Week 6: Spine & peripheral nerves
Week 7: UE disorders
Week 8: muscle disorders
Week 9: LE disorders
Week 10: GI, GU, & Pregnancy
Pictures
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
100
Name this scoliosis:
Answer: C-shaped left lumbar scoliosis
Resource: Kisner pg 448 & Goodman & Fuller pg 458
200
Name the six signs of nerve entrapment and which 2 are late signs?
Answer: Pain, Paresthesia, Pallor, Poikilothermic LATE: paralysis, pulselessness
200
Which tissue is assess during the Speed's and Yergason's test?
Answer: Biceps long head - Bicipital tendonitis
Resource: Kisner pg 589
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
200
Which special test is being conducted in the image?
Answer: Neer test for supraspinatus impingement
Resource: Physio-u
300
Describe the peripheral cutaneous distribution of carpel tunnel syndrome.
Palmar side of the thumb, index, middle finger, and radial half of the ring finger. Also PIP to tip of 2nd and 3rd fingers on dorsal side.
300
Which treatment is utilized to repair a superior labrum tear in the shoulder?
Answer: SLAP repair: Superior Labrum extending Anterior to Posterior
Resource: Kisner pg 604
300
A 25-year-old male marathon runner collapsed after completing an ultramarathon in hot, humid weather. He presented with muscle pain, dark brown urine, and profound fatigue. What lab values will be abnormal that indicate the underlying pathology?
Answer: Elevated creatine phosphokinase
Resource: Goodman & Fuller pg 470
300
What nerve is compressed secondary to piriformis syndrome?
Answer: Sciatica
Resource: Kisner pg 742
300
What happens to blood pressure, heart rate, and respiratory rate during pregnancy?
Answer: Blood pressure decreases. Heart rate increases. Blood plasma increases.
Resource: Kisner pg 1023
300
What abnormal pathology is seen in addition to the radial head replacement?
Answer: Heterotopic ossification
Resource: Goodman & Fuller pg 550
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 25 year old patient is in rehab for a below knee amputation after a blast injury. Each therapy session the knee PROM decreases by 5 degrees. He swears that he has been compliant with his HEP. What is the most likely cause of this presentation?
Answer: Heterotopic ossification
Resource: Goodman & Fuller pg 550
400
Name the 3 components of the unhappy triad.
Answer: ACL, MCL, medial meniscus
Resource: Kisner pg 834
400
Which pathology is indicated when a patient has rebound pain at McBurney’s point?
Answer: Appendicitis
Resource: Goodman & Fuller pg 768.E126
400
Which TWO spinal pathologies are seen in the x-ray?
Answer: Spondylolisthesis and spondylolysis
Resource: Kisner pg 490
500
Which myotome represents C5
Answer: UE abduction (C5 = arms out wide)
Resource: Kisner pg 401
500
What are 3 clinical manifestations of tennis elbow?
Answer: Inflammation with partial tears at the musculotendinous junction of the wrist extensors (ECRB). Pain with resistance of wrist extension. Pain into passive wrist flexion .
Resource: Goodman & fuller pg 665
500
A patient complains of numbness in their mid-back and demonstrates limited shoulder retraction. 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 - Latent TrPs
Resource: Goodman & Fuller pg 584 & Kisner pg 346
500
Differentiate between the pain locations of the following pathologies: 1. Plica syndrome 2. Patellar tendonitis 3. IT band syndrome 4. Patellofemoral pain syndrome
1. Plica syndrome: medial to patella
2. Patellar tendonitis: distal to patella
3. IT band syndrome: Lateral to patella (anteriorly)
4. Patellofemoral pain syndrome: At patella
Resource: Kisner pg 821
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
500
Name the scoliosis in the left image
Answer: S-shaped R thoracic and left lumbar scoliosis
Kisner pg 448 and Goodman & Fuller pg 458