Quiz Questions Flashcards
How do quadriceps strength deficits in conservatively managed athletes compare to operatively managed athletes with torn ACL?
20% of conservatively managed athletes
vs
33% of operatively managed atheletes
had greater than 10% strength deficit at 2 years
If I should patella femoral pain syndrome, should I strengthen the Hip first or Knee or Both at the same time?
Current evidence indicates that use of hip strengthening prior to initiation of quadriceps strengthening leads to:
- Better overall outcomes
- Faster reductions in pain
Systematic Rev assessing evidence to support exercise in Knee OA reported:
Maximizing adherence is a key element in dictating success
-enhanced by supervised exercise sessions, home exercise program, and follow-up refresher visits with PT
What are the implications of Long Term Quadriceps Weakness?
Quadriceps strength is highly related to functional performance -Stair Climbing Performance -Decreased Gait Speed Increased Risk of falling Loss of functional independence
What is most intimately related to function in TKA rehab?
a. Strength
b. ROM
c. Pain
a. Strength
Post-op TKA rehab protocols should include (4):
- NMES
- Higher intensity, progressive resistive exercises targeting major LE muscle groups
- Use of progressive aquatic exercise may provide additional benefit
- Proximal hip muscle strengthening
All of the following regarding Knee Ostearthritis are true except for the following?
A. Can occur in any of the 3 compartments - Medial, Lateral, Patellarfemoral
B. Characterized by progressive loss of articular cartilage, sclerosis of the subchondral bone, and formation of osteophytes.
C. Falls under the Destructive classification.
C. Falls under the Destructive classification.
Based on the criteria developed by Altman, which of the following should NOT be used for the clinical diagnosis of knee OA?
A. Age 25 to 40
B. Morning Stiffness
a. Age 25 to 40
Proposed etiologies for the development of Extensor Mechanism Disorder can include all of the following EXCEPT for:
a. Increased “static” Q angle
b. Decreased prominence of lateral femoral condyle
c. Both Patella Alta and Baja
d. Increased foot pronation
a. Increased “static” Q angle
Because the oblique fibers of Vastus Medialis attach to the tendinous portion of the Adductor Magnus, an increase in VMO EMG activity will occur if the patient squeezes a ball between their knees when contracting the quad group.
T/F
False
All of the following are considered specific classifications of extensor mechanism disorders
A. PLICA Syndrome
B. Patellar Tendinopathy
C. Septic Prepatellar Bursa
D. Sinding-Larsen-Johansson Disease
C. Septic Prepatellar Bursa
All of the following are symptoms that commonly occur with patellarfemoral pain (3):
- General complaints of anterior knee pain
- Crepitation with movement of patellofemoral joint
- Symptoms increased with ascending and descending stairs, squatting, &/or prolonged sitting (“theater sign”)
T/F: Plica syndrom is an irritation of embryologic synovial tissue circling the patella caused by an abnormal tracking of patella.
True
Sinding-Larsen-Johansson disease is a result of an avulsion injury where the patella inserts on the tibial tubercle.
False
All of the following regard Osgood-Schlatter disease are true EXCEPT for:
a. Occurrence is 5x greater in adolescents active in sports.
b. Occurs 2 to 3 x’s more frequently in females than males.
b. Occurs 2 to 3 x’s more frequently in females than males.
Etiology of Patellar Tendinopathy can include all of the following EXCEPT for:
a. Associated quadriceps weakness
b. lack hamstring and gastrocnemius flexibility
c. Patella alta
d. Repetative jumping sports
e. Excessive pronation
e. Excessive pronation
Similar to other regions of the body, the clinician can easily use a pathoanatomical rational to explain the pain and dysfunction related to extensor mechanism.
False
Differential Diagnoses for Chronic Plantar Heel Pain include all of the following EXCEPT for:
a. Referred pain secondary to L5-S1 radiculopathy
b. Heel spur
c. Posterior Tibialis Tendinopathy
d. Tarsal Tunnel Syndrome
c. Posterior Tibialis Tendinopathy
All off the following are true in regards to Chronic Plantar Heel Pain EXCEPT for
a. Increased ankle dorsiflexion
b. Prolonged standing
c. BMI has strong association in non-athletic population.
d. Can be linked to both seropositive and seronegative arthropathies
a. Increased ankle dorsiflexion
True/False: Foot eversion and ankle dorsiflexion test is used to assess Tarsal Tunnel Syndrome.
True
Typical clinical picture for a patient with Sever Disease includes all of the following except for:
a. Active sport playing children between 10 and 12 years of age
b. Affects females more than males
c. Can often occur in midst of growth spurt
d. Often have limited ankle dorsiflexion
b. Affects females more than males
Differential diagnosis for Metatarsalgia include all of the following except for:
a. Morton’s Toe
b. Stress Fracture
c. Exertional Compartment Syndrome
d. Interdigital nerve compression/neuroma
c. Exertional Compartment Syndrome
All of the following statements are true in regards to Medial Tibial Stress Syndrome except
a. Burning, cramping, increased pressure and/or pain over involved compartment
b. Pain located along posterior-medial border of tibia
c. Pattern of pain in most cases caused by exercise
d. Diffuse pain for at least 5 centimeters
a. burning, cramping, increased pressure and/or pain over involved compartment
True/False: Decreased mobility of the 1st MTP joint is a differential diagnosis with metatarsalgia that can be associated with hallux valgus or hallux limitus/rigitus.
True
Which of the following would not be considered a differential diagnosis for Medial Tibial Stress Syndrome?
a. Stress fracture/reaction
b. Exertional compartment syndrome
c. Tibialis Posterior Tendon
d. Retrocalcaneal Bursitis
d. Retrocalcaneal Bursitis
All of the following tests would be included in your physical exam for achillies tendinopathy EXCEPT for:
a. Traction of the flexor digitorum longus through max excursion
b. Thompson’s Test
c. Arc Sign
d. Assessment of foot posture and mobility
a. Traction of the flexor digitorum longus through max excursion
True/False: Using a tuning fork for the diagnosis of a tibial stress fracture has been shown to have a high level of specificity but a low level of sensitivity, this means that if a positive test is elicited when using a tuning fork, the clinician can be fairly confident when ruling in a positive stress fracture but not ruling out.
True
T/F: Arthrogenic Muscle Inhibition (AMI) causes ongoing reflex inhibition of musculature, especially the hamstring muscle group.
False - quads
Which of the following statements is false regarding patellar restrictions:
a. If the patient has restricted knee ROM, always check the femoral condyles first.
b. Usually seen after prolonged periods of immobilization.
c. Limitation in knee flexion most common due to lack of inferior glide.
a. If the patient has restricted knee ROM, always check the femoral condyles first.
Which of the following statements regarding Anteromedial instablity of the knee complex is NOT correct:
a. medial tibial plateau moves in an anterior and externally rotated direction with respect to femur.
b. Involves the ACL, Medial Capsule, MCL
c. Anterior drawer test with tibia externally rotated tibia can be used to assess
d. Lateral pivot shift, Flexion or Jerk Test are the primary tests to diagnose
d. Tested with Lateral pivot shift, Flexion or Jerk Test
All of the following statements regarding knee instability EXCEPT for:
a. abnormal femoral condyle displacement
b. Initially, medical community only recognized single-plane instabilities
a. abnormal femoral condyle displacement
T/F: An Autograph is material obtained from the patient.
True
All the following statements regarding issues related to Anterior Cruciate Ligament surgery are true except for:
a. The tissue graph is strongest on the day of surgery
b. The graft material used for the repair undergoes necrosis immediately
c. The graft materials will best regain 80% of original strength
d. Can take up to 6 months or less for graft to attain maximum strength.
d. Can take up to 6 months or less for graft to attain maximum strength.
True/False: Use of Patellar Tendon as a graph has many advantages, but a disadvantage is higher incidence of Patellofemoral joint pain post-surgery.
True
True/False: Two major post-operative concerns for physical therapist are to prevent the graft from being stretched and protection of graft fixation sites.
True
True/False: The inner 1/3 termed WHITE ZONE of the meniscus has the richest blood supply.
False
True/False: The meniscus functions to attenuate joint reaction forces and enhance joint stability but increasing congruence.
True
Which of the following tests and measures woud NOT be used to assess an injury to the meniscus.
a. Joint Line Tenderness
b. Bounce Home
c. Jerk Test
d. Thessaly Test
c. Jerk Test
