Quiz 3

Question 1

DASH questionnaire

Answer 1

lower score = greater disability

Question 2

SPADI questionnaire

Answer 2

higher score = greater disability

Question 3

ASES questionnaire

Answer 3

lower score = greater disability

Question 4

sensation testing is important in what kinds of patients

Answer 4

post surgical patients

Question 5

examination includes

Answer 5

observation
history
upper quarter screen
AROM/PROM/AROM TPO
repeated motion
joint play
muscle performance
special tests

Question 6

what should you do if T spine extension is limited?

Answer 6

central/unilateral vertebral pressures

Question 7

observation includes?

Answer 7

posture
protection of arms
head position/protection
affect/demeanor
movement patterns

Question 8

patient history intake includes?

Answer 8

age
occupation
developmental history
living environment
medications
other medical intervention
PMH/PSH
behavioral health risks
functional status/activity level

Question 9

patient history interview includes?

Answer 9

history of current condition
MOI
symptoms
area
onset of condition
duration of symptoms

Question 10

quality of pain

Answer 10

shifting or popping out –> instability
clicking, snapping, or grinding –> labral tear
ache –> muscle, bone
sharp pain –> nerve
stiffness –> arthritis
numbness –> nerve, vasculature
burning –> nerve
dead arm –> vasculature

Question 11

provocative or symptom associated ADLs

Answer 11

reaching overhead
applying deodorant
reaching for wallet
pushing up from chair
sneezing or coughing

Question 12

elevation of painful arc

Answer 12

insidious onset, micro trauma
scapular dysconesis –> movement impaired at scapula
doesn’t toleration compression

Question 13

final 10 degrees of painful arc indicates?

Answer 13

AC or SC joint involvement

Question 14

other medical information includes?

Answer 14

medication
immobilization
injections
surgeries
ADL restrictions
patient goals

Question 15

extrinsic causes of shoulder pain

Answer 15

neuromuscular
cardiovascular
pulmonary
malignancy
abdominal

Question 16

hypermobility pathologies

Answer 16

chronic dislocations
- Ehlers-Danlos –> defect in collagen synthesis
- treat with stabilization and strength
- Marfan’s Syndrome –> genetic disorder of connective tissue

Question 17

hypermobility score correlated to beighton’s index

Answer 17

score: 0-3 is normal, 4-9 is hypermobile

Question 18

a score of ___ on the beighton’s index indicates global hypermobility

Answer 18

4

Question 19

warning signs that pathology could be visceral

Answer 19

constant pain
insidious onset
throbbing, pulsating, deep aching
rest does NOT help
constitutional symptoms of nausea, night sweats, fever
worse during sleep
pain changes with organ function changes
pain increases with activity that does NOT stress

Question 20

differential diagnosis

Answer 20

hypertension
depression
asthma
chemical dependency
anemia
thyroid problems
cancer
diabetes
kidney problems
hepatitis
heart attack

Question 21

red flag complaints

Answer 21

age > 50 yrs
night pain
weight loss
fever
pain unrelated to activity
pain not relieved by rest
history of smoking
previous history of cancer
cardiac risk factors

Question 22

observation includes?

Answer 22

skeletal abnormalities
skin characteristics
defects
hypertrophy

Question 23

Ludington’s test

Answer 23

hands on head, monitoring biceps activation

Question 24

popeyes sign

Answer 24

rupture of biceps tendon

Question 25

when isolating ROM in the glenohumeral joint what type of ROM is measured?

Answer 25

PROM only!

Question 26

normal shoulder ROM values

Answer 26

flex/abd - 0-180
extension - 0-60
ER - 0-90
IR - 0-70
FIR - symmetry
FER - symmetry

Question 27

what to assess during ROM movements

Answer 27

quality/quantity bilaterally
movement pattern quality
symptom provocation and location

Question 28

capsular pattern of shoulder limitations

Answer 28

ext. rot. –> abduction –> int. rot.

Question 29

capsular instability in ER 90 degrees and ABD

Answer 29

anterior dislocation

Question 30

capsular instability in horizontal ADD and IR

Answer 30

posterior dislocation

Question 31

repeated movement testing indicating a derrangement

Answer 31

fat pad displacement

Question 32

repeated movement testing indicating a dysfunction

Answer 32

articular: labrum, GH joint
contractile: muscle

Question 33

derangement

Answer 33

rapid changes in symptomatic baseline following RMT
pain is intermittent
limitations fluctuate
insidious onset

Question 34

articular dysfunction

Answer 34

intermittent pain
pain at end range when passively stretched
no rapid change in symptoms

Question 35

contractile dysfunction

Answer 35

intermittent pain
constant pain in active contraction
no rapid changes in symptoms

Question 36

glenohumeral joint play directions

Answer 36

anterior, posterior, inferior slide/glide

Question 37

scapular joint play directions

Answer 37

elevation
depression
upward/downward rotation
protraction
retraction

Question 38

acromioclavicular joint play directions

Answer 38

anterior, posterior

Question 39

sternoclavicular joint play directions

Answer 39

superior
inferior
anterior
posterior

Question 40

thoracic spine joint play directions

Answer 40

CVP, UVP

Question 41

Flexion glides

Answer 41

Posterior/inferior glide

Question 42

Extension

Answer 42

Anterior glide

Question 43

ABDuction

Answer 43

Inferior glide humeral head
Inferior glide clavicle on sternum

Question 44

Internal rotation

Answer 44

Posterior glide

Question 45

External rotation

Answer 45

Anterior glide (posterior glide if poor posture)

Question 46

Horizontal ABDuction

Answer 46

Anterior glide

Question 47

Horizontal ADDuction

Answer 47

Posterior glide

Question 48

TRUE OR FALSE: hand held dynamometer is clinically more reliable

Answer 48

TRUE