Question 1 of 26

1. A patient is unable to maintain a position where the shoulder is placed in 20 degrees of abduction in the scapular plane and maximally externally rotated with the elbow at 90 degrees. This would be indicative of a positive finding for which of the following?
a.  
b.  
c.  
d.  

Question 1 of 26

Question 2 of 26

2. According to Rockwood et al., what type of acromioclavicular joint injury is described in the following scenario?
  • Both the coracoclavicular and acromioclavicular ligaments are disrupted
  • An inferior shift of the shoulder complex is noted on x-ray
  • A 4 millimeter distance is noted in the coracoclavicular interspace
  • Significant pain is noted with shoulder abduction
a.  
b.  
c.  
d.  

Question 2 of 26

Question 3 of 26

3. What would be an example of an extrinsic cause of elbow stiffness according to Morrey’s classification system?
a.  
b.  
c.  
d.  

Question 3 of 26

Question 4 of 26

4. The point midway between the ASIS and umbilicus in the right lower quadrant is termed ______ and pain is indicative of _______.
a.  
b.  
c.  
d.  

Question 4 of 26

Question 5 of 26

5. What two nerve roots join to form the inferior trunk of the brachial plexus?
a.  
b.  
c.  
d.  

Question 5 of 26

Question 6 of 26

6. A fracture of the pars interarticularis is often observed on plain films on which radiographic view?
a.  
b.  
c.  
d.  

Question 6 of 26

Question 7 of 26

7. A 35-year-old patient with radicular low back pain also presents with urinary retention, decreased sphincter tone, and a hypo-reflexive Achilles stretch reflex. Based on your initial hypothesis for this pathology, what is the maximum time the patient can wait before having spinal surgery to prevent long-term neurologic deficits?
a.  
b.  
c.  
d.  

Question 7 of 26

Question 8 of 26

8. When treating a patient with low back pain, which intervention has the LEAST evidence to support its use according to the current literature?
a.  
b.  
c.  
d.  

Question 8 of 26

Question 9 of 26

9. Which criterion is NOT part of the clinical prediction rule for ruling in carpal tunnel syndrome?
a.  
b.  
c.  
d.  

Question 9 of 26

Question 10 of 26

10. If a patient has only lost motor output to the intrinsic hand muscles and sensation in the 5th digit and the ulnar portion of the 4th digit, where would you suspect the ulnar nerve to be damaged?
a.  
b.  
c.  
d.  

Question 10 of 26

Question 11 of 26

11. An 18-year-old patient tests positive for prone instability but has no increase in pain with hamstring stretching over 90 degrees in the supine position. The patient has difficulty smoothly lifting a 20-pound object off the floor and pain radiates to the gluteal crease during the movement. What would be the best intervention for this patient based on current evidence?
a.  
b.  
c.  
d.  

Question 11 of 26

Question 12 of 26

12. What report in the subjective history of a patient with severe low back pain has the highest positive likelihood ratio to increase suspicion of a pathologic origin?
a.  
b.  
c.  
d.  

Question 12 of 26

Question 13 of 26

13. A traction injury to the brachial plexus resulted in the following impairments: intrinsic minus hand position, atrophy of the thenar and hypothenar eminences, and severe flexor carpi ulnaris denervation confirmed with EMG. What is the most likely diagnosis?
a.  
b.  
c.  
d.  

Question 13 of 26

Question 14 of 26

14. Which activity has the highest patellofemoral joint compressive load?
a.  
b.  
c.  
d.  

Question 14 of 26

Question 15 of 26

15. What rotator cuff synergistic couple both produce external rotation of the shoulder?
a.  
b.  
c.  
d.  

Question 15 of 26

Question 16 of 26

16. When is lumbar bracing indicated for a diagnosis of spondylolysis?
a.  
b.  
c.  
d.  

Question 16 of 26

Question 17 of 26

17. One would likely see positive clonus, Babinski, and Hoffman signs in which of the following conditions?
a.  
b.  
c.  
d.  

Question 17 of 26

Question 18 of 26

18. All the following are risk factors for developing avascular necrosis EXCEPT:
a.  
b.  
c.  
d.  

Question 18 of 26

Question 19 of 26

19. The best Level A intervention for treatment of adhesive capsulitis would include which of the following?
a.  
b.  
c.  
d.  

Question 19 of 26

Question 20 of 26

20. What would be considered a normal mouth opening for an adult female without history of temporomandibular dysfunction?
a.  
b.  
c.  
d.  

Question 20 of 26

Question 21 of 26

21. According to the most current evidence, which intervention would NOT be indicated for an acute ankle sprain?
a.  
b.  
c.  
d.  

Question 21 of 26

Question 22 of 26

22. If a blunt trauma is sustained to the posterior triangle of the neck, which two muscles would you expect to display motor weakness given probable compressive damage to the suprascapular nerve as it branches off the upper trunk of the brachial plexus?
a.  
b.  
c.  
d.  

Question 22 of 26

Question 23 of 26

23. When performing a chart review on a patient with peripheral arterial disease, you notice and ABI of 0.38. Based on this information, during which activities do you expect the patient will likely notice symptoms?
a.  
b.  
c.  
d.  

Question 23 of 26

Question 24 of 26

24. What is the name given to a cervical fracture involving the pedicles of the axis?
a.  
b.  
c.  
d.  

Question 24 of 26

Question 25 of 26

25. When the shoulder is placed in 90 degrees of external rotation and 90 degrees of abduction, what ligament is mostly responsible for preventing anterior humeral head translation, as would be stressed with the late cocking phase of throwing?
a.  
b.  
c.  
d.  

Question 25 of 26

Question 26 of 26

26. A police officer who is new to the department has been complaining of numbness in his left lateral thigh and pain in his left lateral knee, especially after training with his newly-fitted gun belt. He describes this as more of an annoyance and he does not note any weakness in the leg. His symptoms usually decrease when he goes home for the day. What sensory nerve entrapment could explain this officer’s symptoms?
a.  
b.  
c.  
d.  

Question 26 of 26


 

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