TE2 Exam 2

Patient presents with their right hand in an Ape-Hand formation with atrophy of the thenar eminence. They have a weak grip, cannot pronate the forearm, and are unable to to tip-to-tip, tip-to-pad, and pad-to-pad prehension.
Which nerve is likely compressed or damaged?

• Median n.

• Radial n.

• Ulnar n.

Patient presents with the following symptoms:
▪ Wrist Drop
▪ Weak Triceps
▪ Weak Supination
▪ Difficulty making Fist or Gripping Objects
Which nerve do you think is compressed or damaged?

• Median n.

• Radial n.

• Ulnar n.

Patient presents with the following symptoms:
▪ Partial claw with atrophy between the metacarpals,
▪ Atrophy of hypo-thenar eminence and
▪ Ulnar drifting of little finger
▪ No Thumb AD-D and Finger AD-D/AB-D
▪ No Flexion of Fingers 4 and 5
Which nerve doe you think is compressed or damaged?

• Median n.

• Radial n.

• Ulnar n.

Following a nerve injury, your patient presents with an obvious physical deformity of the affected region. Which of the following is the most likely type of nerve injury?

• Chronic Nerve Compression

• Mild Compression

• Complete Laceration

• Stretch Injury (adhesions following surgery)

Following a nerve injury, your patient presents with a subtle physical deformity of the affected region. Which of the following is the most likely type of nerve injury?

• Chronic Nerve Compression

• Mild Compression

• Complete Laceration

• Stretch Injury (adhesions following surgery)

Following a nerve injury, your patient cannot even manage a trace of contraction in the affected region. Which of the following is the most likely type of nerve injury?

• Chronic Nerve Compression

• Mild Compression

• Complete Laceration

• Stretch Injury (adhesions following surgery)

Following a nerve injury, your patient reports heightened symptoms when the nerve is stretched, but abatement when the nerve is returned to a less stressful length.
Which of the following is the most likely type of nerve injury?

• Chronic Nerve Compression

• Mild Compression

• Complete Laceration

• Stretch Injury (adhesions following surgery)

Stretch the Median n.!

Stretch the Ulnar n.!

Stretch the Radial n.!

Which nerve is stretched the most by the following?
1. Shoulder Girdle depression (PTs thigh on top of shoulder)
2. Pronation of F/A with IR –elbow is in extension
3. Thumb to center of palm
4. Finger flexion
5. Wrist flexion
6. Ulnar deviation
7. Slight arm abduction
8. Cervical SB away

• Radial n.

• Ulnar n.

• Median n.

• Musculoskeletal n.

Which nerve is stretched the most by the following?
1. Shoulder girdle depression (hand underneath scapula)
2. Shoulder Abduction-place elbow in PT groin to control
3. Shoulder ER
4. 5th-finger extension (PT index finger on patient’s 5th finger)
5. Wrist Extension
6. Elbow Flexion
7. Finish Shoulder Abduction

• Ulnar n.

• Radial n.

• Median n.

• Sciatic n.

Which nerve is stretched the most by the following?
1. Shoulder girdle depression (PT elbow at top of patient’s shoulder)
2. Arm Abduction to 90 degrees
3. Shoulder ER
4. Forearm Supination
5. Wrist/Finger Extension
6. Elbow Extension
7. Cervical Side-bend Away

• Median n.

• Ulnar n.

• Radial n.

• Femoral n.

Which of the following provides the best stretch for the Femoral n.?

• 

  Prone Knee Bend Test

• 

  Supine SLR

• 

  Slump Test

• 

  Naked Superman

From the assessment position, which joint is first manipulated to treat the Femoral nerve?

• Ankle

• Knee

• Hip

• 1st MCP

From the assessment position, which joint is first manipulated to treat the Radial nerve?

• Wrist

• Elbow

• Shoulder

From the assessment position, which joint is first manipulated to treat the Ulnar nerve?

• Shoulder

• Elbow

• Wrist

What is the positioning of the knee when immobilized after surgery for realignment of the extensor mechanism?

• Full Extension

• Full Flexion

• Slight Flexion

• 90 degrees of Flexion

Patient reports a diffuse ache in anterior knee, pain exacerbated by stair-climbing, swelling, and the knee giving-way from time-to-time. What do you think might be the problem?

• Compression of Femoral n.

• Laceration of Sciatic n.

• Patellofemoral Arthralgia

• Osteoarthritis

Which patellar orientation is the most likely to cause patellar tendonitis to an extent that even quad sets and SLR cause pain?

• Lateral Glide

• Lateral Tilt

• Medial Rotation

• Inferior Tilt (Anteroposterior Component)

Which of the following indicates a positive test for Dynamic Tilt of the Patella?

• Passively move Patella medially => Lateral Patellar Border becomes more difficult to palpate

• During Quadriceps contraction, Patella should travels inline with femur, not favoring either side

• Inferior Pole of Patella is LATERAL to the Long Axis of the Femur

• Inferior Pole of Patella is more POSTERIOR than Superior Pole

Which of the following indicates INTERNAL ROTATION of the Patella?

• Inferior Pole of Patella is MEDIAL to the Long Axis of the Femur

• Inferior Pole of Patella is LATERAL to the Long Axis of the Femur

• Line between most medial and most lateral aspect of patella is perpendicular to the Long Axis of the Femur

• Inferior Pole of Patella is more POSTERIOR than Superior Pole

According to your reading on McConnell patellar taping, which dysfunctional component should be corrected first in your taping?

• anteroposterior component

• tilt component

• rotation component

• glide component

According to the Clinical Approach for the Selection of Taping Techniques for Knee Pain, which taping method will provide the best unloading, such as might be needed for a person presenting with severe crepitus, severe pain beneath and around the patella, or post-arthroscopic surgery?

• Diamond-Pattern

• V-Shape

• AnteroposteriorCorrection

• External Rotation Correction

McConnell recommends using your assessment of the patellar position to decide on the correct taping method to apply. What is a major problem in relying on your assessment results?

• Relies upon the palpation skills of the therapist

• Patellar position changes with knee flexion

• Patellar position may change over time

If the inferior pole of the patella is medial to the long axis of the femur, which component would you want to create with your taping?

• External Rotation

• Internal Rotation

• Posterior Tilt

• Lateral Translation

• Medial Translation

According to Laprade, which of the following is the most effective exercise to recruit the VMO relative to the VL.

• Resisted Tibial Medial Rotation during Knee Extension

• Resisted Tibial Medial Rotation

• Seated Knee Extension

• Standing Knee Extension

If your patient with OA of the knees reports increased joint stiffness and pain the morning after therapy, how should you alter your treatment intervention?

• Exercise should continue, but with modifications to minimize joint stress.

• Exercise should cease until morning stiffness subsides

• Exercise should continue, but with less resistance

• Exercise should continue, but with less repetitions

• LE Exercise should cease, but UE exercise can continue

Following application of McConnell Taping to a runner, which of the following would be the best way to assess the effectiveness of the taping?

• Observe the patient perform SAQ

• Observe the patient perform LAQ

• Palpation

• Observe the patient running