230 test 2 FULL TEST

a PTA is treating a patient with shoulder impingement. which of the following is NOT a common impairment of structure that the pta might expect the patient to demonstrate A. hypomobility of the glenohumeral joint capsul B. increased thoracic ROM C. rotator cuff overuse and fatigue D. impaired posture

B increased thoracic ROM

what are the structures of the carpal tunnel

Flexor digitorum superficialis Flexor digitorum profundus Flexor pollicis longus Median nerve

DeQuervain's Syndrome

Type of tenosynovitis caused by overuse of the wrist by grip, twisting, grasp, clench, pinch. Pain at base of thumb and moving thumb.

a pta is treating a patient that has undergone a total shoulder Arthroplasty. the patient is now in the controlled motion phase of rehab. which of the following is most appropriate in this stage? A. AROM of the scapula while the patient is in a aling. B. scapular retraction in sitting C. shoulder ER strengthening with a light resistance band D. muscle setting of the rotator cuff

c. shoulder er eith light band

a young man is walking across the gym and trips over a bar bell in his path. he attempts to catch himself by falling with an outstretched hand (wrist in the extended position) and fractures his wrist at the distal radius with a posterior displacement (dorsal) of the distal radius. what is the name of the fracture he sustained?

colles fracture

a patient suffered an injury to the deltoid nerve. which muscles would you expect to be weak after this injury?

deltoid and teres minor

Boutinerre deformity

extension contracture of the of MCP and DIP, flexion contracture of the PIP

you collect data on a patient s/p radial head fracture. you measure PROM as 22-150 your assessment is that compared to norms

flexion is normal and extension is limited

What is a Smith's fracture?

fracture of the distal radius with volar displacement

a pt is going to measure a patients forearm supination. what are the appropriate landmarks for this?

fulcrum proximal to the ulnar styloid; proximal arm parallel to the anterior midline of the humerus movable arm across the dorsal aspect of the wrist

Ulnar claw

hyper extension of MCP and flexion at distal and proximal IP of 4th and 5th digits.

Swan neck deformity

hyperextension of PIP joint and flexion of DIP joint

MMT lower trapezius muscles for scapular depression adduction with 4/5 to 5/5 strength with the pt prone and the shoulder in what position

145° of abduction, forearm neutral with the thumb pointed at the ceiling

a patient is able to lift her shoulder 25° in to abduction. what would be the most appropriate MMT grade to give this patient?

2/5

each of the following is true about rehabilitation regarding dislocation of the glenohumeral joint except A. after initial dislocation and a course of non operative management recurrence of a dislocation is higher in older patients (over 40) than in younger patients (less than 30) B. anterior dislocation is far more common than posterior C. compression fracture of the posteriolateral margin of the humeral head is an associated lesion that may occure as the result of a traumatic anterior dislocation D. a fall on the srm when it is positioned in flexion, adduction, and internal rotation can cause a posterior dislocation

A. after initial dislocation

to strengthen the elbow extensors in closed chain you have the patient perform push-ups using bodyweight as the source of resistance. which of the following pushup positions provides the greatest amount of resistance to the elbow extensors? A. bilateral push-ups while in a fully prone position on the floor with weight on the hands and feet B. bilateral push-ups while in standing position leaning into and pushing away from the wall C. bilateral push-ups while in standing leaning on the hands on a kitchen counter top. D. bilateral push-ups in the prone position with weight on the hands and knees

A. bilateral prone with weight on hands and feet

appropriate interventions for a patient eith glenohumeral joint hypomobolity include all of the following except A. Grade 3 GH joint mobs B. codmans pendulum exercise C. gentle isometric exercises to scapular muscles D. PROM in pain free ranges.

A. grade 3 joint mob

the best initial intervention to improve functional mobility of a patient with a healed humeral neck fracture is

AROM

your goal is to increase end range elbow flexion using joint mobs. which of the following techniques is appropriate? A. stabilize the distal humerus and provide a proximal glide to the ulna B. stabilize the humerus and provide an anterior glide to the head of the radius. C. apply a valgus stress at the elbow D. stabilize the humerus and apply a distal glide to the head of the radius

B. apply anterior glide to radial head

a physical therapist is treating a patient with lateral epicondyalgia. the patient has been in pt for 2 months now and in the subacute/controlled motion phase. which of the following interventions would be the MOST appropriate at this stage? A. cross friction massage to the tendons of the lateral elbow B. Eccentric strengthening of the wrist extensors C. muscle setting isometrics of the wrist extensors D. patient education on elbow orthotics

B. eccentric strengthening

all of the following are common signs that occure with shoulder impingement except A. pain with overhead reaching B. numbness in the hand C. painful arc mid range D. positive neers test

B. numbness in the hand

a physical therapist is treating a patient with anterior shoulder pain that is suspected to be due to inflammation of the long head of the bicep tendon. which of the following would NOT be consistent with this diagnosis? A. pain with passive shoulder extension and elbow extension B. Positive empty can test C. Pain with resisted elbow flexion D. tenderness with palpation of the supraglanoid tubercle ​

B. positive empty can test

a pta is working with a patient who demonstrates scapular winging. which exercise would be the LEAST appropriate for the pta to incorporate to decrease scapular winging A. Push-ups B. shoulder blade squeezes C. scapular abduction with a theraband D. protraction/retraction with a dum against gravity in supine

B. shoulder squeezes

which surgical procedure is performed for recurrent anterior instability or dislocation of the glenohumeral joint and involves reattachment and repair of the capsulolabral complex to the anterior rim of the glenoid

Bankhart repair

all of the following are true for adhesive capsulitis except? A. spontaneous idiopathic cause B. patients demonstrate reduced motion and pain C. typically caused by direct trauma D. Fibrous synovial adhesions

C direct trauma

a pta is working with a patient who has a diagnosis of a supraspinatus impingement with a possible tear. the pt has been receiving therapy for 4 weeks. early subacute interventions should be focused on? A. modalities to reduce pain and inflammation B. small amplitude oscillations to limit the tissue resistance in the GH joint C. active assisted pulley exercises D. high level resistance exercises

C pulley

surgical options for a person with elbow joint disease include any of the following except A. elbow arthroplasty B. excision of the radial head C. Banhart procedure D. arthrodesis

C. Banhart procedure

which of the following is NOT a component of early rehab following a rotator cuff repair? A. scapular stabilization B. glenohumeral joint mobilization C. aggressive strengthening of the supraspinatus. D. submaximal isometric activation of the rotator cuff

C. aggressive strengthening of the supraspinatus

which of the following findings is NOT characteristic of a dupuytrens contracture A. palpable nodules in the palm B. visible chords in the palm C. redness of distal palm D. flexion of affected finger

C. redness

a PTA is working with a patient who presents with hypomobility of the elbow joint second to DJD. the patient has been seen in therapy for 5 weeks now and is in the subacute stage of healing. which intervention would be most appropriate A. patient education regarding avoiding of pushing, pulling, or lifting B D1 flexion PNF pattern for standing with a 20 lb dumbell C. submaximal flexion elbow isometrics D. elbow flexion and extension with light resistance bands

D

you are evaluating a patient with rheumatoid arthritis of the the and wrist. you notice several deformities including hyper extension of the proximal PIP joints and flexion of the distal PIP joints of digits 2 3 and 4. this is called? A boutonniere deformity B hebrrdens deformity C mallet finger deformity D swan neck deformity

D

a patient with any of the following conditions could be at risk for developing myositis ossificans except A. a burn B. tear of the brachialis tendon C. TBI D. cubital tunnel syndrome

D. cubital tunnel

which of the following functional activities should a patient avoid as long as possible following a RTSA A. reaching overhead B. hugging with both arms C. reaching into abduction in the scapular plane at a drive through window D. fastening a bra behind their back

D. fastening a bra

all of the following interventions are indicated in the subacute phase of treating spinal impairments except A. Patient education B. cardio pulmonary conditioning C. muscle performance D. passive modalities

D. passive modalities

test for bicipital tendonitis

Speed's Test

with which fracture is there concern for avascular necrosis

scaphoid

in the first 4 weeks of rotator cuff repair, the application of glenohumeral rotation ROM should be done with the scapula in which plane to minimize loading and tension on the repair

scapular plane

a physical therapist is performing a special test. the pt abducts the patients arm to 90° then asks the patient to hold it and slowly lower it down. if this tests positive the pt can suspect the patient has

a torn rotator cuff

a patient is asked to make a fist with the thumb inside the fingers then ulnarly deviate the wrist. a positive test would be indicated if the patient reports pain over which muscles?

abductor policis longus and extensor policis brevis.

non operative management of carpal tunnel emphasizes what

activity modification as well as joint, tendon, and nerve mobilization

which direction is the most common dislocation of the shoulder?

anterior

a patien presents in an outpatient clinic with a recent history of pain in the right shoulder that increases when the patient is reaching overhead. the pain has intensified and is growing more constant; however, there are times where the patient is asymptomatic. the supervising PT has directed the PTA to provide superficial thermal modalities and grades 1 and 2 joint mobs. the joint mobs are being used to?

increase joint nutrition and minimize pain.

you are treating a patient with Dequervains disease. her RADIAL deviation on the affected side is 20 degrees and the ulnar deviation is 30. your assessment is compared to norms your patients radial carpal joint has:

normal radial and ulnar deviation

a patient presents to PT with damage to the distal median nerve on the right hand. the PTA working with the patient sees that the patient demonstrates ape hand deformity due to inability to contract which muscle

opponens policis

when measuring medial/internal rotation of the shoulder the fulcrum of the goni should be placed?

over the olecranon process

lateral epicondylagia is primarily caused by

over use, repetitive motion, or cumulative trauma to the wrist extensor tendon

what is the most common direction for an elbow dislocation?

posterior

a 52 year old patient who broke her wrist has limited wrist flexion. the therapist wants you to incorporate grade 3 radiocarpal glides as part of joint mobilization to increase ROM into wrist flexion. the convex carpal bones will be mobilized on the concave radius. you will perform:

posterior glides

the proper position to test a patients scapular elevation against gravity is?

sitting

a pta is going to test and doccument the strength of a patients right scapular abductors. the pta supports the weight of the patients arm at 130° of flexion and palpates,palates, inferior boarder of the scap. when the therapist let's go of the patients arm and asks the patient to keep the scapula abducted they can't do it. what should the PTA do next?

support the patients arm and ask him to hold it there while Palpating the serratus anterior

if the special test pictured below is positive then what structure is being impinged

supraspinatus

what is the most common tendon involved with shoulder impingement

supraspinatus

what muscle provides segmental cervical spinal stability

the longus coli

a person with a history of polyarticular rheumatoid arthritis is severe dominant side elbow pain that is interfering with their ADLs. inaddition to pain physical findings include persistent synovitis despite ongoing medical management, limited rom, and complete loss of space between his humoulnar and humoradial joints. given these findings the patient is a candidate for what surgery that could remove pain and improve function

total elbow Arthroplasty

a pta reads in a patients initial pt evaluation that the patient demonstrated an increase in valgus movement of the metacarpalphalangeal joint of thr thumb. the pta recognized that the patient most likely suffered an injury to which structure?

ulnar collateral ligament

the elbow ligament most affected in overhead throwing athletes is

ulnar collateral ligament

a PTA is working with a patient who is a full time student and spends a large amount of time sitting at his desk and studying. the patient reports numbness and tingling in the right hand. symptoms are reported on the median side of his 4th and 5th digit. the pta would repport that the patient is showing decreased sensation in which nerve?

ulnar nerve

a pta is working with a patient who had a fall 2 weeks ago. since the fall he has had a resting deformity of his hand where the 4th and 5th fingers are extended at the mcp and flexed at the PIP and dip joints due to weakness. this is a result of

ulnar nerve injury