PCE Musculoskeletal Physiotherapy and Manual Therapy 3

Question 1

A patient is in the freezing phase of adhesive capsulitis (frozen shoulder). Which intervention is MOST appropriate?

Accepted Answer

Pain management and gentle range of motion exercises

Answer

Aggressive stretching and Grade IV joint mobilization

Answer

Rotator cuff strengthening with resistance bands

Answer

High-velocity manipulation of the glenohumeral joint

Question 2

What is the capsular pattern of the glenohumeral joint as described by Cyriax?

Accepted Answer

Greatest restriction in external rotation, then abduction, then internal rotation

Answer

Equal restriction in all planes of motion

Answer

Greatest restriction in flexion with relatively preserved rotation

Answer

Restriction in internal rotation only

Question 3

In the Thomas test, the contralateral hip is flexed to flatten the lumbar lordosis. A positive finding for hip flexor tightness on the tested side is:

Accepted Answer

The tested thigh rises into hip flexion off the table

Answer

The tested thigh remains flat on the table

Answer

The tested knee extends from a flexed position

Answer

Pain is produced in the contralateral groin

Question 4

A positive Clarke's test (patellar grind test) is most indicative of:

Accepted Answer

Patellofemoral joint pathology

Answer

Medial collateral ligament laxity

Answer

Patellar tendon degeneration

Answer

Lateral retinaculum contracture

Question 5

What is the correct patient position for performing a central posterior-anterior (PA) glide mobilization of the lumbar spine?

Accepted Answer

Prone with a pillow under the abdomen

Answer

Supine with knees bent to 90°

Answer

Side-lying with hips and knees flexed

Answer

Sitting upright with arms supported

Question 6

A patient has limited knee extension with a hard, abrupt end-feel. This end-feel is most consistent with:

Accepted Answer

Bone-on-bone contact as seen in osteoarthritis

Answer

Muscle spasm

Answer

Capsular tightness

Answer

Ligamentous restriction

Question 7

Which outcome measure is the gold standard for assessing functional disability in patients with low back pain?

Accepted Answer

Oswestry Disability Index (ODI)

Answer

Neck Disability Index (NDI)

Answer

DASH (Disabilities of the Arm, Shoulder and Hand)

Answer

WOMAC Osteoarthritis Index