MSK LQ W10 - Knee Examination & Evaluation

The Ely test is a measure of which of the following muscles in terms of muscle length assessment?

Rectus Femoris

3 multiple choice options

The Anterior Knee Pain Scale or Kujala Scale has been identified as a primary outcome measure in what patient population?

Patellofemoral Pain Syndrome

3 multiple choice options

A physical therapist is evaluating a patient with a suspected lateral meniscus tear. They elect to perform the McMurray's test to confirm. To confirm the lateral meniscus, the therapist should perform knee flexion combined with which of the following motions?

Tibial internal rotation

3 multiple choice options

A number of hop tests have been recommended for use following ACL reconstruction to determine readiness to return to sport. At 6 months postop left ACL reconstruction, a 21 year old female wants to know how likely she is to return to sport. She performs the single leg hop for distance test on the right leg for a distance of 65 inches. What is the MINIMUM distance would she need to hop on the left leg to suggest a successful return to sport within the next 6 months?

60 inches

3 multiple choice options

A 45-year-old female presents to the clinic with complaints of left anterior knee pain secondary to a recent increase in activity. The physical therapist believes this is secondary to patellofemoral pain syndrome and administers the Knee Injury and Osteoarthritis outcome score Patellofemoral Subscale (KOOS-PF) for which the patient scores a 68/100. What is the MINIMUM score necessary to ensure the minimal clinically important difference has been met?

80

3 multiple choice options

The ACL originates from the anterior intercondylar tibial fossa and inserts where?

medial border of the lateral femoral condyle

3 multiple choice options

Patellar tendinopathy would typically be more common in which of the following sporting activities?

sprinting

3 multiple choice options

A 40-year-old female presents to the clinic with complaints of right anterior knee pain but no pain with squatting. Which of the following diagnoses can MOST LIKELY be ruled out?

patellofemoral pain syndrome

3 multiple choice options

The patellofemoral joint occupies its greatest contact area with the femur at what joint angle?

60-90° knee flexion

3 multiple choice options

At 6 months post op ACL reconstruction, what score on the ACL Return to Sports after Injury Questionnaire (ACL-RSI) is needed to predict successful return to sport?

65%

3 multiple choice options

In a patient presenting with iliotibial band syndrome, which structure is likely to be most tender to palpation?

lateral femoral condyle

3 multiple choice options

Which special test is the most diagnostic for ruling IN a meniscus tear?

McMurray

3 multiple choice options

During what part of the gait cycle is the knee in its most flexed position?

initial swing

3 multiple choice options

ACL mechanism of injury is a combination of knee _____, femoral ____ and tibial______.

extension; internal rotation; external rotation

3 multiple choice options

which of the following would happen during close chain knee flexion?

convex femur rolls posteriorly and glides anteriorly on fixed concave tibia

3 multiple choice options

what is the open pack position at the tibiofemoral joint?

30° knee flexion

3 multiple choice options

when considering the patellofemoral joint, what degree of knee flexion does the patella have most contact with the femur?

60-90° knee flexion

3 multiple choice options

if you want to promote extension, what patellofemoral glide should you perform?

superior

3 multiple choice options

the posterior cruciate ligament runs from the _____ of the femoral medial condyle to the _____ intercondylar tibial fossa

lateral aspect; posterior

3 multiple choice options

which of the following is a mechanism of injury to tear your ACL?

hip ABD, femur IR, fixed distal tibia with ER

3 multiple choice options

which of the following is not a special test to assess the integrity of the ACL?

McMurrays

3 multiple choice options

T/F: the valgus stress test assess the integrity of the LCL

false

1 multiple choice option

which of the following ligaments is assessed by the valgus stress test?

MCL

3 multiple choice options

compared to the medial meniscus, the lateral meniscus is _____, is _____ shaped, and attaches to the _____.

smaller; circular; quads, semimembranosus, and popliteus

3 multiple choice options

T/F: the outer 1/3 of the meniscus is called the red zone and has better healing potential

true

1 multiple choice option

which of the following is a functional goal of the meniscus?

helps deepen tibial fossa

3 multiple choice options

you are performing the McMurray test. in order to test the lateral meniscus, you should perform:

femoral IR and tibial IR

3 multiple choice options

to perform the brush stroke for effusion, you perform _____ and _____

3 medial upstrokes; 1 lateral downstroke

3 multiple choice options

after performing the brush stroke test, you grade the test as a 1+ which means that you observed a:

larger bulge on medial side with downstroke

3 multiple choice options

a positive Ely test would be indicated by which of the following?

the pts heel cannot touch their butt

3 multiple choice options

if a patients pain is reproduced with a squat, you can most likely rule in:

patellofemoral pain syndrome

3 multiple choice options

a volleybal athlete comes in with pain that is reproduced with jumping. she has just started the season. she likely has which of the following?

patellar tendinopathy

3 multiple choice options

which of the following is not a clinic criteria to diagnose someone with knee OA?

stiffness >30 min in the morning

3 multiple choice options

you see a pt s/p TKA. you examine pitting edema. they mention they have been bed ridden for 4 days and have cancer. what is this indicative of?

they score a +3 on the Well's criteria and likely have a DVT

3 multiple choice options

a 50 year old man comes to PT after falling. no knee flexion to 90°, no tenderness around the knee, and can bear weight. based on the Ottawa knee rules, which of the following is most likely true?

they do meet the criteria for an X-ray

3 multiple choice options