CMT Orthopedic Special Tests & Differential Diagnosis 2

Question 1

A positive Thomas test, in which the tested leg rises off the table when the contralateral hip is fully flexed, indicates tightness of the:

Accepted Answer

Hip flexors

Answer

The Thomas test eliminates lumbar lordosis; if the tested leg lifts off the table, the hip flexors (primarily iliopsoas and rectus femoris) are too tight to allow full hip extension.

Question 2

The McMurray test is designed to assess pathology of the:

Accepted Answer

Knee menisci

Answer

McMurray's test uses tibial rotation combined with knee flexion and extension to reproduce a click or pain arising from a torn meniscus between the femoral condyle and tibial plateau.

Question 3

A positive anterior drawer test at the ankle, in which the talus translates anteriorly in the mortise, indicates laxity of the:

Accepted Answer

Anterior talofibular ligament

Answer

The anterior drawer test stresses the anterior talofibular ligament (ATFL), the most commonly injured lateral ankle ligament, by translating the talus forward in the mortise.

Question 4

Ober's test, performed in sidelying with the hip extended and then adducted, evaluates tightness of the:

Accepted Answer

Iliotibial band and tensor fasciae latae

Answer

Ober's test assesses IT band and TFL tightness; inability of the leg to adduct and drop to the table indicates restricted lateral thigh soft tissue extensibility.

Question 5

During a Trendelenburg test, the contralateral pelvis drops when the patient stands on one leg. This finding indicates weakness of the:

Accepted Answer

Ipsilateral hip abductors (gluteus medius)

Answer

When the contralateral pelvis drops during single-leg stance, the ipsilateral hip abductors (gluteus medius) are too weak to maintain a level pelvis on the weight-bearing side.

(CMT) Certified Manual Therapist Practice Test

(CMT) Certified Manual Therapist Practice Test

CMT Orthopedic Special Tests & Differential Diagnosis 2