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TE2 Exam 2

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USA - TE2 Quiz on TE2 Exam 2, created by Ben Williams on 19/06/2017.
Ben Williams
Quiz by Ben Williams, updated more than 1 year ago
Ben Williams
Created by Ben Williams almost 7 years ago
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Question 1

Question
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?
Answer
  • Median n.
  • Radial n.
  • Ulnar n.

Question 2

Question
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?
Answer
  • Median n.
  • Radial n.
  • Ulnar n.

Question 3

Question
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?
Answer
  • Median n.
  • Radial n.
  • Ulnar n.

Question 4

Question
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?
Answer
  • Chronic Nerve Compression
  • Mild Compression
  • Complete Laceration
  • Stretch Injury (adhesions following surgery)

Question 5

Question
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?
Answer
  • Chronic Nerve Compression
  • Mild Compression
  • Complete Laceration
  • Stretch Injury (adhesions following surgery)

Question 6

Question
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?
Answer
  • Chronic Nerve Compression
  • Mild Compression
  • Complete Laceration
  • Stretch Injury (adhesions following surgery)

Question 7

Question
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?
Answer
  • Chronic Nerve Compression
  • Mild Compression
  • Complete Laceration
  • Stretch Injury (adhesions following surgery)

Question 8

Question
Which of the following characterize treatment and healing during the ACUTE Phase of Nerve Injury?
Answer
  • emphasis is on healing and prevention of complications
  • Gentle ROM
  • Patient Education: Protective Strategies
  • This is when reinnervation occurs
  • Motor Retraining – Start once signs of volitional muscle contraction reappear
  • This occurs when the potential for reinnervation has peaked, and there are significant residual deficits
  • The emphasis is training compensatory function
  • Emphasis is on retraining and re-education

Question 9

Question
Which of the following characterize treatment and healing during the RECOVERY Phase of Nerve Injury?
Answer
  • Emphasis is on retraining and re-education.
  • Motor Retraining – Start once signs of volitional muscle contraction reappear.
  • This is when reinnervation occurs.
  • emphasis is on healing and prevention of complications
  • Gentle ROM
  • Patient Education: Protective Strategies
  • This occurs when the potential for reinnervation has peaked, and there are significant residual deficits
  • The emphasis is training compensatory function.

Question 10

Question
Stretch the Median n.!
Answer

Question 11

Question
Stretch the Ulnar n.!
Answer

Question 12

Question
Stretch the Radial n.!
Answer

Question 13

Question
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
Answer
  • Radial n.
  • Ulnar n.
  • Median n.
  • Musculoskeletal n.

Question 14

Question
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
Answer
  • Ulnar n.
  • Radial n.
  • Median n.
  • Sciatic n.

Question 15

Question
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
Answer
  • Median n.
  • Ulnar n.
  • Radial n.
  • Femoral n.

Question 16

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

Question 17

Question
Which of the following can be used with neural tensioning of the Sciatic n.?
Answer

Question 18

Question
Non-Operative management of carpal tunnel syndrome includes which of the following?
Answer
  • Splint wrist in neutral
  • Teach patient how to protect areas of decreased sensitivity in the hand
  • Mobilize carpals
  • Tendon gliding
  • Median n. mobilization
  • Strengthening of associated musculature

Question 19

Question
Identify the most appropriate COMPREHENSIVE treatment plan to address sciatic nerve entrapment.
Answer
  • Superficial soft-tissue mobilization around the Piriformis m.
  • Neural Glide (Flossing)
  • Stretching of Piriformis m.
  • Stretching of Hamstrings
  • HEP with stretching
  • HEP with Nerve Glides
  • Strengthening of Piriformis m.
  • Superficial soft-tissue mobilization around the Hamstrings
  • Deep-tissue massage

Question 20

Question
From the assessment position, which joint is first manipulated to treat the Femoral nerve?
Answer
  • Ankle
  • Knee
  • Hip
  • 1st MCP

Question 21

Question
From the assessment position, which joint is first manipulated to treat the Radial nerve?
Answer
  • Wrist
  • Elbow
  • Shoulder

Question 22

Question
From the assessment position, which joint is first manipulated to treat the Ulnar nerve?
Answer
  • Shoulder
  • Elbow
  • Wrist

Question 23

Question
Which of the following biomechanical abnormalities can contribute to patellofemoral pain or patellar instability?
Answer
  • Tight / weak rectus femoris
  • Tight TFL and ITB
  • Weak VMO
  • Shift of insertion of patellar ligament
  • External tibial rotation
  • Hind-foot pronation
  • Weak VL
  • Fore-foot pronation
  • Internal tibial rotation
  • Tight Hamstrings

Question 24

Question
What are the most common/effective interventions used to manage patellofemoral pain syndrome?
Answer
  • Strengthen Hip AB-Ductors and Ext.Rotators
  • Stretch Muscles about the Hip, Knee, and Ankle Joints
  • Soft Tissue Mobility
  • Patellar Taping
  • Cryopack application
  • Moist Hot Pack
  • Rest

Question 25

Question
In treatment of patellofemoral pain syndrome, which of the following muscles should receive particular attention?
Answer
  • Hip AB-Ductors
  • Hip Ext.Rotators
  • Hip Flexors
  • Hip Extensors
  • Hip AD-Ductors
  • Hip Int.Rotators
  • Quads
  • Hamstrings
  • Gastroc
  • Tib.Ant.

Question 26

Question
What is the positioning of the knee when immobilized after surgery for realignment of the extensor mechanism?
Answer
  • Full Extension
  • Full Flexion
  • Slight Flexion
  • 90 degrees of Flexion

Question 27

Question
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?
Answer
  • Compression of Femoral n.
  • Laceration of Sciatic n.
  • Patellofemoral Arthralgia
  • Osteoarthritis

Question 28

Question
Which structures resist LATERAL force at the patellofemoral joint?
Answer
  • Medial Retinaculum
  • Vastus Medialis Oblique (VMO)
  • Lateral Trochlear Facet
  • Lateral Retinaculum
  • Medial Trochlear Facet

Question 29

Question
Which patellar orientation is the most likely to cause patellar tendonitis to an extent that even quad sets and SLR cause pain?
Answer
  • Lateral Glide
  • Lateral Tilt
  • Medial Rotation
  • Inferior Tilt (Anteroposterior Component)

Question 30

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

Question 31

Question
Which of the following indicates INTERNAL ROTATION of the Patella?
Answer
  • 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

Question 32

Question
According to your reading on McConnell patellar taping, which dysfunctional component should be corrected first in your taping?
Answer
  • anteroposterior component
  • tilt component
  • rotation component
  • glide component

Question 33

Question
The Tilt Component of Patellar Orientation refers to rotation about the transverse axis of the patella.
Answer
  • True
  • False

Question 34

Question
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?
Answer
  • Diamond-Pattern
  • V-Shape
  • AnteroposteriorCorrection
  • External Rotation Correction

Question 35

Question
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?
Answer
  • Relies upon the palpation skills of the therapist
  • Patellar position changes with knee flexion
  • Patellar position may change over time

Question 36

Question
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?
Answer
  • External Rotation
  • Internal Rotation
  • Posterior Tilt
  • Lateral Translation
  • Medial Translation

Question 37

Question
According to Laprade, which of the following is the most effective exercise to recruit the VMO relative to the VL.
Answer
  • Resisted Tibial Medial Rotation during Knee Extension
  • Resisted Tibial Medial Rotation
  • Seated Knee Extension
  • Standing Knee Extension

Question 38

Question
The patellar taping technique should demonstrate immediate changes with the report of pain, particularly with the asterisk sign.
Answer
  • True
  • False

Question 39

Question
Low-Dye taping is used to predict whether orthotics will be helpful for a patient suffering from plantar fasciitis
Answer
  • True
  • False

Question 40

Question
Which treatment interventions are appropriate DURING an RA exacerbation?
Answer
  • Modalities and Gentle Massage
  • PROM
  • AAROM
  • AROM
  • Grade I Distractions
  • Grade II Oscillations
  • Grade III Oscillations
  • Gentle Isometrics in pain-free range
  • Squats

Question 41

Question
The presence of which of the following symptoms would help you determine the patient had OA, rather than RA.
Answer
  • Crepitus
  • Loss of ROM
  • Morning Stiffness
  • Increase Joint Pain with Strenuous Activity
  • Inflammation
  • Weight Loss

Question 42

Question
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?
Answer
  • 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

Question 43

Question
Following surgery for realignment of the extensor mechanism of the knee and subesequent immobilization during the early stages of healing, which of the following deficits would you expect.
Answer
  • Quadriceps Lag
  • Limited Active Knee Extension
  • Quadriceps Weakness
  • Hamstrings Weakness
  • Limited Passive Knee Extension
  • Limited Active Knee Flexion
  • Limited Passive Knee Flexion
  • Hamstrings Lag

Question 44

Question
Following application of McConnell Taping to a runner, which of the following would be the best way to assess the effectiveness of the taping?
Answer
  • Observe the patient perform SAQ
  • Observe the patient perform LAQ
  • Palpation
  • Observe the patient running

Question 45

Question
Which of the following characterize treatment and healing during the CHRONIC Phase of Nerve Injury?
Answer
  • emphasis is on healing and prevention of complications
  • Gentle ROM
  • Patient Education: Protective Strategies
  • This is when reinnervation occurs
  • Emphasis is on retraining and re-education.
  • Motor Retraining – Start once signs of volitional muscle contraction reappear.
  • This occurs when the potential for reinnervation has peaked, and there are significant residual deficits
  • The emphasis is training compensatory function.
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