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SPECIFIC INJURIES (ACL, PCL, TENDON INJURIES)

Total questions: 17

Worksheet time: 9mins

Name
Class
Date
1.

a)     What is the primary function of the anterior cruciate ligament (ACL)?

a)

Stabilizing the shoulder joint

b)

Stabilizing the knee joint

c)

Stabilizing the hip joint

d)

Stabilizing the ankle joint

2.

Where does the ACL attach on the tibia?

a)

Tibial tuberosity

b)

Anterior intercondylar area

c)

Posterior intercondylar area

d)

Medial tibial plateau

3.

The ACL is most commonly injured during which type of activity?

a)

Slow walking

b)

Swimming

c)

Jumping and pivoting sports

d)

Weight lifting

4.

Which of the following is a common mechanism of ACL injury?

a)

Direct blow to the lateral side of the knee

b)

Sudden deceleration and change in direction

c)

Falling directly on a flexed knee

d)

Repeated low-impact stress

5.

The ACL is one of how many major ligaments stabilizing the knee joint?

a)

Two

b)

Three

c)

Four

d)

Five

6.

Which special test is commonly used to assess ACL integrity?

a)

McMurray’s test

b)

Lachman test

c)

Varus stress test

d)

Apley’s compression test

7.

Which of the following symptoms is most associated with an acute ACL tear?

a)

Gradual knee swelling over weeks

b)

Clicking sensation in the hip

c)

Immediate swelling and instability of the knee

d)

Dull, localized pain around the patella

8.

What imaging technique is most commonly used to confirm an ACL injury?

a)

X-ray

b)

CT scan

c)

MRI

d)

Ultrasound

9.

What is the main function of the posterior cruciate ligament (PCL)?

a)

Prevent anterior translation of the tibia on the femur

b)

Prevent posterior translation of the tibia on the femur

c)

Provide valgus stability to the knee

d)

Resist medial rotation of the femur

10.

Which of the following is the most common cause of a PCL injury?

a)

Twisting injury during sports

b)

Hyperextension of the knee

c)

Direct blow to the tibia when the knee is flexed (e.g., dashboard injury)

d)

Sudden deceleration while running

11.

Compared to ACL injuries, PCL injuries are generally:

a)

More common and more severe

b)

Less common and less likely to require surgery

c)

Equally common but harder to diagnose

d)

Only seen in elderly populations

12.

Which of the following is most likely a symptom of PCL injury?

a)

Popping sensation with immediate swelling

b)

Pain and instability when walking downhill or downstairs

c)

Locking of the knee

d)

Lateral knee pain only

13.

Which zone of the flexor tendon is referred to as “no man's land” due to difficulty in surgical repair and risk of adhesions?

a)

Zone I

b)

Zone II

c)

Zone III

d)

Zone IV

14.

An injury to the flexor digitorum profundus (FDP) tendon typically results in inability to:

a)

Extend the proximal interphalangeal (PIP) joint

b)

Flex the distal interphalangeal (DIP) joint

c)

Abduct the fingers

d)

Extend the metacarpophalangeal (MCP) joint

15.

What is the hallmark clinical sign of an extensor tendon injury in Zone I?

a)

Inability to flex the DIP joint

b)

Hyperextension of the MCP joint

c)

Drooping of the DIP joint

d)

Inability to flex the PIP joint

16.

Which of the following is a complication of flexor tendon repair?

a)

Trigger finger

b)

Carpal tunnel syndrome

c)

Adhesion and limited range of motion

d)

Avascular necrosis of the scaphoid

17.

Flexor tendon gliding exercises are typically introduced during rehabilitation to:

a)

Strengthen the tendons immediately

b)

Reduce swelling in the wrist

c)

Prevent adhesions and promote tendon mobility

d)

Improve vascular supply to the nerves