Special Tests
A positive Slump Test is indicative of what?
Sciatic nerve entrapment/ irritation
A 25-year-old soccer player presents with locking of the knee and joint line tenderness. What is the MOST likely diagnosis?
Meniscal tear
What is the post op precautions/protocol for all spine surgeries? How long should the patient follow this for?
BLT, ~4-6 weeks
What joint mob would you perform to improve a patient’s knee flexion
Which four muscle groups make up the cylinder of the core?
Multifidus, Diaphragm, Pelvic Floor, Transverse Abdominis
What muscle is suspected with a positive belly press test? (100) What is another test for a pathology with this muscle? (100)
Subscapularis, lift off
Which direction of dislocation is a MEDICAL EMERGENCY for a sternoclavicular joint dislocation?
Posterior d/t potentially impacting subclavian artery/vein, trachea, etc.
Which complication is MOST commonly associated with rotator cuff repair surgery?
Frozen shoulder
What joint mob would you perform to improve a patient’s shoulder abduction?
Inferior
Which nerve root is primarily assessed with the patellar tendon reflex?
L4
What is the gold standard test for a positive ACL tear?
Lachman's
A 12-year-old male presents with a limp and limited internal rotation and abduction of the hip. Radiographs show displacement of the femoral head. What is the MOST likely condition?
SCFE
A patient recovering from total hip arthroplasty (posterior approach) is being educated on precautions. Which of the following movements should the therapist MOST emphasize avoiding?
Hip flexion past 90°, adduction, and internal rotation
What is the roll/glide for cervical R side bending?
Ipsilateral (R) roll, contralateral (L) glide
What is the insertion of the obturator internus?
Greater trochanter
What is the testing position of the shoulder (3 parts) and neck (2 parts) for Adson's? (300) What pulse are you palpating during this? (100)
Shoulder external rotation, abduction, extension
Cervical extension and ipsilateral rotation
Radial pulse
PT examines a 55-year old patient who presented to PT via direct access. Pt reported night pain, unexplained weight loss, and numbness in her right leg. When reviewing her past medical history, PT notices that she had a history of breast cancer. Which sign or symptom is MOST suggestive of a need for referral for cancer screen?
Unexplained weight loss
Night pain
Hx of cancer
R leg numbness
Hx of cancer
A patient is recovering from a L TKR and is seen in the OPPT for an initial eval. During palpation, pt is severely TTP to L gastroc/soleus area. What is a concern the therapist may have?
What is the loose pack position for the proximal radioulnar joint?
70 degrees elbow flexion, 35 degrees supination
What three muscles make up the levator ani in the pelvic floor?
Pubococcygeus, Iliococcygeus, Puborectalis
What is the cluster of tests should you use for shoulder impingement?
Hawkins-Kennedy, Neer, Infraspinatus, Painful Arc
A 65 year old M patient reports to OPPT for an initial eval for LBP. He scores a 78% on the ODI and currently has 8/10 pain which he describes as worse with bending forward. Based on the 2017 CPG update for treating lumbar pain, which of the three groups is he categorized into? (400) Give one exercise or manual intervention that you can start him on (100)
Symptom Modulation! Any extension exercise, a mob/manip, or traction to start
Symptom Modulation: >40% ODI, >7 NPRS, high irritability.
Tx: directional preference exercise, mob/manip, traction
Movement Control: 20-40% ODI, 3-6 NPRS, stable
Tx: sensorimotor, stabilization, flexibility exercises
Functional Optimization: 0-20% ODI, 0-3 NPRS, well-controlled
Tx: S&C, aerobic, work/sport specific exercises
What is the minimum hamstring and quad LSI necessary to begin a running program post-ACLR?
70%
What is the roll/glide at the TMJ for the first part of mandibular depression (mouth opening)? What is the direction of the translation during the second part of mandibular depression? (250 each)
Phase 1: posterior roll, anterior glide
Phase 2: anterior, inferior translation
Name one structure in each border of the axillary inlet (medial, lateral, anterior, posterior borders).
Anterior- pec major/pec minor
Posterior- subscap, teres major, lats
Medial- serratus anterior, thoracic wall
Lateral- humerus, coracobrachialis