PT MS exam

Question 1

You’re evaluating a patient in the clinic with the following symptoms: back pain/stiffness initially in the morning but is relieved within an hour, occasional sharp pain with certain movements, increase in pain with stationary position.

What could the patient be experiencing?

Answer 1

facet joint dysfunction

Question 2

You’re evaluating a patient in the clinic with the following symptoms: back pain with pain and stiffness initially in morning but eases over the course of 4-5 hours, pain with repetitive bending, constant awareness of discomfort, sore/nagging pain.

What could the patient be experiencing?

Answer 2

DJD/OA

Question 3

You’re evaluating a patient in the clinic with the following symptoms: back pain that persists for hours after resting, flexing positions decrease pain with major increase when in extension.

What could the pt be experiencing?

Answer 3

spinal stenosis

Question 4

Your patient has forward head posture. What posture changes might you look for when assessing the first and second rib?

Answer 4

look to see if they’re elevated

Question 5

Your patient has forward head posture. What posture changes might you look for when assessing the hyoid?

Answer 5

it’ll be elevated (suprahyoids shorten)

Question 6

What is typical ROM for the shoulder? list all motions

Answer 6

shoulder:

• flexion: 160-180
• extension: 60
• abduction: 180
• adduction: 70
• IR: 60-100
• ER: 80-90

Question 7

What is typical radial/ulnar deviation ROM?

Answer 7

radial devation: 15deg

ulnar devation: 30-45deg

Question 8

What is typical ROM for the knee?

Answer 8

KF = 135deg
KE = 0-15deg

Question 9

What is typical ROM for the hip?

Answer 9

HF = 110-120deg
HE = 10-15deg

Question 10

What is typical ROM for the ankle?

Answer 10

DF = 20deg
PF = 50deg
supination = 45-60deg
pronation = 15-30deg

Question 11

What is typical ROM for the cervical spine? list all motions

Answer 11

flexion = 80-90deg
extension = 70deg
rotation = 70-90deg
side bend = 20-45

Question 12

What is typical ROM for thoracic spine? (flex/ext/SB/rotate)

Answer 12

THORACIC
flexion = 20-45deg
ext = 25-45deg
SB = 20-40deg
rotate = 35-50deg

Question 13

What motions does the lumbar spine prefer?

Answer 13

flexion/extension

- thoracic is better at rotation and side bend

Question 14

What is discography?

Answer 14

radiopaque dye is injected into disc to identify abnormalities within disc

Question 15

When looking at an MRI used to assess soft tissue structures, what type will be used: T1 or T2?

Answer 15

T2: suppresses fat and demonstrates tissues with high water content
- T1 demonstrates fat within tissues, used to assess bony anatomy

Question 16

What types of patients might you recommend to get a bone scan?

Answer 16

RA, possible stress fracture, bone cancer

• these increase metabolic activity of bone in affected region
• bone scan could identify this