BPK 241 EXAMS TEST PAPER QUESTIONS AND
ANSWERS SURE A+
✔✔what is the treatment of a shoulder sprain/separation (Acromioclavicular joint
sprain)? - ✔✔Ice, sling can help with pain, restore ROM, pendulum exercises, pad
around ACJ for return to sport, ACJ tape job, can refer to DR. for X-rays if suspect
clavicular fracture
✔✔what is the history of a shoulder subluxation/dislocation? - ✔✔Acute injury, generally
trauma, athlete will report feeling of "shoulder popping out", shoulder might feel
unstable, athlete might tell you shoulder is out, fall on outstretched hand (FOOSH) injury
✔✔what is the assessment of a shoulder subluxation/dislocation? - ✔✔posture of
athlete presentation (slumped forward), if athlete tells you shoulder is out don't continue
to assess hospital, limited mobility into end range all movements, positive apprehension
test, perhaps positive one of Sulcus sign, and/or Anterior Posterior glide
✔✔what is the treatment of a shoulder subluxation/dislocation? - ✔✔Subluxation -
POLICE, strengthening program for rotator cuff, scapular stabilization
Dislocation - Treat as a fracture, immobilize in position of presentation, seek immediate
medical attention, ICE, keep athlete comfortable, if out of sling, can start with pendulum
exercises and progress as per subluxation
✔✔what is the history of olecranon bursitis? - ✔✔Acute or repeated trauma, fall on point
of elbow, pain on point of elbow, pain with pressure over elbow, swelling on elbow
✔✔what is the assessment of olecranon bursitis? - ✔✔Visible swelling, TOP over
olecranon, boggy feeling on palpation of olecranon
✔✔what is the treatment for olecranon bursitis? - ✔✔POLIE (No C!), protective padding
for sport, alleviate aggravating factors
✔✔what is the history of lateral epicondylalgia (tennis elbow)? - ✔✔Chronic, pain with
gripping, pain worse when using arm, pain over lateral epicondyle, can also come from
minor trauma, pain with certain wrist movements
✔✔what is the assessment of lateral epicondylalgia (tennis elbow)? - ✔✔Pain with
active wrist extension, decreased wrist flexion PROM with pain, pain with resisted
supination, decreased grip strength that elicits pain, pain with stretch test of wrist
extensors, TOP over CEO, Ax scapulohumeral rhythm
✔✔what is the treatment for lateral epicondylalgia (tennis elbow)? - ✔✔correct shoulder
biomechanics, stretch wrist extensors, gentle strengthening isometric to concentrically,
eccentric wrist extensor program, supination strength, compression band
, ✔✔what is the history of medial epicondylalgia (golfers elbow)? - ✔✔Chronic, pain with
gripping, worse when using arm, pain over medial epicondyle, pain with wrist flexion
✔✔what is the assessment of medial epicondylalgia (golfers elbow)? - ✔✔Pain and
weakness with active wrist flexion, pain with gripping, worse when using arm, pain with
resisted pronation, pain with stretch of wrist flexors, TOP over CFO, Ax scapulohumeral
rhythm
✔✔what is the treatment for medial epicondylalgia (golfers elbow)? - ✔✔Correct
shoulder biomechanics, stretch wrist flexors, gentle strengthening isometric to
concentrically, eccentric wrist flexor program, compression band
✔✔what is the history of a collateral ligament sprain? - ✔✔Trauma to elbow, another
athlete landing on elbow, acute pain in medial or lateral side of elbow
✔✔what is the assessment of a collateral ligament sprain? - ✔✔Limited elbow flexion or
extension, visible swelling, laxity and pain with either radial or ulnar collateral ligament
stress test
✔✔what is the treatment for a collateral ligament sprain? - ✔✔POLICE, support elbow,
restore ROM, begin strengthening, gradually increase loading through ligament.
✔✔what is the history of carpal tunnel syndrome? - ✔✔Can be acute or
chronic/repetitive trauma, pain or numbness/tingling in median nerve distribution, might
report hand feeling clumsy, worse with direct pressure or when using hand
✔✔what is the assessment of carpal tunnel syndrome? - ✔✔Possible atrophy of thenar
eminence, decreased grip strength, positive Phalen's test, positive Tinel's tap test,
positive Derkan's test
✔✔what is the treatment for carpal tunnel syndrome? - ✔✔Rest, ice, brace to maintain
neutral wrist (no compression!), very gentle ROM and strength exercises, correct any
loading issues, correct upper body extremity mechanics
✔✔what is the history of a scaphoid fracture? - ✔✔Fall on an outstretched hand
(FOOSH), need to be cautious as is frequently confused for a wrist sprain, lots of pain in
wrist on radial side, pain with movement
✔✔what is the assessment of a scaphoid fracture? - ✔✔Decreased ROM in all
directions, especially painful into radial deviation, weakness with thumb movements,
positive scaphoid compression test, positive pain with palpation of anatomical snuff box
✔✔what is the treatment of a scaphoid fracture? - ✔✔Send for medical attention with
DR and Xray, immobilize, ice, once out of cast or possible surgery start to restore ROM
ANSWERS SURE A+
✔✔what is the treatment of a shoulder sprain/separation (Acromioclavicular joint
sprain)? - ✔✔Ice, sling can help with pain, restore ROM, pendulum exercises, pad
around ACJ for return to sport, ACJ tape job, can refer to DR. for X-rays if suspect
clavicular fracture
✔✔what is the history of a shoulder subluxation/dislocation? - ✔✔Acute injury, generally
trauma, athlete will report feeling of "shoulder popping out", shoulder might feel
unstable, athlete might tell you shoulder is out, fall on outstretched hand (FOOSH) injury
✔✔what is the assessment of a shoulder subluxation/dislocation? - ✔✔posture of
athlete presentation (slumped forward), if athlete tells you shoulder is out don't continue
to assess hospital, limited mobility into end range all movements, positive apprehension
test, perhaps positive one of Sulcus sign, and/or Anterior Posterior glide
✔✔what is the treatment of a shoulder subluxation/dislocation? - ✔✔Subluxation -
POLICE, strengthening program for rotator cuff, scapular stabilization
Dislocation - Treat as a fracture, immobilize in position of presentation, seek immediate
medical attention, ICE, keep athlete comfortable, if out of sling, can start with pendulum
exercises and progress as per subluxation
✔✔what is the history of olecranon bursitis? - ✔✔Acute or repeated trauma, fall on point
of elbow, pain on point of elbow, pain with pressure over elbow, swelling on elbow
✔✔what is the assessment of olecranon bursitis? - ✔✔Visible swelling, TOP over
olecranon, boggy feeling on palpation of olecranon
✔✔what is the treatment for olecranon bursitis? - ✔✔POLIE (No C!), protective padding
for sport, alleviate aggravating factors
✔✔what is the history of lateral epicondylalgia (tennis elbow)? - ✔✔Chronic, pain with
gripping, pain worse when using arm, pain over lateral epicondyle, can also come from
minor trauma, pain with certain wrist movements
✔✔what is the assessment of lateral epicondylalgia (tennis elbow)? - ✔✔Pain with
active wrist extension, decreased wrist flexion PROM with pain, pain with resisted
supination, decreased grip strength that elicits pain, pain with stretch test of wrist
extensors, TOP over CEO, Ax scapulohumeral rhythm
✔✔what is the treatment for lateral epicondylalgia (tennis elbow)? - ✔✔correct shoulder
biomechanics, stretch wrist extensors, gentle strengthening isometric to concentrically,
eccentric wrist extensor program, supination strength, compression band
, ✔✔what is the history of medial epicondylalgia (golfers elbow)? - ✔✔Chronic, pain with
gripping, worse when using arm, pain over medial epicondyle, pain with wrist flexion
✔✔what is the assessment of medial epicondylalgia (golfers elbow)? - ✔✔Pain and
weakness with active wrist flexion, pain with gripping, worse when using arm, pain with
resisted pronation, pain with stretch of wrist flexors, TOP over CFO, Ax scapulohumeral
rhythm
✔✔what is the treatment for medial epicondylalgia (golfers elbow)? - ✔✔Correct
shoulder biomechanics, stretch wrist flexors, gentle strengthening isometric to
concentrically, eccentric wrist flexor program, compression band
✔✔what is the history of a collateral ligament sprain? - ✔✔Trauma to elbow, another
athlete landing on elbow, acute pain in medial or lateral side of elbow
✔✔what is the assessment of a collateral ligament sprain? - ✔✔Limited elbow flexion or
extension, visible swelling, laxity and pain with either radial or ulnar collateral ligament
stress test
✔✔what is the treatment for a collateral ligament sprain? - ✔✔POLICE, support elbow,
restore ROM, begin strengthening, gradually increase loading through ligament.
✔✔what is the history of carpal tunnel syndrome? - ✔✔Can be acute or
chronic/repetitive trauma, pain or numbness/tingling in median nerve distribution, might
report hand feeling clumsy, worse with direct pressure or when using hand
✔✔what is the assessment of carpal tunnel syndrome? - ✔✔Possible atrophy of thenar
eminence, decreased grip strength, positive Phalen's test, positive Tinel's tap test,
positive Derkan's test
✔✔what is the treatment for carpal tunnel syndrome? - ✔✔Rest, ice, brace to maintain
neutral wrist (no compression!), very gentle ROM and strength exercises, correct any
loading issues, correct upper body extremity mechanics
✔✔what is the history of a scaphoid fracture? - ✔✔Fall on an outstretched hand
(FOOSH), need to be cautious as is frequently confused for a wrist sprain, lots of pain in
wrist on radial side, pain with movement
✔✔what is the assessment of a scaphoid fracture? - ✔✔Decreased ROM in all
directions, especially painful into radial deviation, weakness with thumb movements,
positive scaphoid compression test, positive pain with palpation of anatomical snuff box
✔✔what is the treatment of a scaphoid fracture? - ✔✔Send for medical attention with
DR and Xray, immobilize, ice, once out of cast or possible surgery start to restore ROM
