AJT

Joe was throwing his javelin when he suddenly heard a pop on his right elbow. Since then, he has been experiencing pain on the elbow, inability to do a forceful throw despite having full ROM, and an increased normal carrying angle. Which ligament of the elbow was most likely affected? A. Annular Ligament B. Ulnar Collateral Ligament C. Lateral Collateral Ligament D. None of the above

B. Ulnar Collateral Ligament

A fifth year occupational therapy had an accident that deeply cut the anterior aspect of her wrist. While waiting to be treated at the ER, she initially assumed that the cut had affected all of the muscles in her wrist and she proceeded to examine all of them. Since she was able to flex the distal phalangeal joints of her four medial digits and her thumb, she concluded the following muscles were uninjured: A) Flexor Digitorum Profundus B) Flexor Pollicis Longus C) Flexor Carpi Radialis D) Both A & B

D) Both A & B

Patient presents with lateral winging of the scapula. What muscle is usually affected? a. Rhomboid Major b. Supraspinatus c. Trapezius d. Levator Scapulae

c. Trapezius

A 25 year old was standing on a table when the table gave way and the patient fell backwards. He put his arms out behind him to break his fall. He fell on his outstretched right hand. He attends Accident and Emergency with severe pain in his right shoulder, a prominent acromion, and loss of sensation over the regimental badge area. What is the likely diagnosis? a) Anterior dislocation of the humeral head b) Posterior dislocation of the humeral head c) Inferior dislocation of the humeral head d) Hill-sachs lesion

a) Anterior dislocation of the humeral head

Which structures are affected by the "Terrible Triad"? a. ACL, MCL, Medial Meniscus b. ACL, LCL, Lateral Meniscus c. ACL, MCL, LCL d. PCL, MCL, LCL

a. ACL, MCL, Medial Meniscus

A 52 year old housewife complains of pain on the base of her (L) thumb when placing her thumb inside fisted hand. She usually does laundry everyday, but is now unable to wash clothes due to her (L) thumb pain. Considering that the client has De Quervain's Tenosynovitis, what structures are affected by this condition? a. Abductor Pollicis Longus and Extensor Pollicis Brevis b. Extensor Pollicis Longus and Abductor Pollicis Longus c. Abductor Pollicis Brevis and Flexor Pollicis Brevis d. Adductor Pollicis and Extensor Pollicis Brevis

a. Abductor Pollicis Longus and Extensor Pollicis Brevis

A 30 year-old patient is seen lying on the floor secondary to cardiac arrest. What triangle of the neck should the therapist palpate in order to know if there are any sign of life? a. Anterior triangle at the carotid triangle b. Posterior triangle at the carotid triangle c. Anterior triangle at the muscular triangle

a. Anterior triangle at the carotid triangle

CP is a 35-year-old male butcher who reported pain on his right elbow and decreased in grip strength. Pain is reproduced with maximum passive wrist flexion, resisted long finger extension and resisted wrist extension while elbow is fully extended. Radiograph results are normal. What tendon is affected? a. ECRB b. ECU c. Pronator Teres d. FCR

a. ECRB

C.A., a 22-year-old female student sprained her ankle while walking to class. What is the most common type of ankle sprain? a. Low Level - Inversion b. Low Level - Eversion c. High Level d. NOTA

a. Low Level - Inversion

A patient acquired a fracture in his upper arm which affected his ability to extend his elbow, wrist, and fingers. A nerve is embedded within the upper arm which may be injured resulting in the difficulties of the patient. What nerve is this? a. Radial Nerve b. Median Nerve c. Ulnar Nerve d. Axillary Nerve

a. Radial Nerve

AA. is a 32-year-old male presented with paresthesia of the ulnar ½ digits and intrinsic muscle weakness and atrophy. OT decided to do Froment's Sign as special test. Which observation is a positive Froment's sign? a. persistent abduction and extension of the small digit when asked to adduct the digits b. compensatory thumb IP flexion during pinch c. Tingling of area when tapped d. Pain when elbow is flexed for 60-90 seconds

b. compensatory thumb IP flexion during pinch

A 46-years old male had an accident during a horseback riding competition. He was observed to have a waiter's tip position, adducted shoulder, medially rotated arm and extended elbow. He was then diagnosed with Erb's Palsy. What are the parts of the brachial plexus affected? a. C5 - C8 b. C7 - T1 c. C5 - C6 d. C5 - C6 e. C7 - C8

d. C5 - C6

A patient diagnosed with wrist drop was referred for occupational therapy. To help in splint designing, the nerve affected and muscles it innervates are considered. What are the nerve roots of the affected nerve? a. C4-C8 b. C5-C8 c. C4-T1 d. C5-T1

d. C5-T1

Client A was recently referred to OT d/t complaints of pain on his R shoulder and difficulties in raising his R arm after an incident while playing basketball. Initial testing reveals a tear in the medial aspect of the deltoid. The deltoid inserts towards: a. Head of the humerus b. Medial epicondyle c. Lateral epicondyle d. Deltoid tuberosity of the humerus

d. Deltoid tuberosity of the humerus

A patient aggravated and injured his hand when he was lifting weights in the gym and carrying large books in the library. Upon checkup, his fingers and palm were in pain. He has difficulty with his hook grip carrying suitcases, what are the main muscles that are involved? a. MP and APL b. CMC and MCP c. ECRL and ECRB d. FDS and FDP w PIP and IP

d. FDS and FDP w PIP and IP

20 year old man lifted a barbell and suddenly felt a sudden contraction of the shoulder muscles which causes avulsion of the greater tuberosity of the left humerus. Which of the following muscles are attached to the displaced bone fragment? a. Subscapularis b. Teres major c. Deltoid d. Infraspinatus e. Pectoralis major

d. Infraspinatus

Patient X landed with his knees hyperextended. A maneuver yields excessive anterior translation of the tibia on the femur. The patient shows apprehension upon doing this maneuver. The ruptured ligament is: a. ACL b. PCL c. LCL d. MCL

d. MCL

Patient A fractured his right wrist and underwent a closed reduction 7 weeks ago; his cast was removed today. Exercise in treatment today should focus on: a. Shoulder and elbow b. Passive wrist flexion and extension exercise c. Isolated extensor digitorum communis exercises d. Wrist extension exercises e. Both C and D

e. Both C and D

A housewife is attending therapy to regain function in accomplishing simple tasks, such as eating, drinking, brushing hair and dressing, how many degrees of a total arc of elbow flexion is sufficient to be able to do the said activities? A. 100 degrees ​ ​ B. 60 degrees C. 30 degrees ​ D. 90 degrees

A. 100 degrees

A 64-year old male patient recently had a fall affecting his R shoulder. He complains of pain at rest and at night, particularly if lying on his R shoulder as well as weakness when lifting or rotating his RUE. The following muscles make up the Rotator cuff muscles except: A. Teres major B. Subscapularis C. Supraspinatus D. Infraspinatus E. None of the above

A. Teres major

Headache from the back of the neck, up over the back of the head, is due to "strangulation" of the greater occipital nerve (C3-C4) by what muscle? A. Trapezius B. Sternocleidomastoid C. Levator scapulae D. Serratus anterior

A. Trapezius

C N. was rushed to the hospital when he severely fell and loss sensation on the upper lateral part of his arm with greater tubercle protruded. The doctor informed C.N. that he has fractured the surgical neck of his humerus. Which nerve was likely injured? A. Axillary Nerve B. Long Thoracic Nerve C. Suprascapular Nerve D. Musculocutaneous Nerve

A. Axillary Nerve

Diego, a 26 year old who was a varsity pitcher during college and is now a coach of baseball . He had a history of L UE trauma at 16 was at the ER with complaints of recurrent swelling and pain of the L UE. His condition started at 18 and had multiple emergency room visits due to this. He experienced episodes every three to five months. Episodes were associated with numbness and tingling in the hand with a bluish discoloration of the fingers. Swelling of the UE was observed at rest and and increased upon exercise. Which structure is most likely affected: A. Axillary vein B. Radial artery C. Medial Pectoral nerve D. Lateral pectoral nerve

A. Axillary vein

During labor, the infant was stuck on the mother's pubic bone. Excessive force was used to pull the infant out of the womb. This resulted for the infant to have his arm hanging on the side and is rotated medially, the forearm is extended and pronated. The infant was unable to flex his elbows and supinate the hand. What nerve is affected? A. C5 B. C7 C. Both A and B D. None of the above

A. C5

Cecilia is a 30-year old patient. Her hobbies include gardening and it so happened that she fell onto her left hand with her elbow flexed, she tripped on one of her decorative rocks. She complained of severe pain in the left elbow, radiating to the forearm. After the fall, she immediately experienced an electric shock-like sensation that radiated along the medial aspect of her forearm. Which structure is affected? A. Ulnar Nerve B. Radial nerve C. Median nerve D. Medial Pectoral nerve

A. Ulnar Nerve

A 21 y/o woman complains of tingling sensation on the medial forearm and hand that causes her to wake up at night. The nerve affected is: A. Ulnar nerve B. Radial nerve C. Median nerve D. Musculocutaneous nerve

A. Ulnar nerve

A patient with cerebral palsy was noted to have marked spasticity of the adductor group of muscles in the medial fascial compartment of the thigh. Which adductor muscle does not assist in lateral rotation of the hip joint? A. Adductor longus B. Gracilis C. Adductor brevis D. Obturator externus

B. Gracilis

Kylo is a 38 year old lawyer who suddenly had pain on both of his wrist starting from the base of his thumb up to his pointer finger. He noticed that he would wake up at night due to extreme pain on his hands, he would shake his hands in order to alleviate the pain. He also started dropping objects that he is holding on to such as coffee mugs and books. What condition does Kylo seems to have? A. Cubital Tunnel Syndrome B. Carpal Tunnel Syndrome C. Saturday Night Palsy D. Radial nerve Injury

B. Carpal Tunnel Syndrome

A 21 year old body builder is doing exercises that include elbow flexion. If he aims to have bigger biceps, what position should he take. Which muscle is the most active of the elbow flexors? A. Forearm pronation B. Forearm supination C. Forearm in midrange D. B and C

B. Forearm supination

Client C.K. presents with damage to his suprascapular nerve. Which among these actions would not be affected? A. External Rotation B. Internal Rotation C. Abduction D. Horizontal Abduction

B. Internal Rotation

A 55 year-old mother consults her physician, complaining of tingling and burning pain over the palmar aspect of her thumb, index, middle, and lateral side of the ring finger of her right hand. She complains that the movements of her right thumb are not as strong as before. This change is accompanied by some wasting in the outer half of the ball (thenar eminence) of this thumb. What nerve is affected? A. Ulnar nerve B. Median nerve C. Radial nerve D. Musculocutaneous nerve

B. Median nerve

Kenneth Sy presents with impaired ability to flex and supinate the forearm and loss of sensation along the lateral surface of the forearm would result from a lesion of the: A. Radial Nerve B. Musculocutaneous Nerve C. Ulnar Nerve D. Median Nerve

B. Musculocutaneous Nerve

M M. was hit forcefully by a closing door on the dorsal side of his fingers, rupturing his index finger's central slip of the extensor tendon. What is M.M's likely finger deformity? A: Swan Neck deformity B. Hitchhiker's thumb C. Boutonniere's deformity D. Trigger finger

C. Boutonniere's deformity

Following surgery in the axilla for breast cancer, it was observed that the medial border of the patient's scapula projects posteriorly ("winged scapula"). What nerve would have to be damaged for this to occur? A. Axillary Nerve B. Medial Pectoral Nerve C. Long Thoracic Nerve D. Dorsal Scapular Nerve

C. Long Thoracic Nerve

Ben was out late partying the previous night. When he got home, he fell asleep putting pressure on his left Upper extremity which was extended and positioned above his head. The next day when he woke up he suddenly could not move his hand. It was limp and could not be extended. What nerve was affected during his sleep? A. Median Nerve B. Ulnar Nerve C. Radial Nerve D. No nerve is affected

C. Radial Nerve

Perlita was peeling vegetables using a knife when she accidentally cut through the palmar surface of her Right 2nd MCP to her 4th MCP. Which zone of the hand was most likely affected? A. Zone IV B. Zone III C. Zone II D. Zone I

C. Zone II

A tennis player suffered from an elbow injury due to wear and tear. Which of the following muscles have primary functions at the elbow joint? A. Brachialis B. Brachioradialis C. Biceps Brachii D. AOTA

D. AOTA

A 23 y.o. basketball player went to the clinic and reported having pain on the wrist area after he fell down during the game on an outstretched hand. During the assessment, you check if the client can move his wrist. Knowing the osteokinematics of the wrist complex, you know that it permits 2 degrees of freedom, flexion-extension, and radial-ulnar deviation. What type of joint the wrist complex is? A. Ellipsoid B. Hinge C. Ball and socket D. Condyloid

D. Condyloid

A 45 y.o female client is unable to put her arm up and has a hard time doing ADLs such as donning and doffing clothes. She reported that the origin of pain is in the shoulder and as a therapist, you know that the shoulder complex comprises the head of the humerus which moves in the glenoid fossa. What is the arthrokinematics behind the movement of the shoulder? A. In medial rotation and flexion, the surface of the humeral head slides anteriorly and rolls posteriorly in the glenoid fossa B. During adduction, the surface of the humeral head slides inferiorly while rolling superiorly. C. In lateral rotation and extension, the surface of the humeral head slides posteriorly and rolls anteriorly D. During abduction, the surface of the humeral head slides inferiorly while rolling superiorly.

D. During abduction, the surface of the humeral head slides inferiorly while rolling superiorly.

Ana, a 7-year old girl was rushed to the hospital after falling from a swing and landed on her wrist which resulted in a fracture on her wrist. Which is the most common carpal bone to get fractured? A. Trapezium B. Capitate C. Trapezoid D. Scaphoid

D. Scaphoid

A G. found mild weakness in the rotator cuff and even more weakness in the scapular stabilizers during her examination of JC's shoulder complex. Fortunately, he has full range of motion in the region, but she knows that it is weakness of these crucial muscles that has lead to JC's present complaints of shoulder pain during a push up. Which shoulder complex muscles performs an activity such as a push-up, moving into the elbow extended position? a. Triceps b. Latissimus Dorsi c. Deltoids d. Pectorals

a. Triceps

A 21 M had an accident while playing basketball. He was pushed over in the air and landed backwards. He tried to extend his right arm to break his fall but the inner side of his elbow hit the pavement. He reported that he heard a faint crack on his elbow upon impact. Ice was put on the injury and GT went home to rest. A few hours later GT noticed that he could not move his right 5th and 4th finger and no sensation was present around that area. All muscles enumerated are probably affected EXCEPT: a) Adductor pollicis b) Lateral half of flexor digitorum profundus c) Interossei d) Opponens digiti minimi e) A and D

b) Lateral half of flexor digitorum profundus

A young girl was playing in the park when she fell down while climbing the monkey bars. Upon evaluation, her ROM in elbow pronation was 0-80 degrees. It can be concluded that: a) There is a limitation of motion b) ROM is within normal limits c) Needs further assessment d) Both A and C

b) ROM is within normal limits

A T. is a 45-year-old female has been experiencing pain and stiffness of her R-shoulder for already 20 months. This hinders her in performing her ADLs independently such as lifting the arm to get a bowl from an overhead cabinet, scrubbing the back when taking a bath, and other more. What special test of the shoulder would be most appropriate to use to check for all ROM of the shoulder planes? a. Allen test b. Apley's scratch test c. Halstead maneuver d. Roos test

b. Apley's scratch test

A patient fell from his bike and used the back of his forearm to support himself. He acquired pain graded 8/10 in his posterior forearm due to this. Muscles in this area, including the supinator, was affected. Nevertheless, the patient can still supinate his arm after this incident. What muscle is called the chief supinator of the forearm which prompted the patient to still supinate despite the injury at the back of his forearm? a. Triceps b. Biceps Brachii c. Coracobrachialis d. Brachialis

b. Biceps Brachii

A 35-year old female complained of pain and paresthesia in her thumb, index and middle fingers. She also reported difficulty in writing due to weakness in holding the pen. What is the possible nerve involvement in her case? a. Radial nerve b. Median nerve c. Ulnar nerve d. Axillary nerve

b. Median nerve

Patient X arrived for OT evaluation with a chief complaint of difficulty in dressing due to tingling and pain in her 1st-3rd digits. The OT would attribute this to an impingement in which nerve? a. Radial nerve b. Median nerve c. Ulnar nerve d. Femoral nerve

b. Median nerve

Percy is a student who studies in Bagong Nayon High school. While going to school, he was stabbed and had difficulty in abducting his humerus. The abduction of the humerus is accomplished primarily by the a. Anterior Deltoid b. Middle Deltoid c. Posterior Deltoid d. Pectoralis Major

b. Middle Deltoid

Patient is an athlete and reported of pain especially at night and weakness in the right shoulder. He does not recall any history of trauma. What is the possible diagnosis? a. Bankart Lesion b. Rotator Cuff Tendinitis c. Frozen Shoulder d. Reflex Sympathetic Dystrophy

b. Rotator Cuff Tendinitis

Joe works at the local library where he arranges and transports books at least 5 hours a day. During the past few weeks, he complained of feeling heaviness and "pamamanhid" on his shoulders whenever he would place books at the top shelves. What could be the possible condition of Joe? a. Adverse neural tension b. Thoracic outlet syndrome c. Cubital tunnel syndrome d. Carpal tunnel syndrome

b. Thoracic outlet syndrome

Finn was playing volleyball when the ball hit his thumb and was placed into abduction and hyperextension. Jake , his occupational therapist made a thumb spica splint to immobilize the joint. What injury was most likely sustained by Finn? a. Ulnar styloid fracture b. Ulnar collateral ligament tear c. Radial collateral ligament tear d. Scaphoid fracture

b. Ulnar collateral ligament tear

A young cyclist is involved in a road traffic collision. He is complaining of pain in his right shoulder region - he is unable to abduct his right arm and lateral rotation is weakened. He has decreased sensation over the upper outer deltoid. Which nerve has he damaged? a) Radial nerve b) Musculocutaneous nerve c) Axillary nerve d) Ulnar nerve

c) Axillary nerve

Eden, a 22 y/o M was walking alone along Taft Avenue after a night of drinking with his friends. while texting on his new iphone 11, A motorcycle riding-in-tandem drove by and tried to snatch away his phone. He managed to hold onto his phone and pulled the rider off the motorcycle. He continuously punched the robber's helmeted head until the snatcher let go of his phone. The next day, he complained of difficulty gripping his glass to drink water and pain when retrieving his shampoo and soap while taking a bath. What structure is most likely damaged? a. Flexor digitorum tendons b. Radius c. 5th metacarpal bone d. Anterior interosseous muscles

c. 5th metacarpal bone

A patient stands on his right leg and plantarflexes his right foot with knee extended. The muscles that are active is/are: a. Gastrocnemius b. Soleus c. Both d. Neither

c. Both

A dashboard injury at the hip is brought about by: a. Hip flexion, abduction, and internal rotation b. Hip flexion, abduction, and external rotation c. Hip flexion, adduction, and internal rotation d. Hip flexion, adduction, and external rotation

c. Hip flexion, adduction, and internal rotation

While playing football, the client reported a sudden popping sensation on the knee with severe pain. ACL injury is suspected. Injury to ACL occurs most commonly when? a. Knee is extended b. Knee is flexed c. Knee is flexed and tibia is rotated in either direction d. Knee if extended and tibia is rotated in either direction

c. Knee is flexed and tibia is rotated in either direction

PJ works as a fireman, during an incident at work he suffered from a burn injury. His wounds appeared erythematous, white in some areas and blotchy. Large blisters were also present around the injury and he complained of severe pain when lightly touched. The following structures are affected by his level of burn injury except: a. Epidermis b. Upper Dermis c. Nerve endings d. NOTA

c. Nerve endings

A 32-year old man reported pain and tenderness on the inner side of his left elbow and extends on the inner side of his forearm. He complains that the pain worsens with movements such as wrist flexion and forearm pronation. Upon inspection, the man's elbow is inflamed and looks deformed. Golfer's elbow is suspected. What are the muscle/s that is/are commonly affected? a. Extensor Carpi Radialis Brevis b. Flexor Carpi Ulnaris and Flexor Digitorum Profundus c. Pronator Teres and Flexor Carpi Radialis d. Pronator Teres and Flexor Carpi Ulnaris

c. Pronator Teres and Flexor Carpi Radialis

A 14-year old boy was enjoying his bicycle ride until he accidentally hit a rock and falls on his outstretched hand. He was brought to the hospital and upon examination, the boy has a fracture of the scaphoid bone. The fracture is most likely accompanied by rupture of which of the following arteries? a) Brachial artery b) Ulnar artery c) Deep palmar arterial arch d) Radial artery e) Axillary artery

d) Radial artery

A client was referred to you and recently, he was involved in a car crash accident. He is unable to adduct his arms and rotate it medially. Which muscle/s will you target as an Occupational Therapist? a. Pectoralis Major b. Latissimus Dorsi c. Deltoids d. A and B

d. A and B