What is the most frequent presenting symptom of brain metastasis?

Which disorder does NOT have pes cavus as a feature?

Which cardiac response is increased as a result of aerobic training?

Injured workers with acute low back pain treated with high-dosage opioids compared to low-dose or non-opioid medications demonstrated which outcome?

A 14-year-old with severe TBI admitted to your rehabilitation unit has no spontaneous movement. What is the best prevention for heterotopic ossification?

Which muscle group displays the earliest pattern of weakness in Duchenne muscular dystrophy?

A 50 yo M has obstructive sleep apnea (OSA). He is morbidly obese and has a BMI of 39. He is also complaining of chronic low back pain, which he complains limits his mobility. Which approach would best benefit him?

A construction company manager is concerned about hiring employees over the age of 40, citing lower productivity because of lower endurance compared to younger workers. You tell him that the average decline in physical work capacity between the ages of 40 and 60 is

Of the following modalities, which is the most effective in treating phantom limb pain?

Hamstring injuries occur most commonly

Which modifiable risk factor MOST increases the relative risk of stroke?

Which muscle fiber types are recruited first in isometric contractions?

Which symptom most frequently impacts quality of life in patients with incurable cancers?

Which therapeutic application of functional electrical stimulation is NOT applicable in the population with spinal cord injury?

For injured workers with chronic low back pain, which outcome is associated with better performance during a functional capacity evaluation (FCE)?

Which statement concerning management of seizures after a traumatic brain injury is TRUE?

Which statement regarding an independent medical examination (IME) is TRUE?

A patient having difficulty late in the day getting up from a chair, going up or down stairs, and reaching with his arms presents for electrodiagnostic studies. Physical exam demonstrates normal deep tendon reflexes and normal findings on manual muscle testing. Standard sensory and motor nerve conduction studies are normal. Repetitive axillary nerve stimulation (RNS) performed at 2Hz demonstrates 20% decremental response. Immediately after exercise, the RNS decrement is no longer observed. Three minutes following exercise, however, the decrement is greater. Needle electromyography results are normal. Upon further investigation, you would most likely find what additional clinical finding?

Which sign is associated with central dysautonomia following severe traumatic brain injury?

A patient with a left transfemoral amputation demonstrates a lateral trunk lean towards his prosthetic side. What is the most likely cause?

Which type of study best differentiates a severe polyradiculopathy from amyotrophic lateral sclerosis (ALS)?

Pathological drooling in children with spastic quadriparetic cerebral palsy is

Comparing the functional outcomes at 1-year post treatment of 2 groups of patients with nonspecific low back pain greater than 12-months’ duration and no prior history of lumbar fusion, which finding regarding structured rehabilitation with cognitive behavioral therapy (CBT) versus lumbar fusion is TRUE?

In a patient with a neuromuscular junction disorder, which electrodiagnostic results for compound muscle action potential (CMAP), motor unit action potential (MUAP) or nerve action potential (SNAP) may be misleading if the limb is cold?

What shoe modification can be used to treat medial compartment knee osteoarthritis?

A 55-year-old overweight man presents to clinic with complaints of numbness in his left leg. He reports that he does not exercise and has an office job. He is diagnosed with meralgia paresthetica. Which of the following is consistent with this diagnosis?

Which statement is TRUE of pseudodementia?

A 60-year-old woman with rheumatoid arthritis is concerned about her fingers being crooked. The ulnar deviation of her fingers at the metacarpal phalangeal joints is due to the rupture of the

Which symptom is the most predictive of cardiac disease in Duchenne muscular dystrophy?

Which cancer related pathological fractures require surgical management?

A 33-year-old woman who is 6 months pregnant complains of right-sided, stabbing, low back pain that is worse with movement. Which orthosis is most appropriate for her?

What is your next course of action in a 7-year-old boy newly diagnosed with Duchenne muscular dystrophy?

What is the most common cause of autonomic dysreflexia?

A 39-year-old male factory worker suffers from a low voltage-induced electrical injury. The most serious acute medical complication that can occur is

A 32-year-old maintenance worker with full-thickness burns involving the right hand and forearm is now ready for compressive garments. Which statement regarding his case is correct?

Proper positioning for a transtibial amputee should include use of a

A 20-year-old man sustained a severe traumatic brain injury and a femur fracture 1 week ago. Magnetic resonance imaging reveals a diffuse axonal injury with no evidence of hemorrhage or a hematoma. His condition is stable 1 day after open reduction, internal fixation of the femur fracture and he is nonweight bearing on that leg. What is the appropriate recommendation for deep venous thrombosis prophylaxis in this patient?

A 70-year-old obese gentleman presents to your office for follow-up with a several month history of increasing left hip and groin pain that occurs with walking. His history is significant for prior alcoholism, hypothyroidism, gout, and right knee osteoarthritis. He completed a physical therapy course that did not help much. He now has difficulty even standing or walking for a few minutes and complains of pain with moving his leg. Radiographs taken today demonstrate sclerosis and slight collapse of the femoral head. What is his main risk factor for developing the condition found on his radiographs?

The risk of an exacerbation of multiple sclerosis is reduced

A 41- year-old African-American man had an orthotopic heart transplant 2 months ago. He has started outpatient cardiac rehabilitation, 3 times a week. Compared to an age-matched individual with a normal heart, which finding do you expect in this patient when he exercises?

In athletes, the etiology of thoracic outlet syndrome is most likely due to

A 38-year-old woman with cystic fibrosis is scheduled to receive a lung transplant for end-stage pulmonary disease. She has several questions about her pre- and posttransplant rehabilitation program. You advise her that

Risk factors for osteoporotic long bone fractures in children with cerebral palsy include

Neuromuscular electrical stimulation to treat shoulder subluxation after stroke should be applied to which muscles?

In Lyme disease, beyond the initial erythema migrans lesion from infection with the spirochete Borrelia burgdorfer what other findings may be seen later on?

When using ultrasound, the production in a sound field of gas bubblesthat grow and collapse producing high temperatures and tissue damage is called

Which respiratory measure declines when a patient with tetraplegia moves from a supine to seated position?

A 36-year-old man has a known history of human immunodeficiency virus (HIV). His family has observed worsening confusion and memory loss. He later develops progressive paraparesis, ataxia, posterior column sensory loss, and neurogenic bowel and bladder. The most likely diagnosis is

A firefighter who is now 5 days postsurgery for a rotator cuff and labral tear is in significant pain, but is concerned about opioid use for pain control. He is concerned about becoming “addicted to the pain killers.” In educating the patient about opioids and the issues of addiction, dependence and tolerance, which statement is correct?

The most common movement disorder associated with cerebral palsy is

Which wheelchair component is appropriate for a patient with T10 spinal cord injury?

A pharmacologic treatment for orthostatic hypotension that involves fluid retention is

You are asked to provide a brief synopsis of workers’ compensation benefits to the hospital’s case management department. Which statement about the benefits and services provided in the workers’ compensation system is correct?

When performing needle electromyography in someone therapeutically anticoagulated with warfarin, which muscle would be the safest to examine?

Intrathecal baclofen decreases spasticity by what mechanism?

A 22-year-old man who is right hand-dominant presents to your office with acute onset of right shoulder pain. He is a former college tennis player without a previous history of shoulder pathology. Which test would you perform to evaluate for pathology involving the labrum of the shoulder?

A 40-year-old woman is currently hospitalized for a severe flare of her polymyositis. On consultation, you recommend that while in the hospital she begin

Because urinary tract infections (UTIs) are the most widespread bacterial infection and the most common source of bacteremia in older adults, treatment for bacteriuria greater than 10,000 CFU/ml in this population is indicated for an older patient with

A warehouse manager asks you about prescribing lumbar supports to help his workers prevent and treat lumbar strains. You inform him that evidence-based medicine shows that lumbar supports

A 30-year-old woman began running 2 weeks ago. She runs 4 miles a day, twice a week. She began experiencing bilateral lower leg pain. On physical examination, she reports diffuse pain along the medial tibia at the start of her run with improvement during the run. The most likely diagnosis is

The bulk of personal long-term care for most older individuals in the United States is provided by

A 47-year-old woman develops complex regional pain syndrome (CRPS) type I following a fall at work which resulted in a distal radius fracture. Although no established gold-standard treatment for CRPS currently exists, which option has been studied in multiple, large-scale randomized trials?

A man presents to your clinic complaining of buttock pain that radiates posteriorly down the thigh. On exam you note that he has a leg length discrepancy, symptoms are provoked by placing the affected limb in the FAIR position (hip in flexion, adduction and internal rotation), and he has a positive straight leg raise test. He has normal nerve conduction studies and a normal needle electromyography test. Treatments that may be beneficial include

The most common etiology of cerebral palsy is

You receive a call from your 70-year-old patient with osteoporosis. She has been taking alendronate (Fosamax) for 3 years. The news reports and her friends are all talking about hip fractures in patients taking biphosphonates. You state that based upon scientific evidence there is

Which technique best minimizes resistance to stretch attributed to spinal reflex pathways?