Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Module 8 > Orthapedic assessment > Flashcards

Orthapedic assessment 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?

Phalen’s test

Pronator teres test

Tinel’s test at the wrist

C7, C8 dermatomal assessment

A

Pronator teres test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

Imbalances in muscles of mastication

Cranial bone misalignment

Sinus blockage or infection

Nutritional deficiencies

A

Nutritional deficiencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

Wright’s test and Adson’s test

Phalen’s test and Tinel’s test

Adson’s test and Eden’s test

A

Adson’s test and Phalen’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Phalen’s test is performed:

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

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

By extending the wrists, which stretches the structures in the carpal tunnel

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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?

acromioclavicular joint

subacromial bursa

biceps brachii

supraspinatus

A

acromioclavicular joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

collateral ligaments, meniscal injury

meniscal injury, collateral ligaments

cruciate ligaments, collateral ligaments

collateral ligaments, cruciate ligaments

A

meniscal injury, collateral ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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?

Babinski test

Homan’s sign

Thompson’s test

Morton’s foot structure

A

Homan’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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:

Medially

Laterally

Superiorly

Inferiorly

A

Medially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

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

Elevation from 35-50mm

Lateral deviation from 8-10 mm

Protrusion from 40-50mm

Retrusion from 3-4mm

A

Protrusion from 40-50mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

Positive Valsalva test

Positive Kemp’s test

Positive Slump test

Positive Tinel’s test

A

Positive Kemp’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

Biceps femoris

Jaw

Biceps brachii

Triceps brachii

A

Biceps brachii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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?

Supraspinatus impingement

Subacromial bursa impingement

Acromioclavicular joint compression

Bony block end-feel of shoulder abduction

A

Acromioclavicular joint compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

Bragards Sign

Anterior drawer test

Posterior drawer test

McConnell’s test

A

Bragards Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

C4

C5

C7

C9

A

C7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ober’s test assesses:

Shortened biceps femoris

Iliotibial band contracture

Lumbar facet syndrome

Hip joint pathology

A

Iliotibial band contracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

Pes dorsalis

Pes planus

Pes cavus

Pes valgus

A

Pes planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

L3

L4

S1

S2

A

S1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

Inversion

Eversion

Dorsiflexion

Plantarflexion

A

Eversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

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

Ankle dorsiflexion

Elbow flexion

Ulnar deviation

Knee flexion

A

Ulnar deviation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

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

Modified Adson’s test (Halstead test)

Valsalva’s test

Adson’s test

Wright’s test

A

Valsalva’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

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

Dupuytren’s contracture

Lunate dislocation

Carpal tunnel syndrome

Entrapment of the radial nerve in supinator

A

Carpal tunnel syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

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

Apley’s distraction

Apley’s compression

Anterior drawer test

Posterior drawer test

A

Anterior drawer test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

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

Adson’s test

Eden’s test

Wright’s test

Allen’s test

A

Wright’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

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

Adson’s test

Scalene cramp test

Tinels at brachial plexus

Cervical distraction test

A

Scalene cramp test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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?

lateral collateral ligament

medial collateral ligament

anterior cruciate

patella

A

medial collateral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

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

Are you on any medications?

What can you tell me about tendinits?

Do you perform any repetitive movements?

Did you happen to see how much I charge for tendinits treatments?

A

Do you perform any repetitive movements?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

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 left

Weakness of gluteus maximus on the left

Weakness of gluteus medius on the right

Weakness of gluteus maximus on the right

A

Weakness of gluteus medius on the right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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:

Put tension on the hamstrings

Stretch the gastrocnemius

Add tension to the dura

Traction the femoral nerve

A

Add tension to the dura

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

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

Valsalva test

Thomas test

Faber’s test

Kemp’s test

A

Faber’s test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

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

Bounce Home test

McMurray’s test

Apley’s compression test

Valgus stress test

A

Valgus stress test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

A client with a genu varum has:

Bowed legs

Knock knees

Hyperextended knees

Locked knees

A

Bowed legs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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?

Muscle problem

Meniscal problem

Nerve problem

No problem

A

Meniscal problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

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

Postural assessment, orthopaedic assessment, intake questions, palpation

Intake questions, palpation, orthopaedic assessment, postural assessment

Intake questions, postural assessment, orthopaedic assessment, palpation

Orthopaedic assessment, intake questions, postural assessment, palpation

A

Intake questions, postural assessment, orthopaedic assessment, palpation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

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

Passive relaxed ROM assesses the inert structures of a joint.

Active free ROM primarily assesses the contractile elements of a joint.

Active resisted ROM is evaluated by resisting concentric movement of the range.

ROM testing is very general and does not give much information regarding the involved structures.

A

Passive relaxed ROM assesses the inert structures of a joint.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

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

Patricks/Faber

Straight Leg Raise

Braggard’s

Thomas

A

Patricks/Faber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

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

Hip joint

Sacroiliac joints

Lower lumbar nerve root

Rectus femoris contracture

A

Rectus femoris contracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

The Kendell test assesses:

Hip joint pathology

Lumbar facet syndrome

Shortened biceps femoris

Rectus Femoris Contracture

A

Rectus Femoris Contracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

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 concavity

Rib humping tends to be seen on the concave side

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

Scoliosis is always a congenital deformity

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?

mastoid process

spine of scapula

medial malleolus

greater trochanter

A

greater trochanter

40
Q

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

Facet syndrome

Scalene contracture

Thoracic outlet syndrome

Nerve root compression

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?

Extension and ipsilateral side-bending & rotation

Extension and contralateral side-bending & rotation

Flexion and ipsilateral side-bending & rotation

Flexion and contralateral side-bending & rotation

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?

Fracture

Ligamentous lesion

Nerve root impingement

Vertebral hypermobility

A

Nerve root impingement

43
Q

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

Client completes medical history form

Postural assessment

Client intake questions

Range of motion assessment

A

Client completes medical history form

44
Q

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

Soft tissue approximation

Soft tissue stretch

Capsular stretch

Springy

A

Springy

45
Q

hich one of the following statements regarding ROM is TRUE?

Active free ROM gives the therapist information regarding ligaments and the joint

Passive relaxed ROM gives the therapist information regarding the muscle length

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

Active resisted testing gives the therapist information about muscle length.

A

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

46
Q

Myotome testing gives the therapist information regarding:

Joints

Sensory innervations from the nerve root

Motor innervation from the nerve root

Muscle tone

A

Motor innervation from the nerve root

47
Q

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

Thompsons test

Yergasons test

Homans test

Mortons test

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:

Tinel’s sign

Finklesteins’s test

Phalens test

Cousin’s test

A

Finklesteins’s test

49
Q

Allen’s test at the wrist is for:

Tenosynovitis

Carpal tunnel

Blood supply of the radial and ulnar arteries

Blood supply of the median and ulnar arteries

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?

TMJ disc

Cranial nerve 7

Masseter muscle

Cervical spine nerve roots

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:

Bakers cyst

Buochards nodes

Bunion

Hallus Valgus

A

Bunion

52
Q

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

ULTT 1

ULTT 2

ULTT 3

ULTT 4

A

ULTT 4

53
Q

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

Nutation

Counternutation

Hyper kyphosis

Sacral angle

A

Nutation

54
Q

Which statement regarding leg length testing is TRUE?

A 1-1.5 inch difference is normal

When performing the functional shortening test, the client must square their pelvis

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

True leg length is due to a contracture somewhere in the spine, pelvis or lower limb.

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:

L3

C8

S1

T2

A

S1

56
Q

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

Client supine

Client prone

Client standing

Client seated

A

Client seated

57
Q

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

Rombergs

Vertebral Artery

Hautants

Buergers

A

Hautants

58
Q

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

Round back

Dowagers hump

Humpback

Flatback

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:

Passive relaxed range of motion

Active resisted range of motion

Special testing

Gait analysis

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:

Ulnar nerve root lesion

Strain to his triceps muscle

Nerve root compression to C8

Pronator teres syndrome

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:

Common fibular nerve

Sural nerve

Tibial nerve

There is no straight leg raise test with plantar flexion

A

Common fibular nerve

62
Q

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

Bone to bone

Tissue approximation

Springy

Tissue Stretch

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?

Stretches

Hydrotherapy

Palpation

Relaxation massage

A

Palpation

64
Q

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

Completing treatment

Formulating clinical impression

Formulating treatment plan

Providing homecare to your client

A

Formulating clinical impression

65
Q

Symptoms are:

Subjective information, felt by the client

Irrelevant when doing an assessment because they are not measurable

Objective information, therefore consistent regardless of who is doing the assessment

Easily seen and recorded by the examiner

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:

Ligament

Joint capsule

Bone

Musculotendinous

A

Musculotendinous

67
Q

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

Posterior to the patella

Anterior to the patella

Through the patella

Through the sternum

A

Posterior to the patella

68
Q

AR ROM is always done:

Against the therapists resistance

Before passive ROM

To determine the integrity of non-contractile tissues

To reproduce pain

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:

Muscle

Ligament

Joint effusion

Joint capsule

A

Muscle

70
Q

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

Full strength

No muscle function

Ability to contract against gravity but not against resistance

Slight weakness but can still perform against resistance

A

Ability to contract against gravity but not against resistance

71
Q

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

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

You may want to inspect the client’s back to assess muscle tone.

There are no risks of harm, or side effects associated with the assessment.

The client may refuse to continue with the assessment at any time.

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?

Edema

Prolonged fever

Severe night pain

Severe spasm

A

Edema

73
Q

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

symmetry of the client’s body

orientation of the client in relation to gravity

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

predisposing factors contributing to a client’s condition

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?

manubrium, xiphoid and umbilicus

spines and inferior angles of the scapulae

ear lobe, acromion, iliac crest

clavicles and acromioclavicular (AC) joint

A

spines and inferior angles of the scapulae

75
Q

Which one of the following statements regarding posture is FALSE?

Correct posture is the position in which minimal stress is applied to each joint.

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

Faulty posture is any position that increases the stress on the joints.

Minimal muscle activity is required to maintain correct posture.

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?

active resisted, passive relaxed, active free

passive relaxed, active free, active resisted

active free, passive relaxed, active resisted

active free, active resisted, passive relaxed

A

active free, passive relaxed, active resisted

77
Q

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

Stride length is distance between the contact points of the feet

The pelvis moves both laterally and vertical during walking

As walking speed increases, base width increases

The normal base width is 10-20 cm.

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?

Xiphoid

Scapula

Patella

Greater trochanter

A

Scapula

79
Q

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

Anterior to the 2nd sacral segment

Posterior to the pubic symphysis

Posterior to the sacral base

Anterior to the coccyx

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?

Stride length is longer in females than in males.

Head movement is less in males than females.

Females typically walk more quickly than do males.

The base of support is narrower in males than in females.

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?

It allows balance to be maintained over the stance leg.

It ensures there is enough momentum to swing the leg.

It allows us to lean away from the swinging limb so that it does not hit the ground.

It serves no functional purpose and occurs solely as a result of the structure of the lower limb.

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?

Cervical lordosis

Thoracic kyphosis

Lumbar lordosis

Sacral kyphosis

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?

Stride length

Step length

Cadence

Gait

A

Cadence

84
Q

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

The client usually keeps their shoes on.

The client should be adequately undressed.

The client is asked to assume their best posture.

You need only observe one lateral view of the client

A

The client should be adequately undressed.

85
Q

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

Elevation of the shoulders

The height of the iliac crest

Hyperextension of the knees

The position of the patellae

A

Hyperextension of the knees

86
Q

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

Levels of the anterior superior iliac spines

Elevation of the shoulders

The degree of pelvic angle

Muscle bulk of the quadriceps muscle

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)?

Passive relaxed ROM

Active assisted ROM

Active resisted ROM

Active free ROM

A

Passive relaxed ROM

88
Q

When performing special tests, which statement is TRUE:

Therapist must test affected side first

Therapist can diagnose client once a positive test has been found

Clients should be told what a positive result is prior to performing the test

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

A

Clients should be told what a positive result is prior to performing 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

rotator cuff tendinitis in the chronic stage of healing

biceps brachii strain in the chronic stage of healing

‘frozen’ shoulder in the chronic stage of healing

osteoarthritis in the late stages

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?

Step deformity

Sulcus sign

“J” sign

Sag sign

A

Sulcus sign

91
Q

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

Drop hand

Bishops hand

Mallet finger

Claw hand

A

Claw hand

92
Q

Normal range of wrist extension is:

80-90 degrees

70-90 degrees

60-80 degrees

40-45 degrees

A

70-90 degrees

93
Q

Pain between 170o and 180o of glenohumeral abduction indicates

biceps tendinitis.

subacromial bursitis.

rotator cuff tendinitis.

acromioclavicular pathology.

A

acromioclavicular pathology.

Module 8 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions