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WorksheetsPost Test: LE Conditions
Total questions: 10
Worksheet time: 14mins
During postural evaluation of a patient, a physical therapist observes a leg length discrepancy. Which of the following gait deviations are MOST likely seen by the therapist?
Increased dorsiflexion with early heel rise of the long limb at heel off (terminal stance) and increased plantar flexion of the short limb during stance
Increased dorsiflexion of the short limb during swing and increased plantar flexion of the long limb during stance
Decreased knee flexion and increased dorsiflexion of the long limb during stance and increased dorsiflexion of the short limb during swing
Increased plantar flexion of the long limb at heel strike (initial contact) and decreased knee flexion of the short limb during heel off
Examination of a patient's right lower extremity shows the following: a) Normal (5/5) grade strength in the iliopsoas, quadriceps, and adductor; b) Poor (2/5) grade strength in the gluteus medius, hamstrings, and gastrocnemius; c) Trace (1/5) grade strength in the tibialis anterior, extensor digitorum longus, and peroneus longus. The patellar and Achilles tendon reflexes are normal. Sensory testing reveals diminished pain, temperature, and deep touch over the dorsum of the foot over the first and second toes. The MOST likely
cause of the muscle weakness is a:
Nerve root lesion of L5 on the right side
Right common peroneal nerve lesion
Spinal cord hemisection at L2 on the right side.
Cerebrovascular accident affecting the left hemisphere
To determine whether a patient who is recovering from obturator nerve palsy has regained a muscle grade of Fair (3/5) or better, which of the following testing positions is MOST appropriate?
Prone
Supine
Sidelying
Spring
A patient had an arthroscopic patellar debridement and lateral retinacular release of the knee 8 weeks ago. The patient works as a computer programmer, has two small children, and lives in a three-story home. Which of the following information is MOST important for determining whether the patient is appropriate for discharge from outpatient therapy?
Single leg hop for distance
Isokinetic strength comparison of the quadriceps and hamstrings
Passive knee flexion range of motion
Unilateral step down from an 8-inch (20.3-cm) stair
A patient is unable to fully extend the right knee because of a 20° knee flexion contracture. Which of the following compensations during the swing phase of the left lower extremity is expected?
Hiking of the hip on the left
Plantar flexion of the left foot
Lateral trunk lean to the left
Dropping of the pelvis on the left
When evaluating the lower extremity muscle strength of a patient, the physical therapist positions the patient prone with the knee flexed. The therapist asks the patient to point the toes upward toward the ceiling. The patient completes the motion but inverts the foot slightly. This observation indicates:
Tightness of the peroneal muscles
Substitution by the soleus
Substitution by the tibialis posterior
Tightness of the tibialis anterior
A soccer player sustained a grade II ankle inversion sprain 2 weeks ago. The best intervention in the early to subacute phase of rehabilitation would most likely include:
Plyometric based exercise program
Functional soccer related drills
Closed chain strengthening and proprioceptive exercises
Mobilization at the talocrural and subtalar joints
Knee capsular tightness has limited a patient’s ability to attain full flexion. An initial intervention a physical therapy can employ to restore joint motion should emphasize sustained mobilization in the loose packed position using:
Posterior glide and internal rotation of the tibia
Anterior glide and internal rotation of the tibia
Posterior glide and external rotation of the tibia
Anterior glide and external rotation of the tibia
A 14 year old girl complains of subpatellar pain after the participation in an aerobic exercise program for 2 weeks. The PT’s examination shows a large Q angle, pain with palpation at the inferior patella and mild swelling of both knees. The best intervention for this situation is:
Vastus medialis (VM) strengthening
Taping to increase lateral patellar tracking
Vastus lateralis strengthening
Hamstrings strengthening
A patient fractured the right mid tibia in a skiing accident 3 months ago. After cast removal, a severe foot drop was noted. The patient wants to try electrical stimulation orthotic substitution. The PT would set up the machine to contract appropriate muscles during:
Late stance at push off
Mid swing
Early stance and foot flat
Late stance at toe off
