Musculoskeletal Review Questions #3

Question 1

Which muscle would be split during total hip arthroplasty surgery using a posterolateral surgical approach?

gluteus maximus
gluteus medius
piriformis
vastus lateralis

Answer 1

glute max

Question 2

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

Answer 2

hip flexion beyond 90 degrees, internal rotation, adduction

Question 3

Arthroplasty of which joint has the best post surgical outcomes?

ankle
shoulder
knee
hip

Answer 3

hip

Question 4

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

Answer 4

bed mobility and transfers

Question 5

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

Answer 5

sitting with knee flexed

Question 6

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

Answer 6

hip flexion greater than 90

Question 7

A complete laminectomy involves removal of all of the following except the:

lamina
ligamentum flavum
spinous process
transverse process

Answer 7

transverse

Question 8

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

Answer 8

subacromial decompression

Question 9

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

Answer 9

lateral rotation, horizontal abduction, extension

Question 10

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

Answer 10

calcaneofibular lig

Question 11

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

Answer 11

McGill pain questionnaire

Question 12

Pain described as deep, boring, and localized is most likely associated with:

bone
vascular structures
nerve
ligament

Answer 12

bone

Question 13

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

Answer 13

referred pain

Question 14

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

Answer 14

centralization

Question 15

Pain produced by a non-noxious stimulus is best described as:

analgesia
allodynia
dysesthesia
hyperalgesia

Answer 15

allodynia

Question 16

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

Answer 16

Gate Control Theory

Question 17

Which of the following is not a characteristic of chronic pain?

long duration
diffuse
sharp
aching

Answer 17

sharp

Question 18

According to the Wong-Baker Faces Pain Rating Scale, what score should be assigned to the depicted image?

10
8
2
0

Answer 18

0

Question 19

According to the gate control theory of pain, nociceptive information is transmitted via:

C fibers
A beta fibers
A gamma fibers
D fibers

Answer 19

C fibers

Question 20

What origin of pain can be referred superficially, but typically has a deep aching quality?

cutaneous
musculoskeletal
visceral
central

Answer 20

visceral

Question 21

Which condition would be the most likely to be treated with a heel lift?

Achilles tendonitis
hallux rigidus
metatarsalgia
pes cavus

Answer 21

achilles tendonitis

Question 22

What mechanism of injury is commonly associated with this structure?

twisting on a planted foot
compression force
valgus force
excessive posterior force

Answer 22

twisting on a planted foot

Question 23

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

Answer 23

lateral rotation, abduction, medial rotation

Question 24

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

Answer 24

anterior cruciate ligament

Question 25

Which structure would be necessary to palpate with a suspected Colles’ fracture?

scaphoid
distal ulna
fifth metacarpal
distal radius

Answer 25

distal radius

Question 26

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

Answer 26

congenital hip dysplasia

Question 27

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

Answer 27

adhesive capsulitis

Question 28

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

Answer 28

proximal to the insertion on the calcaneus

Question 29

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

Answer 29

stage 1

Question 30

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

Answer 30

able to participate in light recreational sports

Question 31

The “unhappy triad” refers to an injury to all of the following except:

anterior cruciate ligament
lateral collateral ligament
medial collateral ligament
medial meniscus

Answer 31

LCL

Question 32

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

Answer 32

negative thompson test

Question 33

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

Answer 33

left occipitoparietal bone

Question 34

Unequal limb length in a newborn may be indicative of:

torticollis
fetal alcohol syndrome
congenital hip dislocation
spina bifida

Answer 34

congenital hip dislocation

Question 35

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

Answer 35

enlarging and deepinging the acetabulum

Question 36

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

Answer 36

speed’s test

Question 37

The majority of congenital limb deficiencies are caused by:

genetics
infection
maternal drug exposure
inadequate blood supply

Answer 37

genetics

Question 38

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

Answer 38

lateral cervical flexion to the same side as the contracture and rotation to the opposite side

Question 39

Congenital torticollis is caused by a unilateral contracture of which muscle?

levator scapulae
middle scalene
sternocleidomastoid
trapezius

Answer 39

SCM

Question 40

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

Answer 40

Ludington’s test