Seidel's Guide Chapter 22 Workbook

1. The spine of a newborn infant should A be palpated with the examiner noting the shape of each spinal process. If a split is noted in one of the spinal processes, which problem is suspected a. Bifid defect b. Lordosis c. Down syndrome d. Spina bifida 2. Which of the following questions asked by B the examiner would be most helpful in un- derstanding a patient complaining of acute back pain? a. What medications do you currently take? b. Was there any activity or injury that oc- curred before the onset of pain? c. Were you born with any congenital defor- mities of the spine d. Have you recently lost weight? 3. Which spinal finding would be considered C normal for a 72 yr old? a. Meningocele b. Myelomeningocele c. Kyphosis a. Scoliosis 4. Which of the following data from a pa- D tient's hx indicates an increased risk for osteomyelitis? a. Severe gout b. Rheumatoid arthritis c. Severe osteoporosis d. Open fx of the radius 5. What degree of knee flexion is considered C a normal finding? a. 15 b. 90 c. 130 d. 160 6. Which of the following is considered a nor- D mal finding for a woman in her 8th mth of pregnancy? a. Stronger ligaments and spinal joints b. Hypocalcemia c. A 25% loss of muscle strength d. Lordosis 7. When assessing for carpal tunnel syn- D drome, Tinel sign can be performed by tap- ping the a. Dorsal aspect of the wrist b. Volar carpal ligament c. Radial artery d. Median nerve 8. Which group is susceptible to subluxation A of the head of the radius? a. Infants/toddlers b. Adolescents c. Pregnant women d. Older adults 9. The extension of the patient's head against D the examiner's hand is a test of a. Cervical spine alignment b. Passive ROM c. Temporalis muscle strength d. Sternocleidomastoid muscle strength 10. A patient complains of pain and a clicking B noise with jaw movement. The pain extends into the face. These sx are suggestive of what condition? a. Gout in the jaw b. Temporomandibular joint syndrome c. Rheumatoid arthritis of the jaw d. Bursitis of the temporomandibular joint 11. "Normal" muscle strength is documented C as grade a. 0 b. 1 c. 5 d. 10 12. To assess muscle strength of the tempo- C ralis and masseter muscles, the examiner will ask the patient to: a. Push the jaw forward while the examiner applies counterforce b. Attempt to open the mouth while the examiner applies counterforce c. Clench the teeth while the examiner pal- pates the contracted muscles d. Clench the teeth together while the ex- aminer attempts to open the mouth with a tongue blade 13. For which type of problem does a family hx A have significance a. Ankylosing spondylitis b. Dislocation of radius c. Lumbosacral radiculopathy d. Bursitis 14. Which statement made by a patient helps C the examiner differentiate osteoarthritis from rheumatoid arthritis? a. I have swelling and pain in my joints b. I notice a crackling sound when I move my joints c. I get extremely tired by mid-morning, even when I sleep well d. I used to play the piano when I was younger 15. Which of the following would be assessed as part of ROM during the assessment of the thoracic and lumbar spine? a. extension, flexion, and rotation b. eversion, inversion, and rotation c. adduction and abduction d. extension, flexion, and supination 16. Mr. Mann is a 48 y/o pt who presents for the examination of his knee. On examination, you note excessive hyperextension of his knee on weight bearing. This may include a. genu valgum b. weakness in the quadriceps c. weakness in the cruciate ligament d. weakness in the collateral ligament 17. A lateral curvature of the thoracic spine indicates a. gibbus b. convex curves c. lordosis d. scoliosis 18. Which of the following tests would detect a torn meniscus? a. ballotment b. varus stress c. mcmurray d. bulge sign 19. Mrs. Woods is a 28 y/o pt who is in her last trimester of pregnancy and presents to your office with c/o numbness in her left hand. You diagnose her with carpel tunnel syndrome most likely related to a. repetitive movement b. fluid retention c. postural changes in the neck caused by a. extension, flexion, and rota- tion b. weakness in the quadriceps d. scoliosis c. mcmurray b. fluid retention pregnancy d. eclampsia 20. On examination of a pt, you note a differ- ence in size of the upper extremities. You decide that measurement of the circumfer- ence is indicated. How do you ensure that the measurements of the two extremities are comparable? a. measure both extremities in cm b. measure at the same distance from the same major landmark c. measure each extremity twice and aver- age the results for each d. measure three locations on each extrem- ity and obtain the average 21. A pt comes to the clinic bc of pain and swelling of the proximal interphalangeal joint of the third finger of the left hand. How would you order your examination of her joints? a. affected first followed by the same joint on the right hand for comparison b. left metacarpophalangeal joints, and, fi- nally, the left distal interphalangeal joints c. affected joint last to avoid inducing dis- comfort which could influence the remain- ing exam d. left proximal interphalangeal joints start- ing with the index finger, then the middle finger, then the ring finger, and ending with the fifth digit 22. SX OF: BURSITIS- inflammation of this structure adjacent to a joint leads to limitation with motion, point tenderness and swelling b. measure at the same dis- tance from the same major landmark c. affected joint last to avoid in- ducing discomfort which could influence the remaining exam SX OF: FIBROMYALGIA- painful, nonarticular musculoskeletal condition CARPAL TUNNEL SYNDROME- numbness, LEGG-CALVE-PERTHES burning, and tingling in the hands PAGET DISEASE- excessive bone resorp- tion and bone formation DISEASE- avascular necrosis of the femoral head ANKYLOSING SPONDYLI- TIS- chronic inflammatory dis- ease involving the spine and sacroiliac joints TEMPOROMANDIBULAR JOINT SYNDROME-unilateral facial pain that worsens with joint movement GOUT-sudden onset of hot, swollen joint, limited range of motion