
5. x rays?
6. previous injury?
7. growth spurt?

Answer 13

Low Ankle sprain

1. tumors, infections, neuro damage
2. beliefs about pain
3. true low ankle
4. low ankle and CFL

Question 14

structures that comprise extensor mechanism

1. passive lateral structures
2. passive medial structures
3. dynamic lateral stabilizers
4. dynamic medial stabilizers

Answer 14

Anterior knee pain - patello femoral pain syndrome

1. IT band, transverse retinacula
2. medial retinacula, medial patellofemoral lig.
3. max, med, TFL
   - vastus lateralis
4. hip adductors
   - VMO

Question 15

1. moderate lateral or anterior _____ pain with WB
2. can progress to ant. thigh or knee region
3. > 50 yrs
4. limited PROM in at least __ of 6 directions
5. morning ___ stiffness that improves in less than 1 hr.
6. pain in _____, ant. thigh, groin

Answer 15

Hip OA

1. hip
2. 2
3. hip
4. butt.

Question 16

1. classic tear is ____

2. medial and ____ are most often injured

Answer 16

Meniscal injury

1. bucket handle
2. posterior

Question 17

Ligament injury classification
1. grade I - 
II- 
III
IV

Answer 17

ACL

1. microtears - no laxity
2. 1/3-2/3 lig. damage,
   0-5 mm joint gappin, firm end feel
3. 5-10 , soft end feel
4. 10+, no end feel

Question 18

1. Classified based on _______
2. can be ant., post., sup.
3. 55% of pt with _____ have _____
4. contact sports resulting in dislocation of ______
5. _______ impingement (___)
6. Pincer impingement
   - boney over hang of _____
7. Cam impingement
   - exostossis along ____ neck

Answer 18

anterior labral tear – Hip

1. location
2. chronic hip pain, labral tear
3. femoral head
4. femoroacetabular impingement (FAI)
5. acetabulum
6. femoral

Question 19

1. anterior ___ or ____ pain
2. constant dull pain with intermittent episodes
3. clicking, locking, giving way
4. _____ ___ pain in sitting
5. walking, pivoting, prolonged sitting aggravate symptoms

Answer 19

Anterior Labral Tear

1. hip, groin
2. anterior hip

Question 20

indications for surgery

1. _____ traumatic injury with one or more ligs and severe _______
2. ______ knee instability secondary to _______ injury
3. ______ of knee plus ____

Answer 20

ACL

1. acute, instability
2. chronic, old
3. buckling, pain

Question 21

1. damage to ____ causes ____ instability

2. Involved tissues: _____,, _____ capsule

Answer 21

1. ACL, anterior

2. ACL, anterior