WorksheetsThera 2 - Long Quiz
Total questions: 50
Worksheet time: 2hrs 40mins
What is the special test for a relocatable hip?
barlow's
ortolani's
galleazi
pistoning
A 2 y/o female patient has been diagnosed with Congenital Hip Dislocation and has been prescribed with an orthosis. What is NOT an appropriate orthosis for a patient with CHD?
ilfeld
frejka pillow
pavlik harness
NOTA
What is the most common surgical approach for THA?
anterolateral
posterolateral
anteromedial
posteromedial
You are tasked to treat a 75 y/o patient who fell from the stairs a week ago and was admitted at RMCI for a fractured hip. Patient underwent surgery and is now post-op cemented Total Hip Arthroplasty prescribed for In- patient PTR. What is the MOST appropriate approach for this patient?
early WB after 1 week
immediate WB
WB after 6 weeks
NOTA
You are tasked to treat a 75 y/o patient who fell from the stairs a week ago and was admitted at RMCI for a fractured hip. Patient underwent surgery and is now post-op cemented Total Hip Arthroplasty prescribed for In- patient PTR. What should NOT be a contraindication in a patient like this?
Hip extension beyond 90 degrees
Hip abduction beyond 45 degrees
Adduction beyond midline
ER
A short and thin 4 y/o patient comes in to rehab and complains of hip pain and LOM on hip motions. Upon examination, pt presents with a limp and was prescribed a scottish rite orthosis by the rehab MD. With the given symptoms, what is the patient’s condition?
SCFE
Chandler’s Disease
Coxa Valga
LCPD
What is the special test for a patient with (+) ITB Friction Syndrome?
FABER test
patrick's test
noble compression test
figure of 4 test
In children, the chief arterial supply of the head of femur is from the:
Superior gluteal artery
Inferior gluteal artery
Obturator artery
Lateral circumflex artery
The capsular pattern of the hip include the following, except:
i. Extension
ii. Flexion
iii. Abduction
iv. Internal rotation
none of these
ii, iii
i, iv
only i
During gait analysis of a patient with CVA, you noticed lateral trunk bending toward the left as the patient bears weight on the left leg at midstance. This could be a result of weakness of which muscle?
Left gluteus maximus
Left gluteus medius
Right gluteus maximus
Right gluteus medius
Stage 3 of LCPD.
fragmentation
revascularization
remodelling
necrosis
True about the femoral triangle except:
It is bounded laterally by Sartorius
It is bounded superiorly by iliofemoral ligament
It is bounded medially by adductor longus
The floor muscles are iliopsoas, pectineus, adductor longus
Which of the following is true about screw home mechanism except:
i. IR of femur in Closed kinematic chain motion
ii. ER of femur in open kinematic chain motion
iii. Occurs during the last 20 degrees of knee flexion
i,ii
ii, iii
i, iii
ii, iii
During a postural screen for a patient complaining of low back pain, the therapist notices that the knees are in genu recurvatum. Possible contributory postures would include:
Ankle dorsiflexion and posterior pelvic tilt
Forefoot valgus and posterior pelvic tilt
Ankle plantarflexion and anterior pelvic tilt
Forefoot varus and anterior pelvic tilt
Manual glide of the talus anteriorly within the ankle joint mortise can be used as a technique to increase
Tibiotalar dorsiflexion motion
Talocalcaneal inversion
Talocalcaneal eversion
Tibiotalar plantarflexion motion
A patient is limited to 45 degrees in an active SLR. A therapist should apply the contract-relax technique to what muscles to improve AROM?
Hamstrings and hip extensors
Abductors and hip extensors
Adductors and hip flexors
Tibiotalar plantarflexion motion
To increase hip flexion and internal rotation, what direction of glide are you using?
anterior
superior
inferior
posterior
This exercise uses manual or mechanical assistance applied at different joint angles to improve strength throughout the range of motion when dynamic exercise is painful.
Rhythmic stabilization
Joint mobilization
Multiple angle isometrics
Stretching
To increase knee flexion, which of the following techniques of joint mobilization should be used?
posterior glide of tibia , superior glide of patella
anterior glide of tibia, inferior glide of patella
posterior glide of tibia, inferior glide of patella
anterior glide of tibia , superior glide of patella
You are performing an ice massage to an acutely sprained knee and it is the first time of the patient to experience it. what will you tell the patient that he/she will experience:
Numbness, then aching, then burning, followed by intense cold
Intense cold, then aching, then burning, followed by numbness
Aching, then burning, then intense cold, followed by numbness
Intense cold, then burning, aching, followed by numbness
Upon gait assessment, one of your findings is that the patient ambulates with trendelenburg gait. The best intervention to correct this problem is:
Strengthening of gluteus medius
Strengthening of gluteus maximus
Trunk stabilization program
Stretching of abdominals
You are educating a 76 year old man who undergo a cemented posterolateral left total hip Arthroplasty (THA) 24 hours ago. Which precaution would you not stress to the patient?
Avoid hip adduction past midline
Avoid any hip abduction
Avoid hip adduction past neutral
Avoid hip internal rotation beyond neutral when hip is flexed
Knee capsular tightness has limited a patient’s ability to attain full extension. The best treatment to restore joint motion should emphasize:
Anterior glide and IR of tibia
Anterior glide and ER of tibia
Posterior glide and IR of tibia
Posterior glide and ER of tibia
When testing for MCL tear, apply:
Varus stress
Valgus stress
Posterior stress
Anterior stress
The integrity of the anterior talofibular ligament of foot is assessed by:
Kleiger test
Anterior drawer test
Posterior drawer test
AOTA
A 30 year old patient complaining of LBP is positive in Thomas test. With this, what would you include in the treatment plan?
Stretching of hip flexors
Stretching of hip extensors d.
Strengthening of hip flexors
Strengthening of hip extensor
Upon entering of your patient, Joker, he presented: instability of the knee when standing on the right leg, marked swelling of the left knee, possibility of displacement of the tibia forward on femur. Which of the following structures is involved?
MCL
Medial meniscus
ACL
PCL
Action/s of the Popliteus muscle:
Unlocks the knee
Flexes the leg at knee joint
ER of femur on the tibia
All of these
A therapist is performing a lower extremity strength assessment of the tibialis posterior tendon. The most appropriate action is to:
Passively move the patient’s foot into inversion and dorsiflexion
Passively move the patient’s foot into eversion and plantarflexion
Ask the patient to actively move the foot into plantarflexion and inversion
Ask the patient to actively move the foot into dorsiflexion and inversion
Inversion and eversion of the foot occurs in what plane:
Frontal plane
Transverse plane
Sagittal plane
NOTA
Snow has limited pronation and calcaneal eversion at the subtalar joint. What is the accessory motion of calcaneus needs to be emphasized in order to increase limited motions?
Lateral glide
Posterior glide
Anterior glide
Medial glide
The muscle that is a medial rotator of the leg, except:
Semitendinosus
Semimembranosus
Biceps femoris
Gracilis
In ACL injury rehabilitation should focus on strengthening of what muscle to prevent anterior subluxation of the tibia?
a. c.
b. d.
Quadriceps
Hamstrings
Gluteus maximus
VMO
A therapist determines that a patient rehabilitating from ankle surgery has been performing some difficulty with functional activities that emphasizes coronal plane. Which of the following exercises would be the most difficult for the patient?
6 in lateral step up
8 in lateral step down
6 in lateral step down
Forward lunge
A 55 year old female underwent a left total knee replacement. How much knee flexion ROM would be a realistic goal for the patient before discharge?
0-80 degrees
0-110 degrees
0-90 degrees
0-60 degrees
Which activity will most likely aggravate Patellofemoral pain syndrome?
Climbing stairs
Stationary cycling
Swimming
Running
To correct congenital clubfoot deformity:
Forefoot adduction, inversion, plantarflexion
Forefoot abduction, eversion, dorsiflexion
None of these
All of these
After a motor vehicle accident, you noted that the man has shorted right leg. The leg is internally rotated and adducted. He has weak hamstrings. You suspect:
Posterior hip dislocation
Fractured patella
Lateral hip dislocation
Anterior hip dislocation
The following are exercise precautions after PCL reconstruction, except:
Avoid exercises and activities that place posterior shear forces of the tibia on femur
Avoid knee flexion past 60- 70 degrees to restore mobility of knee ROM
Avoid downhill inclines during walking, jogging, or hiking
Consider wearing a functional knee brace during high demand activities
The 45 year old female patient comes to your clinic complaining of pain along the plantar aspect of heel. Upon evaluation, (+) tender on medial tubercle of calcaneus, hypomobile gastroc-soleus muscles, and LOM extending the toes. What would be the possible condition of the patient?
Achilles bursitis
Shin splints
Plantar fasciitis
Ankle sprain
In taping an athlete’s ankle prophylactically before a football game, in what position should the ankle be slightly positioned before taping to provide the most protection against an ankle sprain?
Inversion, dorsiflexion, adduction
Eversion, dorsiflexion, abduction
Inversion, plantarflexion, abduction
Eversion, plantarflexion, adduction
A pt sprained the right ankle 4 days ago. The patient complains of pain (5/10). There is moderate swelling that is getting worse. At this time, which intervention would be best to use?
Intermittent compression followed by limb elevation
Cold/ intermittent compression combination with the limb elevates
Cold whirlpool followed by massage
Contrast baths followed by limb elevation
An older adult received a cemented total hip replacement (THR) 2 days ago. The PT plan of care should have its initial priority:
AROM exercises and early ambulation using a cane, partial weight bearing
Independent transfer technique from bed to wheelchair
Patient education regarding positions and movements to avoid
PROM exercises and gait training using walker NWB
A patient with anterior knee pain has increased hip internal rotation and adduction when performing a squat. The potential cause of this compensatory movement is decreased strength of:
Hip abductors and internal rotators
Hip abductors and external rotators
Hip adductors and knee flexors
Knee and hip flexors
A snowmobile left the trail and struck a tree. The driver’s left knee was flexed approximately 90 degrees and the tibia impacted with the inside front of the snowmobile. What would this mechanism of injury most likely result in?
Sprained or ruptured PCL
Sprained or ruptured ACL
Fractured tibia
Posterior hip dislocation
A physical therapist performs crutch training with a patient following total hip Arthroplasty. The patient has orders for partial weight bearing. Which of the following gait patterns would be the most appropriate?
Swing-to gait
Two- point gait
Four point gait
Three point gait
While examining a patient diagnosed with Achilles tendonitis, a physical therapist notes that the foot and ankle appear to be pronated. Which motions combine to create a supination in weight bearing foot?
Abduction, plantarflexion, eversion
Abduction, dorsiflexion, inversion
Adduction, dorsiflexion, eversion
Adduction, plantarflexion, inversion
An 18 year old male sustained a patella fracture in a MVA. The patient’s knee is maintained in extension using a straight leg knee immobilizer. What gait deviation would be the patient most likely to present?
Lurching backward
Trendelenburg gait
Antalgic gait
Vaulting
Weakness in the quadriceps will cause what type of gait?
Forward lurching gait
Backward lurching gait
Foot slap gait
Trendelenburg
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