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MS2 |! midterm |! exam |! with |! verified |!
detailed |! answers
what |! structures |! does |! a |! sway |! back |! posture |! put |! stress |! on? |! - |! Correct |! answer |! ✔anterior |! superior |! labrum, |! iliofemoral |! ligament, |! pubofemoral |! ligament |! because |! trying |! to |! assist |! joint |! capsule |! in |! limiting |! hip |! extension iliopsoas |! is |! also |! being |! stretched |! and |! may |! have |! increased |! tension a |! posterior |! pelvic |! drop |! during |! SL |! stance |! on |! the |! right |! would |! result |! in |! lumbar |! lateral |! flexion |! to |! what |! side? |! - |! Correct |! answer |! ✔right legg-clave-perthes |! disease |! - |! Correct |! answer |! ✔loss |! of |! blood |! flow |! to |! the |! femoral |! head |! and |! osteonecrosis/avascular |! necrosis |! of |! the |! femoral |! head developmental |! dysplasia |! of |! the |! hip |! (DDH) |! - |! Correct |! answer |! ✔lack |! of |! full |! development |! of |! the |! acetabular-femur |! relationship instability can |! increase |! stress |! on |! labrum, |! ligaments, |! and |! soft |! tissue |! structures |! of |! anterior |! hip
slipped |! capital |! femoral |! epiphysis |! - |! Correct |! answer |! ✔displacement |! of |! the |! femoral |! head |! from |! the |! neck complaint: |! hip |! and |! groin |! pain |! treat |! like |! a |! hip |! fracture avulsion |! injuries |! - |! Correct |! answer |! ✔increased |! tension |! on |! the |! immature |! epiphyseal |! centers |! of |! the |! femoral |! or |! pelvis |! by |! large |! muscles femoral |! acetabular |! impingement |! (FAI) |! - |! Correct |! answer |! ✔painful |! abnormal |! contact |! between |! the |! proximal |! femur |! and |! the |! acetabulum results |! in |! accelerated |! degeneration |! of |! the |! labrum chondral |! defects |! - |! Correct |! answer |! ✔disruption |! of |! the |! hyaline |! lining |! of |! the |! acetabulum |! or |! femoral |! head labral |! lesions |! - |! Correct |! answer |! ✔tears, |! degeneration |! and |! hypertrophy |! of |! the |! acetabular |! labrum ligamentum |! teres |! conditions |! - |! Correct |! answer |! ✔mechanical |! symptoms |! of |! popping, |! clicking, |! catching, |! or |! giving |! way |! with |! hip |! ABD |! ER/IR
ischiofemoral |! limits |! what |! motion |! - |! Correct |! answer |! ✔extension |! and |! IR ligamentum |! teres |! - |! Correct |! answer |! ✔ ligamentum |! teres |! limits |! what |! motion |! - |! Correct |! answer |! ✔end |! range |! IR/ER |! with |! hip |! flexion/abduction what |! is |! the |! influence |! of |! poor |! femoral |! control |! in |! the |! frontal |! plane |! during |! squatting |! or |! single |! limb |! stance |! on |! the |! acetabular |! labrum? |! - |! Correct |! answer |! ✔increased |! shear |! which |! can |! cause |! hypertrophy |! or |! degernation |! this |! could |! result |! in |! pain what |! are |! two |! clinical |! ways |! to |! measure |! physical |! performance? |! - |! Correct |! answer |! ✔gait |! speed |! and |! grip |! strength what |! are |! the |! most |! frequent |! localization |! of |! knee |! cartilage |! lesions |! - |! Correct |! answer |! ✔medial |! femoral |! condyle |! and |! patellar |! articular |! surface what |! is |! the |! knee |! specific |! outcome |! measure |! recommended |! for |! use |! in |! patients |! with |! meniscal |! or |! articular |! cartilage |! lesion? |! - |! Correct |! answer |! ✔KOOS what |! are |! the |! standardized |! impairment |! level |! assessments |! for |! a |! patient |! with |! a |! meniscus |! tear? |! - |! Correct |! answer |! ✔effusion |! assessment, |! max |! voluntary |!
isometric |! or |! isokinetic |! quad |! strength |! test, |! forced |! hyperextension, |! max |! passive |! knee |! flexion, |! McMurrays, |! joint |! line |! tenderness |! to |! palpation |! and |! knee |! AROM oral |! NSAIDS |! are |! not |! recommended |! for |! individuals |! with |! _____ |! - |! Correct |! answer |! ✔knee |! OA |! and |! cardiovascular |! or |! frailty |! comordbidities neuromuscular |! esteem |! after |! TKA |! can |! be |! used |! to |! improve______ |! - |! Correct |! answer |! ✔quad |! strength, |! gait, |! performance |! based |! outcomes the |! recommended |! performance |! based |! outcome |! measures |! following |! TKA |! includes |! ______ |! - |! Correct |! answer |! ✔ 30 |! second |! sit-to-stand |! and |! TUG L3 |! cutaneous |! distribution |! - |! Correct |! answer |! ✔proximal, |! middle |! and |! distal |! anterior |! thigh L4 |! cutaneous |! distribution |! - |! Correct |! answer |! ✔medial |! leg, |! medial |! foot L5 |! cutaneous |! distribution |! - |! Correct |! answer |! ✔anterior |! lateral |! leg |! and |! most |! of |! the |! dorsum |! of |! the |! foot S1 |! cutaneous |! distribution |! - |! Correct |! answer |! ✔posterior |! lateral |! thigh, |! lateral |! leg |! and |! lateral |! foot what |! innervates |! the |! glute |! medius/minimus |! - |! Correct |! answer |! ✔superior |! gluteal |! nerve
what |! glide |! works |! to |! increase |! hip |! extension? |! - |! Correct |! answer |! ✔ventral |! glide what |! glide |! works |! to |! improve |! hip |! flexion |! - |! Correct |! answer |! ✔posterior |! glide when |! manually |! stretching |! a |! stiff/short |! psoas, |! the |! lumbar |! spine |! will |! move |! into |! ____ |! - |! Correct |! answer |! ✔extension |! or |! lordosis how |! do |! you |! interpret |! and |! LEFS |! score? |! - |! Correct |! answer |! ✔higher |! score |! = |! less |! dsiability a |! forward |! trunk |! lean |! with |! squatting |! uses |! what |! muscle |! more? |! what |! muscle |! would |! be |! weak |! leading |! to |! someone |! compensating |! with |! this |! type |! of |! squat? |! - |! Correct |! answer |! ✔glute |! max |! is |! working |! and |! could |! be |! due |! to |! weak |! quads increased |! adduction |! and |! IR |! of |! the |! femur |! during |! a |! step |! down |! would |! result |! in |! tension |! stress |! to |! which |! ligament |! of |! the |! knee? |! - |! Correct |! answer |! ✔MCL where |! is |! Patellofemoral |! pain |! commonly |! felt? |! - |! Correct |! answer |! ✔anterior |! knee may |! be |! aggravated |! by |! stair |! decent what |! would |! you |! find |! for |! ROM |! is |! someone |! had |! a |! proximal |! tibial |! fracture? |! - |! Correct |! answer |! ✔limited |! flexion |! and |! extension |! with |! empty |! painful |! end |! feel
what |! would |! you |! find |! for |! ROM |! is |! someone |! had |! ACL |! or |! Medial |! meniscal |! tear? |! - |! Correct |! answer |! ✔limited |! flexion |! and |! extension |! with |! empty |! painful |! end |! feel ACL |! might |! have |! springy |! end |! feel |! into |! extension Med |! meniscus |! might |! have |! springy |! end |! feel |! into |! flexion what |! would |! you |! find |! for |! ROM |! is |! someone |! had |! a |! patella |! dislocation/subluxation |! - |! Correct |! answer |! ✔limited |! flexion |! and |! extension |! with |! empty |! painful |! end |! feel knee |! outcome |! survey |! (KOS) |! - |! Correct |! answer |! ✔lower |! percentage |! = |! higher |! disability LEFS |! scoring |! - |! Correct |! answer |! ✔80/80 |! is |! good lower |! score |! means |! less |! functional MCID |! = |! 9 HOOS |! - |! hip |! osteoarthritis |! outcome |! scale |! scoring |! - |! Correct |! answer |! ✔high |! score |! = |! high |! disability Modified |! Start |! Back |! - |! Correct |! answer |! ✔risk |! Stratification
diagnosis |! of |! PFP |! syndrome |! - |! Correct |! answer |! ✔retropatella |! or |! peripatellar |! pain reproduction |! of |! pain |! with |! squatting, |! stair |! climbing, |! prolonged |! sitting |! or |! other |! activities |! loading |! PFJ |! in |! a |! flexed |! knee |! position |! exclusion |! of |! all |! other |! possible |! sources |! of |! anterior |! knee |! pain PFP |! classifications |! - |! Correct |! answer |! ✔1.overuse/overload |! without |! other |! impairment
- |! PFP |! with |! movement |! coordination |! deficits
- |! PFP |! with |! muscle |! performance |! deficits
- |! PFP |! with |! mobility |! impairments hip |! stability |! isometric |! test |! (HipSIT) |! - |! Correct |! answer |! ✔evaluates |! strength |! of |! hip |! posterolateral |! stabilizers |! in |! a |! position |! that |! favors |! greater |! activation |! of |! glute |! max |! and |! glute |! med |! and |! less |! activation |! of |! TFL treatment |! for |! PFP |! overuse/overload |! without |! other |! impairment |! - |! Correct |! answer |! ✔taping, |! activity |! modification/relative |! rest treatment |! for |! PFP |! with |! movement |! coordination |! deficits |! - |! Correct |! answer |! ✔gait |! and |! movement |! retraining
treatment |! for |! PFP |! with |! muscle |! performance |! deficits |! - |! Correct |! answer |! ✔hip/glute/quad |! strengthening treatment |! for |! PFP |! with |! movement |! coordination |! deficits |! - |! Correct |! answer |! ✔gait |! and |! movement |! retraining NPRS |! - |! numerical |! pain |! rating |! scale |! - |! Correct |! answer |! ✔0-2 |! safe |! zone 2-5 |! acceptable |! zone 5-10 |! high |! risk |! zone |! --> |! modify |! treatment ACL |! clinical |! presentation |! - |! Correct |! answer |! ✔MOI: |! non-contact, |! decelerating, |! cutting |! or |! values |! motion, |! can |! be |! traumatic |! blow |! to |! knee |! or |! twisting |! injury reports |! "pop" |! quick |! effusion sense |! of |! instability ACL |! exam |! findings |! - |! Correct |! answer |! ✔knee |! ext/flexion |! limited, |! empty |! and |! painful |! poor |! quad |! strength |! (SLR |! with |! lag/bent |! knee |! and |! poor |! quad |! set) sweep |! test |! 2+ |!
ligament |! phase |! 1 |! timeline |! and |! goals |! - |! Correct |! answer |! ✔0-4 |! weeks reduce |! pain, |! increase |! ROM, |! decrease |! effusion early |! quad |! activation/strengthening ligament |! phase |! 2 |! timeline |! and |! goals |! - |! Correct |! answer |! ✔4-16 |! weeks 4-12 |! weeks: |! progressive |! strengthening |! of |! LE, |! balance |! training 12-16 |! weeks: |! return |! to |! running ligament |! phase |! 3 |! timeline |! and |! goals |! - |! Correct |! answer |! ✔as |! early |! as |! 4-6 |! months |! but |! can |! last |! 6-8+ |! months return |! to |! sport |! specific |! drills testing |! cluster |! for |! return |! to |! sport |! - |! Correct |! answer |! ✔functional |! hop |! test self-reported |! outcomes strength |! testing PCL |! selective |! tissue |! test |! - |! Correct |! answer |! ✔posterior |! drawer, |! posterior |! lag |! sign ACL |! selective |! tissue |! tests |! - |! Correct |! answer |! ✔lachman, |! anterior |! drawer meniscus |! selective |! tissue |! tests |! - |! Correct |! answer |! ✔McMurrays, |! Appleys
LCL |! selective |! tissue |! test |! - |! Correct |! answer |! ✔varus |! stress |! test MCL |! selective |! tissue |! test |! - |! Correct |! answer |! ✔valgus |! stress |! test posterolateral |! corner |! selective |! tissue |! tests |! - |! Correct |! answer |! ✔prone |! dial |! test, |! posterolateral |! drawer what |! is |! the |! function |! of |! the |! posterolateral |! corner |! - |! Correct |! answer |! ✔varus |! and |! ER |! of |! tibia |! (rotary) |! stability what |! should |! you |! be |! mindful |! of |! when |! strengthening |! LE |! after |! PCL |! injury |! - |! Correct |! answer |! ✔hamstring |! activation |! due |! to |! posterior |! shear what |! should |! you |! be |! mindful |! of |! when |! strengthening |! LE |! after |! MCL/LCL |! injury |! - |! Correct |! answer |! ✔valgus/varus |! forces what |! is |! the |! role |! of |! the |! meniscus |! - |! Correct |! answer |! ✔shock |! absorption joint |! stability joint |! nutrition joint |! lubrication proprioception
delayed |! effusion meniscal |! composite |! score what |! should |! we |! consider |! to |! rule |! in/out |! an |! articular |! cartilage |! injury |! compared |! to |! meniscus |! - |! Correct |! answer |! ✔trauma hemarthrosis aggravated |! by |! repetitive |! impact intermittent |! pain/swelling c/o |! catching/locking joint |! line |! tenderness microfracture |! - |! Correct |! answer |! ✔puncture |! holes |! to |! stimulate |! blood |! flow |! --
|! bleeding |! leads |! to |! fibrocartilage |! layer |! filling |! in |! holes need |! to |! restrict |! WB'ing ACI |! surgery |! - |! Correct |! answer |! ✔harvest |! cells |! from |! health |! aspect |! of |! joint, |! grow |! cells |! in |! lab |! then |! implant |! into |! defect MACI |! surgery |! - |! Correct |! answer |! ✔same |! as |! ACI |! but |! more |! specific |! with |! implant |! being |! exact |! size OATS |! - |! Correct |! answer |! ✔healthy |! cartilage |! from |! another |! part |! of |! knee |! --> |! chondral |! plug |! --> |! bone |! to |! bone |! healing
allograft |! or |! autograft meniscectomy |! - |! Correct |! answer |! ✔removal |! of |! the |! torn |! part |! of |! meniscus meniscus |! repair |! - |! Correct |! answer |! ✔suture |! the |! tear, |! done |! in |! peripheral |! aspect |! of |! meniscus |! where |! blood |! flow |! is |! highest meniscal |! transplant |! - |! Correct |! answer |! ✔donor |! tissue |! implanted |! on |! otherwise |! healthy |! knee non-op/partial |! meniscectomy |! rehab |! considerations |! - |! Correct |! answer |! ✔faster |! recovery |! than |! a |! repair -early/immediate |! WB'ing -early |! PROM/ROM |! -pain |! modulation |! as |! needed -progressive |! strengthening |! for |! entire |! LE -SAQ, |! TKE, |! reloaded |! squat/lunge meniscal |! repair |! rehab |! considerations |! - |! Correct |! answer |! ✔-protect |! repair -early |! WB'ing |! likely |! okay |! in |! 0 |! degrees |! ext -early |! PROM/ROM |! (typically |! limited |! to |! 0-90 |! for |! 4 |! weeks) -pain |! modulation |! as |! needed -progressive |! strengthening |! for |! entire |! LE
what |! surgery |! is |! done |! for |! a |! femoral |! neck |! fracture |! - |! Correct |! answer |! ✔percutaneous |! pinning, |! ORIF |! with |! dynamic |! hip |! screw, |! hemiarthroplasty, |! Total |! hip |! replacement what |! surgery |! is |! done |! for |! an |! inter-trochanteric |! and |! sub-trochanteric |! fracture |! - |! Correct |! answer |! ✔ORIF |! (plates/screws) |! or |! IM |! rod/nail what |! can |! be |! disrupted |! by |! a |! femoral |! neck |! fracture? |! - |! Correct |! answer |! ✔blood |! supply |! to |! femoral |! head, |! circumflex |! arteries |! in |! anterior |! capsule |! bleeding |! is |! contained |! in |! the |! capsule |! creating |! distention |! which |! can |! disrupt |! blood |! flow |! to |! arteries |! (artery |! compression) |! --> |! ischemia |! of |! femoral |! head what |! is |! done |! for |! a |! non-displaced |! femoral |! neck |! fracture |! - |! Correct |! answer |! ✔percutaneous |! pinning what |! does |! a |! dynamic |! hip |! screw |! do? |! - |! Correct |! answer |! ✔create |! compression |! across |! fracture |! site |! to |! facilitate |! primary |! bone |! healing allows |! FWB if |! its |! a |! type |! 3/4 |! femoral |! neck |! fracture, |! what |! surgery |! is |! often |! needed |! - |! Correct |! answer |! ✔arthroplasty |! (partial |! or |! total) |!
allows |! for |! FWB |! post-op |! so |! could |! for |! elderly Intertrochanteric |! fracture |! - |! Correct |! answer |! ✔extra-capsular |! fracture |! that |! occurs |! between |! the |! greater |! and |! lesser |! trochanters |! of |! the |! hip need |! to |! consider |! muscle |! insertions |! and |! how |! contracting |! muscle |! near |! fx |! site |! could |! impact |! healing |! need |! to |! worry |! about |! blood |! pooling |! into |! thigh subtrochanteric |! fracture |! - |! Correct |! answer |! ✔fracture |! just |! below |! greater |! trochanter |! - |! no |! muscle |! attachment |! involved |! still |! may |! muscles |! span |! this |! region |! ( |! adductors, |! TFL, |! ITB, |! sartorious) |! which |! create |! forces |! and |! makes |! it |! unstable |! so |! need |! surgery |! extracapsular |! so |! bleeding |! pools |! in |! thing what |! complications |! can |! arise |! from |! hip |! fracture |! and |! cause |! death |! - |! Correct |! answer |! ✔blood |! clots, |! pneumonia, |! CV |! issues, |! pulmonary |! issues |! being |! less |! active/mobile |! after |! injury |! can |! lead |! to |! these |! things |! or |! already |! have |! these |! conditions |! which |! can |! contribute |! and |! make |! post-fx |! recovery |! even |! worse
