PCE Musculoskeletal Physiotherapy and Manual Therapy

Question 1

A patient presents with a positive Empty Can (Jobe's) test. Which structure is most likely injured?

Accepted Answer

Supraspinatus

Answer

The Empty Can test isolates the supraspinatus by placing the shoulder in 90° abduction, 30° horizontal adduction, and internal rotation, making supraspinatus pathology the primary finding.

Question 2

Which special test has the highest specificity for diagnosing an anterior cruciate ligament (ACL) tear?

Accepted Answer

Pivot shift test

Answer

The pivot shift test has the highest specificity (~98%) for ACL tears because it reproduces the rotational instability pattern unique to ACL deficiency during weight-bearing.

Question 3

Using the Maitland grading system, which grade is MOST appropriate for treating an acute, highly irritable cervical condition?

Accepted Answer

Grade I

Answer

Grade I (small amplitude oscillations at the beginning of range) is appropriate for acute, irritable conditions to provide pain relief without provoking symptoms.

Question 4

Which of the following is an absolute contraindication to cervical spine high-velocity manipulation?

Accepted Answer

Vertebral artery insufficiency

Answer

Vertebral artery insufficiency is an absolute contraindication to cervical manipulation due to the risk of vertebrobasilar stroke from compromised blood flow.

Question 5

Which muscle is most commonly involved in lateral epicondylitis (tennis elbow)?

Accepted Answer

Extensor carpi radialis brevis

Answer

The extensor carpi radialis brevis (ECRB) is most commonly affected in lateral epicondylitis due to its anatomical position and the high tensile loads it bears during repetitive gripping.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Musculoskeletal Physiotherapy and Manual Therapy