Questions 9 Flashcards

1
Q

Which of the below likehood ratios will generate large, conclusive changes in probability after a positive test result?

A

great than 10

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2
Q

You have a client diagnosed with stage 2 (frozen) shoulder adhesive capsulties. Which of the following most likely to improve long term shoulder function?

A

self-stretching ex with min pain

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3
Q

The abiltiy of an outcome measure to detect small improvements in a client status is?

A

Responsiveness to change

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4
Q

A postive predictive value of .85 means what?

A

OF those that have a positive result on the test, 85% have the condition.

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5
Q

Non-operative treatment for a proximal humeral fracture starts with?

A

sling immobilization

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6
Q

A diagnostic test has a sensitivity of 37% and a specficity of 52%. This test will be good at which of the following?

A

Neither ruling in or ruling out the condition

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7
Q

What muscles upwardly rotate the scapula?

A

Lower trap
Upper trap
Serratus anterior

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8
Q

What joints are directly invovled in shoulder abd?

A

AC
SC
GH

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9
Q

A diagnostic test has a sensitivty of 87% and specificity of 82%. This test will show?

A

Both ruling in and ruling out the condition

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10
Q

The sterno-calivar joint is what kind?

A

saddle

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11
Q

A diagnostic test has a sensitivity of 89% and a specificity of 53%. This will show?

A

Ruling the condition out

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12
Q

What are true regarding scapulohumeral rhythm (5 things)?

A

1- upward rotation of the scapula on on the trunk is accomplished by means of a force couple
2-with full abduction, the GH joint abducts 120 degrees
3- for full shoulder abduction, you need AC joint upward rotation
4- With full shoulder abduction, the SC joint elevates mostly in the first 90 degrees of abduction
5- With full abduction, the scapula upwardly rotates 60 degress

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13
Q

Thoracic outlet syndrome (TOS) is a condition involving a number of structures of the UE. What is a correct statement about it?

A

Both neural and vascular pathways are structures present in the thoracic outlet.

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14
Q

A highly sensitive test is good at which of the following?

A

Including most people that have the condition

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15
Q

Non-operative treatment of brachial plexopathy includes what?

A

1- instructing the patient in proper sleeping posture
2- Strengthening of the scapular stabilizers ( trap, levator, rhomboid, serratus)
3- Neural gliding and stretching exercises
4- diaphragmatic breathing exercises

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16
Q

A new client presents with shoulder pain and stiffness, with shoulder external rotation PROM severly limited shoulder abduction PROM moderately limited, and shoulder internal rotation PROM mildly limited. Your client reports no particular injury that started the problem. What is the most likely the cause of it?

A

adhesive capsulitis

17
Q

What is a trigger point?

A

Taut muscle bands that refer pain to another part of the body when compressed?

18
Q

What test is designed to detect impingement syndrom?

A

Hawkins-Kennedy Test