PNI Flashcards
A physical therapist performs an examination on a 46-year-old male patient diagnosed with piriformis syndrome. The patient indicates he has experienced pain in his low back and buttock region for the last
three weeks. Which motions would you expect to be weak and painful during muscle testing based on the patient’s diagnosis?
a. Abduction and lateral rotation of the thigh
b. Abduction and medial rotation of the thigh
c. Adduction and lateral rotation of the thigh
d. Adduction and medial rotation of the thigh
a. Abduction and lateral rotation of the thigh
Mas mattrigger yung nerve pag ginawa yung motion na to
A computer specialist is unable to work because of weakness and altered sensation in the dominant right hand. The patient complains of pain and
tingling of the thumb, index finger, long finger, and radial half of the ring finger. The therapist observes thenar weakness and atrophy. Strength, reflexes, and sensation are within normal limits throughout the remainder of the right upper extremity. These
signs and symptoms are characteristic of what
diagnosis?
a. Ulnar nerve compression
b. Carpal tunnel syndrome
c. Pronator teres syndrome
d. Cervical root compression
b. Carpal tunnel syndrome
An examination of a patient reveals drooping of the shoulder, rotary winging of the scapula, an inability to shrug the shoulder, and complaints of aching in the shoulder. Based on these findings, what is the MOST likely cause of these symptoms?
a. Strains of the serratus anterior
b. A lesion of the spinal accessory nerve
c. A lesion of the long thoracic nerve
d. Muscle imbalance
b. A lesion of the spinal accessory nerve
If drooping, si Trapezius
A physical therapist assesses the deep tendon reflexes of a patient as part of the lower quarter screening examination. The therapist determines
that the right and left patellar tendon reflex and the left Achilles tendon reflex are 2+, while the right Achilles tendon reflex is absent. The clinical
condition that could BEST explain this finding is:
a. Cerebral palsy
b. Multiple sclerosis
c. Peripheral neuropathy
d. Intermittent claudication
c. Peripheral neuropathy
If deep tendon ay ang problem, neuropathy agad ang problem.
A patient with axillary nerve injury would manifest the following, except:
a. None of these
b. Paralysis of the teres minor muscle
c. Radiating pain over the lateral portion of the upper arm
d. Impaired sensation over the lateral portion of the upper arm
e. Paralysis of the deltoid muscle
a. None of these
A patient presents with complaints of tingling and
paresthesia in the median nerve distribution of the right forearm and hand. The following tests
were found negative bilaterally: Adson’s hyperabduction, costoclavicular, Phalen’s, and
the ulnar nerve Tinel’s sign. Based on this information, what Is the likely diagnosis?
a. Ulnar nerve entrapment
b. Pronator teres syndrome
c. Thoracic outlet syndrome (TOS)
d. Carpal tunnel syndrome
b. Pronator teres syndrome
In evaluating a patient, you note that there is weakness of his rhomboids and levator scapula
muscles. Which nerve is most probably affected?
a. Musculocutaneous
b. Axillary
c. Dorsal scapular
d. Thoracodorsal
e. Long thoracic
c. Dorsal scapular
Which of the following would you expect in a patient whose musculocutaneous nerve is involved?
a. Pain in the lateral forearm
b. Inability to extend the elbow
c. Difficulty in extending the wrist
d. Pain in the biceps muscles
e. Pain in the upper thirds of the arm
a. Pain in the lateral forearm
Code: MuscuLATERAL FOREARM
Your patient’s axillary nerve has been severed. Which of the following can he still use to rotate the shoulder externally?
a. Teres minor
b. Rhomboids
c. Infraspinatus
d. Subscapularis
e. Trapezius
c. Infraspinatus
A patient with femoral nerve affectation was referred to you for management. Which of the following would you expect to find in your evaluation?
I. Sensory loss on the medial leg
II. Diminished knee jerk
III. Difficulty in plantarflexion
IV. Difficulty in hip flexion
a. Only I, II and III are correct
b. Only IV is correct
c. Only II and IV are correct
d. Only I and III are correct
e. All are correct
c. Only II and IV are correct
Injury to the peroneal nerve may be caused by which of the following, EXCEPT:
a. Prolonged “Indian” sitting
b. One-sided lying
c. Prolonged squatting
d. Prolonged standing on one leg
e. Prolonged sitting with legs crossed
d. Prolonged standing on one leg
No compression sa lateral aspect ng leg
A patient is referred to physical therapy with a C6 nerve root injury. Which of the following
clinical findings would NOT be expected with this type of injury?
a. Diminished sensation on the anterior arm and the index finger
b. Weakness in the biceps and supinator
c. Diminished brachioradialis reflex
d. Paresthesias of the long and ring fingers
d. Paresthesias of the long and ring fingers
If C6, affected index finger
Which nerve would you expect to be the most seriously affected when medial cord of the brachial plexus is partially severed?
a. Musculocutaneous
b. Radial
c. Ulnar
d. Median
e. Axillary
c. Ulnar
If your patient’s long thoracic nerve is involved, which of the following would you expect?
a. Inability to raise the arm beyond 90 degrees of the shoulder flexion
b. Sensory deficits on the lateral aspects of the arm and shoulder
c. Paralysis of the deltoids
d. Inability to extend the arm
e. Inability to perform wrist extension
a. Inability to raise the arm beyond 90 degrees of the shoulder flexion
B and C- usually axillary nerve
D- Thoracodorsal nerve
E- Radial nerve
A physical therapist observes thenar atrophy when examining a patient’s hand. In the absence
of other relevant findings, this could BEST be explained by:
a. C8 nerve root lesion
b. Paralysis of the interossei
c. Radial nerve lesion
d. Ulnar nerve lesion
a. C8 nerve root lesion
Interossei ay ulnar nerve affectation
A 32-year-old tennis player is referred to physical therapy after being diagnosed with median nerve entrapment. The patient’s chief complaints include paresthesias in the hand and progressive weakness. Which muscle would MOST likely
contribute to the entrapment?
a. abductor pollicis longus
b. flexor digiti minimi
c. flexor digitorum profundus
d. pronator teres
d. pronator teres
A physical therapist examines a patient with suspected vascular compression in the shoulder
region. Which special test would be LEAST beneficial to confirm the therapist’s suspicions?
a. Adson maneuver
b. Halstead maneuver
c. Froment’s sign
d. Wright test
c. Froment’s sign
Froment’s sign is for ulnar nerve
Remember: CHARAW
A patient comes to you with a wrist drop deformity. Which of the following is most likely
severed?
a. Ulnar nerve at forearm
b. Median nerve
c. Radial nerve at wrist
d. Radial nerve at mid arm
e. Musculocutaneous nerve
d. Radial nerve at mid arm
Wrist drop if may Saturday night palsy
An entry in the medical record indicates that electromyography revealed denervation of the
flexor pollicis longus, flexor digitorum profundus, and pronator quadratus muscles. This finding would MOST likely be associated with:
a. Anterior compartment syndrome
b. anterior interosseous syndrome
c. cubital tunnel syndrome
d. Erb’s palsy
b. anterior interosseous syndrome
You are evaluating a patient with affectation of the median nerve. Which of the following muscles would you expect to have a normal grade?
a. None of these
b. Abductor pollicis longus
c. Flexor digitorum superficialis
d. Flexor carpi radialis
e. Flexor pollicis longus
b. Abductor pollicis longus
This is innervated by the radial nerve
