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WorksheetsPost Test: Upper Extremity Conditions
Total questions: 10
Worksheet time: 10mins
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:
Dexamethasone phonophoresis to carpal tunnel area
Ice packs for the carpal tunnel
Hydrocortisone iontophoresis to the volar surfaces of both wrists
Placing the wrists in resting splints
A patient has undergone surgery and subsequent immobilization to stabilize the olecranon process. The patient now exhibits an elbow flexion contracture. In this case, an absolute contraindication for joint mobilization would be:
Soft end feel
Springy end feel
Empty end feel
Firm end feel
A baseball pitcher was seen by a PT following surgical repair of a SLAP (superior labral, anterior posterior) lesion in his pitching arm. In follow up care, the therapist needs to pay attention to the pitching motion. The phase of throwing motion that puts the greatest stress to the anterior labrum and capsule is:
Wind up
Cocking
Acceleration
Deceleration
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:
Supraspinatus tendinitis
Compression of the long thoracic nerve
Compression of the suprascapular nerve
Subdeltoid bursitis
After performing an ergonomic examination of a computer programmer and workstation, the most appropriate recommendation for achieving ideal wrist and elbow positioning would be to:
Elevate the keyboard to increase wrist flexion
Maintain the keyboard in a position that allows neutral wrist position
Lower the keyboard to increase wrist extension
Add armrests
A patient sustained a fracture of the proximal humerus, which has healed well. Upon examination, the therapist notes that there is a limitation in active shoulder flexion. The scapula protracts, elevates, and upwardly rotates early, and elevates excessively when the patient attempts to lift the arm. The next thing the therapist should do is:
Passive shoulder flexion and glenohumeral accessory mobility training
Manual muscle testing of the serratus anterior and rhomboids
Manual resistance exercises for the supraspinatus and infraspinatus
Large amplitude oscillations at the end of joint play for the glenohumeral inferior and posterior capsule
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:
Explain in detail about the surgical procedure
Tell the patient to ask the surgeon for information about the procedure and the appropriate rehabilitation
Explain how patients typically respond to the surgery and outline the progression of exercises
Refer the patient to a physical therapy clinic specialist who is an expert on shoulder reconstructive rehabilitation
In treating a patient with right shoulder impingement syndrome, the first intervention the PT should consider to do is:
Implement a stretching program for the shoulder girdle musculature
Instruct the patient the proper postural alignment
Complete AROM in all the planes of the shoulder
Modulate all pain
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:
Spinal accessory nerve
Long head of the biceps brachii
Scalene muscles
Suprascapular nerve
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:
Rotator cuff tear
Adhesive capsulitis
Supraspinatus tendinitis
Axillary nerve palsy
