CMT Patient Evaluation & Treatment Planning 2

Question 1

During a cervical spine assessment, a patient reports pain radiating into the ipsilateral arm with neck compression and rotation. Which test would best confirm cervical radiculopathy?

Accepted Answer

Spurling's compression test

Answer

Spurling's compression test reproduces radicular symptoms by compressing the neural foramina on the affected side via lateral flexion, rotation, and axial compression.

Question 2

A manual therapist performing a lumbar assessment notes that active trunk flexion is limited and painful but passive extension is full and pain-free. This pattern most likely indicates:

Accepted Answer

Muscle guarding with flexion bias

Answer

Pain and limitation with active flexion but full pain-free passive extension suggests anterior muscle guarding or flexion-loaded tissue involvement rather than a structural lesion.

Question 3

When documenting a patient's pain using the SOAP format, information about the patient's occupation and daily activities belongs in which section?

Accepted Answer

Subjective

Answer

Subjective information includes the patient's self-reported history, symptoms, occupation, and functional activities that are not directly measured by the clinician.

Question 4

A 45-year-old patient presents with unilateral shoulder pain and limited internal rotation. The posterior capsule is most likely involved if which test is positive?

Accepted Answer

Posterior capsule stretch (sleeper stretch) reproduces pain

Answer

Pain or tightness reproduced by the sleeper stretch (horizontal adduction with internal rotation) directly implicates posterior capsule restriction.

Question 5

Which outcome measure is most appropriate for tracking functional disability in patients with non-specific low back pain?

Accepted Answer

Oswestry Disability Index (ODI)

Answer

The Oswestry Disability Index is specifically designed to measure functional disability related to low back pain across ten activity categories.

(CMT) Certified Manual Therapist Practice Test

(CMT) Certified Manual Therapist Practice Test

CMT Patient Evaluation & Treatment Planning 2