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Ortho Final Part II :(

A realistic image of a physical therapist and a patient in a clinical setting, highlighting rehabilitation exercises and orthopedic assessment tools, with anatomical diagrams in the background.

Ortho Final Exam Quiz

Test your knowledge and understanding of orthopedic principles and rehabilitation techniques with our comprehensive Ortho Final Exam Quiz. This quiz includes 60 carefully curated questions designed to challenge your skills and reinforce your learning. Ideal for students and professionals alike, it offers an opportunity to evaluate your expertise in the field of orthopedics.

Key Features:

60 Thought-provoking Questions
Covers Various Orthopedic Topics
Immediate Feedback on Your Answers

60 Questions15 MinutesCreated by AssessingAngle75

________________ exercises help prevent and remediate musculoskeletal pain problems, must be individualized based on physical exam and patient presentation, and must be taught very carefully with proper monitoring during early stages

Endurance

Stretching

Motor Control

CBT

Which of the following statements is true with regards to sarcomeres?

Sarcopenia is a normal age related change and occurs once individual is 30 yrs old

Sarcopenia is an abnormal age related change and if you notice decreased strength after age 30, the individual should be referred to a physician for lab tests

Sarcopenia is a normal age related change at and occurs starting at age 50

Sarcopenia is an abnormal age related change and PT should be prescribed for all adults over 65 y/o.

The most common impairments seen in subacromial impingment syndrome include all of the following except

Rotator Cuff Weakness

Decreased Internal Rotation ROM

Thoracic Spine Stiffness

Upper Trap Weakness

During Phase I (0-3 weeks) s/p TSA, patients are expected to do all of the following except...

Completing AROM of the hand, wrist, and elbow

Initiating RC activation

Increasing Shoulder PROM

Controlling pain and swelling

Your patient is 6 week s/p TSA and you are hoping to progress him to Phase III of the protocol. When reevaluating the goals, you notice that his AROM of shoulder elevation is 85 degrees with mild substitution patterns. Based on clinical judgement, which is the MOST correct way to proceed?

Continue onto phase III as patient shows proper criteria to progress

Continue onto phase III exercises as the patient's ROM is close enough to the norm for this stage

Continue AROM exercises until patient reaches 100 degrees of AROM during shoulder elevation before continuing to phase III

Revert pack to Phase I PROM exercises

A patient comes to see you direct access after tripping and falling on ice 2 weeks ago. The tell you that they caught themselves from the fall onto their right hand and when received radiographs, no fx was present. The patient is now complaining of shoulder pain and tells you their arm feels dead and heavy after doing simple tasks like carrying in the groceries. Upon examination, your patient is unable to pinpoint exactly where the pain is in her shoulder, but she has decreased strength and ROM with pain lifting objects overhead. She shows mild apprehension when asked to place her arms in certain positions.Which is most likely the injury your patient is suffering from?

Subacromial Impingement Syndrome

Rotator Cuff Tear

UCL Injury

Slap Lesion Tear

During Phase II (10-14 weeks) following a SLAP lesion repair, which of the following interventions are emphasized?

Cryotherapy

Avoidance of isolated biceps contraction

Isotonic scapular strengthening

One-handed plyometric training

As a general rule of thumb, which UE ROM is often limited for the longest following surgery?

Shoulder ER

Shoulder IR

Elbow Flexion

Scapular Elevation ROM

Decreased rates of return to work associated with SLAP lesion injury are all of the following except

Preoperative sick leave

Depression

Manual Labor

Desk Jobs

When might you start to perform grade III/IV mobilizations on a patient following RC surgery?

Weeks 0-6

Weeks 7-12

Weeks 13-16

Weeks 17-22

This type of surgical repair of the RC is the easiest way to access the RC

Open Repair

Arthoscopic Repair

Mini-Open Repair

Closed Repair

At what point following rotator cuff repair do we progress patients from endurance exercises to strengthening exercises?

Weeks 0-6

Weeks 7-12

Weeks 13-16

Weeks 17-22

Based on evidence, which of the following statements regarding RC tears is true?

Opioid use has shown to add additional benefit for postoperative pain management in lieu of a multimodal exercise program

Patient reported outcomes have improved with physical therapy in symptomatic patients with full thickness rotator cuff tears when they decided to engage on a non-operative track long term

Unsupervised PT is more appropriate than Supervised PT

Immobilization following rotator cuff surgery leads to faster and better long term outcomes

True or False: Subacromial decompression results in normal shoulder function after two years in MORE than 50% of patients

True

False

When should you begin to initiate UE endurance exercises into your POC following a subacromial decompression procedure?

Weeks 0-2

Weeks 2-6

Weeks 6-12

Weeks 12-16

Overhead activities following subacromial decompression can begin around week

Tendon Glides of which two muscle groups are shown to be the most effective during carpal tunnel release rehab?

FDR and FDS

FDP and PFL

FDS and FDP

FDR and FCU

In order to progress to the strengthening phase s/p UCL injury surgery, pt's must...

Show 70% of strength currently when compared to the contralateral side

Have at least 3/5 MMT of the elbow flexors and extensors

Exhibit full ROM with only minimal pain and tenderness

Show tolerance of low level plyometric exercises

This complication s/p UCL injury is most common

Synovitis

Elbow stiffness

Medial Epicondyle avulsion fx

Ulnar Neuropathy

Sport-specific plyometrics (one-handed plyos) can begin to be integrated into rehab s/p UCL surgery at around week

You would expect your patient to be FWB in a boot following achilles tendon repair during which phase of rehab?

Phase II (2-6 weeks)

Phase III (7-9 weeks)

Phase IV (10-14 weeks)

Phase V (3-6 months)

Calf girth should be within ____ cm of the non-involved limb during Phase V of rehab s/p achilles tendon rupture repair

1/4

1/2

3/4

A pt that presents from a sudden onset of posterior thigh pain, pain reproduced with HS stretch or when activated and muscle tenderness along the posterior side of the thigh with a loss of function will most likely receive a diagnosis of which of the following?

Hamstring Injury

Piriformis Syndrome

Hip Labral Tear

Herniated Disk at L4/L5

The WOMAC, HOOS, and LEFS are all outcome measures that may be used for...

Knee OA

ACL Injury

Hip OA

Achilles Tendon Rupture

Which of the following statements about MT and its affect on Hip Abductor Strength is true?

MT? Like Novak?

There is no evidence to support the use of MT as an intervention to increase Hip Abductor torque

MT has been shown to increase hip abductor torque

MT has been shown to decrease hip abductor torque

Completing a SLR without extensor lag should be demonstrated by the end of which phase following ACL reconstruction surgery?

Phase I (0-6 weeks)

Phase II (6-18 weeks)

Phase III (18 weeks-d/c)

7 months

RTS for athletes following ACL is NOT RECOMMENDED UNTIL AT LEAST

7 months

9 months

12 months

14 months

Which of the following is NOT a risk factor for sustaining an ACL injury?

Higher BMI

Type II DM

Hypermobility of major joints

Landing in slight extension

In order to progress from phase II (weeks 5-7) to phase III (weeks 8-12) s/p hip labral repair, the patient must demonstrate all of the following except..

Normal Gait Pattern

No Trendelenburg Sign

Symmetrical PROM with minimal pain

Symmetrical AROM with no pain

Running can begin at ___ months following a hip labral repair

Bracing following a hip labral tear would most likely limit which two ROMs?

Hip abduction and rotation

Hip adduction and flexion

Hip flexion and rotation

Hip extension and abduction

During which phase s/p TKA, would we expect our pt to get full knee ROM?

Phase I (0-3 days post op)

Phase II (3 days - 6 weeks)

Phase III (6-12 weeks)

Phase IV (12+ weeks)

All of the following are considered to be discharge criteria s/p TKA except..

I with step-to gait pattern during stair ascension

Full pain-free AROM

4/5 MMT for all LE musculature

Non-Antalgic Gait pattern

Who is MOST likely to have a dx with Knee OA?

A 50 year old male farmer

A 58 year old woman who sustained a knee injury during a MVA in her 30s

A 48 year old female who is an avid runner

A 54 year old male who stands for over 8 hours a day

You are seeing a 63 y/o female for prehab while she is expecting to receive a TKA next week. She comes into the clinic and you notice that her knee looks swollen. Upon palpation, your pt winces and her knee feels hot to the touch. You mark the area of redness and it increases outside of the circumference of the circle you had marked 5 minutes later. What is most likely going to happen next?

Your patient most likely has an infection in the knee joint, and her surgery will be postponed

Prehab can cause swelling and irritation and an icepack should ease the pain

You should call 911 as our patient might have a DVT

These are all normal signs of knee OA

What is the most common reason for an EARLY TKA revision?

Pt is younger when receiving TKA

Infection

Decrease functioning of the knee with modern equipment

Mechanical Loosening of the artificial joint

All of the following are appropriate modifications s/p THA except...

Utilizing a brace to avoid crossing of the legs past midline

Having your spouse assist with shoe donning

Sitting in deeper chairs to accommodate hip flexion precaution

Utilize proper bending/lifting mechanics within appropriate range

When should PTs start incorporating balance/proprioception exercises into rehab s/p THA?

Phase I (Right after SX)

Phase II (0-6 weeks)

Phase III (6-12 Weeks)

Phase IV (12+ Weeks)

With which THA surgical approach would we be most concerned with gluteal engagement?

Direct Anterior

Posterior Lateral

Anterior Lateral

Direct Lateral

Which of the following about meniscal surgeries is true?

Patients who undergo meniscus repair surgery typically heal faster and RTS sooner because their injury was in the Red-Red zone

The choice to undergo a meniscus repair vs a meniscectomy is based on patient preference

Patients who undergo a meniscectomy tend to RTS sooner as the meniscus is removed and therefore does not take as long to heal

They are most commonly associated with PCL tears

Full knee ROM s/p meniscus repair is typically achieved by...

0-2 weeks

3-4 Weeks

5-6 Weeks

8-10 weeks

S/p meniscus repair, how long are pts typically TDWB?

2 weeks

4 weeks

6 weeks

8 weeks

True or False: WBing precautions immediately following surgery for both meniscus repair and meniscectomy are the same

True

False

Which of the following is NOT recommended for pts following a meniscal surgery?

Progressive AROM and PROM activities

Strengthening exercises of the hip and knee, including neuromuscular re-education

Functional Exercise interventions

Unsupervised Rehab with a 1-time visit and HEP

All of the following are purposes of the core with the exception of..

Stability

Control

Energy Transfer

Increase Blood Flow to Extremities

Which of the following statements are true?

Frontal plane deviations at the pelvis lead to increased injury in pitchers

Higher CKC stability test scores are associated with increased risk for future UE injury

The trunk and pelvis work in isolation to provide stability during higher level activities

The pelvic floor is not considered to be part of the core

Which of the following would lead to increased risk of shoulder injury?

Increased retraction

Increased Upward Rotation

Increased Anterior Tilt

Decreased internal rotation

All of the following are associated with an increase of shoulder and elbow injury except

Increased ER

Supraspinatus weakness

Serratus weakness

Decrease in elbow extension ROM

Integrating the KC into exercise during shoulder rehabilitation may do all of the following except

Increase axioscapular muscle recruitment

Produce lower trapezius muscle ratios

Increase the demands of the RC

All of the above

If the shoe fits...

Wear it

Throw it away

Which of the following can be measure in the sagittal plane?

Joint Center Alignment

Pelvic Tilt

Foot-COM placement

Heel-COM distance

Which of the following predictors of loading correlates to braking impulse?

Step Rate and Heel to COM Distance at IC

Heel to COM Distance at IC and Vertical Displacement

Foot Inclination Angle at IC and Vertical Displacement

Step Rate and Vertical Displacement of COM

COM vertical excursion, Foot Inclination angle at IC, and Heel to COM horizontal distance at IC are all associated with the following except..

Increased peak vertical GRF

Peak knee flexor moments

Knee energy absorption

Peak patellofemoral force

An excessively narrow knee separation angle may be associated with

Over-striding

Excessive compliance

Bounce

All of the above

A knee flexion angle at IC that is measured at 4 degrees is a result of which of the following

Over-striding

Excessive Compliance

Bounce

None of the above - this is normal

A COM Vertical Displacement that is measured at 7cm is most likely a result of

Over-striding

Excessive compliance

Bounce

None of the above - this would fall into the normal range

Gait retraining may do all of the following except

Change step frequency and length

Improve knee kinematics

Increase running performance

Decrease vertical loading rates

Which of the following is FALSE in regards to the ACL?

It is named for its attachment on the tibia

It contains an Ant/Lat and Post/Med bundle

It is the most injured ligament of the knee

It helps to control anterior translation of the tibia on the femur

Which two tests are not considered to be predictors of ACL injury

Shuttle Run and Vertical Jump

Single Leg Squat and Step Down Test

Single and Trip Hop Tests

Cross Over Hop and Single Leg Squat Test

Which of the following is FALSE when performing squat jumps

Make sure to explode up

Land softly with the knees flexed

Make sure your knees are slightly in front of your toes

Avoid genu valgus

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