Ortho Final Exam Practice Questions

A detailed medical illustration depicting orthopedic concepts like pain management, concussions, and rehabilitation with anatomical drawings and relevant medical symbols.

Ortho Final Exam Practice Quiz

Prepare yourself for the Ortho Final Exam with this comprehensive quiz designed to test your knowledge across various topics. With 25 thought-provoking questions, you'll explore critical aspects of orthopedic therapy and pain management.

Key Features:

Multiple-choice questions
Focus on opioids, concussions, and orthopedic injuries
Suitable for students, educators, and professionals alike

25 Questions6 MinutesCreated by HealingWave202

True or False: opioids should be considered first-line or routine therapy for chronic pain outside of active cancer, palliative, and end-of-life care, given small to moderate short term benefits

True

False

Which of the following is a condition in which opioids may be indicated?

Fibromyalgia

Self-limited illness

Uncomplicated back AND neck pain

Active cancer

What type of clinical "flag" is represented by this type of symptoms: occupational issues and perceived features of work associated with higher rates of symptoms, poor health, and lost work hours?

Red flags

Yellow flags

Blue flags

Black flags

Which of the following is not a psychological factor that best predicts outcomes of LBP?

Fear avoidance

Catastrophizing

Beliefs about pain

Perceptions about personal control

High FABQ scores are associated with:

Acute disability secondary to LBP

Low risk for disability secondary to LBP

Better response to pain specific treatment goals

Chronic disability secondary to LBP

You are treating a patient in your outpatient clinic who presents with LBP. Their FABQ PA score is 19. Are they likely to respond well to manipulation/mobilization treatment?

Yes

Which of the following is defined as believing pain is worse than it really is?

Decreased self efficacy

Catastrophizing

Decreased perceived control

Fear avoidance

Your patient presents to PT with the idea that because they have moderate low back pain, they cannot do their desk job, sleep in their usual bed at night, or perform any type of exercise including walking. What are they displaying?

Illness behavior

Symptom magnification

Inappropriate illness behavior

Internal locus of control

Per the gate control theory, activity in which type of fiber tends to facilitate transmission of painful nerve impulses and "open the gate"?

Large C fibers

Small C fibers

Large A beta fibers

Small A beta fibers

Which of the following is defined as a decrease in threshold response of pain-transmitting neurons housed within the spinal cord as a result of changes in the stimulation response profile of dorsal horn neurons?

Supra spinal modulation

Spinal cord plasticity

Central sensitization

Peripheral sensitization

You are treating a patient who presents to PT with a burning, shooting pain on the plantar surface of the foot when rubbed with a cotton ball. What do you document this as?

Allodynia

Hyperalgesia

Illness behavior

Catastrophization

Which of the following is not a risk factor for concussion?

Age >15 years

Female high school or college athlete

History of previous concussion

BMI >27

You are treating a high school football player in your clinic who sustained a concussion during a game. His mother asks you when he should be recovered. Based on the norms, what can you tell her?

2 weeks

7-10 days

>3 months

3 months

Which of the following is the biggest predictor of prolonged recovery s/p concussion?

Increased dizziness

Visual blurring/distractibility

Symptoms of migraine headache with 48 hrs of initial injury

Severity of initial symptoms

You are treating a patient in your cash-based outpatient clinic who sustained a concussion during a soccer game, and 5 days later got hit in the head at practice during a collision. They report they've had a headache since the initial injury. What is this called?

Post concussion syndrome

Second impact syndrome

Chronic concussion

Natural course of recovery

You are treating a patient in your clinic who sustained a concussion and came to your direct access following a biking collision. They had immediate onset of neck pain and they are able to rotate their neck 45 degrees left and right. Do you refer them to an MD for a radiograph?

Yes

Check all of the following that are red flags following a concussion:

Neck pain or tenderness

Vomiting

Headache

Weakness or tingling/burning in arms or legs

Which "bucket" do the following treatment recommendations fall into? Pharmacologic intervention, increased cardiovascular activity, regulated sleep schedule, diet/hydration/exercise/stress management

Cognitive/fatigue bucket

Cervical bucket

Anxiety/mood bucket

Post-traumatic migraine bucket

Which of the following happens when we inhale?

Diaphragm recoils to resting, gentle PF and TrA return to rest

Diaphragm recoils to resting, downward pressure on internal organs towards pelvic floor

Diaphragm descends, downward pressure on internal organs towards pelvic floor

Diaphragm descends, gentle PF and TrA return to rest

The lateral step down test can be used to screen for predisposition to which type of injury?

Meniscus

ACL

Hip labral

MCL

Which grade is this describing for the supine hip extensor MMT? Limited arc of hip flexion occurs before the pelvis and back elevate as a unit while the leg is raised by the examiner

Grade 2

Grade 3

Grade 4

Grade 5

You are treating a high school baseball player in an outpatient clinic who presents with shoulder pain and instability. They have pain in the front of their shoulder with movement and report a clicking sensation with movement as well. What is the most likely diagnosis?

Bankart Lesion

SLAP Tear

Dislocation

Subluxation