Week 6: Spin & peripheral nerves
Week 7: UE disorders
Week 8: muscle disorders
Week 9: LE disorders
Week 10: GI, GU, & Pregnancy
100
What position will most likely result in centralization of symptoms for a patient that has an L3-L5 posterior disc herniation?
Answer: Back extension; prone, standing
Resource: Kisner pg 463
100
What is the capsular pattern seen with adhesive capsulitis?
ER, abduction (elevation), then internal rotation
Kisner pg 573
100
Explain the sequence of the Gower’s sign.
Answer: Prone/seated, quadruped, triangle or bear stance, wide base of support with hands on thighs, walk the hands up the legs until standing
Resource: Goodman & Fuller pg 470
100
Name the 3 hip precautions related to a posterior approach total hip arthroplasty.
Answer: no adduction past midline, no hip flexion past 90, and no internal rotation
Resource: Kisner pg 753
100
What type of incontinence is present when a patient has leakage when coughing?
Answer: stress incontinence
Resource: Goodman & Fuller pg 768.E151
200
Name the six signs of nerve entrapment and which 2 are late signs?
Answer: Pain, Paresthesia, Pallor, Poikilothermic LATE: paralysis, pulselessness
200
Which stage of adhesive capsulitis is represented by motion lost in all direction with increased pain?
Answer: Stage 2, freezing stage
Resource: Kisnery pg 573
200
What is the treatment for myofascial compartment syndrome?
Answer: Fasciotomy
Resource: Goodman & Fuller pg 587
200
Which forces will cause an injury to the meniscus?
Answer: Compression + shearing (rotation)
Resource: Kisner pg 854
200
Your patient presents with bilateral lower extremity (BLE) edema secondary to liver cirrhosis. Upon assessing for pitting edema, you observe a deep indentation that persists for approximately 20 seconds after releasing your finger. Based on this finding, what grade would you assign using the pitting edema scale?
Answer: 3+
Resource: O’sullivan pg 542
300
Name this scoliosis:
Answer: C-shaped left thoracic scoliosis
Resource: Kisner pg 448 & Goodman & Fuller pg 458
300
Which special test is being conducted in the image?
Answer: Neer test for supraspinatus impingement
Resource: Physio-u
300
A physical therapist assistant is reviewing the chart of a 73-year-old female patient with a medical history of hypertension and high cholesterol. She was found by her son three days after experiencing a fall at home. Upon admission to the hospital, the patient presented with dark brown urine and significantly elevated creatine phosphokinase (CPK) levels in her blood. What disorder is she most likely suffering from?
Answer: Rhabdomyolysis
Resource: Goodman & Fuller pg 470
300
What are the clinical manifestations of patellar tendinitis?
Answer: Inflammation and pain at the patellar tendon (distal to the patella; mostly at its insertion on the tibia)
Resource: Kisner pg 821
300
What happens to blood pressure, heart rate, and respiratory rate during pregnancy?
Answer: Blood pressure decreases. Heart rate increases. Respiratory rate is unchanged.
Resource: Kisner pg 1023
400
Daily double! A patient is being seen for cervical disc herniation with pain localized at their neck and radiating to their shoulder. During treatment they report the pain travels down to their 5th digit. (1) What should the PTA do next (2) What dermatome is the pain felt in?
Answer: (1) STOP!! (2) C8
O’Sullivan pg 72 & Goodman and Fuller pg 737 & Kisner pg 464
400
What are the clinical manifestations of bicipital tendonitis?
Answer: Deep “achy” pain on anterior shoulder, pain can radiate down muscle, pain can increase with overhead activities or lifting, pain increases with palpation at the bicipital groove and with resisted bicep motions. Swelling of the tendon at the bicipital groove.
Resource: Kisner pg 589
400
Your 30 year old male patient received an elbow replacement after a fall from his motorcycle. For the last 3 therapy sessions his elbow extension has decreased by about 5 degrees each session. What is the most likely cause of this presentation?
Answer: Heterotopic ossification
Resource: Goodman & Fuller pg 550
400
What nerve is compressed secondary to piriformis syndrome?
Answer: Sciatica
Resource: Kisner pg 742
400
Which pathology is indicated when a patient has pain at McBurney’s point?
Answer: Appendicitis
Resource: Goodman & Fuller pg 768.E126
500
Which myotome represents C5
Answer: UE abduction (C5 = arms out wide)
Resource: Kisner pg 401
500
What are the clinical manifestations of tennis elbow?
Answer: Inflammation with partial tears at the musculotendinous junction of the wrist extensors (ECRB). Pain with resistance of wrist extensors.
Resource: Goodman & fuller pg 665
500
A patient complains of numbness and tingling around their rhomboid area. Upon palpation they report that it is highly tender with pain radiating around the area. What pathology does the patient MOST likely have?
Answer: Myofascial pain syndrome
Resource: Goodman & Fuller pg 584 & Kisner pg 346
500
Name the 2 primary causes of piriformis syndrome.
Answer: (1) hip weakness resulting in internal rotation with valgus collapse (2) piriformis muscle overuse
Resource: Kisner pg 742
500
Differentiate between hemodialysis and peritoneal dialysis
Hemodialysis: 3x/week for 3-4 hours sessions, done in dialysis center, port access in an UE
Peritoneal dialysis: 4x/day, done at home, catheter access in peritoneal cavity
Resource: Goodman & Fuller pg 768.E139