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LE Post-Test

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

A 22 y/o female complains of knee pain following a twisting injury while playing soccer 5 days ago. The patient's knee is swollen significantly and is unable to jump or run. What special test would be the MOST appropriate to diagnose the injury?

a)

Lachman's test

b)

Posterior Drawer test

c)

Active Lachman's test

d)

External rotation recurvatum test

2.

A 12 y/o male athlete is being evaluated by a PT. The patient reports pain with running and has sharp pain over the patellar tendon, particularly the tibial tubercle. Which of the following disorders is MOST likely present?

a)

Legg-Calve-Perthes' disease

b)

Chondromalacia Patellae

c)

Osgood-Schlatter disease

d)

Pes anserine bursitis

3.

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?

a)

Extension, Medial rotation, and Abduction

b)

Extension, External Rotation, and Adduction

c)

Flexion, Medial rotation, and Adduction

d)

Flexion, External rotation, and Abduction

4.

Transfer training after open reduction internal fixation are as follows, EXCEPT:

a)

If the lower extremities are too weak or painful to be lifted as transfer progresses, wheelchair leg rests are fully elevated to maintain a long sitting position with the knees extended.

b)

The subject is instructed to push with the arms on the supporting surface in order to raise the hips and begin moving to the transfer surface.

c)

Depending on the comfort and ease of the transfer, transfer training may be accomplished with or without a sliding board.

d)

Clients need not practice wheelchair mobility.

e)

Legs are moved along with the hips as patients transfer.

5.

A physical therapist is providing intervention to a patient with lower extremity peripheral neuropathy who is confined to bed. When providing education to the patient and caregivers, which of the following suggestions should the therapist emphasize?

a)

Visually inspect the skin every other day.

b)

Position foam cushions under the calves.

c)

Place a soft pillow under the heels.

d)

Change the patient's position every 4 hours.

6.

A patient is unable to perform a standing heel raise with the knee extended. During this attempted movement, the physical therapist observes toe flexion, inversion, and limited movement of the calcaneus. The MOST likely cause of this deviation is:

a)

Weakness in the tibialis anterior muscle.

b)

Weakness in the peroneus longus muscle.

c)

Substitution by the extensor hallucis longus and extensor digitorum longus muscles.

d)

Substitution by the flexor digitorum and flexor hallucis longus muscles.

7.

A patient is recovering from a broken tibia and has just been instructed to discontinue using a walking boot. The patient demonstrates excessive pronation and complains of pain and instability in the ankle while ambulating. Which of the following is the MOST appropriate treatment?

a)

Begin a single leg standing program and advance to eccentric calf strengthening as tolerated.

b)

Begin with open chain exercises and progress to closed chain strengthening of the ankle as tolerated.

c)

Begin with closed chain exercises and progress to open chain strengthening as tolerated.

d)

Begin a strengthening program involving primarily ankle evertors, progressing as tolerated.

8.

A patient complains of weakness in the right hip while she is ambulating. Upon examination, you notice that the patient has a significant drop of the left hip while in mid-stance on the right leg. The MOST appropriate treatment for this impairment would be:

a)

Standing hip abduction of the left leg.

b)

Standing hip abduction of the right leg.

c)

Standing flexion of the left leg.

d)

Standing flexion of the right leg.

9.

During what phase of the gait cycle would a physical therapist expect to observe an everted posture of the calcaneus?

a)

From mid-stance to heel off (toe-off)

b)

Terminal stance (heel off) to pre-swing (toe-off)

c)

Initial swing (acceleration) through mid-swing

d)

From initial contact (heel strike) through loading response (foot flat)

10.

Upon evaluation, a 20-year-old male soccer player presents with a GRADE II right lateral ankle sprain. What are the characteristics of a Grade II ankle sprain?

a)

Partial tear of the lateral ligament complex with mild joint instability, moderate intra-capsular swelling and tenderness, and some loss of ROM and joint function

b)

Complete rupture of the anterior talofibular ligament, calcaneofibular ligament, and capsule with mechanical joint instability; severe intra/extracapsular swelling, ecchymosis, tenderness, and inability to weight-bear

c)

Stretch of the lateral ligament complex with no macroscopic tear or joint instability, little swelling or tenderness

d)

Partial tear of the syndesmosis, creating generalized swelling and tenderness throughout the ankle joint complex; inability to bear weight, sever ecchymosis, and mortise widening