Question 1

Which of the following injuries shold be considered an EMERGENT referral?

Accepted Answer

Septic Arthritis

Question 2

The action of this muscle is best described as medial rotation of the arm at the GHJ (glenohumoral joint):

Accepted Answer

Subscapularis

Question 3

This muscle causes abduction at the GHJ and is located directly below the acromion on the greater tuberosity of the humerus:

Accepted Answer

Supraspinatus

Question 4

Which of these injuries would be considered an URGENT referral (must be seen within 7 days of occurance)?

Accepted Answer

Closed, Stable Fracture

Question 5

A patient complaining of nocturnal shoulder pain who is unable to put on a jacket will have what positive tests when performing their physical exam?

Accepted Answer

Neer & Hawkins

Question 6

What diagnostic modality is the gold standard for assessment of a Rotator Cuff Tear?

Accepted Answer

MRI

Question 7

Why would an MRI be usedful in assessment of subacromial impingment syndrome (SIS)?

Accepted Answer

To assess for full or partial thickness tear

Question 8

What tendon is most often injured in a rotator cuff tear?

Accepted Answer

Supraspinatus

Question 9

This condition can result in a bankart or hill-sachs leison, seen on MRI and patient will not be able to move the joint

Accepted Answer

Shoulder Dislocation

Question 10

A 55 year old female with a hx of diabetes c/o pain on her left shoulder, no hx of recent truama. Her passive and active ROM is limited. What tx should be provided after 4-6 months, to maintain ROM:

Accepted Answer

NSAIDS and PT

Question 11

A 35 y/o female who works at a computer software company complains of pain in her lateral epicondyle. What PE finding would be present?

Accepted Answer

Pain with resisted wrist extension and 3rd digit extension

Question 12

What muscles are most often impacted by medial epicondylosis?

Accepted Answer

Pronator teres & flexor carpi radialis

Question 13

The best treatment for a patient with a previous hx of trauma to the knee presenting with edema, tenderness & erythema to the patella is:

Accepted Answer

I&D and IV antibiotics

Question 14

Which PE finding will NOT be present in a patient with hyperplasia of the palmar fascia and related structures with nodule formation and thickening:

Accepted Answer

Slow onset wih painful extension & contraction

Question 15

Which of the following is considered a test for general knee pain?

Accepted Answer

Reverse Pivot Shift Test

Question 16

Which of the following is a concern for a patient with anterior knee pain?

Accepted Answer

Pseudogout

Question 17

A patient complaining of pain when squatting, prolonged sitting or taking the stairs would have symptoms at what region of the knee?

Accepted Answer

Patellofemoral region

Question 18

Which of the following is the MOST likely case for meeting the criteria to get imaging for low back pain

Accepted Answer

A 9 year old with low back pain for 7 days no hx of trauma

Question 19

What imaging modality is best utilized for a patient with narrowing of the spinal canal?

Accepted Answer

Magnetic Resonance Imaging

Question 20

A patient c/o pain with back flexion that radiates to the posterior aspect of the knee. What PE finding may also be present in this paitent?

Accepted Answer

Decreased deep tendon reflexes

Question 21

A patient with knee pain complaining of grinding, clicking or popping more than likely has

Accepted Answer

Osteoarthritis

Question 22

A patient who complains of lower back pain with extension more than likely has an injury to what area of the spine?

Accepted Answer

SI joint

Question 23

Numbness or weakness with dorsiflexion of the toes in a patient with lumbar disk hernia impacts what nerve root

Accepted Answer

L4-L5

Question 24

If a patient with low back pain has a problem with flexion or prolonged sitting, what anatomical location is most likely affected

Accepted Answer

Anterior Disk

Question 25

Numbness or weakness with plantar flexion in a patient with lumbar disk hernia impacts what nerve root

Accepted Answer

L5-S1

Question 26

Which of the following chief complaints would encourage you to order a weight-bearing X-ray or MRI to diagnose the cause of the patient's pain

Accepted Answer

Pain going downstairs

Question 27

What nerve root distributions are a common source of neck pain

Accepted Answer

C5-C7

Question 28

A patient presenting with a rolled-forward shoulder posture and pain with overhead activity more than likely has what condition aka swimmers shoulder

Accepted Answer

SIS (Subacromial Impingement Syndrome)

Question 29

What is the clinical significance of patient with an alarm symptom of neck pain that causes weakness, gait issues or bowel/bladder dysfunction

Accepted Answer

Compression of the cervical cord

Question 30

A patient presenting with neck pain and "shock-like" paraesthesia with neck flexion is suggestive of what condition

Accepted Answer

Multiple Sclerosis

Orthopedic Test Review Trivia

2) The action of this muscle is best described as medial rotation of the arm at the GHJ (glenohumoral joint):

3) This muscle causes abduction at the GHJ and is located directly below the acromion on the greater tuberosity of the humerus:

4) Which of these injuries would be considered an URGENT referral (must be seen within 7 days of occurance)?

5) A patient complaining of nocturnal shoulder pain who is unable to put on a jacket will have what positive tests when performing their physical exam?

6) What diagnostic modality is the gold standard for assessment of a Rotator Cuff Tear?

7) Why would an MRI be usedful in assessment of subacromial impingment syndrome (SIS)?

8) What tendon is most often injured in a rotator cuff tear?

9) This condition can result in a bankart or hill-sachs leison, seen on MRI and patient will not be able to move the joint

10) A 55 year old female with a hx of diabetes c/o pain on her left shoulder, no hx of recent truama. Her passive and active ROM is limited. What tx should be provided after 4-6 months, to maintain ROM:

11) A 35 y/o female who works at a computer software company complains of pain in her lateral epicondyle. What PE finding would be present?

12) What muscles are most often impacted by medial epicondylosis?

13) The best treatment for a patient with a previous hx of trauma to the knee presenting with edema, tenderness & erythema to the patella is:

14) Which PE finding will NOT be present in a patient with hyperplasia of the palmar fascia and related structures with nodule formation and thickening:

15) Which of the following is considered a test for general knee pain?

16) Which of the following is a concern for a patient with anterior knee pain?

17) A patient complaining of pain when squatting, prolonged sitting or taking the stairs would have symptoms at what region of the knee?

18) Which of the following is the MOST likely case for meeting the criteria to get imaging for low back pain

19) What imaging modality is best utilized for a patient with narrowing of the spinal canal?

20) A patient c/o pain with back flexion that radiates to the posterior aspect of the knee. What PE finding may also be present in this paitent?

21) A patient with knee pain complaining of grinding, clicking or popping more than likely has

22) A patient who complains of lower back pain with extension more than likely has an injury to what area of the spine?

23) Numbness or weakness with dorsiflexion of the toes in a patient with lumbar disk hernia impacts what nerve root

24) If a patient with low back pain has a problem with flexion or prolonged sitting, what anatomical location is most likely affected

25) Numbness or weakness with plantar flexion in a patient with lumbar disk hernia impacts what nerve root

26) Which of the following chief complaints would encourage you to order a weight-bearing X-ray or MRI to diagnose the cause of the patient's pain

27) What nerve root distributions are a common source of neck pain

28) A patient presenting with a rolled-forward shoulder posture and pain with overhead activity more than likely has what condition aka swimmers shoulder

29) What is the clinical significance of patient with an alarm symptom of neck pain that causes weakness, gait issues or bowel/bladder dysfunction

30) A patient presenting with neck pain and "shock-like" paraesthesia with neck flexion is suggestive of what condition