Practice Test Incorrect Answers Flashcards
What is a positive SLR test?
Low back and radicular symptoms at less than 40 hip flexion
What are the 4 tests of the cervical radiculopathy test item cluster?
-Spurlings
-ULTT A
-<60 degrees rotation to affected side
-Pos Cervical Distraction
What are signs for cervical myelopathy?
-Babinski
-Hoffman
-Ataxic gait
-N/t in B LE
-Bowel and bladder changes
What would decrease the likelihood of mechanical thoracic pain?
Lack of symptom provocation with thoracic ROM
What does the lateral scapular slide test indicate?
Weakness of the scapular stabilizers
What is the fat pad sign and what does it indicate?
-Elbow joint effusion
-Elbow Fracture
What is Slocum’s test?
A modification of the Anterior Drawer Test
When to use a Slocum’s test instead of anterior drawer or Lachman’s?
When looking for rotational instability
What is a Reverse Segond Fracture?
An avulsion fracture of the medial tibial plateau
Determining the number of people who test positive for a special test based on the overall population prevalance is what value?
Positive Predictive Value
What are the terms included in the ICF framework?
-Health Conditin
-Body Functions and Structures
-Environmental Factors
-Personal Factors
-Participation Factors
-Activities
What would be the ionic solution used in iontophoresis for a calcium deposit in an achilles tendon?
Acetic Acid
What is the MOI for a syndesmotic ankle injury?
Rotational: A direct blow to the lateral knee with the foot remaining planted on the ground in relative external rotation
What do you not want to do with a person with a syndemotic ankle injury?
Gastroc/soleus stretching because it would force the mortise apart
What is the correct intervention for weeks 0-2 after an ankle syndemotic injury?
-PRICE
-Immediate non-weight bearing with crutches
-A posterior splint with the ankle position in 10 degrees ankle plantarflexion
What is a bipartite patella?
A patella that does not fuse and remains 2 separate bones
What image would be used to delineate a symptomatic from asymptomatic bipartite patella?
Bone Scan
The validity that deals with the degree to which the results of a trial can be generalized to different subjects and settings is called?
External Validity
What inidcates good reliability of kappa?
> 0.8
What are the types of validity?
-Internal
-External
What is internal validity?
-The instruments and procedures measured what they were supposed to measure
What is the Finkelstein test?
Pt makes a fist with their thumb between their palm and fingers and is then passively moved into ulnar deviation
What is the Scaphoid shift test?
Blocking the scaphoid and performing wrist flexion from an extended position; testing for instability
What is Froment’s sign?
A test for ulnar nerve palsy noted by bending the thumb when pinching a piece of paper
What motion would be most impacted by a posterior displaced distal radial fracture?
Forearm supination and pronation
What should be the highest priority after a distal radius surgical repair?
Extrinsic extensor tightness
What does not increase the risk for nonunion after a fracture?
Acetaminophen use
What raises the risk of nonunion after a fracture?
-Cox-1 inhibitors
-Cox-2 inhibitors
-NSAIDS
-Smoking
What is a valid assumption regarding patellar taping?
An assessment of patellar tracking is not critical prior to taping
Which diagnostic test is important after a dislocation that appears to have caused nerve damage? (weakness, tingling)
Plain Radiographs
What is the best initial course of action for an initial episode of anterior glenohumeral dislocation?
At least 1 week of immobilization
What is an appropriate manual therapy intervention 6 weeks after surgery for a distal radial fracture?
Grade IV mobilization of the proximal carpal row in a volar direction while holding the radius and ulna immobile
What is the appropriate imaging after finding a positive load-shift and active compression test?
Magnetic resonance arthrogram of the glenohumeral joint
Where is a Hill-Sach’s lesion on the humeral head?
Posterolateral
What is a Hill-Sachs lesion related to?
Anterior Shoulder Dislocation
What are Bankart repairs done for?
TUBS - Traumatic, Unidirectional- usually anterior, in conjuction with bankart lesions
When is an inferior capsular shift surgery indicated?
For multidirectional instability of the shoulder
What is not an acceptable activity 1 day s/p lumbar total disc arthroplasty?
Repeated lumbar extension in standing
What are acceptable activities 1 day s/p lumbar total disc arthorplasty?
-TA contractions
-Ambulation with AD
-Supine knee to chest exercises to tolerance
What is normal lumbar-pelvic rhythm?
Initial flexion of the lumbar spine is followed by anterior rotation of the pelvis
What is the Mason Classification system?
-Naming of radial head fracture based on location and amount of comminution and displacement
What are the types of fractures of the Mason Classification System?
-Type 1: Fracture that has had a nondisplaced fissure of a peripheral fracture of the rim
-Type 2: A marginal sector fracture with displacement
-Type 3: Comminuted, displaced fracture involving the entire radial head
What direction should a glenohumeral glide be performed to improve external rotation?
Posterior
Johnson et al
What is the delphi technique
A Step-wise process to establish an expert consensus of the most important clinical indicators for diagnosis of a particular shoulder disorder
What lumbar zygoapophyseal joint position limit rotational movement potential?
Sagittal
For hip pain and limitation which indicates manual therapy and thrust manipulation, what technique do you choose?
Use long-axis distraction hip manipulation, starting in open-pack position and progressing to closed-pack position in the patient’s most restricted range
For calf pain radiating to the ankle sporadically with no injury and unable to provoke symptoms by changing position or activity; what is the most likely diagnosis?
Popliteal Artery Obstruction
What might lead you to think popliteal artery obstruction as a dx?
-Calf and/or ankle pain or discomfort
-Peripheral vascular disease
-Cold feet after exercise
What might indicate pericarditis?
-Substernal pain
-Left Shoulder Pain
-Relief with leaning forward
-Worse wtih cough, swallow, take deep breaths
What is the prognosis for swan neck deformity?
Can try splinting, but many end up with surgery
What are the 5 possible clinical presentations of psoriatic arthritis?
-Symptoms in the DIPs
-Assymetric oligoarticular: Sxs on one side, enthesitis, dactylitis (sausage fingers)
-Symmetric polyarthritis: B presentation
-Spondylitis: effects spine and pelvis, most common back
-Athritis mutilans: most severe, fusing of bones, joint pain/swelling, opera-glass hand, pencil-in-cup deformity
What is a derivation study for?
a proposed mechanism of diagnosis, intervention, or prognosis
usually in small groups and should be used with caution
What is the best intervention to use on somebody who fits into the traction subgroup?
Prone Press-Ups
Which direction should the C2 turn with passive head turning?
The opposite direction of the head turn
What age group has the highest risk of cervical radiculopathy?
40s and 50s
What is likely to be seen with upper cervical ligamentous instability?
-Occipital numbness with occipital headaches
-Significant range-of-motion limitations in all directions
-Signs and symptoms of cervical myelopathy
What has the best sensitivity for Carpal Tunnel Syndrome?
Wrist-ratio index greater than 0.67
What can the popliteus muscle do with an individual with a posterior cruciate tear?
-Reduce the potential for excessive posterior translation
-Assist with stability of the knee
What meniscal test has the best specificity for a lateral meniscal tear?
Joint line tenderness
What position to assess a posterolateral corner injury of the knee?
30 degrees of knee flexion
What are the grades of posterolateral corner injury based on tibial ER?
-Grade 1: <5 degrees
-Grade 2: 5-10 degrees
-Grade 3: >10 degrees
Which stages of adhesive capsulitis will have the same ROM actively and under anestesia?
Grades 2 and 3
What is stage one of Neer’s classification?
Edema and hemorrhage most common in younger, athletic populations
What is stage two of Neer’s classification?
Fibrosis and tendinitis, usually in thos 25-40 y/o and from repeated mechanical irritation
What is stage three of Neer’s classification?
Partial or complete tears usually in those >45 years old; also bone spurs and tendon rupture
Which might be causes of secondary knee OA?
-Acromegaly
-Hyperparathyroidism
-Rickets
What are the Kellgren-Lawrence classification grades of OA?
-Grade 0: normal
-Grade 1: Doubtful joint space narrowing
-Grade 2: Definite osteophytes, possible joint space narrowing
-Grade 3: Multiply osteophytes, definite joint space narrowing, sclerosis
-Grade 4: Large osteophytes, marked joint space narrowing, severe sclerosis
What does sclerosis of bone mean?
Thickening or hardening of bone under joint cartilage