NPTE-PT Musculoskeletal System Examination 2

Question 1

During a manual muscle test, a patient can move through full range of motion against gravity but fatigues with minimal resistance. What MMT grade is this?

Accepted Answer

Grade 4-

Answer

Grade 4- (Fair+) indicates the patient tolerates minimal resistance through full ROM but cannot sustain it against moderate resistance.

Question 2

A patient presents with pain at the lateral epicondyle that worsens with resisted wrist extension and passive wrist flexion with elbow extended. Which structure is most likely involved?

Accepted Answer

Extensor carpi radialis brevis

Answer

The extensor carpi radialis brevis (ECRB) is the most commonly affected tendon in lateral epicondylalgia (tennis elbow).

Question 3

Which special test assesses the integrity of the posterior cruciate ligament (PCL)?

Accepted Answer

Posterior drawer test

Answer

The posterior drawer test assesses PCL integrity by applying a posterior-directed force to the proximal tibia with the knee at 90° flexion.

Question 4

A 55-year-old patient has pain with the FABER test, groin pain, and limited hip internal rotation. The most likely diagnosis is:

Accepted Answer

Hip osteoarthritis

Answer

Limited internal rotation, groin pain, and positive FABER test are classic signs of hip osteoarthritis due to capsular pattern restriction.

Question 5

When assessing scoliosis with the Adam's forward bend test, a positive result is indicated by:

Accepted Answer

Rib hump or paraspinal prominence on one side

Answer

A rib hump or paraspinal prominence during forward bending indicates rotational deformity consistent with structural scoliosis.

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NPTE-PT Musculoskeletal System Examination 2