DPT Patient Evaluation & Diagnosis 4

Question 1

A patient has right cervical rotation limited to 40° (normal ~80°) with reproduction of right-sided neck and upper trapezius pain at end range. This is MOST consistent with which joint pattern?

Accepted Answer

Capsular pattern — facet joint arthritis

Answer

Symmetric limitation of cervical rotation and pain at end range in rotation is consistent with a facet joint capsular pattern.

Question 2

When palpating the posterior superior iliac spine (PSIS) during the standing flexion test, the PSIS on the right rises higher. This suggests:

Accepted Answer

Right sacroiliac joint restriction

Answer

The moving PSIS (right) suggests the sacroiliac joint on that side is restricted and 'drags' the innominate superiorly during lumbar flexion.

Question 3

A patient presents with paresthesia in the fourth and fifth digits, positive Tinel's sign at the cubital tunnel, and intrinsic muscle atrophy. Which nerve is MOST likely involved?

Accepted Answer

Ulnar nerve at the cubital tunnel

Answer

Ring and small finger paresthesia, positive Tinel at the elbow, and intrinsic wasting are classic signs of ulnar nerve entrapment at the cubital tunnel.

Question 4

The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is BEST classified as which type of outcome measure?

Accepted Answer

Patient-reported outcome measure

Answer

The DASH is a patient-reported outcome measure (PROM) because the patient self-rates disability and symptom severity.

Question 5

During cervical AROM assessment, a patient reports radicular pain down the right arm with right lateral flexion combined with extension. This is MOST consistent with:

Accepted Answer

Right cervical nerve root compression

Answer

Ipsilateral lateral flexion with extension closes the right intervertebral foramen, compressing the nerve root and producing ipsilateral radicular symptoms.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Patient Evaluation & Diagnosis 4