Ortho I Exam 1 Practice Questions
Ortho I Exam 1 Practice Questions
Test your knowledge with our comprehensive Ortho I Exam 1 Practice Questions. This quiz features 28 multiple-choice questions designed to challenge your understanding of orthopedic concepts and clinical practices. Whether you're preparing for an exam or simply want to evaluate your knowledge, this quiz is perfect for you.
- 28 multiple-choice questions
- Focus on orthopedic assessment and treatment
- Ideal for students and professionals alike
Your patient is a janitor who presents with pain when picking up full garbage bags. He noticed the onset a while ago and it has continued to get worse with time as he continues to do his job. What model would this follow?
Pathokinesiologic
Kinesiopathologic
Shirley Sarhmann's Model
Dr. Opett's Model
You are treating a patient in the outpatient setting who works a desk job and comes to you with significant neck and upper back pain. You note that they have a forward head posture and when testing their neck flexors, they are unable to maintain the position. Which muscles are weak or insufficient?
Longus colli, longus capitis, SCM
Rectus capitis, scalenes, longus capitis
Longus capitis, longus colli, rectus capitis
SCM, scalenes
Your patient presents to PT with pain in the entire lateral portion of the head, which radiates up above their ear. You rule out any serious pathology. What muscle do you suspect could be referring to this area?
Temporalis
Masseter
Splenius capitis
Upper trapezius
You are evaluating a patient who comes in with severe neck pain, which sometimes radiates down her R arm when she sits at her desk. What do you hypothesize is a potential diagnosis?
Cervical sprain
Cervical strain
Cervical radiculopathy
Cervical myelopathy
Which of the following is not a criteria for the Clinical Prediction Rule for cervical radiculopathy?
Positive spurling's test
Positive distraction test
Positive ULT test
ROM loss in rotation (<50 degrees) to involved side
Your patient presents to PT with reports of pain in the arms and hands, difficulty opening jars, and reports difficulty looking up to see what's in her kitchen cabinets. When you bring her back to the treatment room, you notice she has a wide BOS and looks off balance/uncoordinated while walking. What do you suspect is going on?
Cervical myelopathy
General deconditioning
Cervical radiculopathy
Lumbar radiculopathy
Which of the following have predicted success for increased odds of favorable outcomes with multimodal PT for patients with neck pain? Check all that apply
Low levels of depression
Presence of headache or LBP
Older individuals
High NDI score
Low NPS score: neck pain
What are the strongest risk factors for new-onset neck pain?
Male sex, prior history of neck pain
Older age, prior history of neck pain
Smoking history, prior history of LBP
Female sex, prior history of neck pain
Your patient presents to the clinic with hyper-reflexia, non-dermatomal sensory loss, and a positive Hoffmann test. What are these signs/symptoms indicative of?
LMN
UMN
Myasthenia gravis
Guillan barre
Which of the following ligaments travels from the dens of C2 to the occipital condyles?
ALL
PLL
Transverse ligament
Alar ligament
Which ULTT is this a picture of?
Median nerve
Musculocutaneous nerve
Ulnar nerve
Radial nerve
Which of the following is not part of the Canadian C-Spine rules?
Patient has high risk factors: age >55 yrs OR paresthesias in extremities OR dangerous MOI
AROM cannot be assessed safely
Patient cannot rotate actively >45 degrees in either direction
The CPR which includes: positive spurling's test, positive distraction test, positive ULTT, and ROM loss in rotation (<60 degrees) to involved side is for which condition?
TOS
Cervicalgia
Cervical myelopathy
Cervical radiculopathy
When palpating the spinous process of T8, you are likely in the same plane as the transverse process of:
T8
T7
T9
T10
Which of the following is not part of the thoracic manipulation CPR?
Symptoms <16 days
No symptoms distal to shoulder
FABQPA score <12
Cervical extension ROM <30 degrees
A ________ scoliotic curve is one which may be structural or functional, where the body attempts to keep the shoulders level and above the pelvis
Major (primary)
Secondary (compensatory)
Tertiary
Decompensated
You are treating a patient in an outpatient clinic with a 30 degree scoliotic curve diagnosed by imaging. They have been unable to see their doctor for a follow up visit and ask you what the standard is for bracing. The patient has 3 more years of anticipated growth. Would bracing be indicated?
Yes
No
With pelvic crossed syndrome, which has the correct muscles paired with the correct descriptors?
Weak: abdominals, tight: gluteus maximus
Weak: gluteus maximus, tight: hip flexors
Weak: hip flexors, tight: thoracolumbar extensors
Weak: thoracolumbar extensors, tight: abdominals
Your patient presents with reproduction of symptoms at 80 degrees during a straight leg raise. What is the likely cause of the pain?
Joint pain
Sciatic pain
Lumbar radiculopathy
Central disc herniation
Select all of the following which are part of the CPR for lumbar stabilization
<40 years old
SLR >91 degrees
Positive prone instability test
Aberrant sagittal plane movement
Your patient presents to PT with pain in their low back and reports reproduction of symptoms with both active and passive extension. They experience relief with rest but become stiff after long periods of rest. What do you suspect their diagnosis is?
Lumbar sprain
Lumbar strain
Myofascial pain
Facet pain
Your patient is a 60 year old female who presents to PT with back pain. With this in mind, what phase of DJD is she likely in?
Phase I (dysfunction)
Phase II (instability)
Phase III (stabilization)
Phase IV (hypomobility/rigidity)
A patient presents with R LBP and leg pain - which type of disc herniation do they most likely have?
Disc degeneration
Protrusion
Extrusion
Sequestration
You are performing an evaluation on a pt who presents with bilateral LE weakness and pain. When questioned about bowel/bladder changes, they report loss of control as well as numbness and tingling in their inner thighs. What is your course of action?
Perform a SLR to confirm your findings and diagnose the condition
Call an ambulance
Tell the pt to mention this at their next PCP visit
Refer pt to a neurologist to be seen immediately
Select all of the following statements that are true regarding spondylolysis:
Involves a pars interarticularis defect
Can lead to spondylolisthesis
Can be isthmic or degenerative
Can be seen on imaging as a "scotty dog sign"
Your 22 year old patient is experiencing back pain and when tested in prone and told to extend both LEs, their pain is reproduced. When the segment is stabilized and they raise their legs again, their pain is absent. What do you suspect?
Lumbar Instability Syndrome
Myofascial Pain
Lumbar sprain
Lumbar strain
What type of fracture is this?
Greenstick fracture
Compression fracture
Fracture/dislocation
Burst fracture
A compression fracture involves a failure of the _______ column
Anterior
Posterior
Anterior, middle, posterior
Anterior and posterior columns
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