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NYCC Patient Assessment 1 > Lecture Final Practice > Flashcards

Lecture Final Practice Flashcards

1
Q

Your patient complains that their hand shakes when reaching for objects, but not when they are still. What area is most likely damaged?
- parietal lobe
- dorsal column
- CN VIII
- cerebellum

A

cerebellum

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2
Q

Your patient has a cerebellar lesion on the right, which of the following would you expect to find upon examination?
- right apallesthesia
- right apallesthesia
- right disdisadochokinesia
- left intention tremor

A

right dysdiadochokinesia

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3
Q

Which of the following evaluations is used to evaluate dizziness complaints?
- swivel chair
- weber test
- tongue protrusion
- rinne test

A

swivel chair

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4
Q

Your patient has a positive rotary compression test. The performance of the cervical distraction test would most likely result in:
- hyperreflexia
- sciatic pain referral
- remission of pain
- exacerbation of pain

A

remission of pain

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5
Q

Your patient has a negative weber’s test. Which test should be performed next?
- rinne test
- swivel chair test
- mittlemeyer test
- babinski weil

A

rinne test

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6
Q

The cervical spinal cord is laminated so that the ____-tracts are on the outer layers
- upper extremity
- lower extremity
- visceral
- autonomic

A

lower extremity

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7
Q

Which is associated with a potential vertebral artery dissection?
- resting tremors
- spastic paresis
- present pathological reflexes
- headache, neck pain, and neck stiffness

A

headache, neck pain, and neck stiffness

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8
Q

Your patient presents with numbness and tingling in the left hand. Which of the following tests would confirm a TOS etiology for this patient?
- reverse bakody
- froment’s test
- bakody’s test
- shoulder depression test

A

reverse bakody

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9
Q

Deep tendon reflexes can give you information about all areas except:
- cerebellum
- extrapyramidal system
- pyramidal system
- lower motor neurons

A

extrapyramidal system
(basal ganglia)

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10
Q

Your patient presents with a gluteus medius lurch. Which of the following can cause this altered gait? (choose all that apply)
- L5 nerve root compression
- L4 nerve root compression
- gluteus maximus strain
- superior gluteal nerve lesion

A

L5 nerve root compression
Superior gluteal nerve lesion

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11
Q

A circumduction gait may be caused by:
- an upper motor neuron lesion (spastic paresis)
- an injury to the gluteus medius
- immobilization tracing of the shoulder
- L3 nerve root entrapment

A

an upper motor neuron lesion (spastic paresis)

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12
Q

A hip-hike gait is characterized by:
- torso laterally flexing ipsilaterally when weight bearing over the affected side
- torso rotation to and extending over the affected side when weight-bearing
- knee remains in extension and lower extremity is swung laterally and then anteriorly into heel-strike
- knee remains in extension and lower extremity is swung in the sagittal plane into heel strike

A

knee remains in extension and lower extremity is swung in the sagittal plane into heel strike

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13
Q

During O’Donoghue’s test your patient reports no pain during isometric contraction, but passive motion reproduces the chief complaint. What is most likely responsible for the neck pain?
- blood vessels
- strain
- sprain
- periosteum

A

sprain

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14
Q

Your patient presents with grade 4 motor strength of the peroneus longus and brevis, and a 0+J Achilles reflex on the right. Which disc is most likely involved?
- L2-3
- L3-4
- L4-5
- L5-S1

A

L5-S1

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15
Q

Your patient presents with gluteus maximus lurch. If this presentation is caused by nerve root compression, which of the following muscles would also be weak?
- tibialis posterior
- peroneus longus and brevis
- peroneus tertius
- tibialis anterior

A

peroneus longus and brevis

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16
Q

Which of the following muscles can be weakened by tibial nerve damage?
- tibialis posterior
- peroneus longus and brevis
- tibialis anterior
- extensor hallicus longus and brevis

A

tibialis posterior

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17
Q

Which of the following tests would help to specifically confirm an L3 nerve root compression by a disc herniation?
- medial hamstring reflex
- vastus medialis muscle test
- hip abduction muscle test
- hip adductors muscle test

A

hip adductors muscle test

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18
Q

Which of the following muscle tests would be appropriate for testing the femoral nerve?
- abdominal muscles
- hamstrings
- tibialis anterior
- sartorius

A

sartorius

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19
Q

Which of the following can be implicated as a cause of weak ankle dorsiflexion?
- deep peroneal nerve damage
- week peroneus longus and brevis
- S1 nerve root lesion
- weak tibialis posterior

A

deep peroneal nerve damage (L4)

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20
Q

Your patient has 2/5 extensor digitorum strength in the right foot. Which of the following would be a test to confirm the nerve root as the source of the weakness?
- peroneus longus and brevis
- extensor hallicus longus and brevis
- hip adductors
- gastroc-soleus

A

extensor hallicus longus and brevis

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21
Q

Your patient presents with radiating pain down the posterior aspect of their right leg and an antalgic lean to the right. Which of the following is your working diagnosis?
- vestibular lesion
- cerebellar lesion
- lateral disc herniation
- medial disc herniation

A

medial disc herniation

22
Q

Which of the following can differentiate between sciatic neuritis and hamstring as the source of lower extremity pain?
- straight leg raise
- belt test
- bowstring sign
- bonnet’s test

A

bowstring sign

23
Q

Your patient cannot maintain the transverse arch of the foot while plantarflexing. Which of the following tests would be appropriate the most directly determine the cause of this complaint?
- Duchenne’s
- Morton’s
- Tinel tap at the tarsal tunnel
- medial stress test of the ankle

A

Duchenne’s

24
Q

Which of the following can be used to assess for femoroacetabular pain?
- Hibb’s test
- Yeoman’s test
- well leg raise
- Erichson’s sign

A

Hibb’s test

25
Q

Your patient presents with lateral hip pain. Which of the following tests would you use to confirm a tight iliotibial band?
- ober’s test
- duchenne’s test
- valgus test of the knee
- thomas test

A

ober’s test

26
Q

Your patient points to the lateral side of the knee as the site of their pain. Which of the following could cause the complaint?
- iliotibial band tendonitis
- medial collateral ligament damage
- patellar fracture
- medial meniscus damage

A

iliotibial band tendonitis

27
Q

Which of the following can be used to evaluate the anterior cruciate ligament of the knee? (choose all that apply)
- anterior drawer
- apley’s compression
- posterior drawer
- lachman’s

A

anterior drawer
lachman’s

28
Q

Which of the following is appropriate for evaluating anterior knee pain?
- valgus stress test
- noble’s test
- adduction stress test
- lachman’s test

A

lachman’s test

29
Q

Your patient presents with a 0+J/5 patellar reflex. Which of the following could be the cause?
- obturator nerve lesion
- femoral nerve lesion
- L5 nerve root lesion
- tibial nerve lesion

A

femoral nerve lesion

30
Q

Your patient presents with a 4/5 hip abductor muscle test and a 4/5 extensor hallicus longus and brevis muscle test. There is sensory loss along the lateral lower leg. Which of the following would you also suspect to find in this patient?
- 0+J/5 lateral hamstring reflex
- 0+J/5 medial hamstring reflex
- 4/5 gluteus maximus muscle test
- 4/5 tibialis posterior muscle test

A

0+J/5 medial hamstring reflex

31
Q

Your patient’s patellar reflex was +3/5 on the left. Which of the following could be the explanation?
- corticospinal tract lesion
- anterior horn cell disease
- cerebellar lesion
- dorsal column lesion

A

corticospinal tract lesion

32
Q

What reflex would you perform to confirm an L1 nerve root lesion?
- patellar
- there is no reflex for L1
- medial hamstring
- achilles

A

there is no reflex for L1

33
Q

Which of the following is a positive finding in Buerger’s test?
- reddening of the tissue
- increased heat in the foot
- blanching of the foot
- increased pulse patency

A

blanching of the foot

34
Q

Your patient complains that bike riding worsens his leg pain. This would suggest a diagnosis of:
- neurogenic claudication
- vascular claudication
- meningitis
- transverse humeral ligament tear

A

vascular claudication

35
Q

Which of the following is a common sign/symptom of thrombophlebitis? (choose all that apply)
- abdominal pain
- swelling distal to the venous block
- increased heat of the skin in the area of phlebitis
- coolness of skin in the area

A
  • swelling distal to the venous block
  • increased heat of the skin in the area of phlebitis
36
Q

A positive thomas test is followed by resolution when the doctor passively extends the patient’s knee. This finding suggests:
- tight psoas
- tight 2-joint hip flexors
- tight hamstrings
- tight ankle dorsiflexors

A

tight 2-joint hip flexors

37
Q

Your patient presents with radiating pain down the posterior aspect of their right leg and an antalgic lean to the left. Which of the following is the most appropriate test to perform?
- minor’s sign
- linder’s
- well-leg raise
- babinski-weil

A

linder’s

38
Q

Raising your patient’s head to bring on full cervical flexion results in sharp pain down the posterior aspect of the left lower extremity. Based on this finding, which of the following is a possible diagnosis?
- medial lumbar disc herniation
- lateral lumbar disc herniation
- cervical nerve root compression
- meningitis

A

lateral lumbar disc herniation

39
Q

Which of the following can be positive for hamstring tightness OR sciatic neuritis?
- straight leg raise
- turyn’s
- sicard’s
- braggard’s

A

straight leg raise

40
Q

Which of the following can be used specifically to determine malingering in a patient who complains of paralysis of the leg?
- hoover’s test
- petryn flip test
- libman’s test
- well leg raise

A

hoover’s test

41
Q

Your patient presents with apallasthesia, intention (kinetic) tremor, and a loss of vision. Which of the following could be the cause?
- cervical cord compression
- anterior circulation compromise
- posterior circulation compromise
- thoracic cord compression

A

posterior circulation compromise

42
Q

Your patient presents with swelling of the lower leg and foot, and has warmth in the calf area. Which of the following is the appropriate diagnostic procedure?
- MRI
- MRA
- radiograph
- doppler ultrasound

A

doppler ultrasound

43
Q

A bilateral steppage gait may be seen in ____?
- charcot marie tooth disease
- L1-L2 disc herniation
- cervical cord compression
- vertebrobasilar insufficiency

A

charcot marie tooth disease

44
Q

Which of the following will aid in the specific assessment of a flexion lesion of the sacroiliac joint?
- mennell’s
- erichson’s
- gaenslen’s
- lewin-gaenslen’s

A

mennell’s

45
Q

Your patient presents with right sacroiliac pain. Which of the following can assess for SI lesions in the side-lying position?
- lewin-gaenslen’s test
- ely’s sign
- yeoman’s test
- lewin’s supine test

A

lewin-gaenslen’s test

46
Q

A motor evaluation for T7-T12 can be done by performing:
- rhomberg test
- forrestier bowstring sign
- schepelmann’s test
- beevor’s test

A

beevor’s test

47
Q

A positive finding for forrestier bowstring test performed in left lateral flexion is palpable and visible contraction of the:
- left erector spinae
- right erector spinae
- left extensor hallicus longus and brevis
- right extensor hallicus longus and brevis

A

Left erector spinae

48
Q

Which of the following would likely be positive for spinal or costo-spinal ankylosis?
- forrestier bowstring
- beevor’s
- bowstring sign
- schepelmann’s

A

forrestier bowstring

49
Q

Your patient presents with a chief complaint of numbness and tingling in the right hand. Your exam findings are as follows: (-) Allen’s test, (+) Wright’s test, (-) traction test, (+) reverse bakodi’s test. What is the most likely cause of the patient’s complaints?
- tight medial scalenes
- cervical rib
- tight pectoralis minor
- reduced costoclavicular space

A

tight pectoralis minor

50
Q

You perform a Dawburn’s test. Pain in the area of the subacromial bursa with pressure is present with the arm in neutral. Pain in the area of the subacromial bursa with pressure is absent with the arm in full abduction. This test is recorded as:
- positive
- negative
- negative with SOF
- the area of the subacromial bursa is not palpated during Dawburn’s test

A

Positive

NYCC Patient Assessment 1 (15 decks)

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