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Clinical evidence suggests that the medical history portion of the patient interview, if well done,
can identify the correct diagnosis in approximately ________ of patients. - correct answer
✔✔75%
As discussed in Starkey and Brown (2015, which of the following statements are correct
regarding the clinician's utilization the patient's contralateral normal limb when conducting your
orthopedic examination?
-The patient's contralateral ("healthy") limb should be used as a comparator when observing for
the cardinal signs of inflammation
-The patient's contralateral ("normal") limb is used to determine whether bilateral symmetry
exists for sensory and motor functions.
-The patient's contralateral limb serves as a reference for what is normal for that patient -
correct answer ✔✔All are correct
Which one of the following is NOT a physical sign of injury?
-ankle joint swelling
-loss of 5 degrees of hip flexion
=ecchymosis
-nausea
-warm, red and dry skin - correct answer ✔✔nausea
When testing a patient's patellar tendon reflex, a component of the lower quarter screen, is
actually a test of which one of the following spinal nerve roots? - correct answer ✔✔L4
,Clear communication between patient and clinician is critical for obtaining an accurate medical
history. In order to practice culturally competent care in this process, clinicians should
________________________________.
-Convey respect for adult patients by addressing them formally, e.g., "Mrs. Garcia".
-Determine the patient's level of fluency in the English language
-Use jargon-free terminology ("lay terminology") when talking with the patient. - correct answer
✔✔All of these are correct
With regard to the manual muscle testing (MMT) grading system, a female patient who, when
asked by you, is able to actively flex her arthritic right hip joint through the full (normal) range
of motion is described as having grade _______ muscle strength? - correct answer ✔✔Grade 3
Which of the following types of information would typically be obtained by the clinician during
the "O" phase of the HOPS or SOAP injury examination process?
-gait
-posture
-muscle atrophy - correct answer ✔✔All of these are correct
Regarding palpation of a patient, the clinician should take particular note of which of the
following?
-Varying tissue densities in the quadriceps femoris
-The presence of one or more trigger points in the posterior calf
-Crepitus near a suspected fibular fracture
-Increased skin tissue temperature when compared to the contralateral normal ankle - correct
answer ✔✔All of these are correct
The patient's subjective experience of pain can be made more objective using which of the
following instruments?
-SF-36 Questionnaire
, -Universal Pain Assessment Tool
-McGill Pain Questionnaire
-Oswestry Disability Index
-Numeric Pain Rating Scale (NPRS) - correct answer ✔✔Universal Pain Assessment Tool, McGill
Pain Questionnaire, Numeric Pain Rating Scale (NPRS)
Which of the following diagnostic imaging techniques expose the patient to ionizing radiation?
-fluoroscopy
-dual energy x-ray absorptiometry (DEXA)
-computed tomography (CT)
-magnetic resonance imaging (MRI)
-diagnostic ultrasound - correct answer ✔✔fluoroscopy, dual energy x-ray absorptiometry
(DEXA), computed tomography (CT)
With regard to the evidence-based practice of physical medicine, which one of the following
experimental designs is considered to be the "gold standard" (best) in medical research? -
correct answer ✔✔randomized controlled trial
Which one of the following positive likelihood ratios would classify a special test for a lateral
ankle sprain as an "Excellent" clinical test? - correct answer ✔✔24.52
Scheuermann's disease is an idiopathic condition that affects approximately 10% of the general
population. This inflammatory, degenerative condition leads to _________________ wedging of
multiple vertebrae, and creates an exaggerated __________________ curvature of the spine. -
correct answer ✔✔anterior, posterior
Which of the following statistical values is/are helpful for the clinician to know when choosing a
special orthopedic test in the evaluation of a lower extremity injury?
-sensitivity