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MMP | Upper Quadrant

Total questions: 75

Worksheet time: 2hrs 0mins

Name
Class
Date
1.

Each Cx vertebra has ..... processes

a)

3

b)

5

c)

7

d)

2

2.

Atlantoaxial joint is mostly contributing in Cx

a)

Side bending

b)

Flexion and Extension

c)

Rotation

3.

Cx is .... joint complex

a)

3

b)

5

c)

7

4.

CAD may be misdiagnosed with

a)

inner ear infection

b)

DVT

c)

greater occipital nerve entrapment

5.

Greater occipital nerve may be entrapped due to

a)

Suboccipital muscle spasms

b)

Thoracic outlet syndrome

c)

Flat cervical curve

6.

Neurocentral joint arthritic changes cannot affect the neural tissues

a)

True

b)

False

7.

The fibers of Lamellae are arranged in the same directions to protect the nucleus in all stress directions

a)

True

b)

False

8.

The brachial Plexus passes

a)

Above Scalenae

b)

Below Scalenae

c)

Bet. anterior and middle scalene

d)

Bet. middle and posterior scalene

9.

Pt. who reported diurnal pain (morning Stiffness) this indicates that the following component is part from his problem

a)

Myogenic

b)

Neural

c)

Arthrogenic

d)

Visceral

10.

Vertebral arteries become basilar artery to supply

a)

Mid-brain

b)

Hind-brain

c)

Occipital lope

d)

Forehead

11.

Early signs for CAD prediction including

a)

Dizziness

b)

Numbness

c)

Uncontrolled DM

d)

high BP

12.

Late signs and symptoms of CAD including

a)

loss of consiousness

b)

Dysarthria

c)

Migraine

d)

Nausea

e)

Dysdiadochokinesia

13.

During your movement testing, pt. reported localized pain and limited ROM in Cx extension and end range rotation to the Rt., what is your clinical hypothesis

a)

Neurocentral joint arthritis

b)

internal disc disruption

c)

Facet joint arthritis

d)

Nerve root compression

14.

During your movement testing, pt. reported localized pain with the end range of Rt. and Lt. Side bending with no pain with extension

a)

Neurocentral joint arthritis

b)

internal disc disruption

c)

Facet joint arthritis

d)

Nerve root compression

15.

Considering sensitivity & specificity of transverse ligament stress test, this means

a)

65% may be false positive

b)

35% may be false negative

c)

99% may be true negative

d)

1% may be false negative

16.

Your pt. complaints from tingling sensation and headache at the back of the skull, what are your MUST ttt options today

a)

Tx mobility

b)

Suboccipital release

c)

Rotation Mobilization from Flexion

d)

Low grade mobilization

17.

Considering this RCT, the Tx involvement has no value in treating pt. With neck pain

a)

Yes

b)

Hell No

18.

Its agreed that pt. with thumb paresthesia may have Median nerve entrapment or nerve root affection

a)

C5

b)

C6

c)

C7

d)

C8

19.

What can cause nerve root compression and upper limb paresthesia

a)

Scalenus muscles guarding spasm

b)

Neurocentral joint arthritic changes

c)

Facet joint arthritic changes

d)

Thoracic outlet syndrome

e)

Internal disc disruption

20.

Considering the clinical Correlation of this MRI, your pt. May have weakness in

a)

Rt. elbow flexion

b)

Lt. wrist extension

c)

Lt. shoulder abduction

d)

Rt. cervical rotation

21.

Considering this MRI, the pt. complains from feeling of Instability and loosing the sensation in his both hands finger tips, what's your best clinical decision now

a)

Cx traction

b)

ttt based diagnosis

c)

kick him out

d)

Ask for familial history of idiopathic stenosis

22.

Considering texting neck syndrome pt., one of your critical ttt options is

a)

Milking mobilizations

b)

protraction exersises

c)

Cx Motor control

d)

Cx traction

23.

Whatever the cause, 22-year-old female complains of winging of scapula, weakness while lifting, pulling, and pushing heavy objects which often affects her ability to raise her arm above her shoulder.

a)

The origin of the affected nerve is upper trunk of brachial plexus

b)

The origin of the affected nerve is C5, C6, C7

c)

Long thoracic nerve is mostly damaged

d)

Musculocutaneous nerve is mostly damaged

e)

Serratus Anterior muscle is supplied by this affected nerve

24.

79-year-old woman worked as a volunteer at the information desk of our hospital, complained of numbness and paresthesia in her right thumb and index finger. Her symptoms were constant, but worse when she would drive to work in the morning and during the night when she was trying to sleep. She noted that rubbing or shaking her hand improved the symptoms slightly. She denied weakness; however, she reported dropping objects that she was holding in her hand on occasion. She did not experience any similar symptoms in her left hand.

a)

Median nerve is suspicious nerve to be injured

b)

Ulnar nerve is suspicious nerve to be injured

c)

we can make motor nerve conduction study for this nerve from pronator teres muscle

d)

we can make motor nerve conduction study for this nerve from adductor digiti-minimi muscle

25.

The name of the Legend Al Pacino in Scent of a Woman movie was?

a)

Colonel Frank Slade

b)

Colonel Chris O'Donnell

c)

Colonel James Rebhorn

d)

Colonel Charlie Simms

26.

The strongest GH ligament is the

a)

Superior GH

b)

Middle GH

c)

Inferior GH

27.

Your pt. complains anterior Shoulder pain and snapping with int. and ext. Rotation, one of your clinical hypotheses may be

a)

Rounded shoulder

b)

Inferior GH lig. tear

c)

Long head of biceps tendon tear

d)

Transverse humeral lig. tear

28.

Posterior rotation of the clavicle is achieved directly by

a)

the tension of serratus anterior muscle

b)

the tension of coracoclavicular ligaments

c)

the tension of upper trap. muscle

29.

Posterior rotation of the clavicle is achieved indirectly by

a)

the tension of serratus anterior muscle

b)

the tension of coracoclavicular ligaments

c)

the tension of upper trap. muscle

30.

Considering the resting position of the ST articulation

a)

Anterior tilted

b)

Posterior tilted

c)

Upward rotated

d)

Internally Rotated

e)

Externally Rotated

31.

Considering the upper trap muscle

a)

Initiate upward rotation

b)

Static stabilizer for the scapula

c)

act as extensor if activated unilaterally

d)

Common site for trigger points

32.

Considering the dynamic centralization mechanism of the shoulder, Deltoid contribute in

a)

Suction or Compressive force

b)

Superior migration

c)

Inferior gliding

d)

Dynamic co-contraction

33.

Considering the dynamic centralization mechanism of the shoulder, Supraspinatus contribute in

a)

Suction or Compressive force

b)

Superior migration

c)

Inferior gliding

d)

Dynamic co-contraction

34.

Your pt. has obvious rounded shoulders, what are your ttt options for this case

a)

Tx mobility in extension

b)

Release pectoralis minor

c)

Stretch pectoralis minor and major

d)

Triceps activation

e)

All of them

35.

MR machine can just deal with proton

a)

H

b)

O2

c)

Ca

d)

K

e)

H2o

36.

Here we can diagnose the tendon of

a)

Supraspinatus

b)

Infraspinatus

c)

Teres minor

d)

Subscapularis

37.

Here we can diagnose the tendon of

a)

Supraspinatus

b)

Infraspinatus

c)

Teres minor

d)

Subscapularis

38.

Considering this article, the 3 stages of tendinopathy (by sequence) are

a)

Inflammatory
Remodeling
Proliferation

b)

Inflammatory
Deterioration
Proliferation

c)

Proliferation
Inflammatory
Remodeling

d)

Inflammatory
Proliferation
Remodeling

e)

Inflammatory
Deterioration
Reformation

39.

Considering this article, high percentage of collagen type III composed in

a)

Inflammatory stage

b)

Proliferation phase

c)

Remodeling phase

40.

This characteristics describe

a)

Tendinitis

b)

Tendinopathy

c)

Tendinosis

d)

Tenosynovitis

41.

This characteristics describe

a)

Tendinitis

b)

Tendinopathy

c)

Tendinosis

d)

Tenosynovitis

42.

Considering this RST, the acromion morphology (i.e. Hooked shape) has .... association with SIS

a)

Direct

b)

Indipendent

43.

Your report for this MRI will include

a)

Supraspinatus tendinitis

b)

Supraspinatus tendinopathy

c)

Infraspinatus tendinopathy

d)

Subscapularis tendinopathy

44.

Your report for this MRI will include

a)

Supraspinatus full thickness tear

b)

Supraspinatus tendinopathy

c)

Infraspinatus tendinopathy

d)

Acromion bursitis

45.

Who is her?

a)

Geffrey Maitland

b)

Ann Cools

c)

Ali Abd El-Aziz

d)

Scarlett Johansson

46.

Ignoring the Convex-concave rule, if you want to gain full GH flexion ROM, what are your clinical ttt options from here

a)

Tx mobility in extension

b)

GH internal rotation MWM

c)

GH scaption MWM

47.

Considering GIRD pt. before you order by the Guidelines exercises, you have to gain internal rotation ROM by

a)

Release subscapularis

b)

Release deltoid

c)

Hand behind back MWM

d)

Activate infraspinatus

48.

Considering this AIOS pt. the key ttt option to avoid recurrence is

a)

Release pictoralis major

b)

Strength infraspinatus

c)

Tx mobility in extension

d)

Tx mobility in rotation

49.

8 years old boy fracture medial epicondyle may cause

a)

Cubitus varus

b)

Cubitus valgus

c)

None of them

50.

8 years old boy fracture medial condyle (trochlea) may cause

a)

Cubitus varus

b)

Cubitus valgus

c)

None of them

51.
a)

Galeazzi fracture

b)

Montaggia fracture

52.
a)

Galeazzi fracture

b)

Montaggia fracture

53.

Considering the clinical findings of Resistive movement testing, Strong and painful elbow flexion may indicate

a)

Muscle strain

b)

Tendinopathy

c)

Muscle tear

d)

Carcinoma

e)

Total nerve disruption

54.

Considering the clinical findings of Resistive movement testing, Weak and painless elbow flexion may indicate

a)

Muscle strain

b)

Tendinopathy

c)

Complete muscle tear

d)

Carcinoma

e)

Total nerve disruption

55.

OK sign for

a)

Posterior interosseous nerve entrapment

b)

Anterior interosseous nerve entrapment

c)

Ulnar nerve entrapment

d)

Radial nerve entrapment

56.

Hitchhike sign for

a)

Posterior interosseous nerve entrapment

b)

Anterior interosseous nerve entrapment

c)

Ulnar nerve entrapment

d)

Radial nerve entrapment

57.

Wartenberg sign for

a)

Posterior interosseous nerve entrapment

b)

Anterior interosseous nerve entrapment

c)

Ulnar nerve entrapment

d)

Radial nerve entrapment

58.

Signs of million dollar nerve involvement may include

a)

Weak thumb adduction

b)

Weak wrist flexion

c)

Paresthesia at the thenar eminence

d)

Atrophied thenar eminence

59.

Your report for this plane x-ray will include

a)

Triceps tendinitis

b)

Triceps avulsion tear

c)

Elbow OA

d)

Elbow RA

60.

According to recent evidence-based practice, your ttt options for LET may include

a)

Tx involvement

b)

Scapular stability ex.

c)

Eccentric loading on flexor-pronator group

d)

Eccentric loading on extensor-supinator group

e)

MWM

61.

The most common affected tendon in LET is

a)

FPL

b)

EPL

c)

ECRL

d)

ECRB

62.

This pt. maybe diagnosed as

a)

OA

b)

RA

c)

Generalized hyperlaxity

d)

Direct trauma

63.

What is your clinical hypothesis

a)

Ape hand

b)

Mallet finger

c)

Jersey finger

d)

Ulnar nerve entrapment

64.

What is your clinical hypothesis

a)

Ape hand

b)

Mallet finger

c)

Jersey finger

d)

Ulnar nerve entrapment

65.

This point of pain which radiate proximally may be due to

a)

Dequervain's tenosynovitis

b)

Intersection syndrome

c)

Extensor indices tendinopathy

d)

Medial nerve entrapment

66.

Your pt. complaints from tingling and burning sensation at the palm of the hand on the thenar eminence area, what is your clinical hypothesis

a)

Deep branch of median nerve entrapment

b)

Anterior interosseous nerve entrapment

c)

Palmar cutaneous branch of median nerve entrapment

d)

Palmar cutaneous branch of ulnar nerve entrapment

67.

Your pt. complaints from tingling and burning sensation at the lateral finger tips bilaterally , what are your clinical hypotheses

a)

Cervical spine may be the source

b)

Bilateral carpal tunnel syndrome

c)

Foraminal disc extrusion C5,C6

d)

Extraforaminal disc extrusion C6,C7

68.

Terry Thomas sign describes

a)

Tear TFCC

b)

Scapho-Lunate dissociation

c)

Ulnar Impaction Syndrome

d)

Scaphoid fracture

69.

Considering this MRI, the bone marrow contusion on the lunate is due to

a)

tear TFCC

b)

-Ve ulnar variance

c)

+Ve ulnar variance

d)

Trauma

70.

According to this RCT, the highest quality evidence ttt options for dequirvan's tenosynovitis are

a)

Paraffine bath

b)

Concentric loading

c)

Thumb spika

d)

Eccentric loading

71.

The 1st line of treatment after immediate scaphoid fracture is

a)

Low grade mobilization

b)

Corticosteroids

c)

Internal or External good fixation

d)

Stability program for the surrounding muscles

72.

Guidelines for rehabilitation of carpal tunnel syndrome can be explained easily by our words

(a)  

73.

The most common carpal bone to be fractured

a)

Scaphoid

b)

Lunate

c)

Hamate

d)

Capitate

74.

The most common carpal bone to be dislocated

a)

Scaphoid

b)

Lunate

c)

Hamate

d)

Capitate

75.

ما هي عاصمة فلسطين الأبدية

a)

رام الله

b)

غزة

c)

بئر السبع

d)

القدس

e)

حيفا

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