Frozen Shoulder
1. Lola Irma experience sudden pain on her R shoulder wherein there is intermittent localized dull aching on the deltoid insertion. However it has been 3 weeks as she recalled based on the exam she has LOM on ER, Abd, IR and noticeable atrophy on the triceps and biceps brachii. Based on the manifestation what stage of frozen shoulder the patient is currently in? a. Frozen b. Freezing c. Thawing d. Unknown e. NOTA 2. Same case on (1) if ever the patient manifest acute pain with continuous nocturnal deep nagging pain on what stage is that? a. Frozen b. Freezing c. Thawing d. Unknown e. NOTA 3. If the patient is (+) with Apley scratch test does it conform that it is a frozen shoulder? a. True b. False c. Cannot be Determined d. No right Answer 4. Which of the following are the expected ROM assessment for frozen shoulder with LOM as to? a. AROM equal PROM b. PROM is higher than AROM c. AROM is higher than PROM d. NOTA 5. The Pt sustained a close humeral fracture on his R shoulder. After 6 weeks there was noticeable stiffness of shoulder suspecting a case of frozen shoulder. Given the origin what type of frozen shoulder it belongs to? a. Frozen b. Secondary c. Primary d. Unknown e. AOTA 6. The following about frozen shoulder is true with regards to Therapeutic Exercises except? a. PJM of Grade III traction can increase ROM towards ER b. Pendulum Exercises and Codmans can be prescribed
c. AROMES/PROMES d. AOTA e. NOTA 7. The following about frozen shoulder are false except? a. (+) LOM towards IR b. (+) Apley Scratch Test c. Joint play assessment revealed to be both the same for both shoulder d. NOTA e. AOTA 8. Assessment reveals false about frozen shoulder except? a. (+) LOM towards ER b. (+) Hawkins Kennedy Test c. Joint play assessment revealed to be both the same for both shoulder d. NOTA e. AOTA 9. If the patient with frozen shoulder is under Maximum protection phase the following should be observed? a. Muscle setting b. AROMES/PROMES c. Cold packs d. NOTA e. AOTA 10. Pt undergoes therapy and the LOM of his shoulder joint brought by frozen shoulder is flexion. What grade of PJM would likely benefit to increase flexion? a. Grade III Oscillations b. Grade I Traction c. Grade III Sustained traction with Anterior Glide d. A and C e. AOTA
3. The following tests are sensitive for impingement syndrome except? a. Apley scratch test b. Hawkins Kennedy test c. Neer Impingement test d. NOTA e. AOTA 4. Which of the following are the expected MMT assessment for RCT? a. Grade 5 for supraspinatus b. Grade 3 for deltoids c. Grade 1 for supraspinatus d. NOTA e. AOTA 5. The Pt sustained a close humeral fracture on his R shoulder. After 6 weeks there was noticeable stiffness of shoulder suspecting a case of RCT. Given the origin what type of impingement it belongs to? a. Primary b. Secondary c. Tertiary d. NOTA e. AOTA 6. The following about Neer Impingement classification is true except? a. Grade I = haemorrhage edema b. Grade II = degeneration and fibrosis c. Grade III = partial tear d. NOTA e. AOTA 7. The following about RCT are false except? a. On this condition there is a dsykenisia or disruption of scapulohumeral rhythmn b. (+) Hawkins Kennedy c. Joint play assessment revealed to be both the same for both shoulder d. Hook type of acromion can greatly contribute to this condition. e. Lidocaine test can be used as confirmatory exam. 8. Assessment reveals RCT except? a. (+) LOM towards Abduction b. Grade II Tenderness on ant medial shoulder c. Empty end-feel with ROM d. NOTA e. AOTA 9. If the patient with RCT is under Maximum protection phase the following should be observed? a. Cold Packs b. Gentle ROM c. Grade I oscillations d. NOTA e. AOTA
10. Pt undergoes therapy and the best hydro modality for RCT with (+) hyperthermia, erythema, swelling is? a. 20 mins HMP on shoulder b. 25 mins cold packs c. 1 Mhz US using direct 2 technique with 1.5 w/cm d. NOTA e. AOTA
c. There is fibrosis happening on the tendon due to its non-inflammatory response in nature. d. NOTA e. AOTA 7. The following about RCT are false except? a. On this condition there is a dsykenisia or disruption of scapulohumeral rhythmn b. (+) Hawkins Kennedy c. Joint play assessment revealed to be both the same for both shoulder d. Hook type of acromion can greatly contribute to this condition. e. Lidocaine test can be used as confirmatory exam. 8. Assessment reveals Lateral epicondylitis except? a. (+) tennis elbow test method 3 b. Grade II Tenderness on lateral epicondyle c. Empty end-feel with ROM of wrist extension. d. NOTA e. AOTA 9. If the patient with RCT is under Return to Function phase the following should be observed? a. Rx of tennis elbow strap b. Plyometric trng for fingers and wrist c. PRE for elbow flexors and extensors d. NOTA e. AOTA 10. Pt undergoes therapy and the best modality for tennis elbow under minimum protection phase? a. 20 mins HMP on elbow b. 25 mins ice massage c. 1.6 Mhz US using direct 2 technique with 1.5 w/cm d. Cross fibre massage e. AOTA
5. Herniated Nucleus Pulposus and compression fractures is an extension bias syndrome. 6. Burns Tests is used to determine if the patient has a dysfunction with the back and spine particular for mechanical low back pain. 7. Williams Exercises are advised to patient with degenerative joint disease of the spine. 8. Patient with bamboo spine manifestations are advised to use CASH as a spinal orthosis. 9-10 Choose the letter of the correct answer for matching type below are the choices 9. Intermittent pain that is relieved by rest and low back pain present. 10. Low back pain is usually absent. a. Neurogenic Claudication b. Vascular Claudication
IV. Mechanical Low Back Pain Bold if True and Italicize if False
1. Mechanical Low Back pain can be myogenous in origin that includes muscle strain that can brought a neurogenic type of claudication. 2. Drawing in maneuver is the first thing in performing exercises for extension bias patient like cases of muscle strain back pain. 3. Spondylolysis is the degeneration of the pars inter articularis together with the apophyseal joint of the vertebrae. 4. Spondylolisthesis are common with mobile junction specifically L1-L2 junction.
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