Question 1

A patient with a diagnosis of ankle sprain that occurred 4 weeks ago demonstrates significant loss of range of motion,an absence of redness or warmth,and no significant swelling.In which stage of healing is the patient?

A)Acute stage
B)Granulation stage
C)Subacute stage
D)Chronic stage

C

Accepted Answer

The absence of redness or warmth, significant swelling along with 4 weeks of injury indicates that the patient is in the subacute stage of healing. During this stage, the focus is on reducing pain and inflammation, restoring full range of motion, and beginning to return to functional activities.

Question 2

What tissue is MOST likely implicated in a patient with limited passive and active shoulder abduction,firm end feel,5/5 strength,no signs of instability,and limited inferior glide passive accessory mobility of the glenohumeral joint?

A)Muscle
B)Tendon
C)Capsule
D)Ligament

C

Accepted Answer

The limited inferior glide passive accessory mobility of the glenohumeral joint and firm end feel suggest joint capsule involvement. The 5/5 strength and absence of instability indicate muscle and tendon involvement are less likely. Ligament involvement may result in instability or pain with certain movements, which is not described in this scenario.

Question 3

During the patient interview,the physical therapist notes the possibility of decreased mental ability.The patient seems to have difficulty understanding what is going on and looks around the rehabilitation gym when the physical therapist is trying to explain the exercises.Which of the following would improve the patient's ability to understand the instructions?

A)Explain in detail the tissues that are the source of the patient's symptoms.
B)Sit to the side of the patient and explain the cause of the pain.
C)Explain the cause of pain in simple terms in a quiet room.
D)Stand above and face the patient while describing the source of the problems.

C

Accepted Answer

The patient's decreased mental ability suggests that complex explanations may be difficult for them to understand. Sitting to the side of the patient and explaining the cause of pain in simple terms will make it easier for the patient to comprehend the instructions. A quiet room will also help the patient focus on what is being explained.

Question 4

To assist the selection and application of examination and treatment procedures in the physical examination,what information is critical to gather FIRST during the patient interview?&#10;A)Impairments that are limiting the patient&#10;B)Gender of the patient&#10;C)Medical history of the patient&#10;D)Functional limitations of the patient

Accepted Answer

Gathering the patient's medical history is critical to identify any past or current medical conditions, surgeries, medications, or allergies that may impact examination and treatment procedures. This information can also provide insight into any potential underlying conditions that may be contributing to the patient's current symptoms. Once this information is gathered, further assessment and evaluation can be tailored to the patient's specific needs and concerns. Options A, B, and D may also be important, but gathering the medical history should be the first priority.

Question 5

During the physical examination,the patient reports pain and demonstrates 85 degrees of right shoulder abduction active range of motion compared to 170 degrees in the left shoulder.During passive range of motion testing,the therapist notes 170 degrees of pain-free right shoulder abduction.What tissue in the right shoulder is MOST likely responsible for the limitation in active range of motion?

A)Glenohumeral joint capsule
B)Supraspinatus tendon
C)Infraspinatus tendon
D)Humeral deformity

Accepted Answer

The discrepancy between active and passive range of motion, where active motion is limited and painful but passive motion is not, suggests a problem with the muscles or tendons responsible for that movement. The supraspinatus tendon is a key component of the rotator cuff that assists with shoulder abduction. If there's pain and limitation only during active movement, it indicates that the issue is likely with the muscle or tendon (in this case, the supraspinatus tendon) rather than the joint capsule, another tendon not primarily responsible for abduction, or a bone deformity.

Question 6

Which of the following statements gathered during history taking is characteristic of a chronic biomechanical etiology?&#10;A)&#34;I fell off my bike and landed on my bottom.&#34;&#10;B)&#34;I started training for a marathon and started to hurt.&#34;&#10;C)&#34;I was in a motor vehicle accident recently.&#34;&#10;D)&#34;I was born with a curve in my spine.&#34;

Accepted Answer

Training for a marathon and starting to hurt suggests a chronic biomechanical etiology due to repetitive stress or overuse, common in athletes or individuals suddenly increasing their physical activity levels.

Question 7

What arthrokinematic motion is occurring in the tibiofemoral joint during open chain knee flexion?&#10;A)Femoral condyles slide and roll anteriorly.&#10;B)Femoral condyles slide anteriorly and roll posteriorly.&#10;C)Tibial plateau slides and rolls posteriorly.&#10;D)Tibial plateau slides posteriorly and rolls anteriorly.Chapter 4.Musculoskeletal Examination

Accepted Answer

During open chain knee flexion, the tibial plateau slides and rolls posteriorly on the femoral condyles.

Deck 4: Musculoskeletal Examination