Question 1 of 126 1. A patient exhibits a stocking glove sensory disruption in the upper quarter that is non-specific and changes, significant forward head with prominent C7 from a lateral view, and thoracic kyphosis with poor posterior-anterior mobility with testing from T1-T7. What diagnosis is probable in this scenario and what treatment would be indicated based on the limited information provided?a. T4 syndrome/thoracic manipulationb. Cervical radiculopathy/cervical manipulationc. T4 syndrome/cervical SNAGsd. Cervical radiculopathy/thoracic manipulationQuestion 1 of 126Question 2 of 126 2. Which two structures pass through the quadrilateral space of the shoulder?a. Axillary artery and axillary nerveb. Anterior circumflex humeral artery and axillary nervec. Posterior circumflex humeral artery and axillary nerved. Brachial artery and suprascapular nerveQuestion 2 of 126Question 3 of 126 3. 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. Before Guyon’s canalb. After Guyons’s canalc. At the cubital tunneld. C8 nerve rootQuestion 3 of 126Question 4 of 126 4. A screening test must be ______, meaning it may result in ______.a. Sensitive/False negativesb. Sensitive/False positivesc. Specific/False negativesd. Specific/False positivesQuestion 4 of 126Question 5 of 126 5. According to Alfredson’s eccentric achilles protocol, which statement below is TRUE?a. Do not work into pain with the heel drop exerciseb. It is okay to have pain with the heel drop exercisec. Pain is only okay if it is experienced after 3 sets of 15 reps of the heel drop exercised. Pain is only acceptable during the protocol for mid-substance achilles tendinosisQuestion 5 of 126Question 6 of 126 6. A patient presents with acute neck pain with symptoms radiating down the left arm. Which evidence-based treatment has the highest level of evidence for this patient?a. Laserb. Soft collarc. Dry needling d. Cervical mobilizationQuestion 6 of 126Question 7 of 126 7. A referring physician ordered a lumbar MRI for a patient with generalized low back pain without neurologic motor deficit or trauma. The patient’s back pain has been present for about two weeks and is worse with bending and lifting. The pain sometimes radiates to the groin and inner thigh. The patient has diabetes mellitus. In this scenario, the MRI is:a. Recommended in the literature based on patient profileb. Associated with improved outcomes to better educate the patient and medical team about his conditionc. Not associated with clinical benefit based on patient profile and current imaging guidelinesd. Warranted based on the radicular pain described in the scenarioQuestion 7 of 126Question 8 of 126 8. You are performing dry needling of the right serratus anterior. You notice the patient is experiencing sudden shortness of breath and chest pain. If the patient is experiencing a pneumothorax, what else might you expect to see?a. Enlarged jugular veinb. Trachea shift to the leftc. Trachea shift to the rightd. ExopthalmosQuestion 8 of 126Question 9 of 126 9. According to the literature, motor control exercise for chronic low back pain is:a. Superior to manual therapy and aerobic exerciseb. Significantly better at decreasing disability than manual therapyc. No better than other forms of traditional therapy for low back paind. Only effective forindividuals over the age of 55Question 9 of 126Question 10 of 126 10. What type of imaging is MOST supported for a patient with suspected cauda equina syndrome?a. CT scanb. X-rayc. EMGd. MRIQuestion 10 of 126Question 11 of 126 11. You are treating a patient with an ankle sprain. On this first visit, the patient scored a 30 on the LEFS. After 2 weeks, you retest and now the patient scores a 40. Based on the minimal clinically important difference for this outcome measure, you can conclude:a. No objective improvement has taken placeb. It is too short of a time frame to see measurable resultsc. The LEFS is not an appropriate tool for ankle spraind. A clinically positive effect has taken placeQuestion 11 of 126Question 12 of 126 12. According to motor control principles, what muscle should activate first in preparation for functional movement patterns, such as sit to stand?a. Rectus abdominisb. Erector spinae c. External abdominal obliquesd. Transverse abdominisQuestion 12 of 126Question 13 of 126 13. Which muscle below is not commonly associated with creating an apophysitis?a. Hamstringsb. Psoasc. Quadricepsd. SupinatorQuestion 13 of 126Question 14 of 126 14. When treating a patient with low back pain, which intervention has the LEAST evidence to support its use according to the current literature?a. Repeated movements to promote centralizationb. Traction for radicular symptomsc. Education about the anatomy of the issue and pain scienced. Thrust manipulation for acute low back and thigh painQuestion 14 of 126Question 15 of 126 15. All the following are characteristics of Horner’s syndrome except:a. Miosisb. Anhidrosisc. Ptosisd. NystagmusQuestion 15 of 126Question 16 of 126 16. You evaluate a patient with temporomandibular disorder for greater than 6 months without improvement, who is experiencing subsequent increasing migraine, as well as recent onset of depression. You suspect the patient is:a. Exhibiting signs and symptoms that may require surgical interventionb. Classified as having chronic myogenous TMD and would benefit from a multidisciplinary team for treatmentc. Exhibiting self-limiting behaviors and you should stress the importance of their home exercise programd. In need of a referral to neurology for assessment of migraine for potential pharmacologic treatmentsQuestion 16 of 126Question 17 of 126 17. A patient had surgery for an osteochondral defect on the tibia. A bone plug rich with articular cartilage was harvested from a non-weightbearing area of the knee and transplanted into the defect area. Which procedure did this patient undergo?a. ACIb. OATSc. Microfractured. Abrasion chondroplastyQuestion 17 of 126Question 18 of 126 18. In addition to the ACL being a restraint to knee hyperextension, what other structure aids in the restriction in knee hyperextension?a. Oblique popliteal ligamentb. Medial collateral ligamentc. Medial patellofemoral ligamentd. Arcuate popliteal ligament Question 18 of 126Question 19 of 126 19. A patient is 4 days status post lateral release for patellar tracking deficit and PFPS. What would be the first treatment to focus on at this stage?a. Range of motion on the recumbent bikeb. Quadricep sets, straight leg raises, and vasopneumatic compression c. Open chain knee flexion and extension activelyd. Achieving at least 80 degrees of knee flexion to prevent arthrofibrosisQuestion 19 of 126Question 20 of 126 20. What muscle action is not associated with the S1 myotome?a. Ankle plantarflexionb. Ankle inversionc. Hip extensiond. Knee flexionQuestion 20 of 126Question 21 of 126 21. All the following are red flags for low back pain and radiology is recommended except:a. Unexplained weight lossb. Complete loss of sensation of the great toec. Previous history of cancerd. Unexplained change in bowel functionQuestion 21 of 126Question 22 of 126 22. 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. Obliqueb. Night painc. History of cancerd. Age greater than 60Question 22 of 126Question 23 of 126 23. A positive Babinski sign is an example of:a. Areflexia b. Hyporeflexiac. Hyperreflexiad. Lower motor neuron dysfunctionQuestion 23 of 126Question 24 of 126 24. A patient with known carpal tunnel syndrome has recently been tested with Semmes-Weinstein monofilaments. She was able to start feeling sensation at a diameter of 4.31. She has had symptoms for 13 weeks and is currently being treated with splinting, activity modification, nerve glides, and anti-inflammatory medication. Based on this information your next step in treatment with the patient would be?a. Continue conservative treatment for 1 more month and if no improvement refer outb. Refer for surgical consultc. Add tendon gliding and wrist extension and flexion stretches to her home programd. Increase the wear time of the splint to 23 hours per day and recheck monofilament testing in 3 monthsQuestion 24 of 126Question 25 of 126 25. A physical therapist places a patient in the supine position with the painful leg resting on the edge of the table. The non-symptomatic leg is then flexed along with the knee up to 90 degrees. The therapist then hyperextends the painful leg over the edge of the table. The patient’s posterior pain is reproduced. Based on this positioning, what test is the therapist likely performing and for what deficit?a. Thigh thrust/sacroiliac dysfunctionb. Thigh thrust/lumbar fact arthropathyc. Gaenslen’s/sacroiliac dysfunctiond. Gaenslen’s/psoas bursitisQuestion 25 of 126Question 26 of 126 26. One would likely see positive clonus, Babinski, and Hoffman signs in which of the following conditions?a. Cervical myelopathyb. Lumbar spinal stenosis without neurogenic claudicationc. Erb’s palsyd. Complete transection of the C7 nerve rootQuestion 26 of 126Question 27 of 126 27. Which of the following tests has the highest sensitivity for ruling out lumbar facet dysfunction?a. Extension rotation testb. Low trunk rotation testc. Slump testd. Single leg lumbar extension testQuestion 27 of 126Question 28 of 126 28. You notice a patient demonstrates lateral trunk lean to the left during gait but not during static stance nor seated postures. Based on this limited information, what muscle group is most likely weak creating this gait compensation?a. Right external obliqueb. Left external obliquec. Right gluteus mediusd. Left gluteus mediusQuestion 28 of 126Question 29 of 126 29. When performing McMurray’s test with added tibial external rotation, you are trying to assess/bias which of the following structures?a. MPFLb. Medial meniscusc. Lateral meniscusd. MCLQuestion 29 of 126Question 30 of 126 30. What would be an example of an extrinsic cause of elbow stiffness according to Morrey’s classification system?a. Impinging fibrosisb. Loose bodyc. Capsular adhesiond. Articular deformityQuestion 30 of 126Question 31 of 126 31. A patient with low back pain has the following objective data from the examination: + SI distraction, + SI compression, + sacral thrust, and +FABER. What other two items would complete Laslett’s clinical prediction rule for SI joint dysfunction?a. Gaenslen’s and FADIRb. FADIR and thigh thrustc. Thigh thrust and Gaenslen’sd. FADIR and Gaenslen’sQuestion 31 of 126Question 32 of 126 32. When trying to improve knee extension for a patient lacking 5 degrees from terminal knee extension, how would you direct your force during manual mobilization?a. Posterior glide of the tibia on femurb. Anterior glide of the tibia on femurc. Internal rotation of the tibia on femurd. Internal rotation of the femur on tibiaQuestion 32 of 126Question 33 of 126 33. If you want to know whether a study’s results can be generalized to a larger population in different places at different times than the sample size included in the study, you are looking for high ________validity.a. Internalb. Contentc. Externald. ConstructQuestion 33 of 126Question 34 of 126 34. What is the term for when the sacrum rotates posteriorly as the illium rotates anteriorly?a. Counternutationb. Nutation c. Up slipd. Down slipQuestion 34 of 126Question 35 of 126 35. What is the primary difference between a “sports” hernia and an inguinal hernia?a. Absence of intestinal prolapseb. Absence of inguinal canal involvementc. Absence of symptoms with coughingd. Absence of symptoms with using core musclesQuestion 35 of 126Question 36 of 126 36. The best Level A intervention for treatment of adhesive capsulitis would include which of the following?a. Corticosteroid injection b. Corticosteroid injection with shoulder mobility and stretchingc. Education and joint mobilizationd. Ultrasound combined with multidirectional joint mobilizationQuestion 36 of 126Question 37 of 126 37. According to the most current evidence, which intervention would NOT be indicated for an acute ankle sprain?a. Ultrasoundb. Lymphatic drainagec. Graded joint mobilizationd. External support with progressive weight-bearingQuestion 37 of 126Question 38 of 126 38. 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. High velocity low amplitude manipulationb. Low velocity high amplitude manipulationc. Functional skill specific movementsd. Local spine stabilization with focus on gravity minimized activationQuestion 38 of 126Question 39 of 126 39. Which of the following is the weakest form of evidence when seeking to determine the strength of a given intervention?a. Systematic reviewb. Cohort studyc. Expert opiniond. Case studyQuestion 39 of 126Question 40 of 126 40. A fracture of the pars interarticularis is often observed on plain films on which radiographic view?a. Obliqueb. Anterior-posteriorc. Laterald. Posterior-anteriorQuestion 40 of 126Question 41 of 126 41. What is the innervation for the sternocleidomastoid?a. Cranial nerve 9b. Cranial nerve 10c. Cranial nerve 11d. Cranial nerve 12Question 41 of 126Question 42 of 126 42. A patient has diaphragmatic spasm due to nerve injury from a previous surgery. Which nerve would you suspect sustained trauma?a. Spinal accessory nerveb. Upper intercostal nervec. C3 nerve rootd. Phrenic nerveQuestion 42 of 126Question 43 of 126 43. You are seeing a patient with a blunt force trauma to the lateral knee, specifically at the fibular head. The patient exhibits weakness and sensory deficit with testing to extensor digitorum longus. Which nerve most specifically could be damaged to contribute to this deficit?a. Common peroneal nerveb. Superficial peroneal nervec. Deep peroneal nerved. Tibial nerveQuestion 43 of 126Question 44 of 126 44. A 16-year-old male sustained a grade 1 MCL sprain while playing football. According to current literature, what is a typical course of treatment for this type of injury?a. Surgery for reconstruction if still painful after 3 monthsb. Bracing for 3 months and then return to sportc. Early functional rehabilitation with return to sport in 2-4 weeksd. Non-weightbearing for 2 weeks and then functional rehabilitationQuestion 44 of 126Question 45 of 126 45. At what point status post-surgical reconstruction for a skier’s thumb injury would you initiate active range of motion exercises for the affected thumb?a. 1-2 weeksb. 2-4 weeksc. 4-6 weeksd. 6-8 weeksQuestion 45 of 126Question 46 of 126 46. Which of the following clusters are best at ruling in subacromial impingement?a. Neer, Drop Arm, Biceps Load 2b. Hawkins Kennedy, weakness with external rotation manual muscle testing, painful arcc. Empty can, speed’s test, painful arcd. Sulcus sign, Hawkins Kennedy, speed’s testQuestion 46 of 126Question 47 of 126 47. You are trialing a new special test for rotator cuff tears. You want to have a test that does an excellent job of ruling in rotator cuff tears. Which of the following would be most important for you to confirm?a. Sensitivity of 0.90b. Sensitivity of 0.1c. Specificity of 0.90d. Specificity of 0.1Question 47 of 126Question 48 of 126 48. Which of the following statements in most accurate regarding the vertebrobasilar insufficiency test?a. It is valid and reliableb. It rules out vertebrobasilar dissection if negativec. The test has not been validatedd. Is only reliable if nystagmus is present during a positive testQuestion 48 of 126Question 49 of 126 49. Based on dermatomal distributions, impairments to which of the following nerve roots commonly results in a decrease in sensation at the medial malleolus?a. L1b. L2c. L3d. L4Question 49 of 126Question 50 of 126 50. Tapping the chin with a reflex hammer will elicit a jerking motion of the mandible if which cranial nerve is intact?a. Facialb. Vestibulocochlear c. Trigeminald. Glossopharyngeal Question 50 of 126Question 51 of 126 51. If you evaluate a patient with low back pain and they present with no symptoms distal to the knee, lumbar hypomobility, normal hip range of motion, and low fear avoidance, what other criterion would you want to see in the history to feel confident that lumbar manipulation will be the best course of treatment initially?a. 2+ patellar tendon reflexb. Pain for less than 30 daysc. Pain for less than 16 daysd. Lateral trunk leanQuestion 51 of 126Question 52 of 126 52. In a patient with a diagnosis of Sinding Larsen Johansson, where would you expect to find pain with palpation?a. Medial facetb. Lateral facetc. Superior poled. Inferior poleQuestion 52 of 126Question 53 of 126 53. Which muscle couple works together to create left trunk rotation?a. Left internal oblique/Right external obliqueb. Right internal oblique/Left external obliquec. Right internal oblique/Right external obliqued. Left internal oblique/Left external obliqueQuestion 53 of 126Question 54 of 126 54. In which biomechanical situation below would you expect a person to be at a higher likelihood of displaying piriformis syndrome?a. Foot pronation, gluteus medius weakness, increased hip internal rotationb. Foot supination, gluteus maximus weakness, increased hip external rotationc. Foot in plantigrade, psoas weakness, increased hip external rotationd. Drop foot, gluteus maximus weakness, coxa varaQuestion 54 of 126Question 55 of 126 55. 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 abductiona. Type 1b. Type 2c. Type 3d. Type 4Question 55 of 126Question 56 of 126 56. Which muscle is least active during the toe-off phase of gait?a. Rectus femorisb. Soleusc. Gastrocnemiusd. Tibialis anteriorQuestion 56 of 126Question 57 of 126 57. A positive likelihood ratio of +10.5 would be considered:a. Neutralb. Smallc. Moderated. LargeQuestion 57 of 126Question 58 of 126 58. When documenting effusion rating in a patient with knee swelling, you notice that you can “milk” out the swelling but it immediately returns to baseline when you remove your hands from the patient. How would you document this effusion finding?a. 0b. 1+c. 2+d. 3+Question 58 of 126Question 59 of 126 59. You are treating a patient with acute cervical spine pain. You are considering thrust manipulations for the upper cervical and thoracic spine. What does the literature support for this intervention?a. Low level evidence for efficacyb. No better than grade 1 and 2 thoracic mobilizationc. Effective in improving pain more than non-thrust mobilization in the short termd. Only effective if FABQ is less than 10Question 59 of 126Question 60 of 126 60. 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. Inferior glenohumeral ligamentb. Superior glenohumeral ligamentc. Subscapularis tendond. Long head biceps brachiiQuestion 60 of 126Question 61 of 126 61. In a patient with slipped capital femoral epiphysis, which characteristics would you expect?a. 13-year-old obese male with limited hip internal rotationb. 4-year-old obese female with limited hip external rotationc. 12-year-old 5’6” female weighing 110 pounds with tightness in hip external rotationd. 7-year-old male with history of avascular necrosis of the femoral head with a fixed hip flexor deformityQuestion 61 of 126Question 62 of 126 62. The point midway between the ASIS and umbilicus in the right lower quadrant is termed ______ and pain is indicative of _______.a. McBurney’s Point/Retrocecal Appendicitisb. McBurney’s Point/Cholecystitisc. Murphy’s Sign/Retrocecal Appendicitisd. Murphy’s Sign/Cholecystitis Question 62 of 126Question 63 of 126 63. A patient injured his finger during a basketball game. Currently (4 weeks after the initial injury), he can bend his 2nd digit at the proximal interphalangeal joint into hyperextension to 75 degrees. Which structure was most likely damaged?a. Volar plateb. Medial retinacular bandc. Flexor digitorum longusd. Flexor digitorum brevisQuestion 63 of 126Question 64 of 126 64. You have been treating a patient with patellofemoral pain syndrome. You notice VMO atrophy on the affected knee compared to the contralateral side. To best isolate the VMO you decide to:a. Perform straight leg raise with hip external rotationb. Perform wall squats with a hip adduction biasc. Perform pain free closed chain whole quadriceps activation, as it is unlikely to preferentially isolate the VMOd. Utilize Russian e-Stim with quad sets with 30 degrees of knee flexionQuestion 64 of 126Question 65 of 126 65. Which structure is there concern about compressing and causing a hypotensive event in a 36-week pregnant patient who is in the supine position for an extended period of time?a. Superior vena cavab. Inferior vena cavac. Common iliac arteryd. Phrenic nerveQuestion 65 of 126Question 66 of 126 66. 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. High intensity training, as with incline treadmill walkingb. Moderate intensity training, as with Walking greater than a half milec. Seated exercise, possibly at restd. Aquatic exercise, as this decreases arterial flow to the lower extremitiesQuestion 66 of 126Question 67 of 126 67. 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. Supraspinatus and teres majorb. Supraspinatus and infraspinatusc. Supraspinatus and deltoidd. Supraspinatus and subscapularis Question 67 of 126Question 68 of 126 68. A 49-year-old patient presents with bilateral back and leg pain, where the hamstring pain is worse than the axial back pain. The patient has pain relief upon sitting and can only stand for 5 minutes before having to sit. What is the probable diagnosis from this information?a. Ankylosing spondylitis b. Lumbar radiculopathy (S1)c. Lumbar myelopathyd. Spinal stenosisQuestion 68 of 126Question 69 of 126 69. Which activity has the highest patellofemoral joint compressive load?a. Walking uphillb. Walking downhillc. Single-leg stanced. Squatting to 90 degreesQuestion 69 of 126Question 70 of 126 70. If a patient is on beta blockers for a heart condition, what blood pressure and heart rate response would you expect during intense cardiovascular exercise on a spinning bicycle?a. Lower heart rate and higher blood pressureb. Lower blood pressure and higher heart ratec. No significant difference compared to a person not on beta blockersd. Lower heart rate and lower blood pressureQuestion 70 of 126Question 71 of 126 71. A patient sustained a metacarpal fracture. He has 38 degrees of angulation on plain films. Orthopedics did NOT recommend surgery. Based on this limited information, what would be your best hypothesis as to which metacarpal has sustained this injury?a. Secondb. Thirdc. Fourthd. FifthQuestion 71 of 126Question 72 of 126 72. A patient has been practicing a “hip hike” exercise for 4 weeks now. At first this movement was not fluid and had a lot of variability requiring cues from the physical therapist. Now, the patient can perform this exercise without any instruction and the movement is automatic, as the patient can hold a conversation during this exercise. What phase of motor learning is this patient demonstrating?a. Cognitiveb. Associativec. Autonomousd. SubcorticalQuestion 72 of 126Question 73 of 126 73. Upon reviewing an MRI of a patient with knee pain, you note the patient has grade 3 chrondromalacia on the odd facet of the patella. Where would you expect this patient to point to their pain based on the anatomy of the patella?a. Extreme lateral patellab. Extreme medial patellac. Extreme inferior patellad. Extreme superior patellaQuestion 73 of 126Question 74 of 126 74. Which outcome measure below measures function rather than disability?a. NDIb. LEFSc. OSWESTRYd. DASHQuestion 74 of 126Question 75 of 126 75. In a patient with the diagnosis of Marfan syndrome, you would expect all the following traits with the exception of:a. Pes planusb. Short staturec. Nearsightednessd. ScoliosisQuestion 75 of 126Question 76 of 126 76. What would be considered a normal mouth opening for an adult female without history of temporomandibular dysfunction?a. 15 mmb. 25 mmc. 40 mmd. 70 mmQuestion 76 of 126Question 77 of 126 77. What rotator cuff synergistic couple both produce external rotation of the shoulder?a. Infraspinatus and teres minorb. Subscapularis and teres minorc. Supraspinatus and infraspinatusd. Subscapularis and infraspinatusQuestion 77 of 126Question 78 of 126 78. 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. Internal rotation lag signb. External rotation lag signc. Crank testd. Apprehension signQuestion 78 of 126Question 79 of 126 79. What two nerve roots join to form the inferior trunk of the brachial plexus?a. C5 and C6b. C6 and C7c. C7 and C8d. C8 and T1Question 79 of 126Question 80 of 126 80. If a patient presents with an elevated first rib, which muscle would you target for release based on muscle action and insertion?a. Longus capitusb. Sternocleidomastoidc. Middle scalened. Splenius capitusQuestion 80 of 126Question 81 of 126 81. If a neurotomesis has been sustained to the femoral nerve, what muscle would you expect to test NORMAL with manual muscle testing?a. Rectus femorisb. Biceps femorisc. Sartoriousd. Vastus intermediusQuestion 81 of 126Question 82 of 126 82. In which phase of the gait cycle does the hamstring have its peak activation, when it is functioning to decelerate the unsupported lower extremity?a. Heel strikeb. Mid stancec. Terminal swingd. Toe offQuestion 82 of 126Question 83 of 126 83. 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. 12 hoursb. 24 hoursc. 48 hoursd. 72 hoursQuestion 83 of 126Question 84 of 126 84. Which nerve injury would have the best expected natural recovery/regeneration?a. Neuropraxia to the ulnar nerveb. Axontomesis to the radial nervec. Neurotomesis to the median nerved. Neurotomesis to the ulnar nerveQuestion 84 of 126Question 85 of 126 85. For patient with a delayed flexor tendon repair of the flexor digitorum longus who was splinted in a dorsal blocking splint at 20 degrees of wrist flexion and 45 degrees of MCP flexion, when would you feel comfortable implementing wrist and digit extension, based on the Duran protocol?a. 2 weeksb. 4 weeksc. 5 weeksd. 6 weeksQuestion 85 of 126Question 86 of 126 86. All the following are risk factors for developing avascular necrosis EXCEPT:a. Chronic steroid useb. Age greater than 40c. Goutd. Sickle cell diseaseQuestion 86 of 126Question 87 of 126 87. All the following are contraindications for spinal manipulative therapy except:a. Cauda equina syndromeb. Hemophiliac. Vertebrobasilar insufficiency d. PregnancyQuestion 87 of 126Question 88 of 126 88. A young child complains of arm pain and is refusing to use his painful arm to play with his toys or turn door knobs. You are unaware of trauma. No noticeable swelling or redness is noted. What is the first thing you suspect based on this limited information?a. Septic joint b. Juvenile idiopathic arthritisc. Nursemaids elbowd. Greenstick fractureQuestion 88 of 126Question 89 of 126 89. Which criterion is NOT part of the clinical prediction rule for ruling in carpal tunnel syndrome?a. Shaking hands relieves symptomsb. Decreased sensation of the first digitc. Age less than 40d. Wrist ratio of greater than or equal to 0.67Question 89 of 126Question 90 of 126 90. In the upper cervical spine with the neck in a neutral position, arthrokinematics would suggest that cervical side-bend and rotation occur in:a. Opposite directionsb. Same directionc. Oblique planed. Sagittal planeQuestion 90 of 126Question 91 of 126 91. A patient with Sever’s disease would exhibit traction apophysitis to which bone?a. Calcaneus b. Navicularc. Lateral malleolus d. Cuboid Question 91 of 126Question 92 of 126 92. Which vertebral level is commonly accepted as the termination of the spinal cord?a. L1b. L2c. L3d. L4Question 92 of 126Question 93 of 126 93. A patient is having difficulty and pain with mandibular depression, as well as limited protrusion and deviation of the jaw in the frontal plane. Which muscle is the primary cause of these deficits?a. Lateral pterygoidb. Medial pterygoidc. Masseterd. InfrahyoidQuestion 93 of 126Question 94 of 126 94. 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. Erb’s palsyb. Parsonage Turner syndromec. Duchenne’s palsyd. Klumpke palsyQuestion 94 of 126Question 95 of 126 95. You are seeing a patient post-dashboard injury to the knee with subsequent knee instability. Which two special tests would you expect to be positive in this patient?a. Godfrey test and Lachman’s testb. Posterior sag sign and Slocum testc. Pivot shift and Godfrey testd. Posterior drawer and Godfrey testQuestion 95 of 126Question 96 of 126 96. You find a subluxation of the 7th rib and are attempting a manipulation to decrease pain and improve mobility. Anatomically, you would describe the 7th rib as a(n):a. True ribb. False ribc. Floating ribd. Extension of the 7th thoracic vertebraQuestion 96 of 126Question 97 of 126 97. When is lumbar bracing indicated for a diagnosis of spondylolysis?a. The patient is over the age of 60 with history of osteoporosisb. The patient is skeletally immature and the injury is in the acute phasec. The patient has reached skeletal maturity and the injury is in the acute phased. The patient also has concomitant grade 2 or greater spondylolisthesisQuestion 97 of 126Question 98 of 126 98. You are treating a direct access patient who brought their recent MRI report for their lumbar spine. The patient has yet to follow up with the physician but wanted to get started with physical therapy due to their back pain. The impression dictates an 80% spondylolisthesis of L4 on L5. The patient has normal lower extremity strength and reflexes. The pain in the back in rated at 8/10 on the VAS scale. What would be the BEST next step?a. Start with neutral spine core strengthb. TENS for high levels of back painc. Call the physician who ordered the MRI for consult before treating, as the patient may require surgery due to spinal instabilityd. Since manual muscle testing and reflexes are normal, continue with physical therapy as toleratedQuestion 98 of 126Question 99 of 126 99. A patient with posterior tibialis dysfunction presents with significant flat foot deformity. Besides weakness in ankle inversion, which other action would you assume has decreased potential during gait?a. Eversionb. Great toe extensionc. Plantarflexiond. DorsiflexionQuestion 99 of 126Question 100 of 126 100. What is the name given to a cervical fracture involving the pedicles of the axis?a. Teardrop fractureb. Hangman’s fracturec. Dens fractured. Jefferson fractureQuestion 100 of 126Question 101 of 126 101. Pain with shoulder motion between 120 degrees and 160 degrees, but no pain at lower angles, suggests involvement of which structure?a. Subscapularisb. Sternoclavicular jointc. Acromioclavicular jointd. SupraspinatusQuestion 101 of 126Question 102 of 126 102. Which of the following values would be considered within normal limits?a. Platelet count of 18Kb. Hemoglobin for an adult male of 9g/dlc. Fasting glucose of 80mMd. Hematocrit of 30%Question 102 of 126Question 103 of 126 103. A patient is being treated for knee pain following a medial menisectomy 4 weeks ago. The patient reports that she was sore in her surgical knee after her last session of physical therapy, which was three days ago. You decide to ask the patient to warm up on a bike for 10 minutes and then re-assess her pain. She continues to complain of unchanged soreness. What would be an appropriate next step for this patient?a. Progress her program, as it has been 3 days since her last exercise routineb. Hold physical therapy for the dayc. Decrease load and intensity and re-assess pain at her next visit to determine if pain also decreasedd. Educate the patient that pushing through the pain is advised as she is already 4 weeks out of surgeryQuestion 103 of 126Question 104 of 126 104. You are seeing a patient who reports nerve damage from a spinal surgery years ago. He presents to the clinic for gait training and deconditioning. You notice he has a significant decrease in muscle strength in the left quadriceps and can only actively dorsiflex his ankle to neutral. What compensation strategy is he likely to use during gait?a. Knee hyperextension in the stance phase of gait b. Toe walkingc. Tabetic gaitd. VaultingQuestion 104 of 126Question 105 of 126 105. What is the least amount of great toe extension achieved in a normal gait pattern?a. 30 degreesb. 40 degreesc. 45 degreesd. 60 degreesQuestion 105 of 126Question 106 of 126 106. For a patient with chronic pain, which part of the brain is most closely linked to fear, fear conditioning, and addictive thought processing?a. Cingulate cortexb. Amygdalac. Hippocampusd. Premotor cortexQuestion 106 of 126Question 107 of 126 107. Which of the following is a strong predictor that a patient will have success with core stabilization in the treatment of low back pain?a. Negative prone instability testb. 24 weeks pregnant with pelvic painc. Aberrant movements (Gower’s Sign)d. FABQ work scale score of 38Question 107 of 126Question 108 of 126 108. What type of injury involves a posterior segment or spinous process fracture?a. Clay shoveler’s fractureb. Burst fracturec. Wedge fractured. Spondylolysis fractureQuestion 108 of 126Question 109 of 126 109. According to Reiman et al., what is the best group of treatments for patients with lumbar spinal stenosis?a. Laser, nerve glides, tractionb. Repeated flexion, core strengthening, treadmill trainingc. Manual therapy, low intensity exercise, body weight supported treadmill trainingd. Ultrasound, treadmill walking, William’s flexion exercisesQuestion 109 of 126Question 110 of 126 110. A patient has a fracture of the middle third of the humerus due to a FOOSH injury, to which nerve would you suspect possible damage?a. Ulnar nerveb. Median nervec. Radial nerved. Axillary nerveQuestion 110 of 126Question 111 of 126 111. When would you expect a patient with central canal stenosis of the lumbar spine to report increased symptoms?a. Walking on grassb. Walking uphillc. Walking downhilld. Walking in 3 feet of waterQuestion 111 of 126Question 112 of 126 112. The cobb angle in a 24-year-old female with painful scoliosis is 55 degrees, what would be an appropriate treatment for this patient?a. Bracingb. Surgeryc. Physical therapyd. Physical therapy and bracingQuestion 112 of 126Question 113 of 126 113. When performing a chart review for a patient in the hospital, you notice they have been diagnosed with Keinbock’s disease. What other predisposing factor is highly correlated with this diagnosis?a. History of cerebral palsyb. History of long-term corticosteroid use for rheumatoid arthritisc. Obesityd. Previous participation in high level gymnasticsQuestion 113 of 126Question 114 of 126 114. A patient with severe osteoarthritis may present with both Bouchard’s nodes and Heberden’s nodes in the hand. Where would you find nodal deformity in a patient with Heberden’s nodes in bilateral hands?a. PIPb. DIPc. CMCd. MCPQuestion 114 of 126Question 115 of 126 115. What is the most common area one would find a Morton’s neuroma?a. 1st intertarsal spaceb. 2nd intertarsal spacec. 3rd intertarsal spaced. 4th intertarsal spaceQuestion 115 of 126Question 116 of 126 116. What is the term for when the sacrum rotates anteriorly as the illium rotates posteriorly?a. Counternutationb. Nutation c. Up slipd. Down slipQuestion 116 of 126Question 117 of 126 117. What type of injury involves a posterior segment or spinous process fracture?a. Clay shoveler’s fractureb. Burst fracturec. Wedge fractured. Spondylolysis fractureQuestion 117 of 126Question 118 of 126 118. Exopthalmos is a symptom of which endocrine disorder?a. Grave’s diseaseb. Hypothyroidismc. Diabetes mellitusd. Lyme diseaseQuestion 118 of 126Question 119 of 126 119. What cluster of tests has the highest level of sensitivity for detecting medial meniscus tear?a. Joint line tenderness/Thessalyb. McMurray/joint line tendernessc. Thessaly/McMurrayd. Joint line tenderness/Pivot shiftQuestion 119 of 126Question 120 of 126 120. Guyon’s Canal is located_______ and contains the_______?a. At the olecranon/ulnar nerveb. At the pisiform to hamate/ulnar nervec. At the extensor carpi radialis brevis muscle belly/ulnar nerved. At the olecranon/median nerveQuestion 120 of 126Question 121 of 126 121. A 28-year-old female has been studying for the OCS examination. She has been complaining of low back pain that started 4 weeks ago. She has some relief with standing and increased pain with sitting. Repeated flexion and extension movements do not change her back pain intensity or location. According to the McKenzie method, what is the proper classification for this patient?a. Derangementb. Flexion dysfunctionc. Postural syndromed. Nerve root syndromeQuestion 121 of 126Question 122 of 126 122. Which test would you expect to NOT be provocative for a patient with carpal tunnel syndrome?a. Phalen’sb. Tinel’sc. Berger’sd. Bunnel Littler testQuestion 122 of 126Question 123 of 126 123. A common non-musculoskeletal pain referral to the right shoulder/scapula could be explained by which of the following?a. Pancreatitisb. Cholecystitisc. Appendicitisd. Polycystic ovary diseaseQuestion 123 of 126Question 124 of 126 124. 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. Common peroneal nerveb. Saphenous nervec. Lateral femoral cutaneous nerved. Ilioinguinal nerveQuestion 124 of 126Question 125 of 126 125. A patient who is a transcriptionist in a courtroom has been complaining of nerve pain and weakness of the thumb over the past month. Electromyography findings suggest median nerve compression at the carpal tunnel without Wallerian degeneration. The physician writes a prescription for a wrist splint for this patient and decided surgery is not indicated at present. What type of splint would be most appropriate for this patient?a. Ulnar gutter with the wrist at 20 degrees of flexionb. Dorsal wrist splint with the wrist into 15 degrees of extensionc. Volar wrist cock up with the wrist at 0 degreesd. Volar wrist cock up with the wrist in 10 degrees of flexionQuestion 125 of 126Question 126 of 126 126. When testing the Achilles deep tendon reflex, you note three beats of clonus. How would you document this reflex finding?a. 1+b. 2+c. 3+d. 4+Question 126 of 126 Loading… UPGRADE NOW [Exit exam and return to Customer Dashboard]
