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Module 8 theory > OA > Flashcards

OA Flashcards

1
Q

Your client complains of tingling in their hand. You have ruled out any cervical or thoracic outlet problems. The client has no reproduction of symptoms with wrist ROM testing. Based on this information, which one of the following orthopedic tests would you perform to help you confirm the source of neurological compression?

A

Pronator teres test

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2
Q

Which of the following is NOT a cause of temporomandibular joint dysfunction?

A

Nutritional deficiencies

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3
Q

Which one of the following pairs of orthopedic tests would you use to differentiate thoracic outlet syndrome from carpal tunnel syndrome?

A

Adson’s test and Phalen’s test

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4
Q

Phalen’s test is performed:

A

By flexing the wrists, which compresses the structures in the carpal tunnel

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5
Q

A client comes to you complaining of dull achy shoulder pain. You find the following on assessment:1. pain in the proximal lateral brachium between 60 - 100active free abduction 2. no pain on passive relaxed abduction and flexion 3. pain in the proximal lateral brachium with the supraspinatus test 4. pain in the proximal lateral brachium with Speed’s testWithout further testing, which of the following structures can be ruled out as the source of the client’s pain?

A

acromioclavicular joint

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6
Q

Apley’s Compression test is an assessment for________________,while Apley’s Distraction test is an assessment for_____________.

A

meniscal injury, collateral ligaments

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7
Q

Your client complains about foot pain. You observe the client to have swelling at the medial longitudinal arch, pain with the first few steps after non-weight bearing and paresthesia with compression along the medial aspect of the foot. To rule out vascular damage, which orthopedic test would you perform?

A

Homan’s sign

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8
Q

When testing the stability of the lateral collateral ligament of the knee, one hand stabilizes on the medial side of the knee and the other hand (at the ankle) applies force:

A

Medially

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9
Q

When assessing a client’s TMJ, which range of motion finding would not be normal?

A

Protrusion from 40-50mm

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10
Q

Which one of the follow findings would you expect to find in a client with a lumbar facet irritation?

A

Positive Kemp’s test

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11
Q

A C5 deep tendon reflex is elicited by tapping the tendon of:

A

Biceps brachii

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12
Q

You notice that the client has pain at approximately 170° during the painful arc test. Which one of the following problems is indicated by this finding?

A

Acromioclavicular joint compression

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13
Q

Which one of the following tests is used to evaluate the medial menisci of the knee?

A

Bragards Sign

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14
Q

Which one of the following spinal cord segments is assesses with the triceps reflex?

A

C7

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15
Q

Ober’s test assesses:

A

Iliotibial band contracture

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16
Q

An abnormally low medial longitudinal arch of the foot is called:

A

Pes planus

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17
Q

Which one of the following spinal cord levels is assessed by striking the medial hamstring tendon with a reflex hammer?

A

S1

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18
Q

To assess the integrity of the medial ligaments of the ankle, you would perform:

A

Eversion

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19
Q

Which of the end range movements results in a normal bone to bone endfeel?

A

Ulnar deviation

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20
Q

Which one of the following tests is used to assess for a space occupying lesion within the spinal canal?

A

Valsalva’s test

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21
Q

If sustained passive forced flexion of the wrist provoked tingling and numbness in the palmar surface of the first 3 digits, you would suspect:

A

Carpal tunnel syndrome

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22
Q

Which one of the following tests is used to evaluate the anterior cruciate ligament of the knee?

A

Anterior drawer test

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23
Q

Which one of the following tests is performed by palpating the client’s radial pulse and hyperabducting the client’s shoulder?

A

Wright’s test

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24
Q

Which one of the following tests assesses for trigger points in the scalene muscles?

A

Scalene cramp test

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25
Q

Your client injured their knee. You perform a valgus stress test which causes knee pain. Which one of the following structures do you think your client has damaged?

A

medial collateral ligament

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26
Q

Which one of the following intake questions is effective for helping you determine if a client has tendinits?

A

Do you perform any repetitive movements?

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27
Q

During the Trendelenburg Test, while the right leg is weight bearing, the left side of the pelvis drops below level. This indicates:

A

Weakness of gluteus medius on the right

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28
Q

While doing a straight leg raise test, the purpose of dorsiflexing the client’s ankle or flexing the client’s neck is to:

A

Add tension to the dura

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29
Q

Positioning the hip of the supine patient in flexion, abduction and external rotation you are preparing to do a:

A

Faber’s test

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30
Q

Which one of the following tests does NOT assess the menisci of the knee?

A

Valgus stress test

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31
Q

A client with a genu varum has:

A

Bowed legs

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32
Q

Which one of the following problems would be indicated in a client who presents with a “clicking” sound in active range of motion of the knee and who’s knee “locks” in place on occasion?

A

Meniscal problem

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33
Q

Which one of the following assessment sequences is in the correct order?

A

Intake questions, postural assessment, orthopaedic assessment, palpation

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34
Q

Which one of the following statements about range of motion assessment is TRUE?

A

Passive relaxed ROM assesses the inert structures of a joint.

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35
Q

Which one of the following is a test to determine iliopsoas spasm?

A

Patricks/Faber

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36
Q

Gaenslen’s sign is a test for all of the following EXCEPT:

A

Rectus femoris contracture

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37
Q

The Kendell test assesses:

A

Rectus Femoris Contracture

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38
Q

Which one of the following statements regarding the rotation of the spine that occurs with scoliosis is TRUE?

A

Named according to the apex of the curve on the convexity.

39
Q

Which one of the following landmarks does a plumb line fall through in the lateral view, when examining a person with correct postural alignment?

A

greater trochanter

40
Q

If extension and rotation of the cervical spine caused sharp shooting pain down the upper limb you would suspect:

A

Nerve root compression

41
Q

Which one of the following positions would relieve compression and decrease the pain associated with an acute L4/L5 facet irritation?

A

Flexion and contralateral side-bending & rotation

42
Q

Which one of the following problems is indicated when pain is relieved by the cervical distraction test?

A

Nerve root impingement

43
Q

Which one of the following is the first step in the assessment procedure?

A

Client completes medical history form

44
Q

Which one of the following is always considered to be an abnormal end-feel?

A

Springy

45
Q

Which one of the following statements regarding ROM is TRUE?

A

Normally passive relaxed ROM is slightly greater than the active free ROM.

46
Q

Myotome testing gives the therapist information regarding:

A

Motor innervation from the nerve root

47
Q

The test that determines if there is an Achilles rupture is:

A

Thompsons test

48
Q

The specific test used to identify tenosynovitis of the tendon sheath of extensor pollicis brevis and abductor pollicis longus is called:

A

Finklesteins’s test

49
Q

Allen’s test at the wrist is for:

A

Blood supply of the radial and ulnar arteries

50
Q

If your client had a positive chovostek test you would have a pathology in what structure?

A

Cranial nerve 7

51
Q

A client comes to you with a callus that develops over the medial side of the head of the metatarsal bone, where the bursa becomes inflamed and excessive bone forms. This is called:

A

Bunion

52
Q

The upper limb tension test that places tension on the ulnar nerve is:

A

ULTT 4

53
Q

The posterior rotation of the ilium on the sacrum as seen in a posterior pelvic tilt is:

A

Nutation

54
Q

Which statement regarding leg length testing is TRUE?

A

Measurement from umbilicus to medial malleolus is done in functional shortening test

55
Q

The sensation of the 5th digit of the foot is innervated by what nerve root:

A

S1

56
Q

When performing passive relaxed range of motion on the thoracic spine, which positioning is correct:

A

Client seated

57
Q

Which special test is used to differentiate dizziness/vertigo caused by articular problems from that caused by vascular problems:

A

Hautants

58
Q

A thoracic spine observation that results from postmenopausal osteoporosis would be:

A

Dowagers hump

59
Q

You have decided to use joint play to assess the lumbar spine vertebral column, this form of assessment can replace findings that you would get in what other assessment:

A

Passive relaxed range of motion

60
Q

Johnny comes to you with some complaints of weakness and numbness & tingling in his right arm. Upon assessment you discover: 1. Weakness in ulnar deviation and thumb extension 2. Altered sensation along the medial arm and forearm including the 4th-5th digit 3. Hyporeflexia in the triceps reflex 4. Pain in his posterior neck, primarily on right side, What condition do you think Johnny may be presenting with:

A

Nerve root compression to C8

61
Q

When performing the straight leg test, the only version of this test that uses plantar flexion is testing which one of the following nerves:

A

Common fibular nerve

62
Q

What is the normal end feel for extension of the hip joint:

A

Tissue Stretch

63
Q

When asking for consent to assess, which of the following IS an appropriate alternative to the assessment you have proposed?

A

Palpation

64
Q

You have now completed your assessment, which of the following steps is next:

A

Formulating clinical impression

65
Q

Symptoms are:

A

Subjective information, felt by the client

66
Q

In principle, if resisted action in one direction, passive stretching in the opposite direction, and palpation all provoke a painful response from the client, the most likely site of a lesion would be:

A

Musculotendinous

67
Q

A lateral plumb line passing through the external auditory meatus and the greater trochanter of the femur should also pass:

A

Posterior to the patella

68
Q

AR ROM is always done:

A

Against the therapists resistance

69
Q

While doing ROM, you discover that your client has reduced active free range of motion in one direction. You are able to passively move the joint through all ranges of motion in all directions. The most likely cause of restriction is:

A

Muscle

70
Q

A client with a grade 2 during Active Resisted testing during ROM has:

A

Ability to contract against gravity but not against resistance

71
Q

Which one of the following statements regarding postural assessment is FALSE?

A

You can accurately assess a condition when the client is fully dressed.

72
Q

Which of the following is NOT a red flag in examination?

A

Edema

73
Q

Which one of the following pieces of information is NOT gained through postural assessment?

A

the amount of movement of a part of the client’s body

74
Q

Which one of the following sets of landmarks are observed in the posterior view of a postural assessment?

A

spines and inferior angles of the scapulae

75
Q

Which one of the following statements regarding posture is FALSE?

A

Faulty posture has little affect on the body other than muscular fatigue.

76
Q

Which one of the following sequences represents the usual progression of ROM testing?

A

active free, passive relaxed, active resisted

77
Q

Which one of the following statements regarding gait assessment is TRUE?

A

The pelvis moves both laterally and vertical during walking

78
Q

Which one of the following landmarks is visible from a posterior view postural assessment?

A

Scapula

79
Q

In an adult, the centre of gravity is normally located at which one of the following locations?

A

Anterior to the 2nd sacral segment

80
Q

Which one of the following statements comparing the gait pattern of males and females is TRUE?

A

Females typically walk more quickly than do males.

81
Q

Which one of the following explanations describes why the pelvis moves laterally during gait?

A

It allows balance to be maintained over the stance leg.

82
Q

Which one of the following spinal curves is the last to develop?

A

Lumbar lordosis

83
Q

Which one of the following terms is describes by the number of steps taken in a given period of time?

A

Cadence

84
Q

Which one of the following statements regarding postural observation is TRUE?

A

The client should be adequately undressed.

85
Q

Which one of the following imbalances may be observed in a lateral view postural assessment?

A

Hyperextension of the knees

86
Q

Which one of the following imbalances may be observed in a posterior view postural assessment?

A

Elevation of the shoulders

87
Q

The therapist moving the client’s limb with no assistance from the client describes which one of the following types of range of motion (ROM)?

A

Passive relaxed ROM

88
Q

When performing special tests, which statement is TRUE:

A

Clients should be told what to expect prior to each movement in the test

89
Q

A 29-year-old client complains of pain and loss of shoulder motion that began insidiously a month ago. The pain worsens with use, and is relieved by rest. Active resisted external rotation of the shoulder increases the pain. The client likely has

A

rotator cuff tendinitis in the chronic stage of healing

90
Q

Which of the following signs or symptoms is likely to be seen with a glenohumeral dislocation?

A

Sulcus sign

91
Q

When the client presents with hyperextended MCPs and flexed PIPs & DIPs, they have:

A

Claw hand

92
Q

Normal range of wrist extension is:

A

70-90 degrees

93
Q

Pain between 170o and 180o of glenohumeral abduction indicates

A

acromioclavicular pathology.

94
Q

A positive Finkelstein’s test indicates which one of the following conditions?

A

DeQuervain’s tenosynovitis

Module 8 theory (17 decks)

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