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Post Test: UE Conditions August 2022

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

An examination of a patient reveals drooping of the shoulder, rotary winging of the scapula, and inability to shrug the shoulder, and complaints of aching in the shoulder. Based on these findings, the cause of these symptoms would most likely be due to:

a)

Muscle imbalance

b)

A lesion of the long thoracic nerve

c)

A lesion of the spinal accessory nerve

d)

Strain of the serratus anterior

2.

A therapist is treating a patient with a diagnosis of right shoulder rotator cuff tendinitis. The findings of a work site ergonomic assessment indicate that the worker is required to perform repetitive reaching activities above shoulder height. The most appropriate work site modification would be able to:

a)

Allow the worker to take more frequent rests to prevent overuse

b)

Reposition the height of the shelf and items to below shoulder height

c)

Provide the worker with a taller, sit stand chair

d)

Provide the worker with a standing desk for daily activities

3.

The most efficient intervention to regain biceps strength to regain biceps brachii strength if the muscle is chronically inflamed and has a painful arc of motion is:

a)

Isometric exercises at the end range of movement only

b)

Active concentric contractions through partial ROM

c)

Active eccentric contractions in the pain free range

d)

Isokinetic exercises throughout the same ROM

4.

A patient complains of right shoulder pain since falling on his right shoulder 3 weeks ago. There was no dislocation and x-rays were negative for fractures. AROM is 35 degrees of flexion and abduction with scapular elevation noted. Passive ROM is nealy full with mild pain and muscle guarding athe end of range. Resisted abduction weak with pain noted in the anterior and lateral deltoid region. There is no atrophy. Based on the above findings, the physical therapist should most likely suspect:

a)

Rotator cuff tear

b)

Adhesive capsulitis

c)

Supraspinatus tendinitis

d)

Axillary nerve palsy

5.

A baseball player was referred to physical therapy with progressive posterior shoulder pain and weakness of the shoulder abductors and lateral rotators. The therapist notices muscle wasting superior and inferior to the scapular spine. The patient’s problem is most likely attributable to the damage involving the:

a)

Spinal accessory nerve

b)

Long head of the biceps brachii

c)

Scalene muscles

d)

Suprascapular nerve

6.

In treating a patient with right shoulder impingement syndrome, the first intervention the PT should consider to do is:

a)

Implement a stretching program for the shoulder girdle musculature

b)

Instruct the patient the proper postural alignment

c)

Complete AROM in all the planes of the shoulder

d)

Modulate all pain

7.

A patient who is to undergo surgery for chronic shoulder dislocation asks the PT to explain the rehabilitation process following their reconstructive procedure. The therapist’s best response is:

a)

Explain in detail about the surgical procedure

b)

Tell the patient to ask the surgeon for information about the procedure and the appropriate rehabilitation

c)

Explain how patients typically respond to the surgery and outline the progression of exercises

d)

Refer the patient to a physical therapy clinic specialist who is an expert on shoulder reconstructive rehabilitation

8.

A patient has been referred to physical therapy for acute shoulder pain following shoveling snow in a driveway for 2 hours. Positive findings include pain and weakness with flexion of an extended upper extremity as well as scapular winging with greater than 90 degrees of abduction. The patient’s problem is most likely the result of:

a)

Supraspinatus tendinitis

b)

Compression of the long thoracic nerve

c)

Compression of the suprascapular nerve

d)

Subdeltoid bursitis

9.

A computer programmer on her second trimester of pregnancy was referred to physical therapy with complaints of tingling and loss of strength in both of her hands. Her symptoms are exacerbated if she is required to use her keyboard at work for longer than 20 minutes. The most effective physical therapy intervention is:

a)

Dexamethasone phonophoresis to carpal tunnel area

b)

Ice packs for the carpal tunnel

c)

Hydrocortisone iontophoresis to the volar surfaces of both wrists

d)

Placing the wrists in resting splints

10.

A patient with traumatic injury to the right hand had a flexor tendon repair to the fingers. Physical therapy intervention after this type of repair would begin:

a)

After the splint is removed in 2-3 weeks, to allow full AROM of all the affected joints

b)

After the splint is removed in 4-6 weeks, to allow ample healing time for the repaired tendon

c)

Within a few days after surgery, to preserve tendon gliding

d)

Within a few days after surgery, to allow the early initiation of strengthening exercises