Ortho II Final Exam
Ortho II Final Exam Quiz
Test your knowledge on orthopedic physical therapy with our comprehensive Ortho II Final Exam quiz. This quiz includes 42 carefully crafted questions that cover a range of topics pertinent to orthopedic rehabilitation, strength training, and post-operative care.
Join fellow professionals in exploring essential concepts that include:
- Motor learning stages
- Exercise prescription guidelines
- Post-surgical protocols
- Therapeutic strategies for common conditions
A patient who is making errors infrequently, is still paying attention to the movements of the task, and requires occasional feedback is currently showing signs of which stage of motor learning?
Cognitive Stage
Associative Stage
Autonomous Stage
Independent Stage
Recent research has shown that "booster sessions" of PT are most beneficial for pts with a dx of...
CVA
Ankle Sprain
Knee OA
Hip Replacement
The two major reasons we see lack of compliance in our patients in regard to HEP are...
Lack of time, lack of positive feedback
Lack of positive feedback, laziness
Lack of equipment at home, lack of time
Lack of equipment, lack of understanding of HEP
Which of the following is true in regards to appropriate exercise prescription for strength training?
Patients must complete over 12 repetitions during each set to increase strength
60% of a 1RM is the maximum stimulus needed for muscle adaptation in untrained individuals
60% of a 1RM is the minimum stimulus for muscle adaptation in untrained individuals
An RPE of 8 is appropriate for individuals completing strength exercises
All of the following would be indications for a TSA except
OA
Complete rotator cuff tear
Proximal humerus fx
Avascular necrosis of humeral head
Patients s/p TSA are unable to lift objects than 10lbs until
3 weeks
6 weeks
10 weeks
16 weeks
True or False: More athletes return to preinjury activity with the use of nonoperative care than SLAP lesion repair
True
False
Based on research, which of the following is true in regards to immobilization following a supraspinatus tear (RC) repair?
Individuals who participated in early rehab had better long term outcomes than those with delayed rebab/immobilization
Individuals who were immobilized for 3 weeks showed better long term outcomes than those who participated in early mobility
There was no significant difference in long term outcomes between patients who participated in early mobility vs immobilization
Surgeons typically allow their patients to choose which rehab protocol they follow
You are most likely to perform a grade I mobilization on a patient...
3 weeks s/p surgery
8 weeks s/p surgery
5 months s/p surgery
Around discharge time
A patient that presents with pain around the upper outer arm during shoulder elevation, difficulty with movements in flexion, ER, and ABD, and report pain in their shoulder when sleeping on their side is most likely experiencing
Rotator Cuff Large Tear
SLAP Tear
UCL Grade III Sprain
Subacromial Pain Syndrome
To progress a patient from Phase I to Phase II s/p subacromial decompression, they must...
Have full AROM
Be able to demonstrate proper shoulder kinematics during UE plyometrics
Have at least 4/5 strength in IR/ER with the arm abducted to 90 degrees
Have full PROM
You have a patient that comes to your clinic direct access and tells you that they've said intense numbness and tingling in their wrist and fingers following a traumatic accident the day before. The best plan of care includes...
Completing special tests to rule in CTS
Refer to a surgeon immediately
Advise the patient to make an appointment with their PCP within a week's time
See if cryotherapy relieves symptoms
If splinting is required for a patient after Carpal Tunnel Release surgery, the splint should place their wrist in...
Full extension to prevent any loss of ROM
20 degrees of flexion, as that is the functional position of the wrist
15 degrees of extension, as that the open packed position of the wrist
In full flexion to allow all structures to heal
By 3 weeks post op, individuals who received carpal tunnel release surgery should...
Achieve full PROM and AROM in fingers and wrist
Return to work in construction
Squeeze hand-immobile objects for strengthening
Continue to immobilize
All of the following structures can be found in the carpal tunnel except...
FDS
FDR
FDP
FPL
Good candidates for a direct UCL repair present with...
Proximal tears with good quality tissue
Proximal tears with poor quality tissues
Distal tears with poor quality tissue
Mid substance tears with good quality tissue
At what week following UCL repair can we start introducing light 2-handed plyometric exercises with our patients?
Week 3
Week 5
Week 8
Week 14
Most athletes return to sport between which months following UCL surgery?
7-9 months
5-6 months
10-18 months
21-24 months
According to the Clinical Practice Guideline for Hamstring Rehabilitation/Injury Prevention, which rehabilitation activity has been shown to be the least useful?
Eccentric training added to stretching
Agility and trunk stabilization
Nordic hamstring exercises as part of a prevention protocol
Nerve Mobilizations and Modalities early in rehab
The BEST interventions to complete with a pt diagnosed with hip OA according to the CPG for Hip OA include...
Patient education and gait training
Manual therapy and strength exercise
Bracing and weight loss
Balance training and flexibility
About how long after an Achilles Tendon repair do patients start to demonstrate a normal gait pattern with no ADs?
4-5 weeks post-op
7-9 weeks post-op
10-12 weeks post-op
14-16 weeks post-op
In order to return to sport after an achilles tendon repair...
The athlete must demonstrate 100% of ROM between each side
Be 4 months s/p surgery
The athlete must demonstrate 90% symmetry of a SL hop
The athlete must be able to run for 30 consecutive minutes without fatigue
Which of the following is FALSE with regards to ACL injuries?
Most injuries occur during a non-contact event
MOI includes hyperextension, deceleration, tibial ER, and valgus
They are more common in females than males
Typically seen d/t strong hamstring activation during landing
Which of the following ROM precautions s/p Hip Labral Tear is correct?
120 degrees of flexion
20 degrees of extension
25 degrees of abduction
45 degrees external rotation
According to the CPG, the BEST approach for physical therapist to include in TKA rehab is...
Positioning the knee in 30-90 degrees of flexion to reduce post-op blood loss
Include motor function training
Teach patients to use cryoptherapy after surgery
Use NMES to improve quad strength
In order to progress a patient from Phase II to Phase III of TKA rehab, they must demonstrate...
AROM to 90 degrees knee flexion
Knee Extension strength 3/5
SLR without extensor lag
Full AROM with plyometric ability
No hip flexion past 90 degrees, no internal rotation past neutral, and no adduction past neutral are common precautions for...
Posterior Approach to THA
Anterior Approach to THA
Hip Labral Tear
TKA
What is one goal s/p THA for a patient around 6-12 weeks?
Restore normal LE strength
Return to sport
Protect healing tissue
Maximize all functional outcomes
According to research, which of the following statements about THA rehab is correct?
Better outcomes are associated with higher levels of depression and anxiety
Informal HEP can provide the same improvement in function than formal Outpatient PT
Prehab is associated with less favorable outcomes
The need for THA is decreasing
The meniscus is a structure made up of which type of cartilage?
Fibro
Hyaline
Elastic
Which of the following would be an indication to receive a meniscectomy?
Age <50
Tears in the peripheral 1/3 region
Asymptomatic tear
Flap Tear
Following a meniscus repair surgery, individuals MAY be NWB or PWB until Week...
1
3
6
10
From weeks 0-4 after meniscus repair surgery, we want to educate patients on...
Avoiding active knee flexion
Getting full knee extension ROM
Protecting their surgical site
Reducing pain and swelling
All of the following are risk factors associated with injury in runners except
Weekly mileage >40
Previous Injury
Stretching Prior to Running
Overpronation of foot
When conducting a video running analysis, you notice that your patient's knee joint falls excessively medial when looking at the HKA joint center alignment. What might be contributing to this fault?
Overstriding
Excessive Compliance
Bounce
A 7 degree hip drop on the L during running for a male in his 20s would indicate...
Normal abductor strength on the R side
Overstriding on the L side
Overstriding on the R side
Weak abductor strength on the R
All of the following are associated with over-striding except...
Heel Strike >10 degrees
Increased horizontal distance from COM
20 degrees of knee flexion at IC
70 degrees of knee flexion at midstance
External focus of attention while completing sport specific exercise...
Has no effect on return to sport
Results in poor motor control late in the rehab process
Makes the athlete think more about their movement patterns
Has been shown to increase carry over of appropriate movement patterns
If an individual completes tuck jumps with a double bounce...
They should continue the exercise until they get it right
It is a sign of weakness. You should modify this exercise at this time
They are completing the activity correctly
They are ready to progress to higher jumps
True or False: More stability proximally requires less mm use distally
True
False
When is a UCL injury most likely to take place?
During a pitcher's wind-up
Early Cocking Phase
Late Cocking Phase
Deceleration Phase
True or False: A higher knee flexion angle at contact correlates with shoulder and elbow injuries in pitchers
True
False
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