Question 1 of 126

1. In a patient with slipped capital femoral epiphysis, which characteristics would you expect?
a.  
b.  
c.  
d.  

Question 1 of 126

Question 2 of 126

2. 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 2 of 126

Question 3 of 126

3. 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.  
b.  
c.  
d.  

Question 3 of 126

Question 4 of 126

4. 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 4 of 126

Question 5 of 126

5. Which of the following clusters are best at ruling in subacromial impingement?
a.  
b.  
c.  
d.  

Question 5 of 126

Question 6 of 126

6. 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.  
b.  
c.  
d.  

Question 6 of 126

Question 7 of 126

7. 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.  
b.  
c.  
d.  

Question 7 of 126

Question 8 of 126

8. Which muscle is least active during the toe-off phase of gait?
a.  
b.  
c.  
d.  

Question 8 of 126

Question 9 of 126

9. 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.  
b.  
c.  
d.  

Question 9 of 126

Question 10 of 126

10. Which nerve injury would have the best expected natural recovery/regeneration?
a.  
b.  
c.  
d.  

Question 10 of 126

Question 11 of 126

11. 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.  
b.  
c.  
d.  

Question 11 of 126

Question 12 of 126

12. 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.  
b.  
c.  
d.  

Question 12 of 126

Question 13 of 126

13. 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.  
b.  
c.  
d.  

Question 13 of 126

Question 14 of 126

14. When performing McMurray’s test with added tibial external rotation, you are trying to assess/bias which of the following structures?
a.  
b.  
c.  
d.  

Question 14 of 126

Question 15 of 126

15. When testing the Achilles deep tendon reflex, you note three beats of clonus. How would you document this reflex finding?
a.  
b.  
c.  
d.  

Question 15 of 126

Question 16 of 126

16. What is the term for when the sacrum rotates posteriorly as the illium rotates anteriorly?
a.  
b.  
c.  
d.  

Question 16 of 126

Question 17 of 126

17. 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.  
b.  
c.  
d.  

Question 17 of 126

Question 18 of 126

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

Question 18 of 126

Question 19 of 126

19. Which muscle couple works together to create left trunk rotation?
a.  
b.  
c.  
d.  

Question 19 of 126

Question 20 of 126

20. A screening test must be ______, meaning it may result in ______.
a.  
b.  
c.  
d.  

Question 20 of 126

Question 21 of 126

21. A common non-musculoskeletal pain referral to the right shoulder/scapula could be explained by which of the following?
a.  
b.  
c.  
d.  

Question 21 of 126

Question 22 of 126

22. What type of imaging is MOST supported for a patient with suspected cauda equina syndrome?
a.  
b.  
c.  
d.  

Question 22 of 126

Question 23 of 126

23. Tapping the chin with a reflex hammer will elicit a jerking motion of the mandible if which cranial nerve is intact?
a.  
b.  
c.  
d.  

Question 23 of 126

Question 24 of 126

24. When would you expect a patient with central canal stenosis of the lumbar spine to report increased symptoms?
a.  
b.  
c.  
d.  

Question 24 of 126

Question 25 of 126

25. All the following are red flags for low back pain and radiology is recommended except:
a.  
b.  
c.  
d.  

Question 25 of 126

Question 26 of 126

26. In the upper cervical spine with the neck in a neutral position, arthrokinematics would suggest that cervical side-bend and rotation occur in:
a.  
b.  
c.  
d.  

Question 26 of 126

Question 27 of 126

27. A patient with Sever’s disease would exhibit traction apophysitis to which bone?
a.  
b.  
c.  
d.  

Question 27 of 126

Question 28 of 126

28. 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.  
b.  
c.  
d.  

Question 28 of 126

Question 29 of 126

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

Question 29 of 126

Question 30 of 126

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

Question 30 of 126

Question 31 of 126

31. Which of the following statements in most accurate regarding the vertebrobasilar insufficiency test?
a.  
b.  
c.  
d.  

Question 31 of 126

Question 32 of 126

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

Question 32 of 126

Question 33 of 126

33. 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.  
b.  
c.  
d.  

Question 33 of 126

Question 34 of 126

34. 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.  
b.  
c.  
d.  

Question 34 of 126

Question 35 of 126

35. 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 35 of 126

Question 36 of 126

36. Which outcome measure below measures function rather than disability?
a.  
b.  
c.  
d.  

Question 36 of 126

Question 37 of 126

37. If a neurotomesis has been sustained to the femoral nerve, what muscle would you expect to test NORMAL with manual muscle testing?
a.  
b.  
c.  
d.  

Question 37 of 126

Question 38 of 126

38. Which test would you expect to NOT be provocative for a patient with carpal tunnel syndrome?
a.  
b.  
c.  
d.  

Question 38 of 126

Question 39 of 126

39. According to Alfredson’s eccentric achilles protocol, which statement below is TRUE?
a.  
b.  
c.  
d.  

Question 39 of 126

Question 40 of 126

40. 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 40 of 126

Question 41 of 126

41. A patient has diaphragmatic spasm due to nerve injury from a previous surgery. Which nerve would you suspect sustained trauma?
a.  
b.  
c.  
d.  

Question 41 of 126

Question 42 of 126

42. 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.  
b.  
c.  
d.  

Question 42 of 126

Question 43 of 126

43. 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.  
b.  
c.  
d.  

Question 43 of 126

Question 44 of 126

44. 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.  
b.  
c.  
d.  

Question 44 of 126

Question 45 of 126

45. Which of the following is the weakest form of evidence when seeking to determine the strength of a given intervention?
a.  
b.  
c.  
d.  

Question 45 of 126

Question 46 of 126

46. 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 46 of 126

Question 47 of 126

47. 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.  
b.  
c.  
d.  

Question 47 of 126

Question 48 of 126

48. 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.  
b.  
c.  
d.  

Question 48 of 126

Question 49 of 126

49. 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.  
b.  
c.  
d.  

Question 49 of 126

Question 50 of 126

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

Question 50 of 126

Question 51 of 126

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

Question 51 of 126

Question 52 of 126

52. 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.  
b.  
c.  
d.  

Question 52 of 126

Question 53 of 126

53. 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.  
b.  
c.  
d.  

Question 53 of 126

Question 54 of 126

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

Question 54 of 126

Question 55 of 126

55. A positive likelihood ratio of +10.5 would be considered:
a.  
b.  
c.  
d.  

Question 55 of 126

Question 56 of 126

56. Pain with shoulder motion between 120 degrees and 160 degrees, but no pain at lower angles, suggests involvement of which structure?
a.  
b.  
c.  
d.  

Question 56 of 126

Question 57 of 126

57. Which vertebral level is commonly accepted as the termination of the spinal cord?
a.  
b.  
c.  
d.  

Question 57 of 126

Question 58 of 126

58. What type of injury involves a posterior segment or spinous process fracture?
a.  
b.  
c.  
d.  

Question 58 of 126

Question 59 of 126

59. 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.  
b.  
c.  
d.  

Question 59 of 126

Question 60 of 126

60. 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.  
b.  
c.  
d.  

Question 60 of 126

Question 61 of 126

61. 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.  
b.  
c.  
d.  

Question 61 of 126

Question 62 of 126

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

Question 62 of 126

Question 63 of 126

63. What is the primary difference between a “sports” hernia and an inguinal hernia?
a.  
b.  
c.  
d.  

Question 63 of 126

Question 64 of 126

64. What is the most common area one would find a Morton’s neuroma?
a.  
b.  
c.  
d.  

Question 64 of 126

Question 65 of 126

65. Based on dermatomal distributions, impairments to which of the following nerve roots commonly results in a decrease in sensation at the medial malleolus?
a.  
b.  
c.  
d.  

Question 65 of 126

Question 66 of 126

66. What is the least amount of great toe extension achieved in a normal gait pattern?
a.  
b.  
c.  
d.  

Question 66 of 126

Question 67 of 126

67. All the following are contraindications for spinal manipulative therapy except:
a.  
b.  
c.  
d.  

Question 67 of 126

Question 68 of 126

68. 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.  
b.  
c.  
d.  

Question 68 of 126

Question 69 of 126

69. 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.  
b.  
c.  
d.  

Question 69 of 126

Question 70 of 126

70. 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.  
b.  
c.  
d.  

Question 70 of 126

Question 71 of 126

71. 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.  
b.  
c.  
d.  

Question 71 of 126

Question 72 of 126

72. What is the term for when the sacrum rotates anteriorly as the illium rotates posteriorly?
a.  
b.  
c.  
d.  

Question 72 of 126

Question 73 of 126

73. 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.  
b.  
c.  
d.  

Question 73 of 126

Question 74 of 126

74. 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.  
b.  
c.  
d.  

Question 74 of 126

Question 75 of 126

75. 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.  
b.  
c.  
d.  

Question 75 of 126

Question 76 of 126

76. 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.  
b.  
c.  
d.  

Question 76 of 126

Question 77 of 126

77. In a patient with the diagnosis of Marfan syndrome, you would expect all the following traits with the exception of:
a.  
b.  
c.  
d.  

Question 77 of 126

Question 78 of 126

78. If a patient presents with an elevated first rib, which muscle would you target for release based on muscle action and insertion?
a.  
b.  
c.  
d.  

Question 78 of 126

Question 79 of 126

79. What muscle action is not associated with the S1 myotome?
a.  
b.  
c.  
d.  

Question 79 of 126

Question 80 of 126

80. According to the literature, motor control exercise for chronic low back pain is:
a.  
b.  
c.  
d.  

Question 80 of 126

Question 81 of 126

81. What type of injury involves a posterior segment or spinous process fracture?
a.  
b.  
c.  
d.  

Question 81 of 126

Question 82 of 126

82. Which two structures pass through the quadrilateral space of the shoulder?
a.  
b.  
c.  
d.  

Question 82 of 126

Question 83 of 126

83. According to Reiman et al., what is the best group of treatments for patients with lumbar spinal stenosis?
a.  
b.  
c.  
d.  

Question 83 of 126

Question 84 of 126

84. 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 84 of 126

Question 85 of 126

85. A positive Babinski sign is an example of:
a.  
b.  
c.  
d.  

Question 85 of 126

Question 86 of 126

86. 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.  
b.  
c.  
d.  

Question 86 of 126

Question 87 of 126

87. In addition to the ACL being a restraint to knee hyperextension, what other structure aids in the restriction in knee hyperextension?
a.  
b.  
c.  
d.  

Question 87 of 126

Question 88 of 126

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

Question 88 of 126

Question 89 of 126

89. 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.  
b.  
c.  
d.  

Question 89 of 126

Question 90 of 126

90. For a patient with chronic pain, which part of the brain is most closely linked to fear, fear conditioning, and addictive thought processing?
a.  
b.  
c.  
d.  

Question 90 of 126

Question 91 of 126

91. All the following are characteristics of Horner’s syndrome except:
a.  
b.  
c.  
d.  

Question 91 of 126

Question 92 of 126

92. 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.  
b.  
c.  
d.  

Question 92 of 126

Question 93 of 126

93. Exopthalmos is a symptom of which endocrine disorder?
a.  
b.  
c.  
d.  

Question 93 of 126

Question 94 of 126

94. 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 94 of 126

Question 95 of 126

95. What is the innervation for the sternocleidomastoid?
a.  
b.  
c.  
d.  

Question 95 of 126

Question 96 of 126

96. 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.  
b.  
c.  
d.  

Question 96 of 126

Question 97 of 126

97. 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 97 of 126

Question 98 of 126

98. Which of the following tests has the highest sensitivity for ruling out lumbar facet dysfunction?
a.  
b.  
c.  
d.  

Question 98 of 126

Question 99 of 126

99. 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.  
b.  
c.  
d.  

Question 99 of 126

Question 100 of 126

100. 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.  
b.  
c.  
d.  

Question 100 of 126

Question 101 of 126

101. 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.  
b.  
c.  
d.  

Question 101 of 126

Question 102 of 126

102. 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 102 of 126

Question 103 of 126

103. Which of the following values would be considered within normal limits?
a.  
b.  
c.  
d.  

Question 103 of 126

Question 104 of 126

104. 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 104 of 126

Question 105 of 126

105. 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.  
b.  
c.  
d.  

Question 105 of 126

Question 106 of 126

106. Guyon’s Canal is located_______ and contains the_______?
a.  
b.  
c.  
d.  

Question 106 of 126

Question 107 of 126

107. Which muscle below is not commonly associated with creating an apophysitis?
a.  
b.  
c.  
d.  

Question 107 of 126

Question 108 of 126

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

Question 108 of 126

Question 109 of 126

109. 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.  
b.  
c.  
d.  

Question 109 of 126

Question 110 of 126

110. 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 110 of 126

Question 111 of 126

111. In a patient with a diagnosis of Sinding Larsen Johansson, where would you expect to find pain with palpation?
a.  
b.  
c.  
d.  

Question 111 of 126

Question 112 of 126

112. In which biomechanical situation below would you expect a person to be at a higher likelihood of displaying piriformis syndrome?
a.  
b.  
c.  
d.  

Question 112 of 126

Question 113 of 126

113. 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.  
b.  
c.  
d.  

Question 113 of 126

Question 114 of 126

114. According to motor control principles, what muscle should activate first in preparation for functional movement patterns, such as sit to stand?
a.  
b.  
c.  
d.  

Question 114 of 126

Question 115 of 126

115. 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.  
b.  
c.  
d.  

Question 115 of 126

Question 116 of 126

116. 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 116 of 126

Question 117 of 126

117. 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.  
b.  
c.  
d.  

Question 117 of 126

Question 118 of 126

118. 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.  
b.  
c.  
d.  

Question 118 of 126

Question 119 of 126

119. What cluster of tests has the highest level of sensitivity for detecting medial meniscus tear?
a.  
b.  
c.  
d.  

Question 119 of 126

Question 120 of 126

120. 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.  
b.  
c.  
d.  

Question 120 of 126

Question 121 of 126

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

Question 121 of 126

Question 122 of 126

122. 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.  
b.  
c.  
d.  

Question 122 of 126

Question 123 of 126

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

Question 123 of 126

Question 124 of 126

124. 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.  
b.  
c.  
d.  

Question 124 of 126

Question 125 of 126

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

Question 125 of 126

Question 126 of 126

126. 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 126 of 126


 

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