Week 2 Questions

Question 1

A 33 year-old patient is in an MVA and complains of arm pain and he cannot extend his elbow. Without knowing any other part of the exam at this point, what are your possible options for why he can’t extend his elbow?

a. Weakness from disuse
b. He has a brachioradialis rupture
c. He has an injury to the radial nerve in the spiral groove
d. He has a high injury to the radial nerve
e. He has a triceps tendon rupture
f. He has an acute disc herniation affecting the C5 nerve root

Answer 1

d, e

Question 2

When evaluating a patient with a MSK complaint - focus on their joint complaints. Don’t spend time on the past medical history as that is not relevant and you can leave that to the patient’s primary care doc.

a. True
b. False

Answer 2

b. False

Question 3

Arrange the order in which you will examine an MSK complaint of the knee for example.
Palpation
Special testing/instability testing
ROM
Strength testing
Inspection

Answer 3

1. Inspection
2. Palpation
3. ROM
4. Strength testing
5. Special testing/instability testing

Question 4

Pick all the correct reasons why a patient would lose active, but not passive ROM of a joint:

a. Advanced degenerative joint disease
b. Spinal disease/compression of nerve roots
c. Tendon tear
d. Too painful to use own muscles
e. Dislocation
f. Acute fracture
g. Arthrofibrosis
h. Peripheral nerve injury

Answer 4

b, c, d, h

Question 5

Degenerative joint disease of the hip would cause a loss of active and passive hip ROM.

a. True
b. False

Answer 5

a. True