DPT Orthopedic & Musculoskeletal Therapy 4

Question 1

A patient presents with pain and weakness at the wrist following a fall on outstretched hand. Tenderness is noted in the anatomical snuffbox. The most likely injury is:

Accepted Answer

Scaphoid fracture

Answer

Anatomical snuffbox tenderness following FOOSH injury is the hallmark finding for scaphoid fracture, which may be radiographically occult initially.

Question 2

Which muscle is the PRIMARY restraint against anterior tibial translation on the femur?

Accepted Answer

Anterior cruciate ligament

Answer

The ACL is the primary restraint against anterior tibial translation, providing approximately 85% of the total restraining force.

Question 3

During gait analysis, which phase of the gait cycle has the highest quadriceps demand?

Accepted Answer

Loading response

Answer

The loading response phase (initial double-limb support) requires maximal eccentric quadriceps activity to control knee flexion and absorb impact forces.

Question 4

A patient with chronic plantar fasciitis fails conservative care. Which injection type has the strongest evidence for short-term pain relief?

Accepted Answer

Corticosteroid injection

Answer

Corticosteroid injections have the strongest short-term evidence for plantar fasciitis pain relief, though effects typically diminish by 3 months.

Question 5

Which nerve is at greatest risk during anterior hip replacement surgery and presents with foot drop postoperatively?

Accepted Answer

Sciatic nerve

Answer

The sciatic nerve is most at risk during posterior hip approaches; injury to the peroneal division causes foot drop due to anterior compartment weakness.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Orthopedic & Musculoskeletal Therapy 4