Independence day rapid fire questions

Supraspinatus- full thickness RTC tear

55yo can't lift arm past 90° after fall; drop arm test positive —

most likely structure?

lateral epicondylalgia/tennis elbow

Pain over lateral elbow with resisted wrist extension — diagnosis?

supraspinatus tendinopathy/ impingement

Positive empty can test with painful arc 60–120° — structure

implicated?

long head of biceps tendon

Positive Speed's and Yergason's tests — structure involved?

SLAP lesion/ sup. labrum

Positive O'Brien (active compression) test — structure?

1st CMC (basilar thumb) OA

Grinding/pain at thumb CMC base in older woman —

diagnosis?

FAI/ labral tear

Groin pain, positive FADIR/impingement sign in young

athlete — diagnosis?

DVT

Positive Homan's sign — condition to rule out?

Plantar fasciitis

Positive Windlass test — condition?

Lisfranc injury, tarsometatarsal disruption

Midfoot pain, inability to bear weight, "gap" between 1st/2nd

metatarsals — injury?

cervical radiculopathy, shoulder ABD relief sign

Neck pain with radiating arm symptoms relieved by hand-on-

head — test/sign?

cervical radiculopathy

Positive Spurling's test — condition?

upper corssed syndrome/ suboccicpital dysfunction

Chin-poke posture with suboccipital headache — likely

driver?

large/ central disc herniation

Positive crossed SLR — significance?

lumbar segmental instability

Positive prone instability test — condition?

generalized joint hypermobility

Positive Beighton score ≥5 — condition?

lateral medullary (wallenburg) syndrome, PICA/vertebral artery occlusion

Ipsilateral face + contralateral body sensory loss, dysphagia,

vertigo — which syndrome?

multiple sclerosis

Bilateral intention tremor, scanning speech, optic neuritis,

relapsing course — diagnosis?

Parkinsons

Cogwheel rigidity is characteristic of which condition?

UMN. corticospinal tract

Positive Babinski (extensor plantar) indicates lesion where?

UMN lesion

Clasp-knife spasticity indicates what type of lesion?

fluent, impaired comprehension

Wernicke's aphasia — fluency and comprehension status?

non-fluent, intact comprehension

Broca’s aphasia — fluency and comprehension status?

R hemisphere, parietal lesion

Left neglect and difficulty with spatial tasks — which

hemisphere lesion?

flexion, lesion above red nuclei

Decorticate posturing — flexion or extension of upper limbs?

below brainstem

Decerebrate posturing — lesion level relative to decorticate?

wrist extensors, ECRB/ECRL

Complete SCI at C6 — key preserved muscle for function?

T6

Autonomic dysreflexia occurs above which SCI level?

cortical, away from hemiparesis

Rightward gaze deviation toward lesion — cortical or

brainstem?

ipsilateral

Cerebellar lesion produces ipsilateral or contralateral signs?

cerebellum

Dysdiadochokinesia localizes to which structure?

cerebellum

Ataxic (wide-based) gait localizes where?

subthalamic nucleus

Hemiballismus lesion location?

basal ganglia

Athetosis/chorea implicates which brain structure?

Horner’s syndrome, disrupted sympathetic pathway

Ptosis, miosis, anhidrosis — which syndrome?

CN III, unopposed lateral rectus/ superior oblique, parasympathetic loss

Diplopia with eye "down and out," dilated pupil — which

CN palsy?

cervical UMN, corticospinal

Positive Hoffmann's sign indicates lesion where?

ventral pons

Locked-in syndrome lesion location?

normal pressure hydrocephalus

Shuffling + cognitive decline + urinary incontinence triad —

diagnosis?

optic neuritis: vision loss, blurring, painful eye movement

MS lesion in optic nerve produces what visual symptom?

HRmax - HR rest

Target HR by Karvonen uses which reserve?

chronic bronchitis

Productive cough >3 months/2 years — diagnosis?

secretions in alveoli/airways

Auscultation "crackles/rales" indicate what?

airway narrowing/ obstruction, bronchospasm, or secretions

Auscultation "wheezes" indicate what?

tension pneumothorax

Absent breath sounds + tracheal deviation away —

emergency?

prone with foot of bed elevated

Postural drainage for posterior basal segments — which

position?

atelectasis: sustained inspiration re expands alveoli

Incentive spirometry primarily prevents what post-op

complication?

2 METS

MET level for slow walking (~2 mph)?

sit, rest, assess, adminster nitro

Angina during rehab — first response?

nausea, visual changes, arrythmia/ bradycardia, signs of glycoside toxicity

Digitalis toxicity sign to watch in rehab?

Leads II, III, and aVF, inferior wall leads

Which lead cluster shows inferior MI?

SOB, sudden dyspnea, pleuritic chest pain, tachycardia

Pulmonary embolism classic presentation?

DVT and PE” claf sign prompting workup

Homan's sign relates to what cardiopulmonary risk?

ventricular gallop, heart failure or volume overload

S3 heart sound suggests what?

R 2nd IC space, sternal border

Auscultation site for aortic valve?

arterial insufficiency, dependent rubor/elevation pallor

Buerger's test assesses what?

improve ventilation efficiency, reduce accessory muscle use

Diaphragmatic breathing goal in COPD?

central cyanosis/ hypoxemia

Cyanosis around lips indicates what?

chronic hypoxia, longstanding O2

Clubbing of fingers suggests what chronic condition?

drain air/fluid. resotre negative pleural pressure, re-expand the lung

Chest tube purpose after thoracic surgery?

diminished/absent breath sounds, collapsed alevoli

Atelectasis breath sounds finding?

CHF/HF dysfunction, unstable respiratory drive

Cheyne-Stokes breathing pattern indicates what?

metabolic acidosis

Kussmaul breathing associated with what metabolic state?

selective: sharp or enzymatic

Infected necrotic wound needing fast removal — selective or

nonselective debridement?

pressure injury

Braden Scale predicts risk of what?

0.5

Compression is contraindicated when ABI falls below what

value?

total contact casting

Best offloading intervention for a plantar neuropathic ulcer?

<70

Blood glucose below what value → treat and hold exercise?

> 250-300

Blood glucose above what value (with ketones) → avoid

exercise?

< 7%

HbA1c target for controlled diabetes?

osteoporosis/ AVN

Chronic steroid use raises risk of which musculoskeletal

complication?

liver/ gallbladder

Referred pain to the right shoulder from which organ?

spleen

Left shoulder pain after trauma (Kehr's sign) — which

organ?

kidney infection

Costovertebral angle tenderness with fever — diagnosis?

< 20,000

Platelet count below what → hold resistive exercise

(AROM/ADLs only)?

fibromyalgia

Widespread pain, tender points, poor sleep — diagnosis and

exercise approach?

photosensitivity

SLE flare precaution relevant to modalities/outdoor exercise?

prevents wound closure

Wound with rolled (epibole) edges — what does this

prevent?

red, hot, swollen, deformed but painless - neuropathic joint destruction

Charcot foot — hallmark presentation in a neuropathic

patient?