upper quarter questions

Which joint play findings would BEST indicate a shoulder external rotation limitation? -Grade 2 anterior joint play of the glenohumeral joint and grade 1 medial joint play of the scapulothoracic junction -Grade 3 anterior joint play of the glenohumeral joint and grade 4 posterior joint play of the sternoclavicular joint -Grade 2 posterior joint play of the glenohumeral joint and grade 1 anterior joint play of the sternoclavicular joint -Grade 3 posterior joint play of the glenohumeral joint and grade 2 lateral joint play of the scapulothoracic junction

-Grade 2 anterior joint play of the glenohumeral joint and grade 1 medial joint play of the scapulothoracic junction

7. Which muscle at the scapulothoracic junction is stronger? a. Lower trapezius b. Pectoralis minor c. subclavius d. Rhomboid major

. Rhomboid major

Which of the following responses correctly orders the most effective mobilizations for a patient who is experiencing limitation abducting their shoulder above 170 ̊? 1) Facilitate a superior glide on the acromioclavicular joint; 2) facilitate upward rotation on the scapulothoracic joint. 1) Facilitate an inferior glide on the acromioclavicular joint; 2) facilitate an upward rotation on the scapulothoracic joint. 1) Facilitate an upward rotation on the scapulothoracic joint; 2) facilitate a superior glide on the acromioclavicular joint. 1) Facilitate an upward rotation on the scapulothoracic joint; 2) facilitate an inferior glide on the acromioclavicular joint.

1) Facilitate a superior glide on the acromioclavicular joint; 2) facilitate upward rotation on the scapulothoracic joint.

Which of the following describes the resting position of the scapulothoracic "joint"? 30° Upward Rotation and 10° Anterior Tilt 10° Upward Rotation and 30° Anterior Tilt 30° Upward Rotation and 10° Internal Rotation 10° Upward Rotation and 30° Internal Rotation

10° Upward Rotation and 30° Internal Rotation

Each of the following motions would have a palmar glide EXCEPT? 1st carpometacarpal abduction Midcarpal extension Metacarpal phalangeal flexion Interphalangeal flexion

1st carpometacarpal abduction

(Basic) The first phase of scapulo-humeral rhythm consists of: 30° of Glenohumeral abduction; 15° of Sternoclavicular elevation 30° of Glenohumeral abduction; 30° of Sternoclavicular elevation 30° of Glenohumeral abduction; 30° of Acromioclavicular elevation 30° of Glenohumeral abduction; 15° of Acromioclavicular elevation

30° of Glenohumeral abduction; 15° of Sternoclavicular elevation

1. What is the loose pack position of the glenohumeral joint? 50-70o scaption with mild internal rotation 50-70o scaption with mild external rotation 50-70o abduction with mild internal rotation 50-70o abduction with mild external rotation

50-70o scaption with mild external rotation

Pain was reproduced anteriorly during the Cross-Over Impingement test, which of the following would BEST support your differential diagnosis of an anterior rotator cuff muscle pathology? A positive Lift Off Sign A positive Hornblower test A positive Empty Can test ApositiveSpeedtest

A positive Lift Off Sign

If a patient rotates their head to their right and their head laterally flexes to the right, what might the problem be? A) Failure of upper cervical coupling to laterally flex left B) Failure of lower cervical coupling to laterally flex left C) Failure of upper cervical coupling to rotate left D) Failure of lower cervical coupling to rotate left

A) Failure of upper cervical coupling to laterally flex left

Wrist drop is a condition where which of the following nerves were affected? A) Radial Nerve B) Medial Brachial Cutaneous Nerve C) Medial Antebrachial Cutaneous Nerve D) Ulnar Nerve

A) Radial Nerve

Your patient has the following goniometric measurements for right wrist passive range of motion: 45 ̊ flexion, 65 ̊ extension, 30 ̊ radial deviation, and 35 ̊ ulnar deviation. You decide to do a radiocarpal mobilization on the carpal bones of the wrist while stabilizing the radius. Which directional force would MOST improve their range of motion? A. Dorsal force B. Volar force C. Compression D. Distraction

A. Dorsal force

Shoulder internal rotation and shoulder horizontal adduction would be most affected by a lesion in what nerve? A. Lateral pectoralis nerve B. Thoracodorsal nerve C. Suprascapular nerve D. Dorsal scapular nerve

A. Lateral pectoralis nerve

A lesion to the median nerve would result in a motion weakness to all of the following EXCEPT: A. Abduction of the thumb B. Adduction of the thumb C. Opposition of the thumb D. Flexion of the thumb

B. Adduction of the thumb

The thenar eminence of the hand is innervated by what nerve? A. Median nerve B. Ulnar nerve C. Radial nerve D. Anterior interosseous nerve

A. Median nerve

Which of the following responses correctly describes the direction of arthrokinematic glide during open chain flexion of the first carpometacarpal joint? A. Metacarpal glides medial on the trapezium B. Metacarpal glides lateral on trapezium C. Metacarpal glides volar on trapezium D. Metacarpal glides dorsal on trapezium

A. Metacarpal glides medial on the trapezium

You assess a patient with a unilateral side-bend limitation of C4-C5 and C5-C6 on the right side, as concluded from the side-bend end-feel test. What is the most relevant joint mobilization to perform? A. Rotation mobilization at the right C4-C5 segment B. Lateral mobilization at the right C4-C5 segment C. Rotation mobilization at the left C5-C6 segment D. Lateral mobilization at the left C5-C6 segment

A. Rotation mobilization at the right C4-C5 segment

A patient has experienced an injury affecting their C8 and T1 nerve roots, which motion would MOST likely be affected by this injury? Abductionoffingers Radialdeviationofwrist Extension of fingers Ulnardeviationofwrist

Abduction of fingers

A patient presents with a positive upper limb tension test for the radial nerve. Weakness of which muscle would most likely present with decreased sagittal plane motion of the 1st carpometacarpal joint? Flexor Carpi Radialis Flexor Digitorum Profundus Abductor Pollicis Brevis Abductor Pollicis Longus

Abductor Pollicis Longus

Which of the following manual therapy techniques would be LEAST appropriate for a patient that presents in the clinic with glenohumeral joint abduction limit? a. Acromioclavicular inferior technique b. Glenohumeral inferior technique c. Glenohumeral distraction technique d. Scapulothoracic upward rotation technique

Acromioclavicular inferior technique

Which of the following BEST indicates a primary disc pathology? Acute neck pain from trauma and a positive Modified Spurling test Mostpainreproducedduringcervicalextensionandintheeveningtime Initial numbness in a dermatomal pattern and a relief of symptoms with the Foraminal Distraction test Initial weakness of the neck muscles and non-traumatic gradual neck pain

Acute neck pain from trauma and a positive Modified Spurling test

. Which of the following muscles is the main synergist of glenohumeral abduction? a. Teres major b. Teres minor c. Pectoralis major d. Rhomboids

Rhomboids

Which of the following special tests does NOT assess for a glenoid labrum dysfunction? Allen Test Crank Test Biceps Load Test O'Brien Test

Allen Test

A patient has shoulder pain and limited range of motion while doing a jumping jack. The therapist performs passive range of motion shoulder abduction and detects a capsular end feel at 172°. What would be the MOST relevant joint mobilization to perform if the patient's range of motion stops at this point? A compression at the scapulothoracic joint A distraction at the glenohumeral joint An inferior glide of the glenohumeral joint An anterior glide of the acromioclavicular joint

An anterior glide of the acromioclavicular joint

Which joint mobilization would least likely restore glenohumeral flexion? Distraction Inferior glide Posterior glide Anterior glide

Anterior

A positive cross-over impingement test is associated with injury to all the following structures except: Acromioclavicular Joint T eres Minor Posterior Capsule AnteriorCapsule

Anterior Capsule

Which ligament in the lower cervical region would be on slack during cervical flexion? Anterior longitudinal ligament Nuchal ligament Interspinous ligament Ligamentum flavum

Anterior longitudinal ligament

During coupled lateral flexion and rotation of c5-c6 to the right all of the following arthrokinematics occur EXCEPT? a. At the ZAJ c5 unilaterally slides inferiorly and posteriorly on c6 b. At the ZAJ c5 bilaterally slides superiorly and anteriorly on c6 c. At the ZAJ c5 slides inferiorly and posteriorly on c6 ipsilaterally and slides superiorly and anteriorly contralaterally d. At the UVJ c5 rolls to the right and slides to the left on c6

At the ZAJ c5 bilaterally slides superiorly and anteriorly on c6

Phase 2 of the scapulohumeral rhythm is characteristic of all of the following EXCEPT: A. 30° Glenohumeral abduction B. 15° Acromioclavicular upward rotation C. 30° Scapulothoracic upward rotation D. 15° Sternoclavicular posterior rotation

B. 15° Acromioclavicular upward rotation

What is NOT an appropriate degree of motion during Phase II of the scapulohumeral rhythm? A. 30° of scapulothoracic upward rotation B. 30° of acromioclavicular upward rotation C. 30° of glenohumeral abduction D. 15° of sternoclavicular posterior rotation

B. 30° of acromioclavicular upward rotation

A patient arrives in your clinic with a Grade 2 mobility at the metacarpal phalangeal (MCP) joints in the medial direction. Which of the following motions would be limited? A. Abduction of digit 5 B. Adduction of digit 2 C. Abduction of digit 3 D. Adduction of digit 4

B. Adduction of digit 2

While performing joint assessment on the 1st Carpometacarpal, CMC, of a patient you notice a decrease in movement in the dorsal direction, which direction is this associated with? A) 1st CMC Extension B) 1st CMC Abduction C) 1st CMC Flexion 1st CMC Adduction

B) 1st CMC Abduction

A patient has limited shoulder flexion. Which of the following options would be the best joint mobilization to perform on this patient to improve their range of motion? A. Apply force to induce a superior glide of the clavicle on the manubrium. B. Apply force to induce an inferior glide of the clavicle on the manubrium. C. Apply force to induce an anterior glide of the clavicle on the manubrium. D. Apply a force to induce posterior glide of the clavicle on the manubrium.

B. Apply force to induce an inferior glide of the clavicle on the manubrium.

What is the capsular pattern for the glenohumeral joint? A. Abduction> Internal rotation> External rotation B. External rotation> Abduction> Internal rotation C. Adduction> Internal rotation> External rotation D. External rotation> Adduction> Internal rotation

B. External rotation> Abduction> Internal rotation

How would you pre-position a patient to treat a flexion limit on the right side of the atlantoaxial facet joints? A. Flexion, left rotation, left lateral flexion B. Flexion, left rotation, right lateral flexion C. Flexion, right rotation, left lateral flexion D. Flexion, right rotation, right lateral flexion

B. Flexion, left rotation, right lateral flexion

A patient arrives in your clinic with a Grade 2 mobility in the inferior direction at the glenohumeral joint. Which of the following set of motions may be decreased? A. Glenohumeral adduction and flexion B. Glenohumeral abduction and flexion C. Glenohumeral abduction and extension D. Glenohumeral adduction and extension

B. Glenohumeral abduction and flexion

Which of the following movements of the humeral head relative to the glenoid fossa best describes the arthrokinematics of glenohumeral abduction? A. Lateral roll with a medial glide then an inferior roll with a superior glide. B. Lateral roll with a medial glide then a superior roll with an inferior glide. C. Medial roll with a lateral glide then an inferior roll with a superior glide. D. Medial roll with a lateral glide then a superior roll with an inferior glide.

B. Lateral roll with a medial glide then a superior roll with an inferior glide.

In what direction does the lunate slide on the radius during open chain ulnar deviation? A. Anteriorly B. Laterally C. Posteriorly D. Medially

B. Laterally

Which special test is incorrectly paired with the tested structure or pathology? Sharp-Purser Test- Atlantoaxial subluxation Pettman Distraction- Tectorial membrane Foraminal Distraction Test- Intervertebral disc or nerve root compression Bakody Sign- C​2-​ C​3​ Dural Irritation

Bakody Sign- C​2-​ C​3​ Dural Irritation

What is the concave surface of the 1st metacarpophalangeal joint? Head of the 1st metacarpal Base of the 1st proximal phalanx Trapezium Base of the 1st metacarpal

Base of the 1st proximal phalanx

A patient reports pain when performing flexion cervical nods. The therapist performed a C​0-​ C​4​ Quick Test, flexion was limited ;however, rotation and extension were normal. Which joint mobilization would most likely address the patient's chief complaint? Distraction on C​1-​ C​2​ using a Maitland grade 3 sustained hold. Unilateral sidebend technique on C​0-​ C​1​ using a Kattenbach grade 2 sustained hold. Bilateral C​1-​ C​2​ flexion-rotation technique using a Kattenbach grade 3 oscillation. Bilateral flexion technique on C​0-​ C​1 s​ egment using a Maitland grade 2 oscillation.

Bilateral flexion technique on C​0-​ C​1 s​ egment using a Maitland grade 2 oscillation.

Your patient presents with a positive O'Brien Test . Which of the following would NOT be a relevant basic treatment for this patient? IYTs 6 way isometrics Codman Bursal gliding

Bursal gliding

A patient presents with limited ROM in a non-capsular pattern and spontaneous reproduction of symptoms. The patient's signs and symptoms are most representative of: Labral issue Tendinitis Bursitis Impingement

Bursitis

Which of the following bones is the keystone of the proximal transverse arch of the hand? A) Lunate B) Scaphoid C) Capitate D) Trapezoid

C) Capitate

What anterior landmark lines up relatively in line to the C5 vertebrae? A) Cricoid Cartilage B) Hyoid Bone C) Sides of thyroid cartilage D) Superior aspect of thyroid cartilage

C) Sides of thyroid cartilage

A Physical Therapist performs a Sidebend Endfeel Test at the C5-C6 level of a patient and finds there is a single level limitation bilaterally, what articulation is this mostly caused by and what is the most appropriate test used to confirm the Sidebend Endfeel Test? A) Uncovertebral joint and Scooping of lower cervical spine bilaterally B) Zygapophyseal joint and Rotation of lower cervical spine bilaterally C) Zygapophyseal joint and Extension of lower cervical spine unilaterally D) Zygapophyseal joint and Distraction of lower cervical spine Shoulder

C) Zygapophyseal joint and Extension of lower cervical spine unilaterally

Which motion would be affected the LEAST by a lesion of the radial nerve? A. Extension of wrist B. Supination of forearm C. Adduction of thumb D. Radial deviation of wrist

C. Adduction of thumb

While rotating to the right, the patient also displays right lateral flexion. The issue is most consistent with: A. An issue with the lower cervical coupling B. An issue with extension from C4 and above C. An issue with the upper cervical coupling D. An issue with flexion from C4 and above

C. An issue with the upper cervical coupling

A patient presents in the clinic with bilateral hypomobility at C3- C4 on the sidebend endfeel test. All of the following would be appropriate manual therapy techniques EXCEPT: A. C3- C4 Extension technique B. C3- C4 Rotation technique C. C3- C4 Sidebend technique D. C3- C4 Distraction technique

C. C3- C4 Sidebend technique

A patient presents to the clinic with a torn rotator cuff. You would expect a positive finding for all of the following test EXCEPT: A. Hornblower test B. Internal rotation lag test C. Crank test D. Empty can test

C. Crank test

To confirm you are on the C3 spinous process, you can create a line with your fingers from C3 to which structure on the ventral side of the neck? A. Sides of the thyroid cartilage B. Superior aspect of the thyroid cartilage C. Hyoid bone D. Cricoid cartilage

C. Hyoid bone

All of the following would effectively test the integrity of the ulnar nerve EXCEPT? FromentSign C8dermatometesting Adductor Pollicis Muscle Isolation C5 myotome testing

C5 myotome testing

What is the capsular pattern of the cervical spine? A. Lateral flexion = extension, then rotation B. Extension= lateral flexion, then rotation C. Lateral flexion= rotation, then extension D. Extension= rotation, then lateral flexion

C. Lateral flexion= rotation, then extension

Which of the following accurately describes the motion of the facet joints of the C5 vertebra during left lateral flexion? A. Left facet joint upglides, Right facet joint upglides B. Left facet joint upglides, Right facet joint downglides C. Left facet joint downglides, right facet joint upglides D. Left facet joint downglides, right facet joint downglides

C. Left facet joint downglides, right facet joint upglides

A patient is observed to have protraction of the scapula at the resting position. While abducting the arm he is unable to lift it past the 120-degree mark. Which of the following interventions would be the most helpful in restoring shoulder abduction? A. Soft tissue mobilization to the latissimus dorsi B. Deltoid strengthening exercises C. Middle trapezius retraining A. Distraction of the scapulothoracic joint

C. Middle trapezius retraining

A patient arrives in your clinic with a swan neck hand deformity. The most common observation at the proximal and distal interphalangeal joints is: A. PIP hyperextension and DIP extension B. DIP hyperflexion and PIP flexion C. PIP hyperextension and DIP flexion D. DIP hyperflexion and PIP extension

C. PIP hyperextension and DIP flexion

Which of the following deficiencies would most likely lead to reduced range of motion in wrist ulnar deviation? A. Limited medial glide of the radiocarpal joint. B. De Quervain's tenosynovitis C. Radial nerve lesion D. C5 nerve root lesion

C. Radial nerve lesion

To test for synovitis at the uncovertebral joints on the right side at the lower cervical spine, you can perform the 2D coupled test by completing what motions? A. Left side-bend and left rotation B. Left side-bend and right rotation C. Right side-bend and right rotation D. Right side-bend and left rotation

C. Right side-bend and right rotation

While performing end range right lateral flexion all cervical spine motions are present EXCEPT: A. Superior vertebrae slides inferiorly and slightly posteriorly on ipsilateral side relative to inferior vertebrae at C2-C3 Zygapophyseal Joint B. Occiput rolls to the right and slides to the left on the atlas at C0-C1 C. Superior vertebrae slides superiorly and slightly anteriorly on ipsilateral side relative to inferior vertebrae at C5-C6 Zygapophyseal Joint D. Superior vertebrae/disc rolls to the right and slides to the left on uncinate processes of inferior vertebrae at C4-C5 Uncovertebral Joint

C. Superior vertebrae slides superiorly and slightly anteriorly on ipsilateral side relative to inferior vertebrae at C5-C6 Zygapophyseal Joint

Which of the following manual therapy techniques would be the LEAST appropriate for a patient who enters the clinic with an upper cervical side-nod limit? a. C1-C2 dorsal technique b. C0-C1 lateral technique c. C0-C1 ventral technique d. C1-C2 lateral technique

C0-C1 ventral technique

While performing an evaluation on a patient, you notice that there is a rotation limit to the right side at the C2-C3 level. Which of the following techniques would be the LEAST relevant to perform? C2-C3 Joint Distraction Mobilization C2-C3 Bilateral; Extension Mobilization C2-C3 Unilateral; Left PA Mobilization C2-C3 Unilateral; left lateral flexion Mobilization

C2-C3 Unilateral; left lateral flexion Mobilization

Which of the following coupling patterns occur in the cervical spine? C1 will rotate left on C2 during left lateral flexion C4 will rotate left on C5 during left lateral flexion C1 will rotate left on C2 during forward flexion C4 will rotate left on C5 during forward flexion

C4 will rotate left on C5 during left lateral flexion

Each of the following mobilizations would be performed for their indicated myotomes and hypomobility? a. C5: inferior Glenohumeral mobilization b. C4: superior acromioclavicular mobilization c. C4: inferior sternoclavicular mobilization d. C5: superior scapulothoracic mobilization

C5: superior scapulothoracic mobilization

Wrist drop a. c5 b. c6 c. c7 d. t1

C6

During coupled rotation/lateral flexion, segments C4 and above contribute the MOST to what motion? CervicalFlexion Cervical Extension Cervical Rotation Cervical Lateral Flexion

Cervical Extension

During the Modified Spurling test, the therapist should have the patient perform: Chin tuck, extension, rotation, and ipsilateral side bend Chin tuck, extension, rotation, and contralateral side bend Chin tuck, flexion, rotation, and ipsilateral side bend Chin tuck, flexion, rotation, and contralateral side bend

Chin tuck, extension, rotation, and ipsilateral side bend

A person experiences a direct fall on the shoulder, which results in the acromion being forced inferior to the distal end of the clavicle. Which ligament is most likely torn? Interclavicular ligament Costoclavicular ligament Inferior glenohumeral ligament Coracoclavicular ligament

Coracoclavicular ligament

Your patient tells you that he is having a difficult time gripping items with his right hand. You perform some tests to assess what is the primary cause for his difficulty. Which positive test would likely NOT be the cause of his inability to grip items. A. Positive Bunnel-Littler B. Grade 1 joint play of the 2nd and 3rd digits PIP C. Positive C8 myotome D. Positive Finkelstein

D. Positive Finkelstein

What characteristic is NOT seen in the nucleus pulposus of a Secondary (2°) Disc? A. Presence of decreased concentration of proteoglycans (hydrophilic) B. Presence of increased Type I Collagen C. Presence of decreased H2O D. Presence of increased elastin

D. Presence of increased elastin

What is the capsular pattern of the midcarpal joints? Flexion = Extension Flexion>Extension Ulnar Deviation = Radial Deviation UlnarDeviation>RadialDeviation

Flexion = Extension

During a sidebend endfeel test you find limitations moving to the left at the C4-C5, C5-C6, and C6-C7 segments. What is the best mobilization for treating this patient? A. Segmental traction at the C4-C5 segment B. Lateral (scoop) mobilization of the uncovertebral joint at the left C4-C5 segment C. Jenkner mobilization of the facet joint at the left C4-C5 segment D. Rotation mobilization of the facet joint at the left C4-C5 segment

D. Rotation mobilization of the facet joint at the left C4-C5 segment

What would be the MOST relevant test to do if a patient has excessive rotation of the cervical spine in the transverse plane? A. Lhermitte Sign B. Foraminal Distraction Test C. Bakody Sign D. Sharp Purser Test

D. Sharp Purser Test

What is the MOST appropriate joint mobilization for a patient who sustained a Colles fracture two weeks ago? A. Grade 4 palmar glide of the midcarpal joint B. Grade 5 palmar glide of the radiocarpal joint C. Grade 3 palmar glide of the midcarpal joint D. Grade 1 palmar glide of the radiocarpal joint

D. Grade 1 palmar glide of the radiocarpal joint

You plan to perform joint play on your patient's wrist. It is best for you to place the wrist in which position? A. Full extension and radial deviation B. Full flexion and ulnar deviation C. Neutral and radial deviation D. Neutral and ulnar deviation

D. Neutral and ulnar deviation

A patient dislocated their shoulder in a biking accident. Which of the following would NOT be a sign or symptom of inferior instability at the glenohumeral joint? DecreasedROMinShoulderFlexion DecreasedROMinShoulderExtension Positive Sulcus Sign PositiveFaeginTest

DecreasedROMinShoulderExtension

Which of the following active movements would MOST likely be limited for an individual presenting with a mallet finger deformity? Distal interphalangeal flexion of the finger Proximal interphalangeal extension of the finger Distal interphalangeal extension of the finger Proximal interphalangeal flexion of the finger

Distal interphalangeal extension of the finger

A patient experiences a decreased range of motion when performing wrist flexion, the physical therapist could apply joint mobilization in which direction to facilitate wrist flexion? a. Dorsal b. Palmar c. Medial d. Lateral

Dorsal

What joint mobilization technique would MOST likely restore flexion at the occipitoatlantal joint? Dorsal C0-C1 mobilization bilaterally Dorsal C0-C1 mobilization unilaterally Ventral C0-C1 mobilization bilaterally Ventral C0-C1 mobilization unilaterally

Dorsal C0-C1 mobilization bilaterally

A patient is referred to you from an orthopedic surgeon three days after surgical repair for her Colles fracture. Which of the following would not be an appropriate treatment strategy to add to the patient's plan of care at this time? Pain control with cryotherapy Dorsal distal radioulnar joint mobilization Joint stabilization with orthotic device Proper positioning techniques to reduce stress on the wrist

Dorsal distal radioulnar joint mobilization

What is the closed packed position for the 1st carpometacarpal joint? End Range Flexion End Range Extension End Range Opposition 10 Degrees of Flexion

End Range Opposition

Each of the following cervical spine movements would be considered a normal finding in the clinic EXCEPT? Flexion in segments below C4 with ipsilateral coupled rotation and lateral flexion Extension in segments C2 and above with contralateral coupled rotation and lateral flexion Extension in segments C2-C4 with ipsilateral coupled rotation and lateral flexion Extension in segments C2 and above with ipsilateral coupled rotation and lateral flexion

Extension in segments C2 and above with ipsilateral coupled rotation and lateral flexion

Which of the following coupling patterns are found in the cervical spine? Extension will occur during coupled C2-C3 right rotation with right lateral flexion Flexion will occur during coupled C1-C2 left rotation with left lateral flexion Extension will occur during coupled C3-C4 right rotation with left lateral flexion Flexion will occur during coupled C5-C6 left rotation with right lateral flexion

Extension will occur during coupled C2-C3 right rotation with right lateral flexion

A person with a limit in palmar joint play of the radiocarpal joint will need neuromuscular re- education that includes which of the following muscles after joint mobilization? Extensor Carpi Radialis Brevis Flexor Carpi Radialis Abductor Pollicis Longus Anconeus

Extensor Carpi Radialis Brevis

What is the capsular pattern of the glenohumeral joint? External rotation > Adduction > Internal rotation in 3:2:1 ratio of motion loss Abduction > Internal Rotation > External rotation in 1:2:3 ratio of motion loss External rotation > Abduction > Internal rotation in 3:2:1 ratio of motion loss Adduction > Internal Rotation > External rotation in 1:2:3 ratio of motion loss

External rotation > Abduction > Internal rotation in 3:2:1 ratio of motion loss

Adhesions in the volar joint capsule of the radiocarpal joint would most likely lead to adaptive shortening of which muscle? Extensor digitorum Flexor carpi radialis Brachioradialis Extensor carpi radialis longus

Flexor carpi radialis

- An avulsion injury at the trapezium could involve which of the following muscles? Adductor pollicis Flexor digiti minimi Opponens digiti minimi Flexor pollicis brevis

Flexor pollicis brevis

The therapist performs a dorsal joint play at the 3rd MCP and discovers a motion limit. What possible diagnosis should they consider, and which follow up test should they perform? Flexor tenosynovitis, Bunnel Littler Test Extensor tenosynovitis, Finkelstein Test Flexor tenosynovitis, Murphy Sign Extensor tenosynovitis, Varus/Valgus Stress Test

Flexor tenosynovitis, Bunnel Littler Test

Which of the following is a typical characterization of a Jefferson fracture? Posterior translation o fC3 vertebrae Fracture of anterior and posterior arches of C1 vertebrae Fracture of pedicles on C2 vertebrae Fracture of dens

Fracture of anterior and posterior arches of C1 vertebrae

If a patient presented with a shoulder abduction limit at 120 degrees, the most appropriate shoulder mobilizations would be: GH inferior, AC superior, ST lateral GH distraction, AC superior, ST superior GH inferior, AC inferior, ST lateral GH distraction, AC inferior, ST superior

GH inferior, AC superior, ST lateral

A plain-film imaging Xray shows that a patient has increased anterior translation of the C1 vertebrae relative to the C2 vertebrae, based on this information, all of the following tests performed on this patient could produce a positive result EXCEPT? AlarLigamentStressTest Transverse Ligament Stress test Modified Spurling Test Sharp purser Test

Modified Spurling Test

A baseball player presents with anterior shoulder pain while performing a bench press. During the evaluation, the therapist notes a limitation with the associated concentric motion ONLY. All the following joints and associated mobilizations would be acceptable treatments except: Glenohumeral;Posterior Sternoclavicular;Anterior Acromioclavicular; Anterior Glenohumeral; Anterior

Glenohumeral; Anterior

A patient is referred to a physical therapist with a diagnosis of severe biceps tendinitis of the long head of the biceps brachii muscle. Which of the following findings is UNLIKELY to support this diagnosis? Positive Speed Test Hyperreflexive bicepsbrachii deep tendon reflex Positive Yergason Test Hyporeflexive biceps brachii deep tendon reflex

Hyperreflexive bicepsbrachii deep tendon reflex

A patient experiences a limitation of the glenohumeral joint during phase 3 of the scapulohumeral rhythm. Which joint mobilization and neuromuscular re-education would be most useful in restoring the limited motion? Inferior joint mobilization with progressive mobility and strengthening of the middle deltoid. Distraction with progressive mobility and strengthening of the teres major. Anterior joint mobilization with progressive mobility and strengthening of the subscapularis. Posterior joint mobilization with progressive mobility and strengthening of the anterior deltoid.

Inferior joint mobilization with progressive mobility and strengthening of the middle deltoid.

Your clinical instructor (CI) is performing a rotation mobilization technique at C5-C6 while standing on the patient's left side. If the patient has a rotation limit in the direction the CI is treating, which mobilization technique would be the MOST relevant to perform next? Lateral Scoop technique at C5-C6 treating the patient's left side Lateral Scoop technique at C5-C6 treating the patient's right side Extension technique at C5-C6 on patient's right side Central PA technique at C5-C6

Lateral Scoop technique at C5-C6 treating the patient's right side

If a patient has an extension limitation in the lower spine, which of the following would be LEAST relevant to perform? Extensiontechnique JenkerTechnique Rotation technique bilaterally LateralScooptechniquebilaterally

LateralScooptechniquebilaterally

Weakness with ulnar deviation and wrist flexion will be MOST affected by a lesion to which part of the brachial plexus? Lesion in the lateral cord Lesioninthemiddletrunk Lesion in the medial cord Lesion in the superior trunk

Lesion in the medial cord

What orientation of the acromioclavicular joint is reportedly the MOST commonly found in people? Medial angulation Vertical orientation Incongruous orientation Lateral angulation

Medial angulation

A patient complained of not being able to bring her thumb to her pinky finger. The therapist performs a joint play test on the 1st Carpometacarpal and finds limitations in flexion and abduction. Which joint mobilization would be the most useful in restoring opposition? Palmar joint mobilization at the 1st Carpometacarpal in the sagittal plane Lateral joint mobilization at the 1st Carpometacarpal in the sagittal plane Dorsal joint mobilization at the 1st Carpometacarpal in the frontal plane. Medial joint mobilization at the 1st Carpometacarpal in the frontal plane.

Medial joint mobilization at the 1st Carpometacarpal in the frontal plane.

You suspect your patient has a scaphoid dislocation and an avulsion of its muscular attachment. Which of the following nerve supplies may be disrupted with this patient's injury? Median (lateral terminal branch) Posterior interosseous Ulnar (deep terminal branch) Anterior interosseous

Median (lateral terminal branch)

What nerve is most likely damaged if a patient presents with ape hand deformity? Axillary nerve Radial nerve Median nerve Ulnar nerve

Median nerve

While performing an evaluation, a patient presents with a positive Tinel sign at the C6-C7 nerve root levels. Which nerve and associated osteokinematic motions would most likely be affected? Ulnar; 1st Metacarpophalangeal adduction Median; 3rd Metacarpophalangeal flexion with proximal interphalangeal extension Median; 4th Metacarpophalangeal flexion with proximal interphalangeal extension Ulnar; 2nd Metacarpophalangeal Abduction

Median; 3rd Metacarpophalangeal flexion with proximal interphalangeal extension

What is the loose packed position of the cervical spine? Flexion toward end range Extension toward end range Midway between flexion and extension Slight flexion past neutral

Midway between flexion and extension

What is the loose packed position of the cervical spine? Midway between neutra land full flexion Midway between flexion and extension Lateral flexion with slight rotation Lateral flexion with slight extension

Midway between flexion and extension

A physical therapist performs the Foraminal Distraction Test on a patient, the result is pain reduction. This result is MOST LIKELY associated which of the following? Muscle spasm Ligament sprain Nerve root compression Dural irritation

Nerve root compression

- Which special test would MOST likely be positive for a 55 y/o female complaining of weakness in grip, sensory loss on the palmar and dorsal thumb, and motor loss of the flexor pollicis brevis? Phalen Test Froment sign Finkelstein Test Bunnel Littler Test

Phalen Test

While your patient is long sitting on the table, you perform a passive active assisted neck flexion with passive hip flexion. She reports an electric shock in her spine. What additional test would MOST likely be positive in this patient? Romberg Test Modified Spurling Test Bakody Sign 3D Coupled Test

Romberg Test

1. Which of the following best describes lower cervical spine spinal coupling? a. Right rotation with left lateral flexion with association extension b. Rotation with associated lateral flexion with associated flexion c. Rotation with associated lateral flexion with associated extension d. Left rotation with right lateral flexion with associated flexion

Rotation with associated lateral flexion with associated flexion

A patient who works for a construction company has come to the clinic expressing pain and stiffness in the shoulder region. When asked about the details of their job, the patient explained he and his crew have been working overtime trying to meet a deadline for their boss. The patient states that he has progressively become unable to do work that requires his arms to raise above his head. Which joint mobilization would be LEAST beneficial for this patient? Glenohumeral Inferior Glide Acromioclavicular superior glide Sternoclavicular inferior glide Scapulothoracic downward rotation

Scapulothoracic downward rotation

Which of the following special test is not for neurological symptoms in the cervical spine? SpurlingTest Sharp-PurserTest Bakody Sign Tinel Sign

Sharp-PurserTest

Each of the following special tests can be performed to evaluate the integrity of specific rotator cuff muscles EXCEPT? Empty Can Test Hornblower Test Lift off sign SpeedTest

SpeedTest

If a patient acquired a rotator cuff injury, which is NOT a special test you could perform to determine which rotator cuff muscles are involved? LiftOffSign Hornblowertest Empty can test Speedtest

Speedtest

A lesion to which of the following nerves would MOST likely lead to a lateral winging of the scapula? Suprascapular Upper Subscapular Long Thoracic Spinal Accessory

Spinal Accessory

. A lesion to which of the following nerves is MOST likely to lead to weak shoulder elevation? Suprascapular nerve Axillary nerve Lateral pectoral nerve Spinal accessory nerve

Spinal accessory nerve

If a patient has suspected upper cross syndrome, what would be the MOST appropriate physical therapy intervention to perform? Strengthening of the upper trapezius muscle Strengthening of the deltoid muscle Stretching of the pectoral muscle Stretching of the serratus anterior muscle

Stretching of the pectoral muscle

During a shoulder examination, a patient experiences pain when their shoulder is placed into scaption with 90 ̊ elbow flexion and resistance is applied to external shoulder rotation. Which of the following muscles would most likely present with a lesion? T eres Major Subscapularis Teres Minor Infraspinatus

Teres Minor

All of the following muscle isolations are performed with the patient in prone EXCEPT: Infraspinatus Latissimus dorsi Teres major Lower trapezius

Teres major

Which answer choice ​BEST​ describes the arthrokinematics of the Lunate on the radius to facilitate wrist extension? The Lunate rolls volar and glides dorsal on the radius. The Lunate rolls dorsal and glides volar on the radius. The Lunate rolls lateral and glides medial on the radius. The Lunate rolls medial and glides lateral on the radius.

The Lunate rolls dorsal and glides volar on the radius.

A patient presents with a C6 nerve root impingement. All of the following nerves will be impacted EXCEPT? a. The Long Thoracic Nerve b. The Posterior Cutaneous Nerve of the forearm c. The Lateral Cutaneous Nerve of the forearm d. The Medial Cutaneous Nerve of the forearm

The Medial Cutaneous Nerve of the forearm

A patient presents with a primary disc issue. Which of the following findings is LEAST likely? The patient is 62yearsold The patient presents with pain in the afternoon Cervical flexion is the most painful motion The pain increases when the patient coughs

The patient presents with pain in the afternoon

Which of the following BEST describes the arthrokinematics of C3-C4 Zygapophyseal joint in the frontal plane? The superior vertebrae downglides on ipsilateral side and upglides on contralateral side relative to the inferior vertebrae The superior vertebrae rolls to the right and slides to the left on the inferior vertebrae The superior vertebrae rolls to the left and slides to the left on the inferior vertebrae The superior vertebrae upglides on the ipsilateral side and downglides on contralateral side relative to the inferior vertebrae

The superior vertebrae downglides on ipsilateral side and upglides on contralateral side relative to the inferior vertebrae

While performing a Bakody Sign, your patient reports an increase in pain as well as discoloration in the hand. What is the most likely cause for an increase in their symptoms? Dural Irritation Intervertebral Disc Herniation Thoracic Outlet Syndrome Degenerative Joint Disease

Thoracic Outlet Syndrome

A patient has a positive empty can test. Which of the following treatments would be most effective to increase mobility of the affected muscle two weeks following the injury? Transverse friction of the supraspinatus tendon Immobilization of the shoulder complex Throwing drills with a weighted handball at rebounder Transverse friction of the subscapularis tendon

Transverse friction of the supraspinatus tendon

Each of the following muscles could be affected by a lesion to the C5 nerve root EXCEPT: a. Levator scapulae b. Trapezius c. Rhomboid major d. Rhomboid minor

Trapezius

While performing the Sidebend Endfeel Test, you notice a single level unilateral limitation between C4 and C5 to the left. What is the limitation likely due to? a. Uncovertebral joint dysfunction b. Zygapophyseal joint dysfunction c. Intervertebral disc dysfunction d. Tight right sternocleidomastoid muscle

Uncovertebral joint dysfunction

A lesion of the C7 nerve root can lead to muscle weakness that would MOST likely result in which test being positive? Wall Push Up Test Hornblower Test Lift Off Sign Scapular Pinch Test

Wall Push Up Test

A patient with a brachioradialis grade 2 muscle strain would present with all of the following EXCEPT: Discomfort with AROM of antagonist Weak AROM of agonist Normal DTRs Painful and weak MMT

Weak AROM of agonist

A patient diagnosed with de Quervain's tenosynovitis is least likely to exhibit which of the following? Weak abductor pollicis brevis muscle isolation Pain over abductor pollicis longus tendon Positive Finkelstein test Weak extensor pollicis brevis muscle

Weak abductor pollicis brevis muscle isolation

A limit in dorsal joint play of the radiocarpal joint is MOST likely to indicate a motion limit in what direction? Wrist radial deviation Wrist ulnar deviation Wrist extension Wrist flexion

Wrist flexion

Which of the following motions would be limited after an injury restricting midcarpal dorsal glide? Wristulnardeviation Wrist flexion Wrist extension Wristradialdeviation

Wrist flexion

When performing palmar joint play at the right radiocarpal joint, you notice decreased translation when compared to the left side. Which of the following motions would you suspect might be diminished? WristFlexion WristExtension Wrist Ulnar Deviation WristRadialDeviation

WristExtension

A patient presents with difficulty performing shoulder flexion, you confirm with ROM and joint assessment that they have problems with shoulder flexion. What are the most appropriate directions for joint play to help restore motion in shoulder flexion? a) Posterior and Inferior b) Inferior and Lateral c) Posterior and Lateral d) Medial and Inferior

a) Posterior and Inferior

Which of the following values represent the degree of orientation for the Zygapophyseal joints in the cervical spine? a. 45° b. 20° c. 75° d. 30°

a. 45°

1. Which of the following tendons are tested with the Finkelstein test? a. Adductor pollicis tendon & Flexor pollicis brevis tendon b. Abductor pollicis longus tendon & Extensor pollicis brevis tendon c. Abductor pollicis longus tendon & flexor pollicis brevis tendon d. Adductor pollicis tendon & extensor pollicis brevis tendon

a. Abductor pollicis longus tendon & Extensor pollicis brevis tendon

A patient experiences pain when performing an abduction motion between 170°-180°, the rest of the motion is painless. Based on this finding which of the following structures in MOST likely involved? a. Acromioclavicular joint Glenohumeral joint Sternoclavicular joint Scapulothoracic joint

a. Acromioclavicular joint

(Intermediate) Your patient has a shoulder restriction where they cannot abduct past 170 degrees. What is the MOST relevant joint mobilization to perform for motion restoration? a. Acromioclavicular joint Superior b. Acromioclavicular joint Inferior c. Glenohumeral joint Inferior d. Scapulothoracic upward rotation

a. Acromioclavicular joint Superior

- Your patient presents with grade 2 mobility with rotation and extension limit bilaterally. Which joint mobilization technique would be MOST relevant for the treatment of this patient? a. C0-C1 Traction C0-C1 Flexion C0-C1 Sidebend C1-C2 Flexion-Rotation

a. C0-C1 Traction

Your patient complains of cervical neck pain that increases with cervical flexion and is not relieved with rest. Which of the following is most likely the cause of their pain? a. Disc Herniation b. Spinal stenosis c. Spondylosis d. Radiculopathy

a. Disc Herniation

. Radiocarpal extension limit could lead to which of the following possible diagnoses? a. Flexor tenosynovitis b. Osteoarthritis c. Extensor tenosynovitis d. Dorsal intercalated segmental instability

a. Extensor tenosynovitis

2. The patient is placed into all of the following positions during a Median Nerve Upper Limb Tension Test EXCEPT? a. Finger Flexion b. Forearm Supination c. Elbow Extension d. Wrist Extension

a. Finger Flexion

Which carpal bone articulates with both the 4th and 5th metacarpals? a. Hamate b. Lunate c. Capitate d. Trapezium

a. Hamate

Damage to which of the following nerves would MOST likely result in the sign of benediction? a. Median Nerve b. Ulnar Nerve c. Radial Nerve d. Axillary Nerve

a. Median Nerve

Which of the following would be the best treatment for a hypomobile sidebend endfeel test limitation at C2 and C3 unilaterally on R side? a. Mobilize C2 on C3 in R lateral (scoop) b. Mobilize C3 on C4 in R lateral (scoop) c. Mobilize C2 on C3 in L lateral (scoop) d. Mobilize C3 on C4 in L lateral (scoop)

a. Mobilize C2 on C3 in R lateral (scoop)

A lesion to the C4 spinal nerve root would cause all of the following EXCEPT? a. Negative bakody sign b. Positive scapulohumeral reflex c. Shoulder elevation weakness d. Diminished light touch at the medial acromion

a. Negative bakody sign

What is the loose pack position of the radiocarpal joint? a. Neutral with slight ulnar deviation b. Neutral with slight radial deviation c. Full extension with ulnar deviation d. Full extension with radial deviation

a. Neutral with slight ulnar deviation

A therapist performs the O'Brien Test on a patient. Which of the following findings would indicate a positive result on the test? a. Pain reproduction or popping in internal rotation position, which is absent in external rotation b. Pain reproduction or popping in external rotation position, which is absent in internal rotation c. No pain reproduction or popping in either the internal rotation position or the external rotation position d. Pain reproduction and popping in both the internal rotation position and the external rotation position

a. Pain reproduction or popping in internal rotation position, which is absent in external rotation

. While performing a Modified Spurling Test, what neck motions put the patient at the MOST risk for the associated ligamentous rupture. a. Posterior Longitudinal Ligament; Cervical Flexion b. Posterior Longitudinal Ligament; Cervical Rotation c. Anterior Longitudinal Ligament; Cervical Flexion d. Anterior Longitudinal Ligament; Cervical Rotation

a. Posterior Longitudinal Ligament; Cervical Flexion

Which of the following manual therapy techniques would be the LEAST appropriate for a patient who enters the clinic with a wrist flexion limit? a. Radiocarpal dorsal b. Midcarpal distraction c. Radiocarpal distraction d. Proximal radioulnar superior

a. Proximal radioulnar superior

2. The glenohumeral and acromioclavicular painful arcs occur at what ranges during shoulder movement respectively? a. Shoulder abduction; 45-60 degrees; 170-180 degrees b. Shoulder flexion; 170-180 degrees; 45-60 degrees c. Shoulder abduction; 170-180 degrees; 45-60 degrees d. Shoulder flexion; 45-60 degrees; 170-180 degrees

a. Shoulder abduction; 45-60 degrees; 170-180 degrees

2. What is the MOST likely pt presentation you would see if the radial nerve was non-functional? a. Wrist Drop b. Claw Hand c. OK sign d. Ape hand

a. Wrist Drop

During open chain retraction of the medial borders of the scapula, the clavicle rolls ____ and slides ____ on the sternum. a. posteriorly, posteriorly b. anteriorly, posteriorly c. posteriorly, anteriorly d. anteriorly, anteriorly

a. posteriorly, posteriorly

Which of the following cervical structures is tested during the Pettman Distraction Test? a. AlarLigament b. LigamentumFlavum c. TectoralMembrane d. AnteriorLongitudinalLigament

c. Tectoral Membrane

A Physical Therapist is performing joint play on a patient's 1st carpometacarpal (CMC) joint in the dorsal direction. The Physical Therapist notes a grade of 2 on the joint mobility classification scale; in which direction is the patient's motion MOST likely limited? a. 1st CMC Adduction b. 1st CMC Abduction c. 1st CMC Flexion d. 1st CMC Extension

b. 1st CMC Abduction

Normal angulation between the humeral head and neck in the horizontal plane is approximately: a. 30° of Anteversion b. 30° of retroversion c. 135°of inclination d. 135°of declination

b. 30° of retroversion

(Basic) When viewed from the side, the zygapophyseal joints in the cervical spine are oriented at a ______ angle. a. 30 degree b. 45 degree c. 60 degree d. 75 degree

b. 45 degree

(Advanced) You perform the co-c4 quick test on your patient which reveals a rotation limit on the right side, what is the MOST relevant joint mobilization to perform for motion restoration? a. Co-c1 rotation technique with therapist standing to the left of the patient. b. C1-c2 flexion-rotation technique with the therapist standing to the right of the c. C1-c2 flexion-rotation technique with the therapist standing to the left of the patient. d. C1-c2 extension-rotation technique with the therapist standing to the left of the patient.

b. C1-c2 flexion-rotation technique with the therapist standing to the right of the

4. A therapist palpates the sides of the thyroid cartilage and lines their finger up on the back of the neck with the palpation. Which vertebrae is the therapist palpating for? a. C6 spinous process b. C5 spinous process c. C4 spinous process d. C3 spinous process

b. C5 spinous process

Your patient presents with a positive Wall Push Up Test. What nerve roots are MOST likely involved? a. C3,C4 b. C5,C6 c. C7,C8 d. C8,T1

b. C5,C6

A patient was playing baseball when he got a stray ball to the elbow causing some pain and weakness in his hand. The patient states that it is hard to fan out his fingers apart. What is a relevant test and muscle isolation you could do to further assess the patient's problem? a. Froment sign and muscle isolation for flexor pollicis longus b. Froment sign and muscle isolation for abductor digiti minimi c. Phalen test and muscle isolation for pronator teres d. Reverse Phalen test and muscle isolation for lumbricals of digits 1 and 2

b. Froment sign and muscle isolation for abductor digiti minimi

A patient presents with a unilateral shoulder horizontal abduction limit. Which of the following is the MOST appropriate mobilization to treat this motion limitation? a. Glenohumeral Posterior Glide b. Glenohumeral Anterior Glide c. Scapulothoracic Medial Glide d. Acromioclavicular Posterior Mobilization

b. Glenohumeral Anterior Glide

7. Pt has limited abduction with pain at 45°. Which of the following mobilizations would best help this patient? a. Glenohumeral posterior grade 4 b. Glenohumeral inferior grade 3 c. Acromioclavicular inferior grade 3 d. Acromioclavicular superior grade 4

b. Glenohumeral inferior grade 3

Each of the following observed patterns with right cervical rotation is characteristic of dysfunction except: a. Ipsilateral lateral flexion and extension at C4-C5 b. Ipsilateral lateral flexion and flexion at C5-C6 c. Ipsilateral lateral flexion and flexion C1-C2 d. Ipsilateral lateral flexion and extension at C6-C7

b. Ipsilateral lateral flexion and flexion at C5-C6

While rotating the head to the right, your patient's head laterally flexes to the left. This issue is associated with a. Issue with upper cervical coupling b. Issue with lower cervical coupling c. Issue with extension from C4 and above d. Issue with flexion below C4

b. Issue with lower cervical coupling

A patient presenting with upper cross syndrome will most likely exhibit weakness in which muscle: a. Pectoralis major b. Longus capitis c. Upper trapezius d. Splenius capitis

b. Longus capitis

1. A patient presents with a hand of benediction on the left side. A lesion in which nerve is MOST likely to be the cause? a. Ulnar Nerve b. Median Nerve c. Radial Nerve d. Musculocutaneous Nerve

b. Median Nerve

Each of the following findings would indicate a lesion to the ulnar nerve except: a. Positive Tinel sign of lower cervical spine b. Positive Watson Test c. Loss of sensation in the hypothenar eminence d. Diminished C8 myotome

b. Positive Watson Test

2. What is the 2D Combined Test for the lower cervical spine? a. Rotation; Ipsilateral Lateral Flexion b. Rotation; Contralateral Lateral Flexion c. Lateral Flexion; Ipsilateral Rotation d. Lateral Flexion; Contralateral rotation

b. Rotation; Contralateral Lateral Flexion

An ulnar nerve lesion would most likely cause a deficit in which action at the first metacarpophalangeal joint? a. Sagittal plane ipsidirectional roll and slide b. Sagittal plane contradirectional roll and slide c. Frontal plane ipsidirectional roll and slide d. Frontal plane contradirectional roll and slide

b. Sagittal plane contradirectional roll and slide

(Basic)Which of the following bones is NOT a carpal located in the proximal row? a. Scaphoid b. Triquetrum c. Trapezoid d. Lunate

c. Trapezoid

Patient complains of pain and weakness with shoulder external rotation and shoulder internal rotation. He reports discomfort with scapular retraction and difficulty with raising his arm off to the side. Based off the given information, which of the following assessment measures would not be appropriate for this patient? a. Scapular Pinch Test b. Speed Test c. Empty Can Test d. Hornblower Test

b. Speed Test

Glenohumeral joint mobilizations usually performed in the clinic include all of the following directions except? a. Inferior b. Superior c. Anterior d. Posterior

b. Superior

1. Rotator cuff tears that occur secondary to laxity is MOST likely to occur in which population? a. Old Female b. Young Female c. Old Male d. Young Male

b. Young Female

Dysfunction of the Lower Trapezius muscle can potentially cause a problem with which. movements? a) Depression of Scapula, Protraction of Scapula, and Upward Rotation of Scapula b) Upward Rotation of Scapula, Elevation of Scapula, and Retraction of Scapula c) Depression of Scapula, Retraction of Scapula, and Upward Rotation of Scapula Depression of Scapula, Downward Rotation of Scapula, and Retraction of Scapula

c) Depression of Scapula, Retraction of Scapula, and Upward Rotation of Scapula

A patient comes into the clinic with an injury to their 1st digit. If the physical therapist suspects Gamekeepers thumb, which special test would be MOST appropriate to confirm this hypothesis? a. WatsonTest b. 1st MCP Varus Stress Test c. 1st MCP Valgus Stress Test d. BunnelLittlerTest

c. 1st MCP Valgus Stress Test

. A patient suffers a complete rupture of the extensor indicis. What would the patient MOST likely demonstrate as a result of a manual muscle test during the following motions? a. 2nd Digit Metacarpal Phalangeal Extension: 5/5 Strength b. 2nd Digit Metacarpal Phalangeal Extension: 7/10 pain c. 2nd Digit Metacarpal Phalangeal Extension: 0/10 Pain d. 2nd Digit Metacarpal Phalangeal Extension: 4/5 Strength

c. 2nd Digit Metacarpal Phalangeal Extension: 0/10 Pain

Normal radiocarpal joint ulnar deviation maximum is closest to: a. 25° b. 35° c. 45° d. 55°

c. 45°

A patient presents with normal rotation and extension, but limited flexion bilaterally on the C0-C4 quick test. Which of the following treatments is LEAST likely to be an effective joint mobilization for the physical therapist to perform? a. C0-C1Traction b. C1-C2Flexion-Rotation c. C1-C2Extension-Rotation d. C0-C1Flexion

c. C1-C2 Extension-Rotation

A patient presents with signs of atrophy of the deltoid and weak elbow flexion. Which two nerve root levels are MOST likely to have a lesion? a. C6-C7 b. C7-C8 c. C5-C6 d. C8-T1

c. C5-C6

Which ligament is NOT a part of the Triangular Fibrocartilage Complex? a. Ulnolunate b. Ulnotriquetral c. Ulnocapitate d. Radioulnar

c. Ulnocapitate

Your patient displays a tight and painful left anterior scalene, after you stabilize the left clavicle and first rib, which of the following would provide a stretch to this muscle? a. Cervical spine extension with lateral flexion to the left and rotation to the right. b. Cervical spine flexion with lateral flexion to the right and rotation to the left. c. Cervical spine extension with lateral flexion to the right and rotation to the left. d. Cervical spine flexion with lateral flexion to the left and rotation to the right.

c. Cervical spine extension with lateral flexion to the right and rotation to the left.

1. What is the closed packed position for the radiocarpal joint? a. Extension with ulnar deviation b. Flexion with ulnar deviation c. Extension with radial deviation d. Flexion with ulnar deviation

c. Extension with radial deviation

What is the closed pack position of the radiocarpal joint? a. Extension with ulnar deviation b. Flexion with radial deviation c. Extension with radial deviation d. Flexion with ulnar deviation

c. Extension with radial deviation

(Advanced) Your patient presents with a diminished triceps brachii reflex on the left side due to a peripheral nerve lesion. Based on this finding, what two muscles would you MOST expect to demonstrate weakness in their left arm? a. Flexor carpi radialis; Anconeus b. Supinator; Pronator quadratus c. Extensor carpi radialis longus, Supinator d. Extensor carpi radialis longus, Pronator quadratus

c. Extensor carpi radialis longus, Supinator

What is the close-packed position of the cervical spine? a. Full rotation to either side b. Full flexion c. Full extension d. Full lateral flexion to either side

c. Full extension

The closed packed position of the 1st carpometacarpal joint is: a. Full flexion b. Full extension c. Full opposition d. Full abduction

c. Fullopposition

A baseball pitcher presents to physical therapy with decreased active medial rotation of the right shoulder and severe pain in the posterior region during the cross-over impingement test. All of the following joint play assessments would support this finding EXCEPT? a. Grade 2 anterior acromioclavicular joint play b. Grade 1 posterior glenohumeral joint play c. Grade 2 inferior sternoclavicular joint play d. Grade 1 lateral scapulothoracic joint play

c. Grade 2 inferior sternoclavicular joint play

A patient comes in complaining of neck pain. Upon examination of the patient you find that when asked to side bend to the right with their head, their head rotates to the left. What cervical deviation and structure are most likely the problem? a. Issue with upper cervical coupling, zygapophyseal joints b. Issue with upper cervical coupling, occipitoatlantal joint c. Issue with lower cervical coupling, zygapophyseal joints d. Issue with lower cervical coupling, uncovertebral joint

c. Issue with lower cervical coupling, zygapophyseal joints

You perform the cross-over impingement test on a patient and there is pain reproduction anteriorly and also find that the patient has difficulty internally rotating their arm. What is the MOST relevant test to further examine this finding? a. Speed Test b. Yergason Test c. Lift Off Sign d. Hornblower test

c. Lift Off Sign

Which of the following arthrokinematics could occur in order to produce wrist flexion? a. Proximal carpal rolls palmar & glides dorsal on radius. Distal carpal rolls palmar and glides palmar on proximal carpal. b. Proximal carpal rolls palmar & glides dorsal on radius. Distal carpal rolls dorsal & glides dorsal on proximal carpal. c. Radius rolls anterior & glides anterior on proximal carpal. Proximal carpal rolls palmar & glides palmar on distal carpal. d. Radius rolls anterior & glides anterior on proximal carpal. Proximal carpal rolls palmar & glides dorsal on the distal carpal.

c. Radius rolls anterior & glides anterior on proximal carpal. Proximal carpal rolls palmar & glides palmar on distal carpal.

3. All of the following joint information is correct EXCEPT? a. Loose-packed position: 55 degrees abduction, 30 horizontal adduction b. Close-packed position: Full abduction and external rotation c. Scapulohumeral rhythm: Phase 1: 60 degrees GH abduction, Phase II: 30 degrees GH Abduction, Phase III: 30 degrees GH abduction. d. Capsular Pattern: External rotation > Abduction > Internal rotation

c. Scapulohumeral rhythm: Phase 1: 60 degrees GH abduction, Phase II: 30 degrees GH Abduction, Phase III: 30 degrees GH abduction.

A patient can only do four wall push-ups and you observe some scapular winging. Which muscle isolation would you perform to further examine this finding? a. Infraspinatus b. Latissimus dorsi c. Serratus anterior d. Rhomboids

c. Serratus anterior

(Moderate) You suspect your patient has a nerve root compression in the cervical spine, which special test will be the MOST useful in confirming your suspicion? a. Lhermitte Sign b. Sharp-Purser Test c. Spurling Test d. Modified Spurling Test

c. Spurling Test

A lesion to each of the following nerves would most likely demonstrate a weakness of shoulder internal rotation except? a. Upper subscapular nerve b. Thoracodorsal nerve c. Suprascapular nerve d. Medial pectoral nerve

c. Suprascapular nerve

1. A patient is unable to lift their hand off their lumbar spine when you place it there. Which of the following muscles would you expect to be weak? a. TeresMinor b. Subscapularis c. Supraspinatus d. Deltoid

c. Supraspinatus

Provocation of symptoms with cervical movement in the frontal plane is most likely due to an issue with the: a. Zygapophyseal joints b. Intervertebral disc c. Uncovertebral joints d. Supraspinous ligament

c. Uncovertebral joints

Restriction in the superior sternoclavicular joint capsule would most limit maximal sarcomere lengthening of which muscle? a. Supraspinatus b. Infraspinatus c. Upper Trapezius d. Lower Trapezius

c. Upper Trapezius

2. A therapist performs the sidebend end feel test on a patient and discovers a bilateral limitation at c5. What is the MOST likely cause of the limitation? a. Uncovertebral Joint b. Anterior Longitudinal Ligament c. Zygoapophyseal Joint d. Primary Disc

c. Zygoapophyseal Joint

Match the appropriate motions according to cervical spinal coupling a. upper cervical; right lateral flexion & right rotation & extension b. upper cervical; right lateral flexion & right rotation & flexion c. lower cervical; right lateral flexion & right rotation & flexion d. lower cervical; right lateral flexion & right rotation & extension

c. lower cervical; right lateral flexion & right rotation & flexion

What is the capsular pattern of the shoulder? a) External Rotation, Adduction, Internal Rotation b) External Rotation, Extension, Internal Rotation c) External Rotation, Flexion, Internal Rotation d) External Rotation, Abduction, Internal Rotation

d) External Rotation, Abduction, Internal Rotation

A patient with degeneration in the C6-C7 zygapophyseal joint may present with nerve root compression. Each of the following may indicate this pathology except: a. Grade 2 finding of the Positive Sidebend Endfeel Test at C6-C7 b. Diminished light touch sensation of the lateral forearm c. 1+ Tricep DTR d. 3/5 Pectoralis Minor Strength

d. 3/5 Pectoralis Minor Strength

A lesion to which of the following nerve roots would be least likely to lead to dysfunction in scapulohumeral rhythm when considering the concentric lifting phase of humeral abduction? a. C5 b. C6 c. C7 d. C8

d. C8

- Which of the following conditions is NOT considered one of the "5 Ds" of cervical vascular compromise? a. Dizziness b. Dysphagia c. Dysarthria d. Dysphonia

d. Dysphonia

What is the capsular pattern of the glenohumeral joint? a. Internal rotation > Flexion > External Rotation b. External rotation > Flexion > Internal Rotation c. Internal rotation > Abduction > External Rotation d. External rotation > Abduction > Internal Rotation

d. External rotation > Abduction > Internal Rotation

Each of the following shoulder joint mobilizations can improve abduction range of motion EXCEPT? a. Grade 4 inferior glide of the sternoclavicular joint b. Grade 4 superior glide of the acromioclavicular joint c. Grade 3 inferior glide of the glenohumeral joint d. Grade 3 superior glide of sternoclavicular joint

d. Grade 3 superior glide of sternoclavicular joint

Weakness in the elbow flexors, shoulder abductors, wrist extensors, and thumb flexors but not the palmar adductors would most likely be due to a lesion in: a. Upper trunk of the brachial plexus b. Posterior cord of the brachial plexus c. Middle trunk of the brachial plexus d. Medial cord of the brachial plexus

d. Medial cord of the brachial plexus

6. All of the following procedures of cervical spine mobilization occur except: a. Motion Limit: C0 flexion limit; pre-Position: retraction, flexion; mobilize: C0 on C1 posterior cranial direction b. Motion Limit: C4 extension limit; pre-Position: distraction, retraction, extension; mobilize: C5 on C4 ventral c. Motion Limit: C4 extension limit; pre-Position: distraction, retraction, extension ; mobilize: C4 on C5 dorsal d. Motion Limit: C0 flexion Limit; pre-Position: retraction, flexion; mobilize: C0 on C1 anterior caudal direction

d. Motion Limit: C0 flexion Limit; pre-Position: retraction, flexion; mobilize: C0 on C1 anterior caudal direction

3. All of the following procedures of the wrist occur except? a. Motion limit: Flexion; Stabilize: distal radius/ulna; Mobilize: distal carpal row dorsal b. Motion Limit: Radial deviation; Stabilize: proximal carpal row; Mobilize: distal carpal row medial c. Motion Limit: Radial deviation; Stabilize: distal humerus and olecranon; Mobilize: proximal radius superiorly. d. Motion Limit: Ulnar deviation; Stabilize: distal humerus and olecranon; Mobilize: proximal radius inferiorly

d. Motion Limit: Ulnar deviation; Stabilize: distal humerus and olecranon; Mobilize: proximal radius inferiorly

While performing the bunnel littler test you note that the patient has a motion limit with the metacarpophalangeal joint extended. What muscle(s) is LEAST likely to be involved? a. Palmar interossei b. Lumbricals c. Dorsal interossei d. Palmaris brevis

d. Palmaris brevis

If a therapist suspects a cervical stenosis in the lower cervical region, the MOST relevant special tests to perform are: Tinel sign and Romberg test Lhermitte sign and Foraminal Distraction test c. Tinel sign and Foraminal distraction test d. Romberg test and Lhermitte sign

d. Romberg test and Lhermitte sign

In order to confirm you are palpating the C5 spinous process, it should typically line up with what other structure? a. Cricoid cartilage b. Superior aspect of thyroid cartilage c. Hyoid bone d. Sides of thyroid cartilage

d. Sides of thyroid cartilage

All of the following are special tests to confirm a rotator cuff pathology EXCEPT? a. Hornblower test b. Lift off sign c. Empty can test d. Speed test

d. Speed test

All of the following joint mobilizations would improve wrist flexion EXCEPT? a. Dorsal glide of the radiocarpal joint b. Distraction of the midcarpal joint c. Inferior glide of the proximal radioulnar joint d. Superior glide of the proximal radioulnar joint

d. Superior glide of the proximal radioulnar joint

A patient is having tingling feelings on the tips of his 2nd and 3rd digit. A physical therapist can use the following tests to further assess nerve involvement in the patient's two fingers EXCEPT? a. Phalen test b. Reverse Phalen test c. Tinel sign d. Watson test

d. Watson test

(Moderate)If your patient has a restriction with radio-carpal joint play in the lateral direction, then they most likely have an issue performing which motion? a. Wrist Pronation b. Wrist Radial deviation c. Wrist Flexion d. Wrist Ulnar deviation

d. Wrist Ulnar deviation

. The Modified Spurling Test loads which cervical structure? a. Disc b. Uncovertebral Joint c. Zygapophyseal Joint d. Posterior Longitudinal Ligament

disc

A fracture to which of the following carpal bones would MOST likely cause impingement of the ulnar nerve? a. Capitate b. Hamate c. Lunate d. Triquetrum

hamate

During open chain abduction at the 1st metacarpal phalangeal joint, the base of the proximal phalanx rolls _______ and slides _______ on the trapezium a. palmarly, dorsally b. dorsally, dorsally c. palmarly, palmarly d. dorsally, palmarly

palmarly, dorsally

Artery that supplies the palmaris longus muscle? superficial palmar arch radial artery ulnar artery deep palmar artery

ulnar artery