A 44yo male patient is being evaluated by a PT. The patient reports referred pain in
the left shoulder with diagnosis of a positive Kehr's sign. Which of the following is
LEAST likely be a potential cause of a positive Kehr's sign and left shoulder pain?
A. Recent laparoscopy
B. Intra-abdominal bleeding
C. Rupture of the spleen
D. Trauma to head of pancreas
Give this one a try later!
D - head of pancreas located on RIGHT side
- positive Kehr's sign due to air or fluid (bleeding) in abdominal cavity.
- Laparoscopy can cause trauma to abdominal cavity (scope is inserted
inside)
Which of the following bed-to-chair transfers would be MOST APPROPRIATE for a 65
yo patient s/p right THA whose surgeon utilized ANTERIOR approach?
,A. Ask the patient to point to their toes to the left and perform a stand pivot transfer
into a chair placed to the patient's right
B. Ask the patient to point to their toes to the right and perform a stand pivot transfer
into a chair placed to the patient's left
C. Utilizing a sliding board, have the patient transfer into a chair placed to the patient's
right without assistance
D. Quad-pivot transfer into a chair placed to the patient's left
Give this one a try later!
A - in THA avoid ADD, ER and ext
B - point toes to right = ER movement
During assessment of skin sensation, which of the following structures are responsible
for transmission of hot sensation?
A. Meissner corpuscles
B. Krause end bulbs
C. Golgi tendon organs
D. Ruffini endings
Give this one a try later!
D
Meissner corpuscles - fine touch and vibration
Krause end bulbs - cold sensation
Golgi tendon organs - muscle contraction
A patient presents with chief concerns of dizziness with rolling in bed and bending
forward to load dishwasher. She has had 2 falls so far. On assessment, the patient tests
positive for Dix-Hallpike test on right side for posterior canalithiasis. Which of the
following is MOST likely expected to be present in this patient?
,A. Downbeating torsional nystagmus for 120 seconds
B. Upbeating torsional nystagmus for 70 seconds
C. Downbeating torsional nystagmus for 10 seconds
D. Upbeating torsional nystagmus for 40 seconds
Give this one a try later!
D - posterior canal = upbeating torsional nystagmus, canalithiasis = sx less
than 1 min
A patient reports loss of sensation over the ulnar side of the hand. On evaluation,
there is weakness in the intrinsic hand muscles leading to nonfunctional hand. Which
of the following is the MOST LIKELY diagnosis?
A. Radial nerve palsy
B. Erb's palsy
C. Klumpke's palsy
D. C6 radiculopathy
Give this one a try later!
C - pulling a clump of grass out of ground --> claw hand; C8-T1 affected =
ulnar side of hand
A - will see wrist drop
In order to lock the knee in terminal extension while performing a sit to stand, which
of the following motion is MOST likely to occur?
A. Medial (Internal) rotation of the femur on the tibia
B. Inferior glide of patella on femur
C. Medial (Internal) rotation of tibia on femur
D. Long axis distraction at the knee joint
Give this one a try later!
, A - closed chain, femur moving on tibia (moves opposite of screw home
mechanism in open chain where tibia moves laterally on knee extension)
A PT examines a patient with chief concerns of tingling into the 4th & 5th digits along
with muscle wasting over the hypothenar eminence. The PT suspects ulnar neuropathy
and decides to examine the integrity of the nerve. Which of the following testing
procedure would be BEST?
A. Have patient flex both wrists while holding them for 1 minute
B. Have patient make a fist around the thumb and perform ulnar deviation
C. Have the patient grasp a piece of paper btwn their 1st and 2nd fingers while
examiner pulls the paper and monitors for first finger
D. Have patient perform extension of third digit of hand against examiner resistance
Give this one a try later!
A - Phalen's (Carpal Tunnel)
B - Finkelstein's (DeQuervains)
*C - Froment's Sign
D - Maudsleys test (Lateral Epicondylitis)
A 28 yo male patient with a left above knee amputation is referred to an outpatient
amputee clinic. During gait analysis, the PT observes a medial heel whip during heel
off on the left side. Which of the following is the MOST likely cause of this deviation?
A. Taut extension aid
B. Inadequate medial rotation of knee joint
C. Prosthetic knee bolt is externally rotated
D. Short prosthesis
Give this one a try later!
the left shoulder with diagnosis of a positive Kehr's sign. Which of the following is
LEAST likely be a potential cause of a positive Kehr's sign and left shoulder pain?
A. Recent laparoscopy
B. Intra-abdominal bleeding
C. Rupture of the spleen
D. Trauma to head of pancreas
Give this one a try later!
D - head of pancreas located on RIGHT side
- positive Kehr's sign due to air or fluid (bleeding) in abdominal cavity.
- Laparoscopy can cause trauma to abdominal cavity (scope is inserted
inside)
Which of the following bed-to-chair transfers would be MOST APPROPRIATE for a 65
yo patient s/p right THA whose surgeon utilized ANTERIOR approach?
,A. Ask the patient to point to their toes to the left and perform a stand pivot transfer
into a chair placed to the patient's right
B. Ask the patient to point to their toes to the right and perform a stand pivot transfer
into a chair placed to the patient's left
C. Utilizing a sliding board, have the patient transfer into a chair placed to the patient's
right without assistance
D. Quad-pivot transfer into a chair placed to the patient's left
Give this one a try later!
A - in THA avoid ADD, ER and ext
B - point toes to right = ER movement
During assessment of skin sensation, which of the following structures are responsible
for transmission of hot sensation?
A. Meissner corpuscles
B. Krause end bulbs
C. Golgi tendon organs
D. Ruffini endings
Give this one a try later!
D
Meissner corpuscles - fine touch and vibration
Krause end bulbs - cold sensation
Golgi tendon organs - muscle contraction
A patient presents with chief concerns of dizziness with rolling in bed and bending
forward to load dishwasher. She has had 2 falls so far. On assessment, the patient tests
positive for Dix-Hallpike test on right side for posterior canalithiasis. Which of the
following is MOST likely expected to be present in this patient?
,A. Downbeating torsional nystagmus for 120 seconds
B. Upbeating torsional nystagmus for 70 seconds
C. Downbeating torsional nystagmus for 10 seconds
D. Upbeating torsional nystagmus for 40 seconds
Give this one a try later!
D - posterior canal = upbeating torsional nystagmus, canalithiasis = sx less
than 1 min
A patient reports loss of sensation over the ulnar side of the hand. On evaluation,
there is weakness in the intrinsic hand muscles leading to nonfunctional hand. Which
of the following is the MOST LIKELY diagnosis?
A. Radial nerve palsy
B. Erb's palsy
C. Klumpke's palsy
D. C6 radiculopathy
Give this one a try later!
C - pulling a clump of grass out of ground --> claw hand; C8-T1 affected =
ulnar side of hand
A - will see wrist drop
In order to lock the knee in terminal extension while performing a sit to stand, which
of the following motion is MOST likely to occur?
A. Medial (Internal) rotation of the femur on the tibia
B. Inferior glide of patella on femur
C. Medial (Internal) rotation of tibia on femur
D. Long axis distraction at the knee joint
Give this one a try later!
, A - closed chain, femur moving on tibia (moves opposite of screw home
mechanism in open chain where tibia moves laterally on knee extension)
A PT examines a patient with chief concerns of tingling into the 4th & 5th digits along
with muscle wasting over the hypothenar eminence. The PT suspects ulnar neuropathy
and decides to examine the integrity of the nerve. Which of the following testing
procedure would be BEST?
A. Have patient flex both wrists while holding them for 1 minute
B. Have patient make a fist around the thumb and perform ulnar deviation
C. Have the patient grasp a piece of paper btwn their 1st and 2nd fingers while
examiner pulls the paper and monitors for first finger
D. Have patient perform extension of third digit of hand against examiner resistance
Give this one a try later!
A - Phalen's (Carpal Tunnel)
B - Finkelstein's (DeQuervains)
*C - Froment's Sign
D - Maudsleys test (Lateral Epicondylitis)
A 28 yo male patient with a left above knee amputation is referred to an outpatient
amputee clinic. During gait analysis, the PT observes a medial heel whip during heel
off on the left side. Which of the following is the MOST likely cause of this deviation?
A. Taut extension aid
B. Inadequate medial rotation of knee joint
C. Prosthetic knee bolt is externally rotated
D. Short prosthesis
Give this one a try later!
