ANSWERS
1. Q7.) A physical
D.) Surgical intervention
therapist is treating a
patient with Many patients do not need treatment for a swan-
rheumatoid arthritis, and neck defor- mity, but in the case of this patient, the
the patient has symptoms ultimately attected hand mobility, and
developed a swan-neck treatment is necessary. Splinting could be trialed with
deformity. The pa- tient the patient, but ultimately many patients end up having
noticed an onset of this surgical intervention on the deformity. [Cooper,
deformity six months C. (2007). Fundamentals of hand therapy: Clinical
prior to referral from her reasoning and treatment guidelines for common
physician to physical diagnoses of the upper extremity. Elsevier.]
therapy. It has be- come check_circle
rather painful and has
started to limit hand
mobility in the past six
weeks. Which of the
following interventions
will be most effective for
this patient's condition,
based on the
progression of the defor-
mity?
a.) joint mobilization
B.)strengthening B.) Psoriatic arthritis
C.)Stretching
D.)Surgical intervention
2. Q8.) A physical therapist
is working on narrowing
down
what she thinks is a particular This patient's presentation of symptoms only in the
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ANSWERS
distal in-
type of arthritis. The terphalangeal joints of the fingers and toes is one of
patient has arthritic the five possible clinical presentations of this type of
symptoms only in the arthritis. Iritis is also seen in individuals with psoriatic
distal interphalangeal arthritis, along with other possible inflammatory eye
joints of the fingers and conditions. [Antony, A. S., Allard, A., Rambojun, A., Lovell,
toes. He has also C. R., Shaddick, G., Robinson, G., Jadon,
reported a re- cent D. R., Holland, R., Cavill, C., Korendowych, E., McHugh, N.
diagnosis of iritis, which
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ANSWERS
has affected his ability to see. & Tillett, W. (2019). Psoriatic nail dystrophy is
associated with
Which arthritic condition does erosive disease in the distal interphalangeal joints in
psoriatic
this patient likely arthritis: A retrospective cohort study. The Journal of Rheuma
have? tology, 46(9), 1097-1102.]
check_circle
A.)Ankylosing
spondylitis
B.)Psoriatic arthritis
C.)Reactive arthritis
D.) Rheumatoid
arthritis
3. Which of the following is a pre- B.) Hyper-mobility
caution to thrust joint manip-
ulation? physical thera- py with low back
pain and right leg pain extendin
A.)Active to the posterior Achilles ten- don
spondy- region that started ap-
loarthropathies proximately two weeks prior. The
B.)Hyper-mobility patient does not exhib-
C.)Upper motor
neuron le- sion
D.)Vertebral bone
disease
4. Q11.) A 52-year-old
female presents to
, MEDBRIDGE - OCS PRACTICE EXAM 1 REVIEW WITH CORRECT
ANSWERS
Although hypermobility may appear to be a
contraindication to thrust joint
manipulation, it is a precaution as some
individuals with hypermobility may still
benefit from the use of thrust joint
manipulation. [Rushton, A., Rivett, D.,
Carlesso, L., Flynn, T., Hing, W., & Kerry, R.
(2014). International framework for exam-
ination of the cervical region for potential
of Cervical Arterial Dysfunction prior to
Orthopaedic Manual Therapy intervention.
Manual Therapy, 19 (3), 222-228.]
check_circle
D.) Traction
This individual has several findings that
would place her into the mechanical
traction subgroup. She has
peripheralization with extension,
neurological sensory deficits, and a
positive crossed straight-leg raise. All of
these are objective findings that should
point a physical therapist to classifying the
patient into the mechanical traction
subgroup. [Fritz, J. M., Cleland, J.