Quiz
Knee Exam
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Perguntas do quiz (50)
1Pt. has an ache with an occasional sharp pain along anterior knee during activity. What type of symptom does this describe?
- ANeurogenic radicular
- BSomatic referral
- CRadiculopathy
- DSomatic
2Pt. reports numbness and tingling in the posterior part of his calf, S1 dermatome tests hyporeflexia, and myotomes tests weak. What type of symptom does this describe?
- ARadiculopathy
- BSomatic
- CReferral
- DNeurogenic radicular
3Pt. scores a 40 on the LEFS his first week at physical therapy, he then scores a 50 on the LEFs his second week at physical therapy. How can you interpret these results?
- APt is getting better, the results aren't statistically significant
- BPt is getting better, the results are statistically significant
- CPt is getting worse, the results are statistically significant
- DPt is getting worse, the results aren't statistically significant
4Pt presents with medial knee pain after collapsing from a hit from the outside of the knee. WHat is likely the source of pain?
- AMCL
- BLCL
- CACL
- DPCL
5Pt. comes in, male, 20 years old. He reports having knee pain so you begin to perform your column 1. You start by observing his posture and decide to measure his Q angle. You get 15°, what does this mean?
- APt. has a small Q angle
- BPt. has a normal Q angle
- CPt. has a large Q angle
- DNone of these are correct
6Pt. presents with patella alta. What do you expect to find during your objective?
- AProblems with knee flexion because quad is lengthened
- BProblems with knee extension because quad is shortened
- CProblems with knee flexion because quad is shortened
- DProblems with knee extension because quad is lengthened
7Pt. presents with patella baja. What do you expect to find during your objective?
- AProblems with knee flexion because quad is lengthened
- BProblems with knee extension because quad is shortened
- CProblems with flexion because quad is shortened
- DProblems with extension because quad is lengthened
8Genu recurvatum stresses which areas of the body?
- AAnterior hip, anterior knee
- BPosterior hip, posterior knee
- CPosterior hip, anterior knee
- DAnterior hip, posterior knee
9For a patient with a collapsed arch, what osteokinematic motion occurs at the hip?
- AExtension, IR
- BExtension, ER
- CAdduction, IR
- DAdduction, ER
10Pt. presents with increased lumbar lordosis. What muscles do you suspect to find weak/ long and short in your palpation screen
- AShort erector spinae and hip flexors, weak glutes and abs
- BWeak erector spinae and hip flexors, short glutes and abs
- CShort erector spinae and glutes, weak hip flexors and abs
- DWeak erector spinae and glutes, weak hip flexors and abs
11Your patient presents with short hip flexors during your ROM screen. If your pt. has short hip flexors, what will happen at the knee?
- ALOG pushes pt into knee flexion
- BLOG pushes pt into knee extension
- CLOG pushes pt into valgus give
- DLOG pushes pt into varus give
12What happens to a patients hamstrings and posterior capsule with genu recurvatum?
- AShortened
- BLengthened
- CCompressed
- DContracted
13This muscle prevents anterior translation of the tibia
- Aquads
- Bhamstrings
- CVMO
- Dpopliteus
14Pt. presents with loss of quad function during gait. How does the pt. Present while walking that led you to this conclusion?
- ATendelenburg
- BFoot drop
- CFoot slap
- DSteppage gait
15If the knee hyperextends during gait when your patient is going into midstance, which muscles are not working correctly?
- AHamstrings
- BSoleus
- CQuads
- DGastroc
16During midstance of gait, if the knee hyperextends, which tissues are being stressed and can lead to injury?
- AHamstrings and anterior capsule
- BQuads and posterior capsule
- CHamstrings and posterior capsule
- DQuad and anterior capsule
17Your patient presents with pain during overpressure into knee flexion, but has no pain when you resist them into knee flexion. What is causing the pain with overpressure?
- AQuadriceps
- BHamstrings
- CHip flexors
- DHip extensors
18Your patient presents with no pain during overpressure into knee flexion, but has pain when you resist them into knee flexion. What is causing the pain with resisted flexion?
- AQuadriceps
- BHamstrings
- CHip flexors
- DHip extensors
19Your patient presents with pelvis (lower) crossed syndrome during your posture screen. Before screening the lower extremity, what do you expect to see at the knee?
- ALOG is pushed posterior pushing pt into hyperextension
- BLOG is pushed posterior pushing the pt into extension
- CLOG is pushed anterior pushing the pt into flexion
- DUncontrolled valgus at the knee
20What sort of end feel during the Lachman’s test rules out an ACL tear?
- AMuscular
- BFirm
- CCapsular
- DEmpty
21If pt has overuse of the hamstrings, what will happen?
- ADecrease in posterior tibial stress, quads will compensate
- BIncrease in posterior tibial stress, gluteus maximus will compensate
- CDecrease in posterior tibial stress, popliteus will compensate
- DIncrease in posterior tibial stress, quads will compensate
22Pt. is a 23 y.o and gets tackled on the football field. Pt. comes in with lots of pain in the knee and when you palpate the fibular head it is TTP. What should you do?
- AMobilize the fibular head
- BGive pt. Ice to the knee
- CRefer to emergency room for X-ray
- DTape the knee
23What occurs at the knee according to the screw-home mechanism with flexion?
- AOKC tibia IR and CKC femur ER
- BOKC tibia ER and CKC femur IR
- CCKC tibia IR and OKC femur ER
- DCKC tibia ER and OKC femur IR
24During knee flexion, what mechanism causes the knee to "pop open" by poplietus?
- AOKC Tibia IR
CKC Femoral ER - BOKC Tibia ER
CKC Femoral IR - CCKC Tibia ER
OKC Femoral IR - DCKC Tibia IR
OKC Femoral ER
- AOKC Tibia IR
25During knee extension, what mechanism causes the knee to "pop open" by poplietus?
- AOKC tibia ER
CKC Femor IR - BOKC tibia IR
CKC Femor ER - CCKC tibia ER
OKC Femor IR - DCKC tibia IR
OKC Femor ER
- AOKC tibia ER
26Pt. comes in with pain on the posterior part of his right thigh. He mentions to you that this is the 5th time he has come to PT for a hamstring strain. What should you do?
- AStretch the hip flexors
- BStretch the hip extensors
- CStrengthen the hip extensors
- DStrengthen the hip flexors
27If you are suspecting that your pt. has torn their LCL, which direction should you apply force to test this during your special test?
- AMedially to apply a valgus force
- BAnterior to provide an anterior force
- CPosterior to provide a posterior force
- DLaterally to apply a varus force
28Pt. has pain when descending into a squat. You decide to do a BMC at the tibiofemoral joint. What direction will you glide the femur and the tibia?
- AFemur IR, Tibia ER
- BFemur ER, Tibia IR
- CFemur ER, Tibia ER
- DFemur IR, Tibia IR
29Pt. has pain when flexing the knee. You decide to do a BMC to the patellofemoral joint. Which direction will you glide the patella?
- AInferior
- BSuperior
- CLateral
- DAnterior
30You decide to perform the Ober’s test on your patient. What brought you here?
- APROM limitation, Firm non-yielding end feel
- BPROM limitation, Firm yielding end feel
- CPROM limitation, catching and clicking
- DPROM limitation, you suspect rectus femoris is causing this
31During dynamic valgus, what occurs at the knee and ankle
- AKnee ABDuction and ankle eversion
- BKnee ADDuction and ankle inversion
- CKnee IR and ankle PF
- DKnee ER and ankle DF
32If a pt. Has decreased DF at the foot, they most likely have …
- AIncreased motion at ACL
- BIncreased motion at PCL
- CIncreased motion at MCL
- DIncreased motion at LCL
33If a pt. Is limited in deep knee flexion and has pain, what mobilization could help?
- APosterior gapping
- BLateral glide
- CMedial glide
- DAnterior gapping
34Pt. is limited in flexion, what technique would best improve the arthrokinematics at this joint?
- APosterior tibiofemoral
- BAnterior tibiofemoral
- CTibiofemoral distraction
- DTibiofemoral compression
35Your patient presents with pain during knee flexion. They have a history of OA. You decide to perform a joint mobilization to improve the patients knee flexion. However, when you begin, you notice the patient is having pain. What do you do next?
- APosterior tibiofemoral glide with distraction
- BPosterior tibiofemoral glide with compression
- CAnterior tibiofemoral glide with distraction
- DAnterior tibiofemoral glide with compression
36Your patient presents with pain and limitations during terminal knee extension. What sort of mobilization do you think would be best to treat your patient?
- AAnterior gapping
- BPosterior gapping
- CAnterior tibiofemoral
- DPosterior tibiofemoral
37Your patient prevents with posetrolateral knee pain with limited knee flexion. During palpation, you notice the patient doesn't have much movement at their fibular head, and it is posteriorly sublaxed. What sort of mobilization could you perform?
- AProximal Tibiofibular Posterior Glide
- BProximal Tibiofibular Anterior Glide
- CTibiofemoral Anterior Glide
- DTibiofemoral Posterior Glide
38Your patient presents with limited knee extension and DF, with little movement at the fibular head. What sort of mobilization could you perform to your patient?
- ATibiofemoral Anterior glide
- BTibiofemoral Posterior glide
- CProximal Tibiofibular Joint Posterior glide
- DProximal Tibiofibular Joint Anterior glide
39You are observing your patient during gait. You notice your patient has a loss of heel rise on the right and a right hip drop. What muscle isn't working properly?
- ALeft soleus
- BRight soleus
- CLeft gastroc
- DRight gastroc
40What can we expect to see with a loss of function of the hamstrings during swing phase?
- AKnee flexion during terminal swing
- BKnee snapping into extension during terminal swing
- CProgressive genu recurvatum
- DGenu valgum
41What is the result of a loss of hamstring function during stance phase?
- AGenu valgum
- BGenu recurvatum
- CGenu varum
- DNone of the above
42Your patient presents with a hip flexion contracture. How would you expect this to effect the knee during gait?
- AA hip flexion contracture causes decreased hip extension, preventing knee extension before terminal stance (heel off)
- BA hip flexion contracture causes increased hip extension, causing knee extension before terminal stance (heel off)
- CA hip flexion contracture causes decreased hip flexion, preventing knee flexion before terminal stance (heel off)
- DA hip flexion contracture causes increased hip flexion, increasing knee flexion before terminal stance (heel off)
43What are two problems that could occur with the pathway of the patella tracking?
- AThe kneecap isn't moving correctly in the femoral groove b/c glute inhibition or femur isn't moving correctly under kneecap b/c quad strength
- BNone of the above
- CThe kneecap isn't moving correctly in the femoral groove b/c quad inhibition or femur isn't moving correctly under kneecap b/c glute strength
44Your patient presents with anterior knee pain during squats, going up stairs and with any other sort of activity requiring prolonged knee flexion. Throughout your screen, after palpating your patients lumbar spine you are able to reproduce their pain. What are you suspecting is causing your patients pain?
- APossible PFPS
- BPossible patellar tendinopathy
- CPossible lumbar spine issue
- DPossible pes planus
45This posture is commonly seen in patients with genu recurvatum with this muscle group presenting weak...
- ASwayback with weak glutes
- BLower crossed syndrome with weak glutes
- CSwayback with weak knee flexors
- DLower crossed syndrome with weak knee flexors
46Your patient, a 55 y/o male presents to physical therapy following a knee trauma. During palpation you find isolated patellar tenderness and tenderness to the fibular head. During your functional screen you notice they are unable to flex to 90º and are unable to weight bear. What do you suspect the injury is?
- APossible patellar tendinopathy
- BPossible PFPS
- CPossible fracture
- DPossible quad rupture
47During your eval, your patient presents with pain and weakness to the anterior knee. What sort of grade would you give this patient and what do you suspect the injury to be?
- ANormal
- BGrade 1
- CGrade 2
- DGrade 3
48Your patient presents with weakness during a ROM screen with knee flexion. During palpation, you notice that the patient reports they don't feel you touching them. They also report feeling no pain. What sort of grade would you assign to this?
- ANormal
- BGrade 1
- CGrade 2
- DGrade 3
49Your patient presents with limited knee flexion ROM. You want to perform a joint mobilization. What sort of mobilization do you think is best for this patient?
- AGrade 1 tibiofemoral posterior glide
- BGrade 2 tibiofemoral anterior glide
- CGrade 3 tibiofemoral posterior glide
- DGrade 5 tibiofemoral anterior glide
50Your patient presents with pain during knee extension. What sort of mobilization would you perform to this patient?
- AGrade 1 anterior tibiofemoral glide
- BGrade 2 posterior tibiofemoral glide
- CGrade 3 posterior tibiofemoral glide
- DGrade 5 anterior tibiofemoral glide
Informações
- Descrição
- MSK I Quiz sobre Knee Exam, criado por Rikki Lynn em 28-02-2020.
- Autor
- Rikki Lynn
- Idioma
- English
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