MIDTERMS: Shoulder Tendinitis

Question 1

Q1: What are the primary clinical tests used to diagnose shoulder tendinitis?

Answer 1

A1: Neer test, Hawkins test, and Jobe test.

Question 2

Q8: What adjunct therapy has shown moderate short-term effectiveness in reducing pain?

Answer 2

A8: Extracorporeal shockwave therapy (ESWT).

Question 2

Q2: When is imaging recommended for shoulder tendinitis?

Answer 2

A2: When conservative treatment fails or structural damage is suspected.

Question 2

Q4: What are three key differential diagnoses for shoulder tendinitis?

Answer 2

A4: Adhesive capsulitis, calcific tendinitis, and glenohumeral instability.

Question 2

Q3: What is the preferred imaging modality for assessing shoulder tendinitis dynamically?

Answer 2

A3: Ultrasound.

Question 2

Q5: What is the first-line treatment for shoulder tendinitis?

Answer 2

A5: Exercise therapy, including eccentric training and scapular stabilization.

Question 2

Q7: Why is patient education important in managing shoulder tendinitis?

Answer 2

A7: It promotes adherence to exercise programs, prevents recurrence, and improves posture and ergonomics.

Question 2

Q9: When is surgical intervention considered for shoulder tendinitis?

Answer 2

A9: Only for patients who do not respond to conservative management.

Question 2

Q6: Name two effective manual therapy techniques for managing shoulder tendinitis.

Answer 2

A6: Joint mobilization and soft tissue massage.

Question 2

What is the recommended approach for managing shoulder tendinitis?
B) Relying solely on corticosteroid injections
C) Avoiding movement for several months
D) Using imaging as the first step in diagnosis

Answer 2

A) A multimodal approach combining exercise, manual therapy, and education

Question 2

T/F2: MRI is always necessary for diagnosing shoulder tendinitis.

Answer 2

A: False – It is reserved for complex cases.

Question 2

T/F1: The Jobe test is used to assess subacromial impingement.

Answer 2

A: False – The Jobe test assesses supraspinatus function (part of the rotator cuff).

Question 2

Q10: What are two common surgical procedures for shoulder tendinitis?

Answer 2

A10: Acromioplasty and rotator cuff repair.

Question 2

T/F4: Corticosteroid injections should always be used as a first-line treatment for shoulder tendinitis.

Answer 2

A: False – They are controversial and should be used selectively.

Question 2

T/F3: Eccentric exercises are particularly effective for treating shoulder tendinitis.

Answer 2

A: True.

Question 2

T/F9: Manual therapy alone is sufficient for treating shoulder tendinitis.

Answer 2

A: False – It is most effective when combined with exercise therapy.

Question 3

T/F5: A multimodal approach that combines exercise, manual therapy, and education is more effective than any single intervention.

Answer 3

True

Question 3

When should surgical intervention be considered for shoulder tendinitis?
A) As a first-line treatment
B) When conservative management fails
C) Immediately after diagnosis
D) Only if the patient prefers surgery over exercise therapy
Answer: B) When conservative management fails

Answer 3

B) When conservative management fails

Question 3

T/F6: Ultrasound can be used for a dynamic assessment of shoulder tendinitis.

Answer 3

True

Question 3

T/F7: Acetaminophen and NSAIDs are commonly prescribed for shoulder tendinitis pain management.

Answer 3

True

Question 3

T/F8: ESWT is ineffective for reducing pain in shoulder tendinitis.

Answer 3

A: False – It has shown moderate short-term effectiveness.

Question 3

MCQ1: Which of the following is the preferred first-line treatment for shoulder tendinitis?

A) Corticosteroid injections
B) Surgery
C) Exercise therapy
D) Immobilization for 6 weeks

Answer 3

C) Exercise therapy

Question 4

What is the main role of manual therapy in shoulder tendinitis management?
A) Replace exercise therapy
B) Provide temporary pain relief and improve joint mobility
C) Eliminate the need for patient education
D) Increase dependence on passive treatments

Answer 4

B) Provide temporary pain relief and improve joint mobility

Question 4

T/F10: Posture and ergonomics have no impact on shoulder tendinitis management.

Answer 4

A: False – Proper posture and ergonomics play a crucial role in long-term management.

Question 4

Which diagnostic test is used to assess subacromial impingement? A) Neer test B) Lachman test C) Anterior Drawer test D) Finkelstein test

Answer 4

A) Neer test

Question 5

Which of the following is NOT a common differential diagnosis for shoulder tendinitis? A) Adhesive capsulitis B) Glenohumeral instability C) Carpal tunnel syndrome D) Calcific tendinitis

Answer 5

C) Carpal tunnel syndrome

Question 6

Which of the following is an effective adjunct therapy for shoulder tendinitis? A) Cryotherapy B) Extracorporeal shockwave therapy (ESWT) C) Bed rest D) Avoiding all physical activity

Answer 6

B) Extracorporeal shockwave therapy (ESWT)

Question 6

Which of the following factors is important for preventing recurrence of shoulder tendinitis? A) Immobilization for several weeks B) Proper posture and ergonomic modifications C) Avoiding all overhead activities permanently D) Relying only on pain medications

Answer 6

B) Proper posture and ergonomic modifications

Question 6

Which of the following is NOT a commonly recommended exercise for shoulder tendinitis? A) Scapular stabilization B) Eccentric strengthening C) Heavy weightlifting immediately after diagnosis D) Stretching exercises

Answer 6

C) Heavy weightlifting immediately after diagnosis

Question 6

What is the primary purpose of patient education in managing shoulder tendinitis? A) To improve adherence to exercise programs B) To replace physical therapy interventions C) To encourage patients to seek surgical intervention sooner D) To avoid the need for imaging tests

Answer 6

A) To improve adherence to exercise programs