TE2 Exam 2

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Question 1 of 45

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?

Select one of the following:

Median n.
Radial n.
Ulnar n.

Explanation

Question 2 of 45

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?

Select one of the following:

Median n.
Radial n.
Ulnar n.

Explanation

Question 3 of 45

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?

Select one of the following:

Median n.
Radial n.
Ulnar n.

Explanation

Question 4 of 45

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?

Select one of the following:

Chronic Nerve Compression
Mild Compression
Complete Laceration
Stretch Injury (adhesions following surgery)

Explanation

Question 5 of 45

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?

Select one of the following:

Chronic Nerve Compression
Mild Compression
Complete Laceration
Stretch Injury (adhesions following surgery)

Explanation

Question 6 of 45

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?

Select one of the following:

Chronic Nerve Compression
Mild Compression
Complete Laceration
Stretch Injury (adhesions following surgery)

Explanation

Question 7 of 45

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?

Select one of the following:

Chronic Nerve Compression
Mild Compression
Complete Laceration
Stretch Injury (adhesions following surgery)

Explanation

Question 8 of 45

Which of the following characterize treatment and healing during the ACUTE Phase of Nerve Injury?

Select one or more of the following:

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

Explanation

Question 9 of 45

Which of the following characterize treatment and healing during the RECOVERY Phase of Nerve Injury?

Select one or more of the following:

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.

Explanation

Question 10 of 45

Stretch the Median n.!

Select one of the following:

Explanation

Question 11 of 45

Stretch the Ulnar n.!

Select one of the following:

Explanation

Question 12 of 45

Stretch the Radial n.!

Select one of the following:

Explanation

Question 13 of 45

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

Select one of the following:

Radial n.
Ulnar n.
Median n.
Musculoskeletal n.

Explanation

Question 14 of 45

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

Select one of the following:

Ulnar n.
Radial n.
Median n.
Sciatic n.

Explanation

Question 15 of 45

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

Select one of the following:

Median n.
Ulnar n.
Radial n.
Femoral n.

Explanation

Question 16 of 45

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

Select one of the following:

Prone Knee Bend Test
Supine SLR
Slump Test
Naked Superman

Explanation

Question 17 of 45

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

Select one or more of the following:

Slump Test
Supine SLR
Prone Knee Bend
Ant/Pos Splits

Explanation

Question 18 of 45

Non-Operative management of carpal tunnel syndrome includes which of the following?

Select one or more of the following:

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

Explanation

Question 19 of 45

Identify the most appropriate COMPREHENSIVE treatment plan to address sciatic nerve entrapment.

Select one or more of the following:

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

Explanation

Question 20 of 45

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

Select one of the following:

Ankle
Knee
Hip
1st MCP

Explanation

Question 21 of 45

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

Select one of the following:

Wrist
Elbow
Shoulder

Explanation

Question 22 of 45

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

Select one of the following:

Shoulder
Elbow
Wrist

Explanation

Question 23 of 45

Which of the following biomechanical abnormalities can contribute to patellofemoral pain or patellar instability?

Select one or more of the following:

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

Explanation

Question 24 of 45

What are the most common/effective interventions used to manage patellofemoral pain syndrome?

Select one or more of the following:

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

Explanation

Question 25 of 45

In treatment of patellofemoral pain syndrome, which of the following muscles should receive particular attention?

Select one or more of the following:

Hip AB-Ductors
Hip Ext.Rotators
Hip Flexors
Hip Extensors
Hip AD-Ductors
Hip Int.Rotators
Quads
Hamstrings
Gastroc
Tib.Ant.

Explanation

Question 26 of 45

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

Select one of the following:

Full Extension
Full Flexion
Slight Flexion
90 degrees of Flexion

Explanation

Question 27 of 45

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?

Select one of the following:

Compression of Femoral n.
Laceration of Sciatic n.
Patellofemoral Arthralgia
Osteoarthritis

Explanation

Question 28 of 45

Which structures resist LATERAL force at the patellofemoral joint?

Select one or more of the following:

Medial Retinaculum
Vastus Medialis Oblique (VMO)
Lateral Trochlear Facet
Lateral Retinaculum
Medial Trochlear Facet

Explanation

Question 29 of 45

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

Select one of the following:

Lateral Glide
Lateral Tilt
Medial Rotation
Inferior Tilt (Anteroposterior Component)

Explanation

Question 30 of 45

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

Select one of the following:

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

Explanation

Question 31 of 45

Which of the following indicates INTERNAL ROTATION of the Patella?

Select one of the following:

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

Explanation

Question 32 of 45

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

Select one of the following:

anteroposterior component
tilt component
rotation component
glide component

Explanation

Question 33 of 45

The Tilt Component of Patellar Orientation refers to rotation about the transverse axis of the patella.

Select one of the following:

True
False

Explanation

Question 34 of 45

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?

Select one of the following:

Diamond-Pattern
V-Shape
AnteroposteriorCorrection
External Rotation Correction

Explanation

Question 35 of 45

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?

Select one of the following:

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

Explanation

Question 36 of 45

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?

Select one of the following:

External Rotation
Internal Rotation
Posterior Tilt
Lateral Translation
Medial Translation

Explanation

Question 37 of 45

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

Select one of the following:

Resisted Tibial Medial Rotation during Knee Extension
Resisted Tibial Medial Rotation
Seated Knee Extension
Standing Knee Extension

Explanation

Question 38 of 45

The patellar taping technique should demonstrate immediate changes with the report of pain, particularly with the asterisk sign.

Select one of the following:

True
False

Explanation

Question 39 of 45

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

Select one of the following:

True
False

Explanation

Question 40 of 45

Which treatment interventions are appropriate DURING an RA exacerbation?

Select one or more of the following:

Modalities and Gentle Massage
PROM
AAROM
AROM
Grade I Distractions
Grade II Oscillations
Grade III Oscillations
Gentle Isometrics in pain-free range
Squats

Explanation

Question 41 of 45

The presence of which of the following symptoms would help you determine the patient had OA, rather than RA.

Select one or more of the following:

Crepitus
Loss of ROM
Morning Stiffness
Increase Joint Pain with Strenuous Activity
Inflammation
Weight Loss

Explanation

Question 42 of 45

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?

Select one of the following:

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

Explanation

Question 43 of 45

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.

Select one or more of the following:

Quadriceps Lag
Limited Active Knee Extension
Quadriceps Weakness
Hamstrings Weakness
Limited Passive Knee Extension
Limited Active Knee Flexion
Limited Passive Knee Flexion
Hamstrings Lag

Explanation

Question 44 of 45

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

Select one of the following:

Observe the patient perform SAQ
Observe the patient perform LAQ
Palpation
Observe the patient running

Explanation

Question 45 of 45

Which of the following characterize treatment and healing during the CHRONIC Phase of Nerve Injury?

Select one or more of the following:

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.

Explanation

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	Created by Ben Williams almost 9 years ago

	Copied by Lacey Jones almost 9 years ago

Physical therapy Quiz on TE2 Exam 2, created by Lacey Jones on 21/06/2017.

TE2 Exam 2

Question 1 of 45

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?

Select one of the following:

Explanation

Question 2 of 45

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?

Select one of the following:

Explanation

Question 3 of 45

Select one of the following:

Explanation

Question 4 of 45

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?

Select one of the following:

Explanation

Question 5 of 45

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?

Select one of the following:

Explanation

Question 6 of 45

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?

Select one of the following:

Explanation

Question 7 of 45

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?

Select one of the following:

Explanation

Question 8 of 45

Which of the following characterize treatment and healing during the ACUTE Phase of Nerve Injury?

Select one or more of the following:

Explanation

Question 9 of 45

Which of the following characterize treatment and healing during the RECOVERY Phase of Nerve Injury?

Select one or more of the following:

Explanation

Question 10 of 45

Stretch the Median n.!

Select one of the following:

Explanation

Question 11 of 45

Stretch the Ulnar n.!

Select one of the following:

Explanation

Question 12 of 45

Stretch the Radial n.!

Select one of the following:

Explanation

Question 13 of 45

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

Select one of the following:

Explanation

Question 14 of 45

Select one of the following:

Explanation

Question 15 of 45

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

Select one of the following:

Explanation

Question 16 of 45

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

Select one of the following:

Explanation

Question 17 of 45

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

Select one or more of the following:

Explanation

Question 18 of 45

Non-Operative management of carpal tunnel syndrome includes which of the following?

Select one or more of the following:

Explanation

Question 19 of 45

Identify the most appropriate COMPREHENSIVE treatment plan to address sciatic nerve entrapment.

Select one or more of the following:

Explanation

Question 20 of 45

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

Select one of the following:

Explanation

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?

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?

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?

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

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