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Bootcamp Quiz Questions > Quiz 9 > Flashcards

Quiz 9 Flashcards

1
Q

Name three special tests for the ACL?

A 
Anterior drawer
Lachman’s
Pivot shift
Jerk
FRD (Flexion Rotation Drawer Test)
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2
Q

Which ACL test is the gold standard and why?

A

Lachman’s - Has the highest sensitivity

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3
Q

Explain how you would determine if an ACL test was positive

A

Positive Test Findings:

  • Pain
  • > 3 mm translation
  • “Empty” end feel
  • Increased anterior motion on stress testing
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4
Q

What might the patient say to make you believe their ACL is involved?

A

History of macrotrauma including twisting, deceleration
History of giving way
History of hearing “pop”

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5
Q

Name three special tests for the meniscus?

A

Recurvatum,
McMurray’s (and with DDV),
Apley’s compression (and with DDV),
Steinman’s

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6
Q

Which special test implicates the anterior horn of the meniscus?

A

Recurvatum

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7
Q

What indicates a positive meniscus test?

A

Joint line pain
Click/clunk
Catching/locking
Pseudo-catching/locking

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8
Q

Explain how to perform the Apley’s Dynamic Compression (DDV) test.

A

Patient is prone, compress the tibia into the femur and externally rotate, then extend.
Repeat with tibia in internal rotation, then extend.

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9
Q

What are two factors that occur when running that increase the risk of injury in runners?

A

Increased GRF and Increased velocity

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10
Q

For a runner with a “high arch” what is their foot alignment and what kind of shoe should they wear?

A

Supination; neutral-cushioning shoe

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11
Q

Alignment and shoe for runner with“normal arch”?

A

Neutral; stability shoe

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12
Q

Alignment and shoe for runner with “flat foot”?

A

Pronation; motion-control shoe

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13
Q

How long does the typical running shoe last?

A

~ 500 miles

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14
Q

What type of orthotic would you use for rigid pes planus?

A

Rigid orthotic

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15
Q

What type of orthotic for pes cavus?

A

Soft orthotic

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16
Q

Where do you typically see calluses?

A

1st Met head

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17
Q

Where would you see calluses that would be abnormal?

A

Medial side of the big toe, pinched callus

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18
Q

How do you prevent forefoot varus with orthotics?

A

Medial post

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19
Q

What orthotic could you use for a Morton’s neuroma?

A

Metatarsal bar

20
Q

What can the max heel lift be inside of the shoe?

A

1/2 inch

21
Q

What is the initial goal of rehab for an acute ankle sprain?

A

To decrease swelling

22
Q

Name three PT interventions that can be done to address an acute ankle sprain

A 
Cryotherapy, 
compression, 
elevation, 
milking massage, 
e-stim, 
NSAIDs, 
ankle pumps
23
Q

What is the best way to wrap an acute ankle sprain? Name it and describe it

A

Horseshoe wrapping
Place the horseshoe around the lateral malleolus to fill the space and then do figure-8 wrap
Check compliance by looking for the indentation at next session

24
Q

What is an example of e-stim for decreasing swelling?

A

IFC or Hi-Volt

25
Q

What is the capsular pattern of the hip?

A

Capsular Pattern: Flexion > Abduction > Internal Rotation

26
Q

Name a hip mobilization to improve hip ER.

A

Figure four anterior or anterior glides

27
Q

Name a hip mobilization that can be done to improve hip flexion

A

Inferior glide or posterior glide

28
Q

Name a hip mobilization to improve hip extension.

A

Anterior glide

29
Q

Name 4 Patellofemoral Tests

A

Medial glides- checks superficial fibers on lateral retinaculum

Lateral glides- check superficial fibers of medial retinaculum

Medial Tilts- checking deep fibers of lateral retinaculum

Lateral Tilts- Deep fibers of medial retinaculum

Caudal Glides- checking quad tendon

Cephalic glides- checking infrapatellar tendon

30
Q

Name 2 PF tests used for patellar tracking

A

Passive tracking
Active Tracking OKC
Active Tracking CKC

31
Q

Why should we not use a bolster under the knee when performing PF tilts?

A

Want to loosen deeper structures so you can tilt the patella (knee is in most lax position)

32
Q

What instructions should you give someone who has just gotten their orthotic? (If you don’t like this one, you can change it)

A

It must be worn in every shoe

May need to purchase a wider shoe to accommodate the orthotic

33
Q

What glide do you perform with the Moving Patellar Apprehension Test?

A

Lateral Glide

34
Q

If the Moving Patellar Apprehension Test is positive, what do you do? (second step of the test)

A

Medial Glide

35
Q

Name the four PCL tests on the knee algorithm

A

Recurvatum,
Sag test,
Clancy step up, and
Posterior drawer

36
Q

Give an example of an injury that may cause a PCL tear.

A

Hyperextension injury

Fall on anterior tibia with ankle in plantarflexion

37
Q

What other ligament would you want to examine in a suspected PCL tear?

A

ACL

38
Q

Describe a positive PCL test:

A

Pain, Instability, Increased posterior motion with Stress testing

39
Q

Which part of the knee do you measure when performing anthropometric measurements of the knee?

A
  • 20 cm proximal to the joint line
  • 10 cm proximal to the joint line
  • Joint line
  • 15 cm distal to the joint line
40
Q

Why do you measure at each part when performing anthropometic measurements of the knee?

A

20 cm proximal to the joint line- atrophy in the chronic knee

10 cm proximal to the joint line- swelling in the acute knee, atrophy in the chronic knee

Joint line- Swelling in the acute knee

15 cm distal to the joint line-Atrophy in the chronic knee. The bulk of the gastroc soleus is here for most people. Can adjust for an especially tall or short individual.

41
Q

Name four special tests for LE flexibility and what structures are implicated

A

Thomas Test: Iliospoas and RF

Ober’s or Modified Ober’s: IT Band

Ely’s: Rectus Femoris

90/90 SLR: Hamstrings

42
Q

When assessing hip flexor length, how do you differentiate between the two muscles?

A

Bend the knee - if thigh rises, RF is implicated and if no movement, iliopsoas is implicated

OR

Straighten the knee - if thigh lowers, RF is implicated and if no movement, iliopsoas is implicated

43
Q

What are the three aspects of the femoral triangle?

A

Inguinal ligament
Sartorius
Adductor Longus

44
Q

What structures pass through the triangle?

A

Femoral vein, artery and nerve (medial to lateral)

45
Q

What position is best for accurate palpation of these structures?

A

Supine figure-4

Bootcamp Quiz Questions (8 decks)

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