Ortho Exam 3 Practice Questions

Generate an image of a healthcare professional examining a patient's hip and knee, highlighting anatomical structures and orthopedic tools in a clinical setting.

Ortho Exam 3 Practice Quiz

Test your knowledge and skills in orthopedic evaluation with this comprehensive quiz designed specifically for healthcare professionals. Covering key concepts related to hip, knee, and ankle conditions, this quiz provides an excellent opportunity to assess your understanding and identify areas for improvement.

Features:

32 thoughtful and challenging multiple-choice questions
Covers various orthopedic topics, including anatomy, pathology, and rehabilitation
Ideal for clinicians, students, and anyone looking to deepen their orthopedic knowledge

32 Questions8 MinutesCreated by AssessingBones512

You are doing an evaluation in an outpatient orthopedic clinic and you are completing a general observation for a patient who is reporting hip and low back pain. You note that they have an increased lumbar lordosis upon standing. What could contribute to this?

Short abdominals

Weak glute med bilaterally

Short hip flexors

Weak hip flexors

When you ask your patient to lift their lower extremity off the mat, this is the motion you see. What is weak?

Trunk extensors

Hip extensors

Trunk and hip extensors

Hamstrings

Which position would a patient with a hip injury (for example, a labral tear) likely be most comfortable in?

30 degrees flexion, 30 degrees abduction, slight lateral rotation

60 degrees flexion, 60 degrees abuction, slight lateral rotation

Extension, medial rotation, abduction

Extension, lateral rotation, abduction

You are performing a musculoskeletal exam on a patient who has reported general hip pain, with no MOI. You get a positive FABER special test - based on the sensitivity of the test, what pathology can you conclude is likely present?

Extra-articular hip pathology

Intra-articular hip pathology

Labral tear

You are treating an elderly patient with hip pain. Upon examination, you discover they have pain when they sit down on low chairs, when they climb stairs they have pain in the side of their hip, and upon ROM assessment, passive IR is 35 degrees. Can you, using the likelihood ratio, confidently diagnose that the patient has hip OA?

Yes

You are evaluating a 2 year old patient in an outpatient pediatric clinic whose parent brought them in because they noticed they prefer sitting and have begun limping when walking. The child does not report pain. Upon examination, you determine there is a mild hip flexion contracture which explains why the child prefers sitting instead of standing. What is your initial hypothesis for this patient?

Legg calve perthes

Hip dysplasia

Coxa vara

AVN

Which of the following structures is not involved in medial extraarticular snapping hip syndrome?

Iliopsoas

ASIS

Lesser trochanter

Greater trochanter

You are evaluating an older patient with hip OA and you need to assess their ROM. Which would you expect to be the most limited?

Hip flexion

Hip extension

Internal rotation

External rotation

You are evaluating a patient in an outpatient clinic who presents with what they describe as a snapping in their hip. They report that when walking, it sometimes feels like their hip is catching, locking, or giving way. They cannot point to a specific MOI, but they play soccer and report that the pain started a few hours after their last game this season. What is the most likely pathology?

Labral tear

Snapping hip syndrome

Coxa valga

Which of the following is not true of hip fractures?

Most commonly at the femoral neck

Common in >50 age group

Complications can include AN, DJD, nonunion

The complications which follow the fracture are more problematic than the fracture itself

Which of the following warrants radiographs of the knee?

Tenderness over tibial tuberosity

Isolated patellar tenderness

Cannot flex to 100 degrees

Age 65 or older

Which of the following is not part of the meniscus CPR?

History of catching or locking

Pain with forced hyperextension

Joint laxity with varus/valgus stress

Joint line tenderness

You are seeing an athlete in the on-campus ortho clinic who has anterior knee pain, especially when squatting, jumping, or going up stairs. You note faulty patellar tracking upon exam. What is the most likely diagnosis?

Patellar subluxation/dislocation

Patellofemoral pain syndrome

Patellar tendonitis

Osgood Schlatter Disease

A female high school lacrosse player presents to PT with swelling and pain in the front of her knee. Upon examination, you notice decreased quadriceps muscle bulk on the affected side, as well as tenderness inferior to the patella. MMT reveals 4/5 score and pain with knee extension, 5/5 flexion (non-painful) and ROM screen reveals pain with passive knee flexion and no pain with passive knee extension. What is the most likely diagnosis?

Patellar tendinitis

PFPS

Osgood-schlatter's

Quadriceps strain

You are doing on-field coverage for a men's soccer game at the college. One of the players fell during the game while playing defense and cutting to the left with his right foot planted. His foot went lateral, and the rest of his body went medially. Which ligament do you most likely need to assess?

ACL

MCL

LCL

PCL

Check all of the following that are risk factors for non-contact ACL injuries.

Shoe surface interaction (turf)

Increased joint laxity

Increased BMI

Wide femoral notch width

You are treating a patient who plays football and was referred to PT following a blow to the front of his knee. Since the injury, he is unable to extend his knee and has a significant amount of pain in the back of his knee. Which test should you perform with this individual? What will you give you the best information, knowing the mechanism and symptoms?

Modified stroke test/bulge sign

Pivot shift test

Valgus stress test

Posterior drawer

Which of the following is the most significant indication for a total knee replacement?

Severe pain

Failed conservative management

Significant loss of function

Severe radiographic changes

Check all of the following that are part of the Ottawa ankle/foot fracture rules?

Tenderness over lateral malleolus

Tenderness over medial malleolus

Tenderness over calcaneus

Tenderness over the 5th met

At push off, the foot serves as:

A rigid lever to provide a propulsive force

A rigid lever to absorb shock

A shock absorber to adapt to uneven surfaces

A shock absorber to provide a propulsive force

You are treating a patient who presents with calcaneal valgus. Which of these factors would you not expect to contribute?

Laxity of the spring ligament

Decreased strength or endurance of arch muscles

Subtalar joint supination

Rearfoot or forefoot pronation

A hammertoe affects the joints in the toe in the following way:

Extension MP/extension PIP

Extension MP/flexion PIP

Flexion MP/extension PIP

Flexion MP/flexion PIP

You are treating a 45 year old runner who is complaining of pain in the back of his ankle. He reports that it sometimes bothers him when he runs and sometimes does not. He does notice that it sometimes gets better as he continues running too. Upon examination, you note weak PF. What is the most likely diagnosis?

Plantar fasciopathy

Achilles tendinopathy

Sever's disease

Posterior tibial tendon dysfunction

Which of the following does the evidence support as providing a short term benefit for treating plantar fasciopathy? Check all that apply.

Taping into antipronation

Foot orthoses

Night splints

Manual therapy

Your patient has sustained an ankle sprain and was able to come in to the clinic to see you the following day. They walk into the clinic with a slight antalgic gait. Upon examination, you note swelling, tenderness at the anterolateral ankle, restricted ROM. There is not much instability, but the patient is unable to raise on their toes. What grade sprain is this?

Grade I

Grade II

Grade III

Grade IV

A patient presents with drop foot and stoppage gait. When performing MMTs, you note weak tib anterior, EHL, and peroneus tertius. Which nerve is most likely involved?

Superficial peroneal nerve

Digital nerve between toes 3&4

Tibial nerve

Deep peroneal nerve

A patient presents to your clinic with weakness in FHL, FDL, and tib posterior. They also note some numbness and tingling into the distal portion of the foot. What is the most likely diagnosis?

PTTD

Lisfranc Injury

Tarsal tunnel syndrome

Morton's Neuroma

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Ortho Exam 3 Practice Questions

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