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WorksheetsUpper Limb Orthotics
Total questions: 162
Worksheet time: 1hrs 22mins
Which carpal bone is most frequently fractured at the wrist?
Scaphoid
Lunate
Trapezium
Capitate
Injury or compression to the long thoracic nerve can cause weakness to the _____ and lead to which condition?
Subscapularis; shoulder impingement
Supraspinatus; abductor weakness
Serratus anterior; scapular winging
Infraspinatus; loss of external rotation
A positive varus stress test at the elbow would most likely indicate damage to what structures:
Lateral collateral ligament
Annular ligament
Ulnar collateral ligament
Medial collateral ligament
All of the motions below are necessary to place a patient in the position of active insufficiency of the biceps brachii EXCEPT...
Shoulder flexion
Shoulder abduction
Elbow supination
Elbow flexion
The supraspinatus contracts eccentrically during abduction of the shoulder.
True
False
A nurse missed a patient's median cubital vein while trying to withdraw blood and then inserted the needle far too deeply into the cubital fossa. This error could cause any of the following problems EXCEPT:
paralysis of the median nerve
paralysis of the ulnar nerve
bruising of the insertion tendon of the biceps brachii muscle
blood spurting from the brachial artery
Abduction of the thumb occurs perpendicular to the palm.
True
False
The axis of rotation for wrist movements is reported to pass through which structure:
Lunate
Scaphoid
Capitate
Pisiform
The boutonniere deformity is described as:
PIP hyperextesion, DIP flexion
PIP flexion, DIP hyperextension
PIP flexion, DIP flexion
PIP hyperextension, DIP hyperextension
Normal range of motion for elbow extension and flexion is:
15 to 30 degrees
30 to 145 degrees
-5 to 145 degrees
0 to 100 degree
Which prehension pattern below will be utilized to grasp a glass of water?
Hook
Tip to tip
Key
Cylindrical
Motions that increase tension in the medial collateral ligament of the elbow are:
Varus
Supination
Valgus
Pronation
Flexion and extension of the CMC joint occur parallel to the palm.
True
False
The close-packed position of the MCP joints is which of the following positions?
full adduction
full extension
full abduction
full flexion
Which of the carpal bones can be palpated in the floor of the anatomical snuffbox?
Lunate
Scaphoid
Capitate
Pisiform
Which carpal bone is saddle shaped, allowing a wide range of motion at its articulation with the 1st metacarpal?
trapezoid
pisiform
triquetrum
trapezium
Which carpal bone has the characteristics of a sesamoid bone?
trapezium
lunate
capitate
pisiform
A patient with weak or paralyzed finger flexors may produce a slight grip (tenodesis) by...
flexing the wrist and elbow
extending the wrist
flexing the wrist and extending the elbow
ulnarly deviating the wrist and flexing the elbow
A swan neck deformity of the fingers would be characterized by which following presentation...
Hyperextension of MCP with flexion of PIP
Flexion of PIP with hyperextension of DIP
Hyperextension of PIP with hyperextension of DIP
Hyperextension of PIP with flexion of DIP
The most congruent position (close-packed) of the proximal interphalangeal joints is
Maximal adduction
Maximal flexion
Maximal extension
Maximal abduction
Ulnar tilt of the distal radius allows for more _____ and palmar tilt allows for more _____ at the wrist.
ulnar deviation; extension
radial deviation; flexion
ulnar deviation; flexion
radial deviation; extension
The ultimate function of motion at the scapulothoracic joint is to:
work independent of the GH motion
provide downward rotation during shoulder girdle elevation
orient the glenoid fossa for optimal contact with the humeral head when maneuvering the arm
decrease stability at the AC and SC joints
Injury to what structure would most likely result in a shoulder AC joint "separation" injury?
Costoclavicular ligament
Coracohumeral ligament
Interclavicular ligament
Coracoclavicular ligament
What position would provide for passive insufficiency of the long head of the triceps brachii?
elbow flexion with shoulder flexion and abduction
elbow extension with shoulder flexion and external rotation
elbow flexion with shoulder extension and adduction
elbow extension with shoulder extension and internal rotation
Impingement syndrome at the subacromial space would typically include injury to which of the following TWO structures (select BOTH)?
Axillary pouch
Deltoid
Supraspinatus tendon
Subacromial bursae
The properly functioning rotator cuff assists in all of the following activities except?
Internal and External rotation of the GH joint
Compression of the subacromial space
Humeral head depression
Abduction of the GH joint
As the clavicle is elevated, the scapula experiences downward rotation.
True
False
Stability of the glenuhumeral joint is mainly from:
Muscles
Joint Capsule
Strong Ligaments
Bony Anatomy
What degree of shoulder flexion ROM at the glenohumeral joint would be typical?
120 degrees
160 degrees
180 degrees
65 degrees
All of the following are upward rotators of the scapula at the scapulothoracic joint except.
Levator Scapula
Serratus Anterior
Lower Trapezius
Upper Trapezius
The end feel of complete elbow extension is
Spongey
Firm
Soft tissue approximation
Hard/Bony
Which of the following is true regarding the "screw home mechanism" of the elbow?
during pronation, the ulna migrates proximally causing a compression force
during supination, the ulna migrates proximally causing a compression force
during pronation, the radius migrates proximally causing a compression force
during supination, the radius migrates proximally causing a compression force
The close-packed position of the humeroulnar joint includes the following TWO motions (select BOTH):
full supination
full extension
full flexion
full pronation
Max flexion torque for the 3 primary flexors occurs at what degree of elbow flexion?
90 degrees
0 degrees
120 degrees
45 degrees
You are evaluating a healthy patient for flexion PROM of the elbow. You would expect the flexion PROM to be close to what value below?
90 degrees
180 degrees
120 degrees
-5 degrees
145 degrees
For open chain flexion at the humeroradial joint, the arthrokinematics are as follows
anterior roll and anterior slide of the radius on the relatively fixed humerus
spin of the radius on the humerus
gliding between the articular surfaces
anterior roll and posterior slide of the radius on the relatively fixed humerus
For open chain supination at the distal radioulnar joint, the arthrokinmatics are as follows...
spin occurs in the same direction as the movement of the forearm
roll occur in the opposite direction
rotation occurs due to constraint by fibro-osseous ring
roll and slide occur in the same direction
The Ulna accepts 80% of all compressive forces though the wrist.
True
False
]The supinators are capable of producing more torque than the pronators.
True
False
The functional wrist-hand position places the thumb in _____ opposition compared to the resting wrist-hand position.
an equal amount of
less
more
When fabricating a Rancho style hand orthosis, at what length would you terminate the thumb post?
1st digit MCP joint
1st digit CMC joint
1st digit mid finger nail bed
1st digit IP joint
A "long opponens" orthosis refers to…
A wrist hand finger orthosis that fully encompasses all digits
A wrist hand finger orthosis that fully encompasses all digits
An elbow orthosis that fully extends to the wrist
A wrist hand orthosis that aids in thumb positioning
Which named hand orthosis design offers adjustability due to being formed from aluminum?
Texas Institute for Rehabilitation and Research
Rancho Los Amigos
Institute for Rehabilitation and Medicine
Which joint utilizes the most degrees of freedom?
Elbow
Wrist
Metacarpophalangeal
Glenohumeral
The "functional arc" of range of motion for the forearm that is needed to perform normal daily activities is which of the following?
30° pronation, 60° supination
60° pronation, 30° supination
50° pronation, 50° supination
75° pronation, 25° supination
Which WHO design would be most appropriate for a patient with wrist extensor strength of 3/5, whose strength decreases to 2/5 when fatigued?
Ratchet WHO
Wrist driven WHO
Wrist action WHO
Which of the following would be the most precise form of prehension?
Pad to pad
Tip to tip
Key
Hook
An "opponens bar" in an upper extremity orthosis does which of the following?
Maintains the thumb in extension
Maintains the thumb in adduction
Maintains the thumb in abduction
Maintains the thumb in flexion
Which position would provide for passive insufficiency of the long head of the triceps brachii?
Elbow extension with shoulder extension and internal rotation
Elbow flexion with shoulder flexion and abduction
Elbow extension with shoulder flexion and external rotation
Elbow flexion with shoulder extension and adduction
Various pinch prehension maneuvers are all reliant on function of which nerve?
Ulnar
Radial
Median
Musculocutaneous
Which of the carpal bones can be palpated in the floor of the anatomical snuffbox?
Scaphoid
Lunate
Pisiform
Capitate
The "functional arc" of range of motion for the forearm that is needed to perform normal daily activities is which of the following?
0° radial deviation, 40° ulnar deviation
10° radial deviation, 30° ulnar deviation
30° radial deviation, 10° ulnar deviation
20° radial deviation, 20° ulnar deviation
Due to metacarpal length/positioning, MCP joints are aligned oblique to the distal ends of the radius and ulna.
True
False
You are evaluating a healthy patient for flexion PROM of the elbow. You would expect the flexion PROM to be close to which value below?
180°
145°
90°
120°
What is the primary function of brachioradialis?
Wrist extension
Elbow flexion
Forearm pronation
Wrist flexion
Which of the following statements is true regarding the carrying angle of the elbow?
Normal carrying angle is around 13° degrees
Normal carrying angle has medial deviation of the ulna relative to the humerus
Women typically have a smaller carrying angle than men
Normal carrying angle is in slight varus
More than others, which joint relies heavily on muscle tone and function for its stability?
Glenohumeral joint
Radioulnar joint
Interphalangeal joint
Metacarpophalangeal joint
The deltoid muscle acts to abduct the shoulder with what other muscle?
Supraspinatus
Infraspinatus
Trapezius
Subscapularis
Which WHO design would be most appropriate for a patient with wrist extensor strength of 1/5?
Wrist action WHO
Wrist driven WHO
Ratchet WHO
A "palmar bar" in an upper extremity orthosis does which of the following?
Maintains the MCP joints in flexion
Maintains the transverse arch shape of the hand
Maintains the MCP joints in extension
Maintains the longitudinal arch shape of the hand
Which answer below best describes the position of active insufficiency for the biceps brachii?
Shoulder extension, elbow extension, and forearm pronation
Shoulder flexion, elbow flexion, and forearm supination
Shoulder flexion, elbow extension, and forearm supination
Shoulder extension, elbow flexion, and forearm pronation
Digitopalmar grip maneuvers are all reliant on the function of which nerve more than others?
Median
Musculocutaneous
Radial
Ulnar
Which named hand orthosis design requires casting and allows for active opposition of the 4th and 5th fingers?
Texas Institute for Rehabilitation and Research
Rancho Los Amigos
Institute for Rehabilitation and Medicine
Which named hand orthosis design is typically produced as prefabricated thermoplastic hand shells?
Rancho Los Amigos
Institute for Rehabilitation and Medicine
Texas Institute for Rehabilitation and Research
The "functional arc" of range of motion for the elbow that is needed to perform normal daily activities is which of the following?
30-130° flexion
0-165° flexion
0-130° flexion
30-165° flexion
All of the following prehensile patterns involve the thumb EXCEPT:
Spherical
Key
Hook
Tip to tip
The functional wrist-hand position places the MCP joints in _____ flexion compared to the resting wrist-hand position.
an equal amount of
less
more
Abductor digiti minimi, flexor digiti minimi brevis, and opponens digiti minimi are all muscles that make up the _____.
Hypothenar eminence
Thenar eminence
The functional wrist-hand position places the thumb in _____ opposition compared to the resting wrist-hand position.
more
less
an equal amount of
Which type of humeral fracture would you most likely see as an orthotist?
comminuted fracture
non-displaced fracture
open fracture
intra-articular fracture
Use of distal outriggers in upper limb orthosis design is most often seen in the treatment of which condition?
Burn
Stroke
Fracture
Osteoarthritis
Edema following severe burns can arguably be more detrimental to recovery than the initial cell death injury.
True
False
A patient is seen in clinic. The patient presents with a midshaft humeral fracture (10 degrees of varus is noted at the fracture site). What orthosis would you recommend?
Sarmiento humeral fracture orthosis
Sling combined with their current long arm cast
Midshaft humeral fractures cannot be managed with an orthosis
SEWHO
A fracture involving the distal articular surface of the humerus can lead to degenerative elbow arthritis.
True
False
If a patient has sustained burn on her hand and is at risk for clawhand deformity, where was the most likely location of the burn?
Dorsal aspect of the hand
Volar aspect of the hand
Which thumb deformity can result from rheumatoid arthritis and presents with MCP hyperextension and IP flexion?
Swan neck deformity
Mallet thumb
Claw thumb
Boutonniere deformity
If a patient has sustained burn on her hand and is at risk for flexion contractures at all joints, where was the most likely location of the burn?
Volar aspect of the hand
Dorsal aspect of the hand
Trimlines of a humeral fracture brace in the upper extremity need to encompass the fracture site.
True
False
Which of the following appropriately describes the alignment deformity risks at the MCP joints for an individual with severe rheumatoid arthritis?
Ulnar deviation and volar subluxation
Ulnar deviation and dorsal subluxation
Radial deviation and dorsal subluxation
Radial deviation and dorsal subluxation
Which potential condition following a severe burn includes MCP hyperextension?
Swan neck deformity
Claw hand deformity
Boutonniere deformity
Mallet finger deformity
Which nerve injury is most likely with a displaced mid-shaft humeral fracture?
Axillary nerve
Radial nerve
Musculocutaneous nerve
Ulnar nerve
Orthotic treatment is often used for all of the following types of burns EXCEPT:
First degree
Second degree
Third degree
The younger someone is, the more likely that a bone fracture will heal quicker.
True
False
Which thumb deformity can result from rheumatoid arthritis and presents with MCP flexion and IP hyperextension?
Swan neck deformity
Boutonniere deformity
Mallet thumb
Claw thumb
Which type of deformity results from damage to the central slip of a phalanx?
Swan neck deformity
Boutonniere deformity
Claw hand deformity
Mallet finger deformity
The condition of Ulnar drift occurs at what joint?
DIP
MCP
CMC
PIP
Which type of arthritis is most synonymous with "degenerative joint disease"?
Rheumatoid arthritis
Osteoarthritis
What modification can you make to an ulnar fracture orthosis to increase its effectiveness at immobilizing a distal 2/3 ulnar fracture?
Increase pressure M/L for increased immobilization
Increase pressure A/P for increased immobilization
Add rigid aluminum stays for increased immobilization
Cross the elbow joint for a longer lever arm
Which joint(s) of the hand is/are most susceptible to osteoarthritis? (select only one answer)
MCPs of the fingers
MCP of the thumb
CMC of the thumb
CMCs of the fingers
A very tight extensor digitorum muscle prevents full finger flexion into a fist from taking place, especially if the wrist is also flexed. This is an example of _____.
Passive insufficiency
Active insufficiency
Spasticity
Some shoulder elbow wrist orthoses position the glenohumeral joint in its close-packed position. Which of the following describes that position?
Abduction and external rotation
Abduction and internal rotation
Flexion and external rotation
Flexion and internal rotation
This prehensile pattern is characterized by stabilizing the object between thumb and lateral border of the index finger.
Hook Grip
Key Grip
Spherical Grip
Tip to Tip Grip
In forearm pronation…
the radius moves in rotation around a fixed ulna
the ulna moves in rotation around a fixed radius
the radius and ulna each provide half of the rotation, rotating around each other
You are evaluating a healthy patient for flexion PROM of the elbow. You would expect the flexion PROM to be close to which value below?
145
180
120
90
Which of the following muscles is not part of the thenar eminence?
Adductor pollicis
Flexor pollicis brevis
Abductor pollicis brevis
Extensor pollicis brevis
Which upper limb orthotic device utilizes parallelogram mechanical linkage in its design?
ratchet WHO
wrist-driven WHO
wrist-action WHO
Assuming a mobile thumb, which of the following is the most important unit for achieving span grasp – specifically spherical grip as in holding a ball?
Ring Finger
Small Finger
Index Finger
Middle Finger
A patient you are working with has a median nerve lesion. You would expect that they will have loss of all functions EXCEPT:
Flexor carpi ulnaris
Abductor pollicis longus
Flexor pollicis brevis
Opponens pollicis
Which type of peripheral nerve injury results in "intrinsic minus" deformity?
Ulnar + radial nerve injury
Median + ulnar nerve injury
Median + radial nerve injury
Axillary + musculoskeletal nerve injury
For which brachial plexus injury pathology would a wrist driven WHO be a more appropriate choice?
Erb's palsy
Radial nerve palsy
Klumpke's palsy
A brachial plexus injury occurs resulting in decreased wrist and hand function. Which type of injury is most likely the cause?
Klumpke's palsy
Erb's palsy
Ulnar neuritis
Trisomy 21
Which is a more serious brachial plexus injury that has a poorer prognosis?
Preganglionic injury
Postganglionic injury
Which specific brachial plexus injury results in the "intrinsic minus" hand position?
Radial nerve palsy
Klumpke's palsy
Erb's palsy
C8 and T1 involvement in a brachial plexus injury typically results in what is referred to as…
Klumpke's palsy
Radial nerve palsy
Erb's palsy
Your patient presents with her right radial nerve intact and severed median and ulnar nerves. What orthosis should you recommend?
Static wrist hand finger orthosis
Wrist driven wrist hand finger orthosis
Hand orthosis
Static wrist hand orthosis
The posterior cord of the brachial plexus leads to which of the following nerves?
Ulnar nerve
Median nerve
Radial nerve
Musculocutaneous nerve
Which specific brachial plexus injury results in what is referred to as "waiter's tip position"?
Erb's palsy
Radial nerve palsy
Klumpke's palsy
Which condition might show limited improvement after use of NSAIDs and rest/immobilization?
Carpal tunnel syndrome
Dupuytren's contracture
Trigger finger
De Quervain's tenosynovitis
Which of the following appropriately describes carpal tunnel syndrome?
Median nerve compression at dorsal wrist
Median nerve compression at volar wrist
Ulnar nerve compression at volar wrist
Ulnar nerve compression at dorsal wrist
Which muscle would MOST likely be involved in tennis elbow?
abductor pollicis longus
flexor digitorum
pronator teres
extensor carpi radialis brevis
Which of the following is true regarding Nursemaid's elbow?
The injury results from tension force applied to a flexed elbow and supinated forearm
The injury results from compression force applied to an extended elbow and pronated forearm
The injury results from compression force applied to a flexed elbow and supinated forearm
The injury results from tension force applied to an extended elbow and pronated forearm
What is the appropriate wrist positioning for an orthosis meant to treat carpal tunnel syndrome?
20 degrees extension
20 degrees flexion
40 degrees extension
neutral flexion/extension
Which of the following appropriately describes cubital tunnel syndrome?
Radial nerve compression at lateral elbow
Ulnar nerve compression at medial elbow
Ulnar nerve compression at lateral elbow
Radial nerve compression at medial elbow
Which is correct?
Cubital tunnel syndrome involves the median nerve; carpal tunnel syndrome involves the radial nerve
Cubital tunnel syndrome involves the ulnar nerve; carpal tunnel syndrome involves the median nerve
Cubital tunnel syndrome involves the radial nerve; carpal tunnel syndrome involves the median nerve
Cubital tunnel syndrome involves the radial nerve; carpal tunnel syndrome involves the ulnar nerve
Which of the following muscle tendons are most likely involved in De Quervain's tenosynovitis?
extensor pollicis brevis
adductor pollicis
abductor digiti minimi
flexor pollicis brevis
In which condition is the DIP not in flexion?
Mallet finger
Swan neck deformity
Boutonierre deformity
Which phalangeal deformity occurs as a result of disruption of the central slip at the PIP joint?
Claw finger
Swan neck deformity
Boutonierre deformity
Mallet finger
The lumbricals act to:
Extend the MCP joints and flex the IP joints
Extend the MCP joints and extend the IP joints
Flex the MCP joints and extend the IP joints
Flex the MCP joints and flex the IP joints
The axillary nerve branches most closely off of which of the following nerves?
Radial Nerve
Median Nerve
Ulnar Never
Musculocutaneous Nerve
You see a patient with wrist drop, paralysis of the triceps, brachioradialis, supinator, and extensor muscles of the wrist and digits. What nerve is responsible for this and where likely is the injury?
Median nerve; radial groove
Radial nerve; distal elbow
Ulnar nerve; shoulder joint
Radial nerve; superior to the triceps brachii muscle
The radial nerve is injured within the radial groove. Which muscle would NOT be paralyzed?
Triceps brachii
Supinator
Brachioradialis
Extensor carpi radialis
Which nerve root is least often impacted in a brachial plexus injury?
T1
C8
C6
C5
C7
Injury to the median nerve will result in what characteristic appearance when a patient tries to make a fist?
Boutonierre deformity
Hand of benediction
Claw hand
Ape hand
Orthotic treatment for basilar joint arthritis and De Quervain's tenosynovitis requires the application of similar immobilization principles.
True
False
Which condition might respond best to NSAIDs and rest/immobilization?
Trigger finger
Boutonierre deformity
Swan neck deformity
Dupuytren's contracture
Regarding Dupuytren's contracture and trigger finger, in both conditions, the finger is flexed and cannot be extended at all without surgery.
True
False
Which phalangeal deformity occurs as a result of a volar plate avulsion at the PIP joint?
Mallet finger
Boutonierre deformity
Swan neck deformity
Claw finger
A very severe case of cubital tunnel syndrome could result in…
Wrist drop
Claw hand
Swan neck deformity
Ape hand deformity
Nursemaid's elbow refers to…
subluxation of the distal radius
subluxation of the proximal ulna
subluxation of the distal ulna
subluxation of the proximal radius
Most patients who has sustained a spinal cord injury are…
Young male
Young female
Older male
Older female
Your patient has sustained a spinal cord injury, and upon evaluation you find that the strength in her extremities is largely unimpaired, but she has minimal position sense of her joints and major sensory impairment. Which diagnosis is most appropriate for her?
Posterior Cord Syndrome
Anterior Cord Syndrome
Central Cord Syndrome
Brown-Sequard Syndrome
Which nerve risks entrapment at the elbow due to traction from spastic positioning (if orthotic treatment is not implemented)?
Median
Radial
Musculocutaneous
Ulnar
In a spinal cord injury, which is typically the case?
The periphery of the spinal cord is damaged, but centrally it remains intact and unimpaired.
Centrally the spinal cord is damaged, but at the periphery it remains intact and unimpaired.
Flexor spasticity and contracture can be expected at the wrist and hand for most stroke patients when not treated early.
True
False
A manual muscle test assessment of knee extension provides a quick assessment of the motor integrity of which spinal level?
S1
L2
L4
L5
L3
Which type of incomplete spinal cord injury is the most common?
Anterior Cord Syndrome
Central Cord Syndrome
Posterior Cord Syndrome
Brown-Sequard Syndrome
Which is likely the most appropriate daytime orthosis for a patient with a complete C6 spinal cord injury?
Ratchet WHFO with mobile arm support
HdO
Wrist driven WHO with extension assist
Wrist driven WHO (without extension assist)
In cases of stroke and traumatic brain injury, the majority of motor recovery is said to occur within…
The first six months
The first month
The first three months
The first 12 months
Which is likely the most appropriate daytime orthosis for a patient with a complete C7 spinal cord injury?
HdO
Wrist driven WHO with extension assist
Wrist driven WHO (without extension assist)
Ratchet WHFO with mobile arm support
To quickly assess the motor integrity of the C6 spinal level, what would you ask your patient to do (as you hold their limb segment in resistance)?
Extend their wrist
Flex their elbow
Abduct their little finger
Flex their middle finger
Extend their elbow
A manual muscle test assessment of long toe extension provides a quick assessment of the motor integrity of which spinal level?
L3
S1
L4
L5
L2
Which of the following refers to the resistance of muscle to fast movement (velocity-dependent)?
Tone
Clonus
Rigidity
Spasticity
Which is likely the most appropriate daytime orthosis for a patient with a complete C8 spinal cord injury?
Wrist driven WHO (without extension assist)
Ratchet WHFO with mobile arm support
Wrist driven WHO with extension assist
HdO
Which of the following refers to a series of involuntary, rhythmic muscular contractions and relaxations?
Clonus
Tone
Spasticity
Rigidity
How is the electrical signal stopped when botulinum toxin has been used?
Neuron dendrites are damaged
Release of chemicals at the neuromuscular junction is prevented
Neuron axon is damaged
Neuron myelin sheath is damaged
When someone is given a botox injection to treat spasticity, results will be apparent immediately.
True
False
Which of the following describes a patient's clinical presentation if they have Brown-Sequard Syndrome?
Complete loss unilaterally (motor control, proprioception, pain sensitivity, temperature sensitivity)
Bilateral variable loss of motor control, proprioception, pain sensitivity, and temperature sensitivity (upper extremity impacted more than lower extremity)
Bilateral variable loss of motor control, pain sensitivity, and temperature sensitivity; preserved proprioception bilaterally
Motor control and proprioception lost unilaterally; pain and temperature sensitivity lost contralaterally
To quickly assess the motor integrity of the C8 spinal level, what would you ask your patient to do (as you hold their limb segment in resistance)?
Flex their middle finger
Flex their elbow
Extend their wrist
Extend their elbow
Abduct their little finger
For which diagnosis would orthotic intervention of a wrist driven WHO with extension assist likely be most appropriate?
C7 AIS D
C5 AIS B
C8 AIS C
C6 AIS A
Which of the following refers to the resistance of muscle to slow movement?
Tone
Spasticity
Rigidity
Clonus
Which typically happens first following acute ischemic stroke?
Flaccid paralysis
Hypertonia
Flexor synergy patterns
Extensor synergy patterns
Severe extensor spasticity and contracture can be expected at the elbow for most stroke patients when not treated early.
True
False
Which is likely the most appropriate daytime orthosis for a patient with a complete C5 spinal cord injury?
Wrist driven WHO (without extension assist)
Ratchet WHFO with mobile arm support
HdO
Wrist driven WHO with extension assist
All injectable options to treat spasticity wear off in six months or less.
True
False
For which diagnosis would orthotic intervention of a wrist driven WHO without extension assist likely be most appropriate?
C7 AIS B
C8 AIS D
C5 AID E
C6 AIS A
A manual muscle test assessment of ankle plantarflexion provides a quick assessment of the motor integrity of which spinal level?
L3
L2
L5
L4
S1
A patient with a diagnosis of Brown Sequard Syndrome (SCI) occurring at C4 and affecting his right upper extremity and right lower extremity comes to your clinic for a LE orthosis. He is ambulatory but requires minimal assistance. Initially, what assistive device would be most appropriate?
Crutches
Single point cane on the left side
Single point cane on the right side
Front wheeled walker
A manual muscle test assessment of ankle dorsiflexion provides a quick assessment of the motor integrity of which spinal level?
L3
L2
L5
L4
S1
Which of the following muscle tendons are most likely involved in De Quervain's tenosynovitis?
flexor pollicis longus
extensor digitorum
adductor pollicis
abductor pollicis longus
Which muscle would MOST likely be involved in golfer's elbow?
Supinator
Flexor carpi ulnaris
Abductor pollicis longus
Extensor digitorum
Which muscle would LEAST likely be involved in medial epicondylitis?
extensor carpi radialis brevis
pronator teres
flexor carpi radialis
flexor digitorum superficialis
You see a patient who describes pain in her shoulder after chopping wood. You find on physical examination weakness with shoulder flexion and you note scapular winging. What is most likely the cause?
Compression of the axillary nerve
Rotator cuff impingement and tendonitis
Compression of the long thoracic nerve
Compression of the suprascapular nerve
