Deck 8: Shoulder and Upper Arm

Question 1

The shoulder spica wrapping technique is used to:

A) anchor off-the-shelf and custom-made pads.
B) immobilize the acromioclavicular joint.
C) immobilize the sternoclavicular joint.
D) limit range of motion at the glenohumeral joint.

Answer 1

anchor off-the-shelf and custom-made pads.

Question 2

When properly applied, the figure-of-eight wrap serves to:

A) protract the scapulae.
B) retract the scapulae.
C) elevate the scapulae.
D) depress the scapulae.

Answer 2

retract the scapulae.

Question 3

The 4 S wrapping technique stands for:

A) spica, strain, swathe, and support.
B) spica, sling, shoulder, and swathe.
C) spica, scapula, shoulder, and sprain.
D) spica, sling, swathe, and support.

Answer 3

spica, sling, swathe, and support.

Question 4

Off-the-shelf and custom-made shoulder stabilizers are commonly used to lessen glenohumeral joint:

A) flexion and internal rotation.
B) abduction and external rotation.
C) adduction and internal rotation.
D) extension and external rotation.

Question 5

Based on the evidence in the literature, the use of shoulder stabilizer braces to prevent the recurrence of shoulder instability:

A) is strongly supported.
B) is supported.
C) is unclear.
D) is not supported

Question 6

Most sling designs are available in predetermined sizes based on the measurement from the:

A) olecranon process to the fifth metacarpophalangeal joint.
B) olecranon process to the second distal interphalangeal joint.
C) olecranon process to the radioulnar joint.
D) olecranon process to the proximal fifth interphalangeal joint.

Question 7

Off-the-shelf and custom-made acromioclavicular joint padding techniques protect the joint from:

A) a fall on the outstretched arm.
B) overhead activities.
C) a direct or repetitive force(s) to the acromion.
D) a fall on the flexed elbow.

Question 8

When the shoulder pointer/acromioclavicular joint sprain tape technique is applied, tape strips are anchored to the skin without tension or stretch to:

A) improve glenohumeral joint range of motion.
B) improve adherence of the tape.
C) lessen chances of skin irritation.
D) lessen difficulty upon removal.

Question 9

The immobilizer is used primarily to immobilize the shoulder:

A) in varying degrees of flexion.
B) in varying degrees of adduction.
C) in varying degrees of abduction.
D) for short periods of time.

Question 10

A contusion to the distal end of the clavicle is referred to as a:

A) Hill-Sachs lesion.
B) shoulder pointer.
C) tackler's exostosis.
D) Bankart lesion.

Question 11

The majority of glenohumeral joint dislocations are:

A) anterior.
B) posterior.
C) superior.
D) inferior.

Question 12

Excessive adduction and internal rotation of the humerus can cause:

A) sternoclavicular joint sprain.
B) acromioclavicular joint sprain.
C) anterior glenohumeral joint dislocation.
D) posterior glenohumeral joint dislocation.

Question 13

According to the evidence, the effects of internal rotation or external rotation immobilization of the shoulder after first time anterior glenohumeral dislocations:

A) have demonstrated no differences in rates of recurrent subluxations and dislocations.
B) have demonstrated lower rates of recurrent subluxations and dislocations with internal rotation immobilization.
C) have demonstrated lower rates of recurrent subluxations and dislocations with external rotation immobilization.
D) are inconclusive based on limited evidence.

Question 14

Research examining the effects of sling bracing and figure-of-eight wrapping techniques for the treatment of clavicular fractures found:

A) faster rates of healing with a sling.
B) greater shoulder function scores with the figure-of-eight.
C) no differences in shoulder function scores, cosmetic outcomes, and return to activity.
D) lower levels of pain with the figure-of-eight.

Question 15

How should you position the patient for the application of a compression wrap to control swelling?

A) Sitting or standing with the involved arm at the side of the body and the elbow flexed to 90 degrees with a moderate isometric contraction of the upper arm and forearm musculature
B) Sitting or standing with the involved arm at the side of the body and the elbow placed in a pain-free, flexed position
C) Sitting or standing with the involved arm relaxed and extended at the side of the body
D) Standing with the hand of the involved arm placed on the lateral hip in a relaxed position

Question 16

A 10 yard length elastic wrap is recommended for all of the following techniques EXCEPT:

A) circular upper arm.
B) figure-of-eight wrap.
C) shoulder spica.
D) swathe wrap.

Question 17

Shoulder and/or upper arm protective equipment is required during practices and competitions for all of the following NCAA and NFHS sports EXCEPT:

A) field hockey.
B) football.
C) ice hockey.
D) lacrosse.

Question 18

Most recommend that athletes return to collision and contact sports following an acromioclavicular joint sprain with:

A) a shoulder stabilizer.
B) a neoprene sleeve.
C) a protective padding.
D) an acromioclavicular joint brace.

Question 19

Which of the following can be used with a compression wrap to prevent irritation of the cubital fossa?

A) Gauze
B) Cotton
C) Self-adherent wrap
D) Thin foam pad

Question 20

SLAP is the acronym for:

A) superior lateral anteroposterior
B) shoulder lateral anteroposterior
C) superior labrum anteroposterior
D) shoulder labrum anteroposterior

Question 21

Which option accurately describes the position a patient should maintain during the shoulder spica wrapping?

A) Involved arm abducted to 90 degrees
B) Involved arm at the side of the body
C) Involved arm's hand placed on the lateral hip
D) Involved arm's elbow in 90 degrees of flexion

Question 22

Where should roll tension be greatest when applying an upper arm compression wrap?

A) Distal upper arm
B) Proximal upper arm
C) Over inflamed area
D) Distal upper arm and over the inflamed area

Question 23

Which statement describes proper application of the swathe wrap?

A) The wrap is applied medial-to-lateral.
B) The fingertips and hand should be covered.
C) The wrap is overlapped by ? of its width over the distal upper arm and trunk.
D) When finished, the wrap should be anchored at the proximal upper arm.