Ortho Final Exam Practice Questions
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
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
No
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
No
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
How many incontinence episodes per week leads to increased fall risk?
1
2-3
3-4
5+
Posterior approach total hip arthroplasty is associated with _______ incontinence
Improved
Worsening
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
A college football player comes in to your clinic with pain in the back of his shoulder and complains of locking, popping, and catching. He presents with a painful arc of motion as well. What is the most likely diagnosis?
Bankart Lesion
SLAP Tear
Dislocation
Subluxation
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