Quiz
MSK II UNIT 2
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Questions in this quiz (190)
1Primary goal is dynamic stability of the shoulder
- ATrue
- BFalse
2The scapula is the primary dynamic stabilizer…
- ATrue
- BFalse
3The RTC lives on the...
- Ascapula
- Brhomboids
- Crib cage
- Dacromion
4Clinical Pearl: 4 S’s… Scapula Sets the Stage for the Shoulder!
- ATrue
- BFalse
5Shoulder Girdle Complex: which of the following is not an articulation?
- AGlenohumeral Jt (GH)
- BSternoclavicular Jt (SC)
- CAcromioclavicular Jt (AC)
- DScapulothoracic Jt (ST)
- EGlenoscapular (GS)
6Clinical: In order to have full ROM of the “shoulder”… you need full ROM of just the GH and ST joints.
- ATrue
- BFalse
7Glenohumeral Joint: Arthokinematics?
- AUsually convex (ball)
gliding opposite of concave (socket) - BUsually concave (ball)
gliding opposite of concex (socket) - CUsually concave (socket)
gliding opposite of concex (ball)
- AUsually convex (ball)
8Which of the following is true regarding stability of the Shoulder Complex?
- AStability: Very mobile, not very stable
- BStability: Not mobile, but very stable
- CStability: mobility and stability are about equal
9Motion: majority of shldr motion occurs at....
- A120 deg
- B90 deg
- C160 deg
- D100 deg
10Scapulothoracic Junction: Joint type: Junction (no bone
connection/joint)- ATrue
- BFalse
11Scapulothoracic Junction Arthokinematics?
- ANot a set pattern
(no convex/concave rules) - BConvex over concave
- Cconcave over convex
- ANot a set pattern
12Scapulothoracic Junction Primarily held close to thorax by all of the following except :
- Asubscapularis
- Bserratus anterior
- Cpec minor
13Pearl: Have to stability of
__________for full mobility of GH!- Ascapulathoracic
- BGlenohumeral
- Cacromioclavicular
- Dsternoclavicular
14Scapulothoracic Junction: Motion: Accounts ~ ________ of GH motion
- A60 deg
- B40 deg
- C70 deg
- D100 deg
15Acromioclavicular (AC) Jt.. Joint Type:
- ASynovial - Plane
- BSynovial - Gliding
- CCondyloid
- DSaddle
16Arthrokinematics: Acromioclavicular (AC) Jt
- AAcromial surface slides in same
direction as scapula moves - BAcromial surface slides in opposite
direction as scapula moves
- AAcromial surface slides in same
17you have strong stability of AC jt because of the support of the muscles.
- ATrue
- BFalse
18Although this jt has very little motion, it limits endrange GH motion if it's motion is limited...
- AAC
- BSC
- CST
19How much motion is at AC jt?
- Avery little
- Bmoderate
- Calot
20 Labrum is an Anchor point for capsuloligamentous structures
- ATrue
- BFalse
21Labrum incr socket depth by how much?
- A~ 50% in all directions
- B~ 75% in all directions
- C~ 25% in all directions
- D~ 30% in all directions
22Primary restraint to anterior translation at 45-750 ABD is....
- AMiddle Glenohumeral LL
- BInferior Glenohumeral LL
- CSuperior Glenohumeral LL
23Space between Supraspinatus & Subscapularis is called the....
- ARotator Interval
- BRotator Space
- CTranslator Space
24SGHL & CHL limits________
- Ainferior translations
- Bsuperior translations
- Cflexion
- Dabduction
25Middle Glenohumeral LL limits...
- ALimits ER in mid-ABD
- BLimits IR in mid-ABD
- CLimits flexion in mid-ABD
- DLimits extension in mid-ABD
26The AIGHL is the most important passive restraint to dislocation.
- ATrue
- BFalse
27Inferior Glenohumeral LL Complex: With IR, what does this ligament do?
- AMoves posterior - barrier for posterior dislocation
- BMoves anterior - barrier for anterior dislocation
- C Moves anterior - barrier for posterior dislocation
- DMoves posterior - barrier for anterior dislocation
28Inferior Glenohumeral LL Complex: With ER, what does this ligament do?
- AMoves anterior - barrier for anterior dislocation
- BMoves anterior - barrier for posterior dislocation
- CMoves posterior - barrier for posterior dislocation
- DMoves posterior - barrier for anterior dislocation
29Which of the following is true regarding Negative Intra-articular Pressure?
- APressure within the joint is (-) creating a vacuum in the
joint (suction cup) - BPressure within the joint is (+) creating a vacuum in the
joint (suction cup)
- APressure within the joint is (-) creating a vacuum in the
30Viscous & intermolecular forces from wet surfaces of the joint provide:
- AHigh tensile strength (difficult to pull apart)
- BLow shear strength (slides easily)
- CHigh shear strength (slides easily)
- DLow tensile strength (difficult to pull apart)
31Primary shoulder girdle
complex innervations:- AC4/C5
- BC5/C6
- CC6/C7
- DC5/C6/C7
32Brachial Plexus – pathway..which is the correct pathway order?
- ANN Roots – intervertebral foramen
Scalenes
Under clavicle
Under Pec Minor
Through Axillary
Down the arm - BNN Roots – intervertebral foramen
Under clavicle
Scalenes
Through Axillary
Under Pec Minor
Down the arm - CNN Roots – intervertebral foramen
Through Axillary
Scalenes
Under clavicle
Under Pec Minor
Down the arm
- ANN Roots – intervertebral foramen
33Close to 20 muscles that influence
the shoulder girdle- ATrue
- BFalse
34Which of the following mm's tend to be tight?
- AUpper Traps
- BPosterior Cuff (Infra, Tminor)
- CPosterior Capsule
- DIRs: Lats, Pec Major, Subscapularis
- EPec Minor
- FSCM / Scalenes
- GLevator Scap
- HMiddle/Lower Trap
- ISerratus Anterior
- JRhomboids
35Which of the following mm's tend to be weak?
- AMT/LT
- BERs (Infra, Tminor)
- CSupraspinatus
- DRTC
- ESerratus Anterior
- FRhomboids
- GLevator Scap
- HSCM/Scalenes
- IPec Minor
36Key muscle impairments for Scapular Motions :
- A Dominant (working too much)
○ UT
○ Levator - B Dominant (working too much)
○ MT/LT
○ Levator - CTight (restricts movement)
○ Pec minor - DTight (restricts movement)
○ Pec major - EWeak (allowing abnormal movement)
○ MT
○ LT
○ Rhomboids
○ Serratus Anterior - FWeak (allowing abnormal movement)
○ MT
○ LT
○ Rhomboids
○ Pec Minor
- A Dominant (working too much)
37Which mm protracts scap?
- ASerratus
- BRhomboid
- CMT
- Dpec minor
38Which mm does not retracts scap?
- ARhomboids
- BMT
- CLT
39Which mm does not depresses scap?
- ALT
- BMT
- CLat Dorsi
40Which mm does not elevate scap?
- AUT
- BLevator Scap
- CScalenes
41Which of the following does not contribute to downward rotation of scap?
- ARhomboids
- BLevator Scap
- CPec Minor
- DSerratus Anterior
42Which of the following does not contribute to upward rotation of scap?
- ASerratus
- BUT
- CLT
- DRhomboids
43Which of the following is a SECONDARY dynamic stability for RC?
- ASupraspinatus
- BInfraspinatus
- CT minor
- DSubscap
- ELH Biceps
44Neuromuscular Control of RTC is the key
component to dynamic shoulder stability- ATrue
- BFalse
45Why is it so important to rehab Scapulohumeral Rhytm?
- AMaintains max GH contact
- BMaintains RTC length/tension relationship
- CB/c Dr. Fontenot told us to
46Shoulder (GH/scapular) Motion ratio:
- A2:1
- B1:2
- C3:1
- D1:4
47Scapula “sets” (no movement) in first 0-30 deg of shoulder elevation
- ATrue
- BFalse
48When does the Shoulder (GH/scapular) Motion ratio switch to a 1:1?
- A30-150 deg
- B100-120 deg
- C130- 150 deg
- D50-80 deg
49Scapulohumeral Rhythm: Beyond 150 degrees– primarily the sternoclavicular joint.
- ATrue
- BFalse
50For the shoulder:
STABILITY before
MOBILITY- ATrue
- BFalse
51For the scap, Scapular STABILITY before MOBILITY
- ATrue
- BFalse
52Pathology Note: Superior translation
into subacromial arch incr’s 60% w RTC
dysfunction.- ATrue
- BFalse
53Serratus Anterior & Upper/Lower Trap: Which of the following is not a primary goal?
- Aupward rotation
- Belevation
- Ctranslation
54Dynamic Stabilization – Force Couples:
Serratus Anterior & Upper/Lower Trap
Which of the following is not a fx of theses mms?- AAllow optimal glenoid positioning
- BMaintains efficient RTC length tension relationship
- CProvides/maintains stable scapular base
- DAll of these are fx's
- Enone of these are fx's
55Pathology Note: Which of the following do Impingement pts NOT show:
- AUT, levator dominance
- BDelay in firing of MT, LT
- CDecr’d SA activity
- DAbsent C6/C7 reflexes
56Which of the following equations is correct?
- AUT + LS = SA + MT + LT
- BUT + SA = LS + MT + LT
- CMT + LT + LS = SA + UT
- DUT MT + LT = SA + LS
57Dynamic Stabilization – Force Couples: Which of the following does NOT depress and compress humeral head?
- AAnterior Rotator Cuff
- BPosterior Rotator Cuff
- CInferior Rotator Cuff
58Which of the following is NOT one of the 3 main components of muscular “Stability”:
- ANeuromuscular Control
- BMuscular Balance
- CMuscle Endurance
- DPure Strength
59Shoulder p! Classifications: CPG --> Shoulder Pain and mobility deficits
.... Think adhesive capsulitis.- ATrue
- BFalse
60Shoulder p! Classifications: CPG --> Shoulder instability and movement coordination
impairments / dislocation of shoulder joint, or
sprain/strain of shoulder joint
Think instability… Loosy goosey…- ATrue
- BFalse
61Shoulder p! Classifications: CPG --> Shoulder pain and muscle deficits / rotator cuff
syndrome
Think RTC tendonitis, strain, tear…- ATrue
- BFalse
62DASH: Disabilities of the Arm, Shoulder, and Hand
1. Full DASH (60 questions) – more precise
2. Quick DASH (30 questions) – more convenient- ATrue
- BFalse
63Outcome measure: ASES stands for American Shoulder and Elbow Surgeons
scale- ATrue
- BFalse
64Outcome measure: SPADI stands for Shoulder Pain and Disability Index
- ATrue
- BFalse
65Outcome measure: PSFS stands for Patient-Specific Functional Scale
- ATrue
- BFalse
66Outcome measure: GROC stands for Global Rating of Change
- ATrue
- BFalse
67If Description of arm is:
“Dead arm”:
Think....- Ainstability (Brachial plexopathy – traction)
- BRTC
- Clabral tear
- Dhumerus fracture
68If Description of arm is:
“Heavy arm”:
Think....- Ainstability (Brachial plexopathy – traction)
- BRTC
- Clabral tear
- Dhumerus fracture
69Which of the following is NOT a Red Flag for Shoulder?
- AVisceral Referred pain
- BMyocardial Ischemia
- CInfection (post-op)
- DSevere p! due to facet closing dyxfx
70Excessive ER is...
- AGERG
- BGIRD
71Decreased IR is...
- AGERG
- BGIRD
72Total Arc of Motion:
• Total ER + IR should be within ______ of each other – regardless of the differences btw ER/IR- A5
- B7
- C12
- D20
73Scapular Dyskinesia: Coracoid pain/malposition indicates....
- ATight pec minor pulling on it
- Black of motor control
- CScapular instability
74Scapular Dyskinesia: What does NOT constitues SICK Scapula?
- AMaloposition of Scapula
- BProminence of Inferior/medial border of scapula
- CCoracoid pain/malposition
- DScapular DysKinesia
- ELack of motor Control
75What two motionshelp illustrate a tight posterior capsule?
- AIR
- BER
- CHorizontal ADD
- DHorizontal ABD
76Impingement: Painful Arc Sign
Positive test
Recreation of shoulder pain btw __________________ during elevation.- A60-120
- B80-100
- C1-50
- D100-150
77Test for: Subacromial impingement
Position: Standing
Test:
Passively raise pt‟s arm up to end range
elevation in neutral or IR
Positive test
Recreation of shoulder pain
If (+) w/ shldr ER – check AC jt- AImpingement: Neers
- BImpingement: Hawkins Kennedy
- CImpingement: Cross Arm ADD
78Primary ER?
- AInfraspinatus
- BSupraspinatus
- CT minor
79 Each impingement test alone does not
have good diagnostic accuracy but
combining the 3 (Painful Arc, Neer, Hawkins-Kennedy):
Cluster Diagnostic Accuracy:
If all 3 (+), the +LR = 10.56
If 2/3 (+), the +LR = 5.01
If 1/3 (+), the +LR = .90
If all 3 (-), the –LR - .17
- ATrue
- BFalse
80Anterior displacement of shoulder...want to test for integrity of....
- Asubscap
- Binfrspinatus
- CT minor
- Dpec minor
81if you have anterior displacement, want to focus on strengthening both, but PRIMARILY,
- Aposterior cuff
- Banterior cuff
82Sulcus sign tests for
- Amultidirectional instability
- BSubscapularis lesion
- CRTC Tear – Subscapularis
83What is the Special Test for:
Anterior instability
Posterior impingement- AJobe Relocation
- BAnterior Apprehension
- CSulcus
84What is the Special Test for:LH Biceps or Labrum
- ASpeed’s Test
- BPosterior Apprehension
- CJobe Relocation
85Yergason’s Test is for..
- ALH Biceps
- BLabral Tear
- CFracture
- DRCT
86 Biceps Load II tests for...
- ALabrum tear (SLAP)
- BRCT
- Cinstability
87 O’Briens (Active Compression Test) tests for what?
- ALabrum, AC jt
- Binstability
- CSLAP tear
88 Clunk / Crank Test tests for what?
- ALabrum
- BSLAP tear
- CAC joint
- Dinstability
89 Anterior Slide/Kibler Test tests for what?
- ALabrum
- BSLAP tear
- Cinstability
- DOA
90What test is when y
Start in “Hawkins-Kennedy” position & Apply axial load while Hor ADD?
(+) recreation of pt‟s Sx‟s- AJerk Test
- BAnterior Slide/Kibler Test
- CClunk / Crank Test
- DO’Briens (Active Compression Test)
91Subacromial impingement syndrome accounts for 44% to 60% of all conditions causing shoulder pain
- ATrue
- BFalse
92Shoulder p! is the ______ reason people seek PT
- Afirst
- Bsecond
- Cthird
- Dfourth
93Which is NOT one of 3 things impinged in the subacromial space (btw acromion, coracoacromial LL, HH)
- ARotator cuff (supraspinatus)
- BLong head of the biceps
- CSubacromial bursa
- DShort head of biceps
94 Cause of impingement is multifactorial but reason is consistently what?
- ASuperior and anterior translation of head of humerus
- BSuperior and posterior translation of head of humerus
- CInferior and anterior translation of head of humerus
- DInferior andposterior translation of head of humerus
95Which of the following are Primary causes of impingement?
- ARTC dysfunction – primarily supraspinatus ---> superior migration
- BTight posterior capsule --> anterior translation
- CTight anterior capsule --> anterior translation
- DRTC dysfunction – primarily infraaspinatus ---> inferrior migration
96Hallmark presentation for Impingement:
- APain with overhead reaching
- BPainful arc mid-range (60-120)
- COften painful w/ quick movements
- DPain w/ sleeping on shoulder
- E. Positive impingement test:
Neers, Hawkins-Kennedy - FOlder population generally
- GSlouching posture
97Intrinsic factors (musculotendinous changes occurring with age) : for RTC Dysfx?
- AVascular changes in rotator cuff tendons
- BTissue tension overload (wear and tear) --> Collagen disorientation and degeneration
- CRTC has a lifespan - Increasing incidence in those over 40 yo
- DType of sport/career --> Overhead athlete (pitcher, ec.), Overhead career (painter, etc.)
98Imping. classification: Primary means...
- A“not enough space”
- B“not enough control”
99Imping. classification: Secondary means...
- A“not enough space”
- B“not enough control”
100Older population is more likely to be placed in what impingment classification?
- APrimary
- BSecondary
101if you block the scapula, you have more of the....
- Acuff stretch
- Bcapsule stretch
102supraspinatus has one of the poorest blood supplies in the body.
- ATrue
- BFalse
103a key symptom of _______ is Painful arc with overhead reaching (especially ABD)
- ATendonitis
- Bsubacromial bursitis
- Cposterior/internal impingement
104Any time there is a RC pathology, there is chance for impingement.
- ATrue
- BFalse
105 Primary Tensile Cuff Disease
- AOccurs in stable shoulders (RTC just wears out) ◦ RTC begins to tear due to loads it sees in decelerating the shoulder
- BInstability adds to the forces the RTC sees and leads to cuff tears ◦ RTC has decelerate and control motion of HH!
106 Secondary Tensile Cuff Disease
- AInstability adds to the forces the RTC sees and leads to cuff tears ◦ RTC has decelerate and control motion of HH!
- BOccurs in stable shoulders (RTC just wears out) ◦ RTC begins to tear due to loads it sees in decelerating the shoulder
107most tears are ____________ not ______________
- Ahorizontal, vertical
- Bvertical, horizontal
108 Inside-out tears:
- AYounger, most likely athletes
- Bgeneral population
109 Outside-in tears
- Ageneral population
- BYounger, most likely athletes
110 Wear/tear from the superior surface of the supraspinatus and/or other RTC MM’s
- AOutside-in tears
- BInside-out tears
111 Wear/tear of the undersurface of the muscle from the HH
- AOutside-in tears
- BInside-out tears
112Which of the following is NOT true of a Full Thickness Tear?
- AComplete tear extending entire depth of tendon
- BUsually not responsive to PT ---> surgery
- CUsually anything > 2.5cm
- DOnly through a portion of the tendon
113There are two classifications for shoulder isntability: TUBS and AMBRI
- ATrue
- BFalse
114Which of the following is not part of TUBS?
- ATraumatic
- BUnilateral
- CBankart Lesion
- DSurgery
- EBilateral
115Which of the following is not part of AMBRI?
- AAtraumatic
- BMultidirectional
- CBilateral
- DRehabilization
- EInferior Capsular Shift
- FBankart Lesion
116Separated shoulder is a ______ jt issue
- AAC
- BGH
117Dislocated shoulder is a ______ jt issue
- AGH
- BAC
- CSC
118Incidence of Traumatic Instability: 95-98% ______ location
- Aanterior
- Bposterior
- Csuperior
- Dinferior
119On a FOOSH, younger pts are more likely to experience ________
- Alabral tears
- BRTC tears
- Cfracture
120On a FOOSH, older pts are more likely to experience ________
- Alabral tears
- BRTC tears
- Cfracture
121Evidence & Experience agree: ◦ Once you dislocate your shoulder, it’s likely to happen again… and again! Especially without rehab!
- ATrue
- BFalse
122Recurrent Dislocations : Have to improve dynamic stability b/c the static structures no longer “normal”
- ATrue
- BFalse
123 “Pops out” but spontaneously reduces ◦ Each time this occurs: passive structures are stretched out even more.
- ASubluxation
- BDislocation
124 “Pops out” and stays out – requires manual reduction (preferably by MD) ◦ Important to perform NV screen pre/post
- ADislocation
- BSubluxation
125What is the most common Neurological associated complication for tramatic instability?
- Aaxillary
- Bsuprascapular
- CLong thoracic
126a posterolateral humeral head compression fracture, typically secondary to recurrent anterior shoulder dislocations, as the humeral head comes to rest against the anteroinferior part of the glenoid. It is often associated with a Bankart lesion of the glenoid.
- AHills-Sachs Lesion
- BBony Bankart
- CHAGL
- DSLAP
127this lesions occur when some of the glenoid bone is broken off with the anterior labrum.
- ABony Bankart
- BHills-Sachs Lesion
- CHAGL
- DSLAP
128Anterior Instability: Hallmark Presentation...all of the following EXCEPT:
- APain (either anterior or posterior of shoulder)
- BABD/ER position (high 5) – sense of instability
- C+/- parasthesias in UE (due to traction)
- DAvoidance of provocative positions of UE
- E+/- altered shoulder girdle mm performance
- FTrauma & > 50 yo ---> RTC tear
- G"Its a really sharp p! in my shoulder"
129Which of the following is not a general Special Tests for Anterior instability?
- AAnterior Apprehension
- BAnterior Drawer (Load/Shift)
- CJobe Relocation Test
- DKim Test
130Posterior Instability: Hallmark Presentation...all of the following EXCEPT?
- APain: posterolateral shoulder
- BHADD/IR/Flex position – sense of instability
- CAvoidance of provocative positions of UE
- D+/- altered shoulder girdle mm performance
- EABD/ER position (high 5) – sense of instability
131Which of the following is generally not a special test performed for Posterior Instability?
- APosterior Apprehension
- BPosterior Drawer (Load/Shift)
- CKim Test
- DJobe Relocation Test
132Multidirectional Instability: Presentation...all of the following except?
- APain: global shoulder
- BUse of arm for ADLs – sense of instability
- CParasthesias carrying objects at side
- DHypermobility at elbow, hand, knee (Beighton’s scale)
- E+/- altered shoulder girdle mm performance
- FScapula dyskinesia/winging/tilting/All over the place
- GHADD/IR/Flex position – sense of instability
133Which of the following tests is not generally performed for Multidirectional Instability?
- AAny Apprehension Test
- BLoad/Shift – Anterior & Posterior
- CSulcus Sign (Hallmark for MDI)
- DKim Test
134Key Characteristics of Adhesive capsulitis? All of the following EXCEPT?
- ASeverely decreased ROM in multiple directions: AROM = PROM
- BPain/inflammation
- CFibrous synovial adhesions
- DReduction of joint mobility
- ESeverely decreased overhead activity
- F(+) impingement b/c RTC tendons are part of capsule
- GApprehension of movement
135Clinical Presentation
40-60 yo
Females > males
Non-dominant > dominant side
Pt can’t remember an “incident” but tracks it back a “long time.”
(+) night time positional pain
Decr’d ADLs – overhead motion- AAdhesive Capsulitis
- BAC Jt injury
- CCommon shoulder neuropathy
- DDecrease in jt space/OA
136 AKA: idiopathic frozen shoulder
Most common
Occurs spontaneously from unknown causes- APrimary adhesive capsulitis
- BSecondary adhesive capsulitis
137 Occurs after trauma or immobilization
- ASecondary adhesive capsulitis
- BPrimary adhesive capsulitis
138How many stages in Adhesive Capsulitis?
- A2
- B3
- C4
- D5
139 Time Frame: 0-3 months
Etiology of ROM Loss: Due to pain & NOT capsular contracture
Symptoms: ◦ Pain at rest and w/activity ◦ Increasing loss of ROM & function
What stage of adhesive capsulitis is this?- AStage 1
- BStage 2
- CStage 3
- DStage 4
140 Time Frame: 3-9 months (still in inflammation phase)
Etiology of ROM Loss: ◦ Painful synovitis ◦ Partial loss of capsular volume
Symptoms: ◦ Incr’d pain and loss of ROM/Function
What stage of Adh. Cap?- AStage 1
- BStage 2
- CStage 3
- DStage 4
141Time Frame: 9-14 months
Etiology of ROM Loss: ◦ Capsular fibrosis ◦ Full loss of capsular volume
Symptoms: ◦ Severe loss of ROM/Function but usually less/no pain ◦ May have impingement pain as ROM starts to improve
What stage of Ad. Capsulitis?- AStage 1
- BStage 2
- CStage 3
- DStage 4
142 Time Frame: 14+ months
ROM: Slow/steady recovery due to capsular remodeling
Symptoms: ◦ Slow/steady incr’d ROM/Function
What stage of Ad. Capsulitis?- AStage 1
- BStage 2
- CStage 3
- DStage 4
143 This is the “Separated Shoulder”
Etiology: ◦ Traumatic Fall directly on shoulder/acromion (direct force)
Force transmitted from a FOOSH (indirect force) ◦ Chronic: Weight lifters, overhead occupation
S/S: pain with horizontal ADD
Painful/degenerative AC jt can restrict/alter shoulder ROM
Always a differential Dx w/ impingement conditions ◦ Key difference – location of pain (AC jt on top of shlder; impingement is usually anterior shldr)- AAC Jt injuries
- BGH Jt injuries
- CSC Jt injuries
- DST Jt injuries
144S/S of AC jt injuries?
- Apain with horizontal ADD
- Bpain with horizontal ADB
- Cpain with flexion
- Dpain with IR
145Which of the following are special tests for AC jt injuires?
- ACross body ADD
- BO'Brien's Test
- CKim Test
- DJergens Integrity test
146Pathology of a nerve is neuropathy.(Muscle weakness due to nerve involvement )
- ATrue
- BFalse
147Serratus Anterior ---> scapular winging, shldr elevation overhead: suspect what?
- ALong thoracic nerve involvement
- BSuprascapular nerve involvement
- CAxillary nerve involvement ◦
148Supraspinatus / Infraspinatus ----> RTC dysfunction...suspect?
- ALong thoracic nerve involvement
- BSuprascapular nerve involvement
- CAxillary nerve involvement ◦
149 Deltoid / T. Minor ----> difficulty with shoulder elevation
- ALong thoracic nerve involvement
- BSuprascapular nerve involvement
- CAxillary nerve involvement
150Pros of Arthoscopic surgery include all except?
- ALess invasive
- BLess collateral damage
- CVisualization
151Pros of Open (Mini-open) sx include all except?
- AVisualization
- BFixation
- CLess invasive
152If I said SLAP surgery...what motions will you NOT do with pt?
- AExtension
- BRotation (IR/ER)
- CBiceps activiation (LH)
- DAll of these
153Optimal Loading is the key to tissue healing! ◦
Not enough loading ----> Optimal loading <----Too much loading- ATrue
- BFalse
154Clinical Pearl to say to your patients" “My job is to put your body in a position to heal itself b/c that is what it was meant to do.”
- ATrue
- BFalse
155Addressing Post-op stiffness.... if they are <250 ER or <450 ABD at 2 wks, what should you do
- Ayou are right on track
- Bspeed it up
- Cslow it down
156Most pts that are a “little behind schedule” with post-op rehab have difficulty reaching full ROM by 12 weeks
- ATrue
- BFalse
1572 key points with Early strengthening during surgical rehab.... which is not one?
- AWhen appropriate - early submax isometrics important in increasing local blood flow
- BMost effective submax isometrics to increase local blood flow: IR/ER in scaption
- Ckey component of early mgt of any shoulder pathology (Sx or not) is scapular stabilization
- DUse Manual scapular work (to bypass GH jt)
- EHave pt Enter AROM ASAP
158Subacromial Decompression (SAD) is sx performed for...
- AImpingement Syndrome
- BLabral tear
- CRCT
159Subacromial Decompression (SAD) rehab consideration: Precaution is to do no resisted ___________ for 6 weeks
- Aflexion
- Bextension
- CER
- DIR
160Subacromial Decompression (SAD) rehab consideration: Likely to have significant_____________ due to decr’d Hor ADD prior to Sx
- Aposterior capsule/cuff tightness
- Bansterior capsule/cuff tightness
161 Subacromial Decompression (SAD) done in isolation is comparable to “simple” arthroscopic knee surgery (debridement).
- ATrue
- BFalse
162Indications for Distal Clavical Excision (DCE) include:
- AAC joint injury
- BFibrotic/OA AC joint
- CImpingement syndrome
- DGH joint injury
163 With a Distal Clavicle Excision (DCE) you are basically creating a Type II AC Joint Injury and should be treated as such.
- ATrue
- BFalse
164Indications for RC repair is...
- ALoss of RTC function
- BUnbearable p!
- CSevere laxity
165 RC Repair: Deltoid splitting; acromial attachment preserved but weakened
- AArthroscopic only
- BArthroscopic assisted
166RC Repair: Diagnostic
◦ GH cleanout
Bursa
AC osteophytes
Hooked acromion or spur
DJD AC jt- AArthroscopic only
- BArthroscopic assisted
167If Rotator Cuff procedure can't be done, reverse total shoulder arthropasty is last resort.
- ATrue
- BFalse
168Which of the following is NOT an indication for Capsular Shift (Plication)?
- AChronic, atraumatic instability
- BRecurrent subluxation
- CIntact labrum (just really stretched out!)
- DUE paresthesia
- Elabral dysfunction
169For capsular shift (plication) rehab considerations...what is considered too loose after surgery?
- A>25 deg ER at 1st visit or >45 at 2 wks (too loose!)
- B>15 deg ER at 1st visit or >30 at 2 wks (too loose!)
- C>10 deg ER at 1st visit or >45 at 2 wks (too loose!)
170 With a Capsular Plication…
- ASlow and Steady wins the race!
- BDon’t be in a hurry – we actually want to promote scare tissue formation.
- CLeave them a little tight – they will eventually get it back on their own
- DDon’t wait on NM control -- can work on this right away because the mm's aren't affected, just the capsule
171Indications for Bankart (anterior instability) surgical procedure?
- ATraumatic/Acute GH dislocation
- B(+) Labrum Special Tests (Apprehension, Clunk/Crank, Relocatio)
- CChronic, atraumatic instability
- DIntact labrum (just really stretched out!)
172Precautions for Bankart (anterior instability) rehab considerations?
- AAvoid “High 5” position
- BIf Open repair (subscapularis involvement) Retracted, split
- CAvoid IR
- DAvoid passive ER
- EAll of these
173Chronic (AMBRI) Rehab considerations include all of the following EXCEPT?
- AMore conservative Tx
- BLack of previous ROM (during rehab) – < 80%
- CEarly NM control
- DPatient education on expectations (patience)
- EEarly mobilization
174Traumatic (TUBS) Instability Rehab considerations include all of the following EXCEPT?
- AEarly mobilization
- BLooking for full, symmetrical ROM
- CEarly NM control
- DPatient education on expectations
- EMore conservative Tx
175How many jts does the elbow have?
- A1
- B2
- C3
- D4
176This jot provides most of the structural stability to the elbow
- AHumeroulnar
- BRadioulnar
- CProximal Radioulnar
- DHumeroradial
177What mob would you do to achieve more extension on the elbow?
- APosterior
- Banterior
- Cinferior
178Forearm supination with ________ glide of the radial head
- Aanterior-medial
- Bposterior-medial
- Canterior-lateral
- Dposterior-lateral
179Forearm pronation with ________ glide of the radial head
- Aposterior-lateral
- Banterior-lateral
- Canterior-medial
- Dposterior-medial
180Which are the MEDIAL ligs of the elbow?
- AUlnar Collateral LL
- BRadial Collateral LL
- CTransverse LL
- DAnnular LL
181Which are the LATERAL ligs of the elbow?
- ARadial Collateral LL
- BUlnar Collateral LL
- CTransverse LL
- DAnnular LL
182Which of the followings do not extend the elbow?
- ABrachialis
- BBiceps Brachii
- CBrachioradialis
- DAnconeus
183At 90* flexion, the ______ becomes the main supinator
- Abiceps brachii
- Bsupinator
- CBrachioradialis
184Normal elbow carrying angle for males is ___, and females is _________
- A5*, 10-15*
- B10-15*, 5*
185Cubitius Valgus (elbow) should be ______ 15*
- A>
- B<
186Cubitus Varus
- A<5-10*
- B>5-10*
- C>15*
- D<12*
187Most elbow ADLs Require:
- A100 degree arc of flexion/extension (30 to 130º )
- B100 degrees of forearm supination/pronation (50º each)
- CBoth of these are incorrect
- DBoth of these are correct
188Generally, loss of terminal ____________ results in greater
limitation of function than loss of ___________- Aflexion, extension
- Bextension, flexion
189Biggest elbow PT issue:
- Ahypomobility
- Bhypermobility
190For the elbow, the Most common diagnosis is tendonitis/tendonosis
- ATrue
- BFalse
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- Quiz on MSK II UNIT 2, created by Cat Snead on 05/07/2016.
- Author
- Cat Snead
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- English
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