Pretest: LE Conditions

A patient has just undergone a total hip replacement via a posterior surgical approach. Which of the following combinations of movements of the hip are MOST important to avoid?

• Extension, Medial rotation, and Abduction

• Extension, External Rotation, and Adduction

• Flexion, Medial rotation, and Adduction

• Flexion, External rotation, and Abduction

Nerve bias when hip is flexed, knee extended, ankle dorsiflexed, and foot inverted

• Sciatic

• Tibial

• Sural

• Saphenous

A physical therapist is examining a patient who sustained a right tibial fracture 1 year ago and is now fully healed. The physical therapist’s measure of the length of the patient’s right tibia is 14 in (36 cm) and of the left tibia, 15 in (38 cm). As a result of the tibial shortening, which of the following muscles would MOST likely become progressively tight?  

• Left tensor fasciae latae  

• Left piriformis

• Right gluteus medius

• Right adductor magnus

A patient has limited motion in supination and calcaneal inversion of the subtalar joint. Using manual techniques, the accessory motion of the calcaneus that needs to be emphasized in order to increase the motions that are limited would be

• Anterior glide

• Posterior glide

• Medial glide

• Lateral glide

A 32-year-old man is referred to physical therapy with the diagnosis of a recent complete anterior cruciate ligament tear.  The patient and the physician have decided to avoid surgery as long as possible.  The therapist provides the patient with a home exercise program and instructions about activities that will be limited secondary to this diagnosis.  Which of the following is the best advice?

• There are no precautions.

• The patient should avoid all athletic activity for 1 year.

• The patient should avoid all athletic activity until there is a minimum of 20% difference in the bilateral quadriceps muscle as measured isokinetically.

• The patient should wear a brace and compete in only light athletic events.

A physical therapist observes a patient during gait training. The patient has normal strength and equal leg length. As the patient passes midstance he slightly vaults and exhibits early toe off. The MOST likely cause of this deviation is:

• Weakness of the dorsiflexors

• Weakness of hip abductors

• Limited plantar flexion

• Limited dorsiflexion

While ascending stairs, and elderly patient leans forward with increased hip flexion. Which of the following muscles are being used to the best advantage with this forward posture?

• Rectus femoris

• TFL

• Gluteus Maximus

• Erector spinae

A therapist establishes the following short term goal for client rehabilitating from total knee replacement surgery.  Client will ambulate with walker 50% weightbearing and moderate assist of 1 for 20 feet within one week.  Three days later, the client successfully achieves the established goal.  Which of the following would be the most appropriate revision of the short term goal?

• Ambulate with walker 25% WB and moderate assist of 1 for 25 feet within one week

• Ambulate with walker 50% WB and moderate assist of 2 for 30 feet within one week

• Ambulate with walker 50% WB and minimal assist of 1 for 30 feet within one week

• Ambulate with the walker 25% WB and minimal assist of 1 for 10 feet within one week

What are the landmarks for palpating the dorsalis pedis artery?

• Extensor digitorum, tibialis anterior, extensor hallucis longus

• Tibialis anterior, flexor hallucis, longus, flexor hallucis brevis

• Abductor hallucis longus, tibialis anterior, extensor hallucis longus

• Flexor hallucis longus, tibialis posterior, flexor digitorum

This is a test for osteochondritis dissecans:

• Waldron’s test

• Wilsons test

• Clarke’s test

• Ober’s test