DPT Orthopedic & Musculoskeletal Therapy 2

Question 1

A patient presents with lateral elbow pain that worsens with resisted wrist extension and grip. Which structure is most likely affected?

Accepted Answer

Common extensor tendon at lateral epicondyle

Answer

Lateral epicondylitis (tennis elbow) involves degeneration of the common extensor tendon, particularly the ECRB, at its attachment on the lateral epicondyle.

Question 2

Which special test is most specific for anterior cruciate ligament insufficiency?

Accepted Answer

Pivot shift test

Answer

The pivot shift test is highly specific for ACL insufficiency, reproducing the subluxation-reduction phenomenon of anterolateral rotatory instability.

Question 3

A patient with shoulder impingement has a positive Hawkins-Kennedy test. Which structure is most likely being compressed?

Accepted Answer

Supraspinatus tendon

Answer

The Hawkins-Kennedy test internally rotates the shoulder at 90° flexion, compressing the supraspinatus tendon against the coracoacromial ligament.

Question 4

The Thomas test is used to assess flexibility of which muscle group?

Accepted Answer

Hip flexors

Answer

The Thomas test assesses hip flexor tightness; a positive test (inability to fully extend the non-tested hip) indicates iliopsoas or rectus femoris tightness.

Question 5

In Achilles tendinopathy, which loading strategy has the strongest evidence for pain reduction and tendon remodeling?

Accepted Answer

Eccentric heel drop exercises

Answer

Eccentric heel drop exercises (Alfredson protocol) have the strongest evidence for promoting collagen remodeling and reducing pain in Achilles tendinopathy.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Orthopedic & Musculoskeletal Therapy 2