OA Flashcards
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?
Pronator teres test
Which of the following is NOT a cause of temporomandibular joint dysfunction?
Nutritional deficiencies
Which one of the following pairs of orthopedic tests would you use to differentiate thoracic outlet syndrome from carpal tunnel syndrome?
Adson’s test and Phalen’s test
Phalen’s test is performed:
By flexing the wrists, which compresses the structures in the carpal tunnel
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 - 100active 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?
acromioclavicular joint
Apley’s Compression test is an assessment for________________,while Apley’s Distraction test is an assessment for_____________.
meniscal injury, collateral ligaments
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?
Homan’s sign
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:
Medially
When assessing a client’s TMJ, which range of motion finding would not be normal?
Protrusion from 40-50mm
Which one of the follow findings would you expect to find in a client with a lumbar facet irritation?
Positive Kemp’s test
A C5 deep tendon reflex is elicited by tapping the tendon of:
Biceps brachii
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?
Acromioclavicular joint compression
Which one of the following tests is used to evaluate the medial menisci of the knee?
Bragards Sign
Which one of the following spinal cord segments is assesses with the triceps reflex?
C7
Ober’s test assesses:
Iliotibial band contracture
An abnormally low medial longitudinal arch of the foot is called:
Pes planus
Which one of the following spinal cord levels is assessed by striking the medial hamstring tendon with a reflex hammer?
S1
To assess the integrity of the medial ligaments of the ankle, you would perform:
Eversion
Which of the end range movements results in a normal bone to bone endfeel?
Ulnar deviation
Which one of the following tests is used to assess for a space occupying lesion within the spinal canal?
Valsalva’s test
If sustained passive forced flexion of the wrist provoked tingling and numbness in the palmar surface of the first 3 digits, you would suspect:
Carpal tunnel syndrome
Which one of the following tests is used to evaluate the anterior cruciate ligament of the knee?
Anterior drawer test
Which one of the following tests is performed by palpating the client’s radial pulse and hyperabducting the client’s shoulder?
Wright’s test
Which one of the following tests assesses for trigger points in the scalene muscles?
Scalene cramp test
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?
medial collateral ligament
Which one of the following intake questions is effective for helping you determine if a client has tendinits?
Do you perform any repetitive movements?
During the Trendelenburg Test, while the right leg is weight bearing, the left side of the pelvis drops below level. This indicates:
Weakness of gluteus medius on the right
While doing a straight leg raise test, the purpose of dorsiflexing the client’s ankle or flexing the client’s neck is to:
Add tension to the dura
Positioning the hip of the supine patient in flexion, abduction and external rotation you are preparing to do a:
Faber’s test
Which one of the following tests does NOT assess the menisci of the knee?
Valgus stress test
A client with a genu varum has:
Bowed legs
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?
Meniscal problem
Which one of the following assessment sequences is in the correct order?
Intake questions, postural assessment, orthopaedic assessment, palpation
Which one of the following statements about range of motion assessment is TRUE?
Passive relaxed ROM assesses the inert structures of a joint.
Which one of the following is a test to determine iliopsoas spasm?
Patricks/Faber
Gaenslen’s sign is a test for all of the following EXCEPT:
Rectus femoris contracture
The Kendell test assesses:
Rectus Femoris Contracture
Which one of the following statements regarding the rotation of the spine that occurs with scoliosis is TRUE?
Named according to the apex of the curve on the convexity.
Which one of the following landmarks does a plumb line fall through in the lateral view, when examining a person with correct postural alignment?
greater trochanter
If extension and rotation of the cervical spine caused sharp shooting pain down the upper limb you would suspect:
Nerve root compression
Which one of the following positions would relieve compression and decrease the pain associated with an acute L4/L5 facet irritation?
Flexion and contralateral side-bending & rotation
Which one of the following problems is indicated when pain is relieved by the cervical distraction test?
Nerve root impingement
Which one of the following is the first step in the assessment procedure?
Client completes medical history form
Which one of the following is always considered to be an abnormal end-feel?
Springy
Which one of the following statements regarding ROM is TRUE?
Normally passive relaxed ROM is slightly greater than the active free ROM.
Myotome testing gives the therapist information regarding:
Motor innervation from the nerve root
The test that determines if there is an Achilles rupture is:
Thompsons test
The specific test used to identify tenosynovitis of the tendon sheath of extensor pollicis brevis and abductor pollicis longus is called:
Finklesteins’s test
Allen’s test at the wrist is for:
Blood supply of the radial and ulnar arteries
If your client had a positive chovostek test you would have a pathology in what structure?
Cranial nerve 7
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:
Bunion
The upper limb tension test that places tension on the ulnar nerve is:
ULTT 4
The posterior rotation of the ilium on the sacrum as seen in a posterior pelvic tilt is:
Nutation
Which statement regarding leg length testing is TRUE?
Measurement from umbilicus to medial malleolus is done in functional shortening test
The sensation of the 5th digit of the foot is innervated by what nerve root:
S1
When performing passive relaxed range of motion on the thoracic spine, which positioning is correct:
Client seated
Which special test is used to differentiate dizziness/vertigo caused by articular problems from that caused by vascular problems:
Hautants
A thoracic spine observation that results from postmenopausal osteoporosis would be:
Dowagers hump
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:
Passive relaxed range of motion
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:
Nerve root compression to C8
When performing the straight leg test, the only version of this test that uses plantar flexion is testing which one of the following nerves:
Common fibular nerve
What is the normal end feel for extension of the hip joint:
Tissue Stretch
When asking for consent to assess, which of the following IS an appropriate alternative to the assessment you have proposed?
Palpation
You have now completed your assessment, which of the following steps is next:
Formulating clinical impression
Symptoms are:
Subjective information, felt by the client
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:
Musculotendinous
A lateral plumb line passing through the external auditory meatus and the greater trochanter of the femur should also pass:
Posterior to the patella
AR ROM is always done:
Against the therapists resistance
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:
Muscle
A client with a grade 2 during Active Resisted testing during ROM has:
Ability to contract against gravity but not against resistance
Which one of the following statements regarding postural assessment is FALSE?
You can accurately assess a condition when the client is fully dressed.
Which of the following is NOT a red flag in examination?
Edema
Which one of the following pieces of information is NOT gained through postural assessment?
the amount of movement of a part of the client’s body
Which one of the following sets of landmarks are observed in the posterior view of a postural assessment?
spines and inferior angles of the scapulae
Which one of the following statements regarding posture is FALSE?
Faulty posture has little affect on the body other than muscular fatigue.
Which one of the following sequences represents the usual progression of ROM testing?
active free, passive relaxed, active resisted
Which one of the following statements regarding gait assessment is TRUE?
The pelvis moves both laterally and vertical during walking
Which one of the following landmarks is visible from a posterior view postural assessment?
Scapula
In an adult, the centre of gravity is normally located at which one of the following locations?
Anterior to the 2nd sacral segment
Which one of the following statements comparing the gait pattern of males and females is TRUE?
Females typically walk more quickly than do males.
Which one of the following explanations describes why the pelvis moves laterally during gait?
It allows balance to be maintained over the stance leg.
Which one of the following spinal curves is the last to develop?
Lumbar lordosis
Which one of the following terms is describes by the number of steps taken in a given period of time?
Cadence
Which one of the following statements regarding postural observation is TRUE?
The client should be adequately undressed.
Which one of the following imbalances may be observed in a lateral view postural assessment?
Hyperextension of the knees
Which one of the following imbalances may be observed in a posterior view postural assessment?
Elevation of the shoulders
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)?
Passive relaxed ROM
When performing special tests, which statement is TRUE:
Clients should be told what to expect prior to each movement in the test
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
rotator cuff tendinitis in the chronic stage of healing
Which of the following signs or symptoms is likely to be seen with a glenohumeral dislocation?
Sulcus sign
When the client presents with hyperextended MCPs and flexed PIPs & DIPs, they have:
Claw hand
Normal range of wrist extension is:
70-90 degrees
Pain between 170o and 180o of glenohumeral abduction indicates
acromioclavicular pathology.
A positive Finkelstein’s test indicates which one of the following conditions?
DeQuervain’s tenosynovitis