MSK1: 1st Shifting

Question 1

In which part of the SOAP note will you document the
information such as results of ancillary procedure?

Answer 1

History of present illness

Question 2

TRUE OR FALSE: The PT document may be used against the therapist so one should be truthful in writing the document at all times

Answer 2

True

Question 3

TRUE OR FALSE: The patient is the one and only source of information. The
PT should not interview anyone besides the patient.

Answer 3

False

Question 4

TRUE OR FALSE: The PT document may be used to reimburse expenses for
services rendered

Answer 4

True

Question 5

TRUE OR FALSE: Palpation should always be done first in order to assess
the extent of pain

Answer 5

False

Question 6

TRUE OR FALSE: The quickest way to test for the range of motion of the
shoulder is by doing Apleys Scratch Test

Answer 6

True

Question 7

TRUE OR FALSE: In writing initial evaluation notes, plan of treatment should
be written at exact same sequence of performance

Answer 7

True

Question 8

TRUE OR FALSE: Ocular Inspection includes visible defects, functional
deficits and body alignment

Answer 8

True

Question 9

TRUE OR FALSE: When writing a subjective evaluation, use of medical
jargons is acceptable since patients have no access to
such records and only medical professional can read it

Answer 9

False

Question 10

TRUE OR FALSE: Documentation can be used for legal, research and quality
assurance and improvement purpose

Answer 10

True

Question 11

TRUE OR FALSE: Use of correction tapes and fluids are highly advisable in
documentation to ensure cleanliness of the task

Answer 11

False

Question 12

TRUE OR FALSE: Shoulder depression test should only be done if the patient, at the time of the examination, is symptomatic.

Answer 12

False

Question 13

TRUE OR FALSE: Examination is only used to refute suspected diagnosis

Answer 13

False

Question 14

TRUE OR FALSE: One must follow the head-to-foot format when document
findings under postural analysis

Answer 14

True

Question 15

TRUE OR FALSE: Use of correction tapes and fluids are allowed when making corrections to ensure cleanliness of the document

Answer 15

False

Question 16

TRUE OR FALSE: When writing a subjective evaluation, use of medical jargons is acceptable since patients have no access to
medical their medical records

Answer 16

False

Question 17

TRUE OR FALSE: In documenting your findings, you must write all the (+)
findings first before the (-) findings

Answer 17

True

Question 18

Pt cannot maintain standing without holding the parallel bars. Document this finding
a. O: FA> P static standing balance
b. O: FA> F static standing balance
c. O: FA> P dynamic standing balance
d. O: FA> F dynamic standing balance

Answer 18

a. O: FA> P static standing balance

Question 19

Upon evaluation, you have found out that patient works as a call center agent in Ortigas City for 8 hours a day with a
lot of desk job activities. He also says that his computer monitor is not eye leveled and his eyes are approximately 6 inches away from the computer monitor. So, as PT where will you document the finding about the distance of his eyes to the monitor?

Answer 19

Physical environment

Question 20

Choosing an outcome measure should follow the “outcome measure tools should measure what it is supposed to measure” principle. What is being defined in the statement?

Answer 20

Validity

Question 21

You are assisting a patient with bed to wheelchair transfers. You provide the patient with 50% assist in order to complete the task. What degree of assist did you offer
the patient?

Answer 21

Moderate

Question 22

Based on the ICF model, how will you classify weakness

Answer 22

Impairment

Question 23

Where do you document swelling?

Answer 23

Ocular inspection

Question 24

You noted a blue violet discoloration on the patient’s ® front thigh. Which of the following entries is correct?
a. O: OI> (+) swelling on anterior aspect of ® thigh
b. O: OI> (+) cyanosis on anterior aspect of ® femur
c. O: OI> (+) hematoma on ® thigh
d. None of the above

Answer 24

c. O: OI> (+) hematoma on ® thigh

Question 25

Which of the following entries under postural analysis is incorrect?
a. O: PA> (+) lateral view> (+) forward head posture
b. O: PA> posterior view> (+) too many toes sign on ®
c. O: PA> Anterior view> (+) protruded abdomen
d. O: PA> posterior view> ® shoulder higher than (L)
e. None of the above

Answer 25

c. O: PA> Anterior view> (+) protruded abdomen

Question 26

These are factual findings from the examination or
assessment gathered by the PT

Answer 26

Signs

Question 27

The resisted isometric examinations should be done with the joint in resting or ____ position

Answer 27

Neutral

Question 28

You are interviewing your patient who was diagnosed with adhesive capsulitis on the (R) shoulder 4 months ago. You were able to deduce that at present, the patient presents
with severe pain and that there is progressive LOM developing on the joint. Given the information above, the most probable stage of adhesive capsulitis the patient is in, is at
a. freezing
b. frozen
c. thawing

Answer 28

a. freezing

Question 29

With the patient seated on a chair, the arm at the side of the trunk, the elbow bent to 90º and the forearm positioned in midpronation and rested on a table, the PT’s one hand supports the forearm while patient attempts to move the arm towards the body. The PT’s other hand is placed on the superior-anterior aspect of the axilla. You then felt a “little push” at the right axilla. Document this finding.
a. (+) muscle spasm on the (R) chest (R) chest
b. (+) muscle guarding on the (+) tightness of the (R)
c. pectoralis major muscle
d. (R) Pectoralis Major 1/5

Answer 29

d. (R) Pectoralis Major 1/5

Question 30

Modification of the sulcus sign

Answer 30

Feagin test

Question 31

You have a 25 yo baseball pitcher who complains of pain on R shoulder during elevation of arm. Upon assessment, you noted clicking and catching during motion especially when raising arm. Condition started when patient fell on the fall with an outstretched limb. What anatomic structure
is being tested by your confirmatory test?
a. Rotator cuff
b. AC joint
c. Labrum
d. Glenohumeral ligaments

Answer 31

c. Labrum

Question 32

You have a patient diagnosed with R subacromial bursitis. Which of the following is a consistent finding
a. “O: ROM> AROM> (R) shoulder abduction 0-40 degrees, endfeel= empty “
b. “O: ROM> AROM> (R) shoulder abduction 0-180 degrees, endfeel= firm c pain @ endrange”
c. “O: ROM> AROM> ® shoulder abduction 0-100 degrees, endfeel= empty”
d. None of the above

Answer 32

c. “O: ROM> AROM> ® shoulder abduction 0-100 degrees, endfeel= empty”

Question 33

Sitting, arm supported on table in 90º of abduction, elbow partially flexed. Pt slides the arm across the table in horizontal abduction and completes range.

What muscle grade is given?

Answer 33

Grade 2

Question 34

Prone, pt’s head turned to one side and the trunk at the edge of the plinth. The entire limb hands down loosely with the shoulder in neutral rotation, palm facing the table. Pt
performed 0-50 of shoulder lateral rotation

What muscle grade is given?

Answer 34

Grade 2-

Question 35

A pt in prone with shoulder internally rotated, elbow flexed and hand resting on the back is the testing position for a F
muscle strength of

Answer 35

Rhomboids

Question 36

A pt was referred to you following MD dx of R adhesive capsulitis. Pt reported that the condition started 2 weeks ago and worsened as the days passed. While probing, you were informed that pt was diagnosed with the same condition a year ago but on the opposite UE. Document this finding
a. S: Pt c/o pain on the (R) shoulder and was diagnosed with (R) adhesive capsulitis
b. S: HPI: Condition started 1 year ago when pt was diagnosed with (L) adhesive capsulitis. Condition improved until 2 weeks ago when pt was diagnosed with (R) adhesive capsulitis.
c. S: PMHx: Pt reports being diagnosed with (L) adhesive capsulitis 1 year ago.

Answer 36

c. S: PMHx: Pt reports being diagnosed with (L) adhesive capsulitis 1 year ago.

Question 37

A positive Heuters sign suggests a pathology on the biceps brachii muscle. The Heuters sign is the term used to describe the forearm supination movement when elbow flexion is resisted.
A. Only the 1st statement is true
B. Only the 2nd statement is true
C. Both statements are true
D. Both statements are false

Answer 37

B. Only the 2nd statement is true

Question 38

While touching the pt’s R shoulder, you noted the pt complained of pain, cringed, held his right shoulder and asked you to stop the examination. Document this finding
a. O: palpation> Gr. 1 tenderness on the (R) shoulder
b. O: Palpation> Gr. 2 tenderness on the (R) shoulder
c. O: Palpation> (+) Gr. 3 tenderness on the (R) shoulder
d. O:Palpation> Gr. 4 tenderness on the (R) shoulder
e. O: Palpation> (+) Gr. 5 tenderness on the (R) shoulder

Answer 38

d. O:Palpation> Gr. 4 tenderness on the (R) shoulder

Question 39

Using a reflex hammer, you tapped on the antecubital area and noted a slight contraction on the R upper arm. Document this finding
a. O: DTR> Hyporeflexia of the (R) brachioradialis
b. O: DTR> Hyporeflexia of the (R) biceps brachii
c. O: DTR> Normoreflexia on the (R) brachioradialis
d. O:DTR> Normoreflexia of the (R) biceps brachii

Answer 39

b. O: DTR> Hyporeflexia of the (R) biceps brachii

Question 40

In performing Yergason test, what is/are the motion/s that the therapist should resist?

Answer 40

Supination & ER of shoulder

Question 41

You opted to use a questionnaire that assesses both pain and disability scores. This questionnaire has two domains. The first domain consists of 5 questions. The second
domain has 8 questions. Three of the five questions of the first domain were given a score of 8 while the rest were marked 9 points. Fifty percent of the questions of the
second domain were given a score of 5 while the rest were marked 6 points. How will you document this finding?
a. O: FA> SPADI> Score: 66.15%
b. O: FA> SPADI> Total SPADI score: 66.15%
c. O: FA> DASH> Total DASH Score: 66.15%
d. O: FA> DASH> Total DASH disability score: 66.15%
e. None of the above

Answer 41

b. O: FA> SPADI> Total SPADI score: 66.15%

Question 42

You are observing the skin on the upper extremities of your geriatric patient who was admitted 2 weeks ago. Knowing that the patient has decreased sympathetic
activity, you are expecting that the skin may most likely be:
a. Reddish
b. Cyanotic
c. Dry and scaly
d. Smooth, shiny, glossy

Answer 42

c. Dry and scaly

Question 43

Which of the following statement/s in subjective evaluation is/are least appropriate to ask the patient?
a. When does the condition start?
b. How many stair-steps do you have in your house?
c. Do you have any past conditions that i need to know
d. Are you a smoker or alcoholic beverage drinker
e. None of the above

Answer 43

e. None of the above

Question 44

When screening the patient, you thought of slowing down to think that patient needs to be referred back to the physician in order to rule out any serious conditions. This
falls under which type of signs and symptoms?
a. Red
b. Yellow
c. White
d. Orange

Answer 44

a. Red

Question 45

You measured the range of your patient’s external rotation. While passively moving the patient’s UE towards the end of the desired movement, you noted a restriction at the
end of the completed range. How will you document the end feel and what could possibly cause this?
a. Firm, bc of the tension of the ant. joint capsule, the GH and coracohumeral ligaments
b. Firm, bc of the tension in the subscapularis, teres major, and the clavicular fibers of the pectoralis major
c. Firm, bc of the tension in the latissimus dorsi, sternocostal fibers of the pectoralis major and minor, and the serratus anterior
d. All are correct.
e. None of the above

Answer 45

c. Firm, bc of the tension in the latissimus dorsi, sternocostal fibers of the pectoralis major and minor, and the serratus anterior

Question 46

You asked the patient to stand still. While looking at the side, you noticed that both knees seem hyperextended. How will you document this finding?
a. O: PA> (+) genu valgum
b. O: PA> (+) genu varum
c. O: PA> (+) genu recurvatum
d. O: OI> (+) postural deviations (see PA)
e. None of the above

Answer 46

e. None of the above

In PA, view is lacking and it should be the deviation of specific structure, not name
of deformity (OI)

Question 47

You asked the patient to stand still. While looking at the side, you noticed that there seems to be an exaggeration of lumbar spine extension. How will you document this
finding?
a. O: PA> (+) hyperextended lumbar spine
b. O: PA > (+) kyphosis of the lumbar spine
c. O: PA> (+) lumbar lordosis
d. O: PA> (+) protruded abdomen
e. None of the above

Answer 47

e. None of the above

View is lacking

Question 48

You asked your patient to clip his (R) arm on his thorax and flex his elbow to 90 degrees. After this you instructed the patient to externally and internally rotate his forearm while you palpate the anterior aspect of his proximal upper arm. There was an underlying structure that moves and exerts
pressure on your palpating fingers as the patient does external and internal rotation. This is best documented as:
a. O> Special Test> (+) Hawkins-Kennedy test
b. O> Special Test> (-) Hawkins-Kennedy test
c. O> Special Test> (+) Yergason test
d. O> Special Test> (-) Yergason test

Answer 48

d. O> Special Test> (-) Yergason test

Question 49

Patient complains of pain on resisted shoulder IR and passive shoulder external rotation. Which area should be palpated to rule out tendinitis?
a. Superior border of the greater tubercle of the humerus
b. Inferior border of the greater tubercle of the humerus
c. Lesser tubercle of the humerus
d. Anterior capsule of the shoulder

Answer 49

c. Lesser tubercle of the humerus

Internal rotator is attached on the lesser tubercle

Question 50

C.E. a 45 y/o (L)-handed, (+) DM, (-) Htn c/o difficulty in combing her hair and reaching on overhead cabinets d/t restriction felt when doing these activities using her (L)
UE. Pt claims that about 4 months ago, she felt progressive, deep, aching pain graded 10/10 on (L) shoulder until it subsides with the pain presently graded 4/10. PE revealed severe LOM on (L) shoulder, (+) muscle
guarding on (L) shoulder, hypomobility of the (L) GH joint, (+) forward head posture. The patient presents with LOM during shoulder movements especially during elevation
activities. As PT, you know that during elevation of the shoulder the humeral head translates inferiorly. Which of the following structures provides this inferior translation?
a. Negative joint pressure within the joint
b. Glenohumeral ligaments
c. Glenoid labrum
d. Suprahumeral ligament

Answer 50

d. Suprahumeral ligament

Question 51

C.E. a 45 y/o (L)-handed, (+) DM, (-) Htn c/o difficulty in combing her hair and reaching on overhead cabinets d/t restriction felt when doing these activities using her (L)
UE. Pt claims that about 4 months ago, she felt progressive, deep, aching pain graded 10/10 on (L) shoulder until it subsides with the pain presently graded 4/10. PE revealed severe LOM on (L) shoulder, (+) muscle
guarding on (L) shoulder, hypomobility of the (L) GH joint, (+) forward head posture. Upon radiographic assessment, which of the following is commonly seen that will confirm
the diagnosis of the patient?
a. Microtears on shoulder musculature
b. Osteophyte formation in the joint
c. Synovities of the GD
d. Fibroblastic proliferation with increased collagen formation

Answer 51

d. Fibroblastic proliferation with increased collagen formation

Question 52

With the patient in short sitting, with the arm flexed to 90 degrees, you asked the patient to try to hold your arm in this position. With one hand in front of the inferior angle of the axillary border of the right scapula, you noted a palpable muscle hardening. How do you document this finding?
a. O: Palpation> (+) muscle guarding of the ®
subscapularis muscle
b. O: Palpation> (+) muscle guarding of the ® serratus anterior muscle
c. O: MMT> Gr. 1/5 of the (R) subscapularis muscle
d. O: MMT> Gr. 1/5 of the (R) serratus anterior muscle
e. None of the above

Answer 52

d. O: MMT> Gr. 1/5 of the (R) serratus anterior muscle