MSK T4b Quiz 2
- 1.
The test shown will bias the _____ nerve.
- A.
Median
- B.
Ulnar
- C.
Radial
- D.
Musculocutaneous
- E.
Long thoracic
Correct Answer
C. RadialExplanation
The test shown will bias the radial nerve. The radial nerve is responsible for innervating the muscles of the posterior compartment of the arm and forearm, as well as providing sensory innervation to the skin on the posterior aspect of the arm, forearm, and hand. Biasing the radial nerve means that the test is specifically targeting or affecting this nerve, possibly to assess its function or provoke a response.Rate this question:
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- 2.
A reasonable amount of time for symptoms to resolve following the use of a neural tension test as a treatment method is:
- A.
2-3 seconds
- B.
15-30 seconds
- C.
2-3 minutes
- D.
2-3 days
Correct Answer
A. 2-3 secondsExplanation
The correct answer is 2-3 seconds. This is because a neural tension test is used to assess and treat nerve-related symptoms, such as pain or tingling. The test involves applying tension to the nerve to determine if it reproduces the patient's symptoms. If the symptoms resolve within 2-3 seconds after releasing the tension, it indicates that the nerve is not significantly affected and the treatment is successful.Rate this question:
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- 3.
The ulnar nerve should be ruled out as a source of symptoms when there is suspicion of:
- A.
De Quervain's
- B.
Lateral epicondylitis
- C.
Medial epicondylitis
- D.
Carpal tunnel syndrome
Correct Answer
C. Medial epicondylitisExplanation
When there is suspicion of medial epicondylitis, the ulnar nerve should be ruled out as a source of symptoms. Medial epicondylitis, also known as golfer's elbow, is a condition characterized by pain and inflammation on the inner side of the elbow. The ulnar nerve runs through this area and can be affected by the inflammation. Therefore, ruling out ulnar nerve involvement is important in diagnosing and treating medial epicondylitis accurately.Rate this question:
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- 4.
Which of the following is a FALSE statement regarding the use of neural mobilization techniques?
- A.
The techniques can be used as self-care
- B.
The techniques can be used to prevent adhesion development after an injury
- C.
It is normal to have signs of vascular compromise while using these techniques
- D.
These techniques are contraindicated in the presence of spinal cord injury
- E.
These techniques should be avoided in the presence of acute/irritable neurological signs.
Correct Answer
C. It is normal to have signs of vascular compromise while using these techniques -
- 5.
Brachial plexus compression by the pectoralis minor is most likely to be symptomatic with:
- A.
Ipsilateral neck rotation
- B.
Reaching overhead
- C.
Contralateral neck rotation
- D.
Wrist extension
Correct Answer
B. Reaching overheadExplanation
Compression of the brachial plexus by the pectoralis minor muscle can result in symptoms when reaching overhead. This is because when the arm is raised overhead, the pectoralis minor muscle can impinge on the brachial plexus, causing compression and resulting in symptoms such as pain, tingling, or weakness in the affected arm. Ipsilateral neck rotation, contralateral neck rotation, and wrist extension are not specifically associated with compression of the brachial plexus by the pectoralis minor muscle.Rate this question:
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- 6.
Which muscle should NOT be lengthened when the plexus is compressed by a depressed clavicle:
- A.
Sternal fibres of pectoralis major
- B.
Upper trapezius
- C.
Clavicular fibres of pectoralis major
- D.
Pectoralis minor
Correct Answer
B. Upper trapeziusExplanation
When the plexus is compressed by a depressed clavicle, the upper trapezius muscle should NOT be lengthened. This is because the upper trapezius muscle is responsible for elevating and retracting the scapula, and lengthening it would exacerbate the compression of the plexus. Lengthening the upper trapezius in this situation would further contribute to the impingement of the nerves in the plexus, leading to potential nerve damage and symptoms such as pain, numbness, and weakness in the upper extremities.Rate this question:
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- 7.
Which of the following is NOT a cause of carpal tunnel syndrome?
- A.
Rheumatoid arthritis of the radiocarpal joint
- B.
Boney callus from a wrist fracture
- C.
Adhesions between the median nerve and pronator teres muscle
- D.
Tendinitis of the extrinsic finger flexor muscles
- E.
Water retention resulting from pregnancy
Correct Answer
C. Adhesions between the median nerve and pronator teres muscleExplanation
Adhesions between the median nerve and pronator teres muscle is not a cause of carpal tunnel syndrome. Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. Rheumatoid arthritis of the radiocarpal joint, boney callus from a wrist fracture, tendinitis of the extrinsic finger flexor muscles, and water retention resulting from pregnancy can all contribute to the compression of the median nerve and lead to carpal tunnel syndrome.Rate this question:
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- 8.
Treatment for a client with carpal tunnel syndrome is most likely to involve:
- A.
Myofascial/connective tissue techniques at the extensor retinaculum of the wrist
- B.
Deep transverse frictions applied to the median nerve in the carpal tunnel
- C.
Mobilization of the ulnar nerve through the carpal tunnel
- D.
Myofascial/connective tissue techniques applied to the flexor retinaculum of the wrist
- E.
Muscle stripping the flexor carpi radialis
Correct Answer
D. Myofascial/connective tissue techniques applied to the flexor retinaculum of the wristExplanation
The correct answer is myofascial/connective tissue techniques applied to the flexor retinaculum of the wrist. Carpal tunnel syndrome is caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. The flexor retinaculum is a thick band of connective tissue that forms the roof of the carpal tunnel. Applying myofascial/connective tissue techniques to the flexor retinaculum can help to release tension and alleviate the compression on the median nerve, reducing symptoms of carpal tunnel syndrome.Rate this question:
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- 9.
Which of the following can cause pain that may be described as sciatica?
- A.
Lumbar nerve root irritation
- B.
Piriformis syndrome
- C.
Gluteus minimus trigger point
- D.
A & B
- E.
All of the above
Correct Answer
E. All of the aboveExplanation
All of the options listed can cause pain that may be described as sciatica. Lumbar nerve root irritation occurs when the nerves in the lower back are compressed or irritated, leading to pain that radiates down the leg. Piriformis syndrome is a condition in which the piriformis muscle in the buttocks irritates or compresses the sciatic nerve, causing pain. The gluteus minimus trigger point refers to a specific area in the buttocks that, when stimulated or compressed, can cause pain that radiates down the leg. Therefore, all of these conditions can cause sciatica-like pain.Rate this question:
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- 10.
A client with neural tension symptoms aggravated by shoulder depression likely has:
- A.
Carpal tunnel syndrome
- B.
Anterior scalene syndrome
- C.
Pectoralis minor syndrome
- D.
Costoclavicular syndrome
- E.
Cubital tunnel syndrome
Correct Answer
D. Costoclavicular syndromeExplanation
A client with neural tension symptoms aggravated by shoulder depression likely has costoclavicular syndrome. Costoclavicular syndrome is caused by compression of the brachial plexus and subclavian artery between the clavicle and first rib. Shoulder depression exacerbates the symptoms by further narrowing the space between these structures. Carpal tunnel syndrome, anterior scalene syndrome, pectoralis minor syndrome, and cubital tunnel syndrome are not typically aggravated by shoulder depression and do not involve compression at the costoclavicular region.Rate this question:
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- 11.
Foot overpronation can cause piriformis syndrome.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Foot overpronation refers to the excessive inward rolling of the foot during walking or running. This can lead to an imbalance in the muscles and ligaments surrounding the foot and ankle, including the piriformis muscle. The piriformis muscle is located in the buttocks and plays a role in stabilizing the hip joint. When the foot overpronates, it can cause the piriformis muscle to become tight or irritated, leading to piriformis syndrome. This condition is characterized by pain, tingling, or numbness in the buttocks and down the leg. Therefore, it is true that foot overpronation can cause piriformis syndrome.Rate this question:
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- 12.
Neurological symptoms in posterior thigh are common with piriformis syndrome.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because neurological symptoms in the posterior thigh are not common with piriformis syndrome. Piriformis syndrome typically presents with symptoms such as pain, tingling, or numbness in the buttocks and down the leg, but these symptoms do not usually extend specifically to the posterior thigh.Rate this question:
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- 13.
When performing a straight leg raise neural tension test, which of the following is TRUE?
- A.
Ankle dorsiflextion with inversion places more tension on the tibial tract
- B.
Hip adduction and internal rotation increases tension on the sciatic nerve
- C.
Plantar flexion with eversion places tension on the common peroneal tract
- D.
All of the above are true
- E.
None of the above are true
Correct Answer
B. Hip adduction and internal rotation increases tension on the sciatic nerve -
- 14.
Which of the following can contribute to the development of thoracic outlet syndrome?
- A.
Muscular hypertrophy
- B.
Postural dysfunction
- C.
Congenital abnormalities
- D.
A & B
- E.
All of the above are contributing factors to TOS
Correct Answer
E. All of the above are contributing factors to TOSExplanation
All of the options listed can contribute to the development of thoracic outlet syndrome (TOS). Muscular hypertrophy, which refers to the enlargement of muscles, can cause compression and narrowing of the thoracic outlet, leading to TOS. Postural dysfunction, such as poor posture or repetitive movements, can also contribute to TOS by putting excessive pressure on the nerves and blood vessels in the thoracic outlet. Congenital abnormalities, which are present from birth, can affect the structure of the thoracic outlet and increase the risk of developing TOS. Therefore, all three factors mentioned in the options can contribute to the development of TOS.Rate this question:
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