Questions Review Flashcards
Joint commonly affected by Ankylosing Spondylitis
Sacroiliac joint, shoulders, and hips, and at times the knees
Which phalangeal joints does Rheumatoid Arthritis tend affect?
Proximal interphalangeal joints
What phalangeal joints does Psoriatic Arthritis normally affect?
Distal interphalangeal joints
3 factors that help classify a patient into lumbar traction group.
Peripheralization with extension,
Neurological sensory deficits
Positive crossed straight-leg raise
L5–S1 facet dysfunction referring pattern
Lumbar spine to gluteal region
How should C2 spinal process move with head rotation?
The spinous process of C2 should move immediately in the contralateral direction of head rotation.
Upper cervical ligamentous instability may cause what kind of symptom?
(3 items)
Occipital numbness with occipital headaches,
Significant range of motion limitations in all directions
Signs and symptoms of cervical myelopathy (clumsiness with gait)
For how long should a physical therapist hold a patient in a pre-manipulative hold position?
10 seconds
Are there any special tests is included as a variable in the clinical prediction rule for the diagnosis of carpal tunnel syndrome?
No.
(No special tests ended up being a part of the diagnostic clinical prediction rule for carpal tunnel syndrome, even though they were a part of the comprehensive examination/evaluation to determine those variables)
Which of the following symptoms is possibly found on Cervical Myelopathy?
Blood pressure greater than 160/95
Dizziness or light-headedness related to neck movement
Unexplained weight loss
Urinary retention
Urinary retention
(Bowel and bladder disturbances may be expected in those who have cervical myelopathy.)
Which of the muscles will be weak with anterior interosseous nerve entrapment, but not weak with carpal tunnel syndrome?
Pronator quadratus
(The pronator quadratus, along with the flexor pollicis longus and flexor digitorum profundus (lateral half), would be weak with anterior interosseous syndrome.)
Which of the following special tests is the best at ruling in tears?
Joint line tenderness
McMurray test
Thessaly test at five degrees of flexion
Thessaly test at twenty degrees of flexion
Palpating the lateral joint line has the highest specificity at 97%, per Logerstedt et al.
What tibia tibio-femoral separation is considered abnormal with a medial collateral valgus stress test at 0 degrees?
6-10mm is considered abnormal
Posterolateral corner injury grades by tibial external rotation.
Grade I - less than 5 degrees
Grade II - 5–10 degrees
Grade III - greater than 10 degrees of difference in external rotation
If an isolated posterolateral corner injury occurs, which of the following positions will most successfully assess the injury?
Maximal varus and external rotation will be best assessed at 30 degrees of flexion
3 diseases that are a cause of secondary knee osteoarthritis
Acromegaly
Hyperparathyroidism
Rickets
What is the relationship between weakness in the hands and chronic neck pain?
Those who have weakness in the hands are predisposed to chronic neck pain, according to a study by Bot et al.
What is the expected hold for deep neck flexor endurance test with a patient with weak deep neck flexors and patients with no symptoms?
Weak deep neck flexors - 24 seconds
Patients with no symptoms - 50 seconds
According to the headache CPG.
What are the criteria to diagnose someone with neck pain with headache?
Neck pain with headache includes aggravation or precipitation of symptoms of the headache with sustained positions or certain neck movements.
A sprain or strain of the cervical spine is what ICF diagnosis?
Neck pain with movement coordination impairments
What is a common symptom of Erb’s Palsy?
Weakness of the deltoid muscle
Why does Erb’s palsy affect the deltoid muscle?
Erb’s palsy is a brachial plexus upper trunk injury, and the upper trunk involves the C5–C6 nerve roots.
The deltoid muscle is innervated by the axillary nerve, which includes the C5–C6 nerve roots.
Triceps brachii is inerverted by what nerve?
The triceps is innervated by the radial nerve, which has the nerve roots of C5–T1.
What brachial plexus trunk is affected to cause Klumpke’s palsy?
A lower trunk injury of the brachial plexus causes Klumpke’s palsy, and C8–T1 are involved.
The flexor carpi ulnaris is innervated by these nerve root segments.
What condition could Parsonage–Turner syndrome cause?
Erb’s palsy since Parsonage–Turner syndrome is a neuritis of the brachial plexus and the upper trunk could be impacted.
Pronator teres syndrome symptoms
(3 items)
Pain on the radial side of the palm
Paresthesia in the thumb, index, and middle finger
Feeling that forearm is “heavy” at times, and this is not dependent on activity
Does the Flexor carpi radialis run through the carpal tunnel?
No!
Among other things, injury to the Musculocutaneous nerve could cause what symptoms?
Sensory deficits to the lateral forearm region
Weak forearm supination and elbow flexion
What acromion type is this?
Type I
What type of acromion is this?
Type II
What type of acromion is this?
Type III
What type of acromion is this?
Type IV
What are the three types of shoulder impingement?
Primary
Secondary
Internal
In the case of coracoid impingement, symptoms with what movements are expected?
Shoulder flexion, adduction, and internal rotation
How is causalgic pain described?
Burning pain
(Causalgic pain is described as burning, and patients with causalgia have very significant amounts of pain. This is commonly seen in patients who have certain types of preganglionic brachial plexus injuries.)
What is a common presentation of preganglionic brachial plexus pain?
Causalgic pain
Angina pectoris can present as shoulder pain with activity.
True or False
True
In women, a symptom of neck and left posterior shoulder pain, but also anterior breast pain with normal muscle testing which does not elicit symptoms could indicate what?
Breast cancer
What is the common presentation for Hodgkin’s lymphoma?
(3 items)
Typically age 15–35
Neck pain of a prolonged duration
Swollen lymph nodes in the neck, axilla, and groin
Is brusing presentation for glenohumeral joint dislocation?
No
Complete severing of the nerve is known as what?
Neurotmesis
What is the best long-axis hip manipulation?
In open-pack and moving gradually into closed pack where the patient is most restricted.
What is the course of treatment for swan-neck?
Splinting initially.
If problem does not resolve, surgical intervention may be warranted.
Is hypermobilty a precaution or a contraindication for thrust manipulation?
It is a precaution as some patients may still benefit from thrust manipulation even in the presence of hypermobility.
According to Fritz et al. (2007), what should be the parameters for lumbar traction?
Prone for a maximum of 12 minutes with 40% to 60% of body weight.
What exercise is commonly used after lumbar traction?
Prone press ups.
For carpal tunnel, are cortisone injections more useful short-term or long term?
here has been no demonstrated impact of corticosteroid injections after one month, so they are effective in the short term, but that is all that is known at this point.
Which muscle assists the PCL in preventing posterior tibial translation?
The popliteus muscle.
What exercises are best in improving knee flexion and overall lower extremity strength in a patient who has undergone an anterior cruciate ligament reconstruction?
Balance and proprioceptive exercises plus lower extremity strengthening
What is currently known in regard to stretching for patients with adhesive capsulitis?
Patients should not be stretched beyond the limit of their pain.
It may worsen the overall outcomes.
What are the grades of Kaltenborn joint traction?
Grades 1-3.
What is a common autonomic response to joint manipulation?
Change in skin temperature
Which muscles are important to be added to a stretching program for neck pain?
- Anterior, medial, and posterior scalene
- Upper trapezius
- Levator scapulae
- Pectoralis muscles
In relation to WAD, what is the relationship between wearing a soft collar and time off work?
Individuals who wear a soft collar after a motor vehicle accident are more likely to take prolonged time off work
In the cases of peripheral ulnar nerve injuries in which splinting is needed, what is the advantage of splinting the metacarpophalangeal joints in flexion?
(3 items)
- It prevents overstretching of the volar surface soft tissues
- Forces the extrinsic finger extensors to provide interphalangeal joint extension
- Allow for finger extension.
Which manipulations have been shown to improve heel pain symptoms in patients with plantar fasciitis?
(3 items)
- Cuboid thrust manipulation
- Distal tibiofibular joint posterior nonthrust manipulation
- Proximal tibiofibular joint thrust manipulation
What is the correct information regarding the use of iontophoresis in heel pain?
Iontophoresis may or may not provide two to four weeks of pain relief and improved function in those with heel pain.
What is the recommendation for the use of US calcific tendinitis?
For short-term improvement, Ebenbichler et al. found ultrasound therapy to be beneficial for calcific tendinitis.
What position is a patient placed in during a Stimson’s shoulder relocation technique?
Prone.
Why is he medial meniscus easier to injure than the lateral meniscus?
Because the medial meniscus has a strong capsular attachment.
What systemic pathology is possible to occur due to rheumatoid arthritis?
Pericarditis is a possible systemic pathology that can occur due to rheumatoid arthritis
(cardiac complications)
After a grade 3 posterior cruciate ligament injury, what is recommended regarding weight-bearing status?
Partial weight-bearing for 2–4 weeks after injury
What is predictor of poor outcome post arthroscopy for medial compartment osteoarthritis of the knee?
History of knee osteoarthritis for longer than 24 months.
The use of which muscle prior to 6-8 weeks post for open repair for a rotator cuff tear could result in need for revision.
Deltoid
(During an open rotator cuff repair, there is splitting and detachment of the deltoid, and reattachment of this muscle to the acromion is a significant part of the surgical procedure. Because of the extent of involvement of the deltoid, it is imperative to not use this muscle actively for a relatively long period of time after surgery. If used, it could lead to a failure of the procedure.)
A sprain or strain of the cervical spine is what ICF diagnosis?
Neck pain with movement coordination impairments.
The median nerve terminal branches is created from which cords?
The median nerve terminal branch is created from the lateral and medial cords
What women’s health procedure is associated with a higher risk of carpal tunnel syndrome?
Hysterectomy.
How sensitive is the wrist ratio index greater than 0.67 for the development of carpal tunnel syndrome?
93% sensitivity.