Musculoskeletal Review Questions #3 Flashcards
Which muscle would be split during total hip arthroplasty surgery using a posterolateral surgical approach?
gluteus maximus
gluteus medius
piriformis
vastus lateralis
glute max
Which of the following are the typical hip precautions for a total hip arthroplasty using a posterolateral approach?
hip external rotation, adduction, flexion beyond 90 degrees
hip extension, external rotation
hip internal rotation, extension, adduction
hip flexion beyond 90 degrees, internal rotation, adduction
hip flexion beyond 90 degrees, internal rotation, adduction
Arthroplasty of which joint has the best post surgical outcomes?
ankle
shoulder
knee
hip
hip
Which interventions would be the primary focus during initial physical therapy sessions in the hospital following spinal fusion surgery?
lifting instructions and palliative modalities
bed mobility and transfer training
gait training and core stabilization exercises
pain management and range of motion
bed mobility and transfers
What activity should be avoided immediately following a total knee replacement?
quadriceps sets
sitting with the knee flexed for prolonged periods
lying in bed with the knee extended
sitting in a firm chair
sitting with knee flexed
In order to minimize the risk of hip dislocation after a posterolateral total hip arthroplasty, the therapist should instruct the patient to avoid:
hip flexion greater than 90 degrees
hip external rotation greater than 5 degrees
hip abduction
hip extension greater than 5 degrees
hip flexion greater than 90
A complete laminectomy involves removal of all of the following except the:
lamina
ligamentum flavum
spinous process
transverse process
transverse
Which procedure is typically performed when cases of shoulder impingement do not resolve with conservative treatment?
capsular shift procedure
rotator cuff repair
subacromial decompression
total shoulder arthroplasty
subacromial decompression
What positions should be avoided following a capsular shift procedure performed on the anterior capsule?
lateral rotation, horizontal abduction, extension
lateral rotation, horizontal adduction, flexion
medial rotation, horizontal abduction, extension
medial rotation, horizontal adduction, flexion
lateral rotation, horizontal abduction, extension
A complete tear of which ligament is most often associated with a lateral ankle reconstruction?
anterior tibiofibular ligament
calcaneofibular ligament
deltoid ligament
posterior talofibular ligament
calcaneofibular lig
Which standard method of assessing pain is the most widely used?
Brief pain inventory
Verbal descriptor scale
McGill pain questionnaire
Wong-Baker pain rating scale
McGill pain questionnaire
Pain described as deep, boring, and localized is most likely associated with:
bone
vascular structures
nerve
ligament
bone
What term refers to a perception of pain at a site other than the site where the pathology occurs?
radicular pain
referred pain
perceptual pain
sensory pain
referred pain
Which term is most consistent with radicular pain that is no longer experienced in the legs and instead exists only in the back?
peripheralization
centralization
neurapraxia
neutralization
centralization
Pain produced by a non-noxious stimulus is best described as:
analgesia
allodynia
dysesthesia
hyperalgesia
allodynia
Which theory is characterized by using a non-painful stimulus in order to reduce or suppress active pain?
opioid theory
Gate control theory
Adam’s closed loop theory
Smith’s learning theory
Gate Control Theory
Which of the following is not a characteristic of chronic pain?
long duration
diffuse
sharp
aching
sharp
According to the Wong-Baker Faces Pain Rating Scale, what score should be assigned to the depicted image?
10
8
2
0
0
According to the gate control theory of pain, nociceptive information is transmitted via:
C fibers
A beta fibers
A gamma fibers
D fibers
C fibers
What origin of pain can be referred superficially, but typically has a deep aching quality?
cutaneous
musculoskeletal
visceral
central
visceral
Which condition would be the most likely to be treated with a heel lift?
Achilles tendonitis
hallux rigidus
metatarsalgia
pes cavus
achilles tendonitis
What mechanism of injury is commonly associated with this structure?
twisting on a planted foot
compression force
valgus force
excessive posterior force
twisting on a planted foot
What limitation of movement would be most anticipated in a patient with a frozen shoulder?
lateral rotation, abduction, medial rotation
lateral rotation, adduction, medial rotation
lateral rotation, flexion, medial rotation
lateral rotation, extension, medial rotation
lateral rotation, abduction, medial rotation
Immediate and severe swelling following a knee injury would most likely indicate damage to the:
meniscus
posterior cruciate ligament
medial collateral ligament
anterior cruciate ligament
anterior cruciate ligament
Which structure would be necessary to palpate with a suspected Colles’ fracture?
scaphoid
distal ulna
fifth metacarpal
distal radius
distal radius
What medical condition would likely result in a decreased percentage of the femoral head being within the acetabulum?
acetabular labral tear
ankylosing spondylitis
femoroacetabular impingement
congenital hip dysplasia
congenital hip dysplasia
Which shoulder pathology is characterized by a marked limitation in motion in a capsular pattern due to thickening and tightness within the glenohumeral capsule?
adhesive capsulitis
degenerative joint disease
bursitis
impingement syndrome
adhesive capsulitis
Where does a patient with Achilles tendonitis typically experience the most pain and swelling?
in the popliteal fossa posterior to the knee
immediately proximal to the ball of the foot
proximal to the insertion on the calcaneus
throughout the muscle belly of the gastrocnemius
proximal to the insertion on the calcaneus
What stage of idiopathic frozen shoulder is most likely to present with intact rotator cuff strength and night pain?
stage 1
stage 2
stage 3
stage 4
stage 1
A person with an anterior cruciate ligament deficiency, who elects not to have surgical reconstruction, could probably expect to reach what minimal functional level?
able to participate in all sports without restrictions
able to participate in light recreational sports
cannot play any type of sport
problems with normal walking
able to participate in light recreational sports
The “unhappy triad” refers to an injury to all of the following except:
anterior cruciate ligament
lateral collateral ligament
medial collateral ligament
medial meniscus
LCL
Which clinical finding is not indicative of a ruptured Achilles tendon?
negative Thompson test
absent Achilles reflex
lack of toe off during gait
inability to actively plantar flex the ankle
negative thompson test
A child with right torticollis would most likely present with plagiocephaly in the area of the:
right frontal bone
left frontal bone
left occipitoparietal bone
right occipitoparietal bone
left occipitoparietal bone
Unequal limb length in a newborn may be indicative of:
torticollis
fetal alcohol syndrome
congenital hip dislocation
spina bifida
congenital hip dislocation
What is the goal of therapeutic intervention associated with developmental dysplasia of the hip?
internal fixation
enlarging and deepening the acetabulum
replacing the femoral head
compensating for a leg length discrepancy
enlarging and deepinging the acetabulum
Which of the following special tests may be used to help confirm a suspected diagnosis of bicipital tendonitis?
apprehension test
empty can test
Hawkins-Kennedy test
Speed’s test
speed’s test
The majority of congenital limb deficiencies are caused by:
genetics
infection
maternal drug exposure
inadequate blood supply
genetics
What is the typical clinical presentation of a child with congenital torticollis?
lateral cervical flexion and rotation to the same side as the contracture
lateral cervical flexion and rotation to the opposite side of the contracture
lateral cervical flexion to the same side as the contracture and rotation to the opposite side
lateral cervical flexion to the opposite side as the contracture and rotation to the same side
lateral cervical flexion to the same side as the contracture and rotation to the opposite side
Congenital torticollis is caused by a unilateral contracture of which muscle?
levator scapulae
middle scalene
sternocleidomastoid
trapezius
SCM
Which of the following special tests is used to identify the presence of a biceps tendon rupture?
Neer impingement test
empty can test
Roos test
Ludington’s test
Ludington’s test
