Phases of Healing
& Aging
What forces on the tibiofemoral joint would relate to pain with weight bearing activities, but not during open chain activities?
Answer: Compressive
Resource: Kisner pg 93
What type of infections do T-cells help protect against?
Answer: Bacteria, viruses, fungus, and cancer
Resource: Goodman & Fuller pg 85
What motions at the talocrural joint will cause an ATFL sprain?
Answer: Plantarflexion and inversion
Resource: Kisner pg 904
What benefits can finger splints provided patients with during acute rheumatoid arthritis flare-ups?
Answer: Rest and immobilize inflamed joints, prevent excessive movement, and reduce aggravating stresses
Resource: Goodman & Fuller pg 570
Tom, a 52-year-old accountant, complains of bilateral joint pain and swelling in his wrists and fingers, with morning stiffness lasting more than an hour. Lab results showed positive rheumatoid factor. Question: What pathology is most likely affecting Tom?
Answer: Rheumatoid Arthritis
Resource: Goodman & Fuller pg 556
Name 2 unique characteristics of type 1 collagen?
Answer: The most common form of collagen, assembled as a thick bundle, longest and strongest, found in bones, tendons, and scar tissue
Resource: G&F pg 55
What are 3 signs and symptoms of type 1 hypersensitivity?
Systemic vasodilation, bronchospasm, wheezing, urticaria, increased mucus secretion, rhinorrhea, and edema
Goodman & Fuller pg 100
What special test assesses for an Achilles tendon rupture?
Answer: Thompson test
Resource: Kisner pg 912
What motions at the spine do we want to avoid when working with patients that have osteoporosis?
Answer: Spinal flexion, side bending, or spinal rotation
Resource: Goodman & Fuller pg 538
Linda, a 67-year-old retired teacher, reports right knee pain that has gradually worsened over the past year, especially after walking or using stairs. She experiences morning stiffness that lasts less than 30 minutes. X-rays show joint space narrowing and osteophyte formation. Question: What is the most likely diagnosis for Linda?
Answer: Osteoarthritis
Resource: Goodman & Fuller pg 558
Which of the following are signs (not symptoms)?
Tachycardia, edema, nausea, fatigue, erythema, chest pain, hypertension
Answer: Tachycardia, edema, erythema, hypertension
Resource: Goodman and Fuller pg 2
Name a characteristic clinical manifestation of each stage of lime disease.
Stage 1: Erythema migrans and flu like symptoms
Stage 2: Neurologic and cardiac signs
Stage 3: Arthritis of large joints and pain
What type of ROM and in what direction will cause the least amount of pain for a bicep strain?
Answer: PROM into elbow and shoulder flexion
Resource: Kisner pg 333
What is the presentation of a Colles fracture?
Answer: Dorsal displacement of the hand due to a complete radial-ulnar fracture
Resource: Goodman & Fuller pg7.68E241
Lena, a 38-year-old recreational runner, reports sharp heel pain that is worst with her first steps in the morning and after long periods of standing. On examination, there is tenderness at the medial tubercle of the calcaneus. Question: What condition is Lena most likely experiencing?
Answer: Plantar Fasciitis
Resource: Kisner pg 901
What is the therapeutic goal during the proliferative phase of healing when treating a patient with a muscle strain?
Answer: Restore soft tissue, muscle, and/or joint mobility. Progress from PROM to AAROM to AROM
Resource: Box 10.2 in Kisner
What pathology presents with a positive Kernig and Brudzinski test?
Answer: Meningitis
Resource: Goodman & Fuller pg 618
Name 3 characteristics of grade 2 strains
Answer: Partial tearing, decreased ability to contract, pain, swelling, localized tenderness, pain increases with increased stress and palpation, moderate joint laxity
Resource: Kisner pg 333
Which finger deformity is seen with rheumatoid arthritis that is characteristic of DIP flexion, PIP hyperextension, and MCP flexion?
Answer: Swan neck deformity
Resource: Goodman & Fuller pg 564 and figure 17.23
Maria, a 29-year-old female, presents with a 6-month history of persistent fatigue, arthralgia affecting her hands and knees, and a malar rash that worsens after minimal sun exposure. She reports morning stiffness lasting over an hour and increasing difficulty performing daily activities. Question: What pathology does Maria most likely have?
Answer: Lupus
Resource: Goodman & Fuller pg 103
What is the function of fibroblasts?
Answer: Maintain structural integrity within the connective tissues and extracellular matrix by secreting numerous proteins like elastin, collagen, and fibronectin.
Resource: Goodman & Fuller pg 54-59
According to the chain of transmission, what are the 5 the modes of transmission?
Answer: contact, airborne, droplet, vehicle, and vector borne
Resource: Goodman & Fuller pg 113
Overuse of what muscle will cause anterior shin splints?
Answer: Anterior tibialis
Resource: Kisner pg 902
What specific markers or abnormalities in blood work are commonly associated with autoimmune disorders?
Answer: Autoantibodies
Resource: Goodman & Fuller pg 564
James, a 45-year-old office worker, complains of widespread musculoskeletal pain, morning stiffness, and fatigue lasting over six months. He also reports difficulty sleeping and concentrating. Multiple tender points are found upon examination, and other conditions have been ruled out. Question: What is the most likely diagnosis for James?
Answer: Fibromyalgia
Resource: Goodman & Fuller pg 104