MSK Knee Exam

A patient presents to an eval with anterior knee pain. Through questioning, the therapist finds out she is an avid runner who is also experiencing pain while performing squats at the gym. Which of the following special tests should the therapist perform to form their differential diagnosis?​

• Anterior Drawer

• Lateral Pull Test

• McMurray's

• Godfrey's

A patient presents with anterior knee pain. During your examination, you measure knee flexion as (0-80º). Knee flexion MMT was 3/5. Which of the following exercises should you give to this patient from beginner to advanced?

• Depth jumps, clam shells, calf raises​

• Calf raises, squats, single leg deadlift​

• Banded clam shells, side lying leg lift, side lunge​

• Pelvic elevation/depression, quad sets, reverse lunge​

​​A high school runner presents to your clinic with anterior knee pain and poor patellar tracking. You tell your CI that you believe the pathology to be Patellofemoral Pain Syndrome. Your CI tells you that is correct and asks what patient education is most important regarding the patients running form?​​​

• Engage your core

• Activate Gastrocnemius during lift-off

• Emphasize importance of heel strike

• Switch to forefoot/neutral stroke

​​A patient presents with anterior knee pain and complains of having recent troubles with bending his R knee. The patient is a female collegiate high jumper and states that her jumping has been getting worse and worse because of the knee pain. The patient states that she hasn't fallen on the R knee or had any past surgeries on that knee. The patient complains of a pinching sensation and pain that occurs on the medial side of her knee cap whenever she is at high jump practice. What special test would you use and what diagnosis would you expect from a positive test?​​​

• Clarke's Grind Test; positive test would indicate Patellar Tendonopathy​

• Lateral Pull Test; positive test would indicate PFPS​

• Valgus Stress test of the knee; positive test would indicate MCL injury​

• Bounce Home test; positive test would indicate a Meniscus Injury​

​​A 35 year-old  patient comes into the clinic with proximal patellar pain and  has pain with jumping, stair climbing, and a positive Resisted Knee Extension Test . Which of the following diagnosis does she have?​​​

• Patellarfemoral Pain Syndrome​

• Tibial Tubercle Apophysitis​

• Patellar Tendinopathy​

• Meniscus Injury​

A 41-year-old recreational volleyball player comes into your clinic with pain in her knee. You find that she has pain after playing volleyball, going up and down stairs, and a positive resisted extension test. At the end of her rehab, what would be the most appropriate exercise to have her perform to return to playing volleyball?​

• Side-lying clamshells with resistance band​

• Quad isometrics​

• Depth jumps and box jumps​

• Hip dips on step-stool​

​​A 40 year old patient who plays rec basketball on the weekend presents to the clinic with jumper's knee. You have progressed him in his therex rehab to stage 3, rapid eccentrics. What is the best exercise to do for this stage?​​​

• Box jumps​

• Decline board isometrics​

• Squats​

• Depth jumps​

A 10-year-old boy comes into your office complaining of pain over his anterior knee. Straight leg extension test is (+). Swelling is noted just below the knee. Which of the following is an accurate progression of the exercises for the patient?

• Forward step up--> forward lean-->box jump/depth jump combo​

• Supine knee ext-->quad sets-->long arc quads​

• Banded clamshells-->pelvic elevation-->side plank​

• Single leg bridge-->prone hamstring curls-->nordic curls​

​​A 7 year old patient comes into your clinic with severe swelling and pain in the knee, the Resisted Leg Extension test was  (+) indicating the patient has Tibial Tubercle Apophysitis (Osgood-Schlatter Disease), from Repetitive Knee Extension. Which of the following manual therapy Techniques would be beneficial for this patient? ​​

• Tibiofemoral Flexion Mobilization Grade III and IV ​

• Pin and Stretch Quadriceps ​

• Cross Friction Massage on Patella​

• Tibiofemoral Extension Mobilizations Grade III and IV ​

​​You are providing an ACL prevention class pro bono at the local high school. You were requested to work with the girls basketball team since they had three ACL tears last season. Which of the following should you focus on to BEST decrease their risk for an ACL tear? ​​​

• Balance and Core​

• Knee, Hip and Balance​

• Core, Knee, Hip, and Balance​

• Knee, Hip, and Core​