Practice questions › DPT / Allied Health › DPT Professional Review: Physical Therapy Essentials
Orthopedic Conditions, Special Tests and Pediatrics MCQs
DPT Professional Review: Physical Therapy Essentials · DPT / Allied Health · 55 practice questions
- Knee, hip, and spine special tests
- Wrist and elbow special tests
- Shoulder and elbow special tests
- Fractures
- Fracture presentations
- Pediatric neuromuscular conditions
- Knee special tests
- Shoulder special tests
1. A clinician wants to use a screening test to confidently exclude a serious disease in a low-risk patient before ordering more invasive testing. Which test characteristic should the clinician prioritize when selecting this screening tool?
- AHigh Cobb angle threshold
- BA low alpha value of 0.05
- CHigh sensitivity, using the SnNout principle
- DHigh specificity, using the SpPin principle
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C. High sensitivity, using the SnNout principle High sensitivity tests, when negative, rule out disease (SnNout), making them ideal for screening to exclude a condition.
2. A 24-year-old basketball player twists his knee and reports instability. On exam, the tibia translates excessively anteriorly relative to the femur when the knee is flexed to 20-30 degrees and pulled forward, more so than a similar test performed at 90 degrees of flexion. Which structure is most likely injured, and which test is most sensitive for detecting it?
- APCL; posterior drawer test
- BLateral collateral ligament; Ober test
- CACL; Lachman test
- DMedial meniscus; McMurray test
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C. ACL; Lachman test Lachman test (performed at 20-30 degrees flexion) is the more sensitive test for ACL tears compared to anterior drawer (performed at 90 degrees).
3. A 58-year-old woman reports bilateral hand pain with stiffness that lasts about 45 minutes each morning before improving. Exam reveals symmetric swelling of the MCP and PIP joints. Which condition best fits this presentation compared to the alternative?
- ARheumatoid arthritis, because of symmetric MCP/PIP involvement with prolonged morning stiffness
- BOsteoarthritis, because morning stiffness resolves in under 30 minutes
- COsteoarthritis, because DIP involvement with Heberden's nodes is present
- DAnkylosing spondylitis, because of HLA-B27 association
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A. Rheumatoid arthritis, because of symmetric MCP/PIP involvement with prolonged morning stiffness Morning stiffness over an hour with symmetric MCP/PIP involvement is characteristic of RA, as opposed to OA's DIP/PIP involvement with stiffness under 30 minutes.
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