Assessment - Term 4

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Assessment - Term 4 - Quiz


Questions and Answers
  • 1. 

    To perform a neural tension test for the median nerve, you would depress the shoulder girdle, abduct the GH joint, extend the elbow, ______ the arm, and ______ the forearm.

    • A.

      Internally rotate, supinate

    • B.

      Externally rotate, supinate

    • C.

      Internally rotate, pronate

    • D.

      Externally rotate, pronate

    Correct Answer
    B. Externally rotate, supinate
    Explanation
    To perform a neural tension test for the median nerve, you would externally rotate the arm and supinate the forearm. This position helps to create tension along the course of the median nerve, allowing for the assessment of its mobility and any potential nerve entrapment or irritation. Internal rotation and pronation would not create the necessary tension for the test.

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  • 2. 

    What test would you perform to test for de Quervain's tenosynovitis?

    • A.

      Allen's test

    • B.

      Phalen's test

    • C.

      Finklesteins test

    • D.

      Bunnel-Littler test

    • E.

      Tinnel's sign

    Correct Answer
    C. Finklesteins test
    Explanation
    Finklestein's test is used to diagnose de Quervain's tenosynovitis, a condition that causes pain and inflammation in the tendons on the thumb side of the wrist. During the test, the patient makes a fist with their thumb tucked inside their fingers, and then bends their wrist towards the little finger. If this movement causes pain on the thumb side of the wrist, it is a positive test for de Quervain's tenosynovitis. This test helps to differentiate de Quervain's tenosynovitis from other conditions that may cause similar symptoms.

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  • 3. 

    Your client presents with pain on active resisted elbow extension. Which structures could be implicated?

    • A.

      Triceps brachii

    • B.

      Biceps brachii

    • C.

      Anconeous

    • D.

      Brachialis

    • E.

      A & C

    • F.

      B & D

    Correct Answer
    E. A & C
    Explanation
    The triceps brachii and anconeus muscles are the structures that could be implicated in causing pain on active resisted elbow extension. Both muscles are involved in the extension of the elbow joint, and if there is any dysfunction or injury in either of these muscles, it can result in pain during this movement. The biceps brachii and brachialis muscles are not directly involved in elbow extension, so they are not likely to be implicated in this particular scenario.

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  • 4. 

    To test biceps brachii, you resist which actions?

    • A.

      Elbow extension and forearm pronation

    • B.

      Elbow extension and forearm supination

    • C.

      Elbow flexion and forearm pronation

    • D.

      Elbow flexion and forearm supination

    Correct Answer
    D. Elbow flexion and forearm supination
    Explanation
    To test the biceps brachii muscle, you need to resist the actions of elbow flexion and forearm supination. The biceps brachii is responsible for flexing the elbow joint and supinating the forearm. By resisting these actions, you can assess the strength and function of the biceps brachii muscle.

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  • 5. 

    When testing flexor carpi ulnaris, which direction(s) would YOU (as the therapist) be applying pressrue?

    • A.

      Wrist flexion

    • B.

      Wrist extension

    • C.

      Radial deviation

    • D.

      Ulnar deviation

    • E.

      A & D

    • F.

      B & C

    Correct Answer
    F. B & C
    Explanation
    When testing the flexor carpi ulnaris, the therapist would be applying pressure in the directions of radial deviation and ulnar deviation. This is because the flexor carpi ulnaris is responsible for flexing and adducting the wrist, which is achieved through ulnar deviation. Therefore, applying pressure in the direction of radial deviation and ulnar deviation will help assess the strength and function of the flexor carpi ulnaris muscle.

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  • 6. 

    What spinal nerve root segment are you testing when performing a deep tendon reflex on triceps brachii?

    • A.

      C5

    • B.

      C6

    • C.

      C7

    • D.

      C8

    Correct Answer
    C. C7
    Explanation
    When performing a deep tendon reflex on the triceps brachii, you are testing the C7 spinal nerve root segment. Each spinal nerve root segment is responsible for specific muscle groups and sensory functions. The triceps brachii muscle is innervated by the radial nerve, which arises from the C7 spinal nerve root segment. Therefore, when testing the deep tendon reflex of the triceps brachii, the C7 spinal nerve root segment is being assessed.

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  • 7. 

    Extension of the MCPs and DIPs and flexion of the PIPs usually relating to rheumatoid arthritis is known as :

    • A.

      Dupuytren's contracture

    • B.

      Swan neck deformity

    • C.

      Ape hand deformity

    • D.

      Boutonniere deformity

    • E.

      None of the above

    Correct Answer
    D. Boutonniere deformity
    Explanation
    Boutonniere deformity is a condition commonly seen in individuals with rheumatoid arthritis. It is characterized by the extension of the MCPs and DIPs (metacarpophalangeal and distal interphalangeal joints) and the flexion of the PIPs (proximal interphalangeal joints). This deformity causes the finger to appear bent in the middle joint and unable to fully straighten. It is caused by the imbalance of tendons in the finger, leading to the abnormal positioning. Therefore, Boutonniere deformity is the correct answer in this case.

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  • 8. 

    A positive tinel's sign at the elbow would produce tingling and/or parasthesia in the :

    • A.

      Palm, and tips of fingers 2 and 3

    • B.

      Posterior arm and back of the hand

    • C.

      Medial forearm, and medial aspect of the hand

    Correct Answer
    C. Medial forearm, and medial aspect of the hand
    Explanation
    A positive tinel's sign at the elbow refers to a specific test that is used to assess for nerve compression or irritation. When this test is positive, it indicates that there is nerve involvement at the elbow. In this case, the tingling and/or parasthesia would be felt in the medial forearm and the medial aspect of the hand. This is because the nerves that innervate these regions pass through or near the elbow, and compression or irritation at this site would affect their function.

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  • 9. 

    When performing active free testing for the wrist, you would suspect to see a higher degree of wrist flexion than extension.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    During active free testing for the wrist, the individual is able to move their wrist freely without any external resistance. In normal wrist movement, flexion (bending the wrist forward) is more common than extension (bending the wrist backward). This is because the wrist joint is naturally more mobile in the flexion direction, allowing for a greater range of motion. Therefore, it is expected to see a higher degree of wrist flexion than extension during active free testing.

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  • 10. 

    When performing a valgus stress test, you must perform it with the elbow positioned in 20 degrees of flexion and 90 degrees of flexion.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement is false because when performing a valgus stress test, the elbow should be positioned in 20-30 degrees of flexion, not 90 degrees. Flexing the elbow to 90 degrees would not allow for an accurate assessment of the medial collateral ligament (MCL) stability in the joint.

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  • 11. 

    When performing rule outs on the wrist, you only need to perform active free wrist flexion and extension along with over pressure.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    When performing rule outs on the wrist, it is not sufficient to only perform active free wrist flexion and extension along with over pressure. Other movements and tests, such as passive range of motion, strength testing, and specific provocative tests, may also be necessary to accurately assess the condition of the wrist. Therefore, the statement that only active free wrist flexion and extension along with over pressure are needed for rule outs on the wrist is false.

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  • 12. 

    Your client presents with neurological symptoms in her right upper arm. Having the client hold a deep breath and look over her right shoulder at you while you passively depress her shoulder reproduces her symptoms and diminishes her pulse. What is the name of this test?

    • A.

      Adson's Maneuver

    • B.

      Travell's Variation

    • C.

      Military stance

    • D.

      Wright's hyperabduction test

    Correct Answer
    A. Adson's Maneuver
    Explanation
    Adson's Maneuver is the correct answer. This test is used to assess for thoracic outlet syndrome, a condition where the nerves and blood vessels in the upper chest and shoulder area are compressed. By having the client hold a deep breath and look over her right shoulder while the shoulder is depressed, the symptoms are reproduced and the pulse is diminished, indicating a positive test for thoracic outlet syndrome.

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  • 13. 

    Your client presents with neurological symptoms in her right upper arm. Having the client hold a deep breath and look over her right shoulder at you while you passively depress her shoulder reproduces her symptoms and diminishes her pulse. Which structure is implicated in this test?

    • A.

      Pectoralis minor

    • B.

      Middle scalene

    • C.

      Reduced space in the scalene triangle

    • D.

      Reduced space between first rib and clavicle

    Correct Answer
    C. Reduced space in the scalene triangle
    Explanation
    This test implicates the reduced space in the scalene triangle. When the client holds a deep breath and looks over her right shoulder while her shoulder is passively depressed, it reproduces her symptoms and diminishes her pulse. The scalene triangle is a space between the anterior and middle scalene muscles, and when this space is reduced, it can compress the nerves and blood vessels passing through it, leading to neurological symptoms and diminished pulse.

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  • 14. 

    Your client presents with neurological symptoms in her right upper arm. Having the client hold a deep breath and look over her right shoulder at you while you passively depress her shoulder reproduces her symptoms and diminishes her pulse. What is wrong with the structure implicated in this test?

    • A.

      It is long and weak

    • B.

      It is long and tight

    • C.

      It is short and weak

    • D.

      It is short and tight

    Correct Answer
    D. It is short and tight
    Explanation
    The structure implicated in this test is short and tight. This is indicated by the fact that when the client holds a deep breath and looks over her right shoulder while her shoulder is passively depressed, her symptoms are reproduced and her pulse is diminished. This suggests that there is compression or constriction of a structure, likely a nerve or blood vessel, causing the neurological symptoms and decreased blood flow.

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  • 15. 

    Your client presents with neurological symptoms in her right upper arm. Having the client hold a deep breath and look over her right shoulder at you while you passively depress her shoulder reproduces her symptoms and diminishes her pulse. What is your aim with the structure implicated in this test?

    • A.

      Strengthen - endurance

    • B.

      Strengthen - strength

    • C.

      Lengthen, reduce tension

    • D.

      Lengthen and strengthen

    Correct Answer
    C. Lengthen, reduce tension
    Explanation
    The aim with the structure implicated in this test is to lengthen and reduce tension. This is indicated by the fact that when the client holds a deep breath and looks over her right shoulder while her shoulder is passively depressed, her symptoms are reproduced and her pulse diminishes. This suggests that there may be compression or tension in the structure being tested, and the aim is to lengthen and reduce this tension to alleviate the symptoms.

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