Practice Answers

Question 1

11. A 48 yo man comes to you c/oshoulder pain. He states that he hasdifficulty abducting his right arm. There is nohistory of trauma but he remembers being ina car accident 10 yrs ago.As you observe the patient performingshoulder elevation, he appeared to hike hisentire shoulder. This means that.

Answer 1

Humerus moves more than the scapula

Question 2

At 90 degrees shoulder abduction,the majority of the forces of the deltoidmuscle is:

Answer 2

Compression

Question 3

3. A disease which is more likely topresent with spastic weakness, paresthesia,and possible incoordination in one or bothlower limbs, as well as prioceptive orsphinteric dysfunction or both

Answer 3

Cervical Myelopathy

Question 4

Falling with no provocation whileremaining conscious

Answer 4

Drop Attack

Question 5

You got hold of the patient’s Xray-film. Radiography is (-). The most probablediagnosis is frozen shoulder because LOMfollows the capsular pattern. The pattern is:

Answer 5

ER ABD> IR

Question 6

6. If rotation of the clavicle isprevented, elevation of the arm is limitedto—- degrees

Answer 6

110

Question 7

Muscle that inserts into the upper lip,EXCEPT:
●Levator labii superiors
●Zygomaticus major
●Zygomaticus minor
●Aleque nas

Answer 7

Zygomaticus major

Question 8

Muscle for frowning

Answer 8

Corrugator supercilli

Question 9

Which tests determine the stability of the long head of the biceps tendon in the bicipital groove?

Answer 9

Yergason Test

Question 10

Muscle supplied by facial nerve EXCEPT
●Zygomaticus major
●Levator palpebrae superiors
●Zygomaticus minor
●Orbicularis oris

Answer 10

Levator palpebrae superiors

Question 11

A patient was intructed to reachbehind their head and touch the anteriormedial angle of the opposite scapula. What shoulder motions are necessary in order tofollow this command?

Answer 11

Abduction and ER

Question 12

Which structures are commonly affected by cervical rib?

Answer 12

Subclavian artery, inferior trunk of brachial plexus

Question 13

Functions of anterior elements of thespine, EXCEPT:
●Weight bearing
●Shock absorption
●Support
●Articulation

Answer 13

Articulation

Question 14

Excessive depression of the shoulder may result to

Answer 14

Brachial plexus lesion

Question 15

A 33 year old female is referred tothe clinic by a local dentist with a diagnosisof TMJ. The order is for evaluation andtreatment, the dentist request that aftertreatment you call his office to discuss thepatient’s response to treatment. You aremonitoring the patient’s ability to open andclose her jaw. Which of the followingmuscles close the jaw?
I Medial pterygoid
II Temporoparietalis
III Masseter
IV Lateral pterygoid

Answer 15

●I,II, & III

Question 16

You are evaluating a patient with shoulder weakness. Winging of the medial border of the scapula is noted. This indicates

Answer 16

Paralysis of the SA

Question 17

You are evaluating a patient with shoulder weakness. Winging of the lateral border of the scapula is noted. This indicates

Answer 17

Paralysis of Trapezius and Rhomboids

Question 18

A 50-year-old carpenter cannot initiate right shoulder abduction, but if it is passively placed at 90 degrees abduction, itcan be maintained there. The most likely diagnosis is

Answer 18

Rotator cuff tear

Question 19

Group of people who has a highincidence of shoulder pain and rotator cufftears:
●All of these
●Paraplegic engaged in crutch walking
●Hemiplegic propelling a manual w/c
●Competitive swimmer

Answer 19

All of these

Question 20

You attempt to stretch your patient’santerior cervical muscle. You can do this by:

Answer 20

Extending his neck

Question 21

Pain on cervical region if relieved by rest is probably because of

Answer 21

Cervical spinal stenosis

Question 22

Joints of Luscha, EXCEPT
●Guides flexion and prohibits lateral displacement
●Present only in cervical spine
●Present at birth
●Not a true joint

Answer 22

●Present at birth

Question 23

From the acromion process, the examiner moves his hand along the spine of the scapula and moves medially until he palpates;

Answer 23

T4 verterbra

Question 24

Greatest amount of neck rotation occurs at:

Answer 24

C1 and C2

Question 25

A patient comes to you with severe deltoid muscle weakness and wrist extensors. As a physical therapy, where do you think the lesion is located?
●Posterior chord of the brachial plexus
●Radial nerve
●C7 nerve root
●Middle trunk of the brachial plexus

Answer 25

Posterior chord of the brachial plexus

Question 26

25. A therapist evaluates a patient with bicipital tendinitis. These clinical findings are expected to be identified, EXCEPT
    ●A painful arc is rotated with active ROM to the involved shoulder
    ●Isometric resistance to the biceps brachii increases subjective pain level
    ●Referred pain in the C7-C8 dermatome
    ●Tenderness to the palpation exists over the bicipital tendon

Answer 26

●A painful arc is rotated with active ROMto the involved shoulder

Question 27

Cervical curve appears at what age of the child

Answer 27

2-3 months

Question 28

In your PE, resisted isometric movements and normal when arms are at sides but AROM and RROM are restricted. The problem would most likely be:

Answer 28

Joint Capsule

Question 29

29. A pt. comes to you with limited AROM and PROM of shoulder motions. Which of the following findings will indicate shoulder capsulitis

Answer 29

Pain and limited AROM and PROM in shoulder ER, abduction and IR

Question 30

You are evaluating a patient with stiff neck. You asked her to look to her right side and lift her head from the plinth. You are actually evaluating

Answer 30

Left SCM

Question 31

Muscle that inserts into the lower lip, EXCEPT
a. Depressor labii inferioris
b. Depressor oris
c. Mentalis
d. Depressor anguli oris

Answer 31

Mentalis

Question 32

Swelling which is evident at the anterior of the AC joint which indicates communication betweenAC joint and subacromial bursa

Answer 32

Sulcus Sign

Question 32

Swelling which is evident at the anterior of the AC joint which indicates communication between AC joint and subacromial bursa.

Answer 32

Sulcus Sign