Question 1

Chronic inflammation of what joints can lead to volar subluxation of the wrist and hand?

Accepted Answer

A) Ulna 
B) Proximal carpals 
C) Radius 
D) Distal carpals 
A) Ulna 
B) Proximal carpals 
C) Radius 
D) Distal carpals B

Question 2

Osteoarthritis is marked by progressive destruction of articular cartilage and

Accepted Answer

A) tendon lag. 
B) formation of bone at joint margins. 
C) neurological manifestations such as carpal tunnel syndrome. 
D) decreased red blood cell count. 
A) tendon lag. 
B) formation of bone at joint margins. 
C) neurological manifestations such as carpal tunnel syndrome. 
D) decreased red blood cell count. B

Question 3

Which type of lymphocyte is responsible for cellular immunity and is likely defective in people with rheumatoid arthritis?

Accepted Answer

A) Antigens 
B) B cells 
C) T cells 
D) Rheumatoid factor 
A) Antigens 
B) B cells 
C) T cells 
D) Rheumatoid factor C

Question 4

Loss of muscle bulk seen in patients with RA may be the result of

Accepted Answer

A) peripheral neuropathy. 
B) exostoses. 
C) lag phenomenon. 
D) rheumatoid factor. 
A) peripheral neuropathy. 
B) exostoses. 
C) lag phenomenon. 
D) rheumatoid factor.

Question 5

Which of the following is a "red flag" sign or symptom found during examination of a patient with arthritis that requires urgent evaluation and management?

Accepted Answer

A) Metatarsal pain 
B) Joint deformity 
C) Fatigue 
D) Claudication pain pattern 
A) Metatarsal pain 
B) Joint deformity 
C) Fatigue 
D) Claudication pain pattern

Question 6

Disease-modifying antirheumatic drugs (DMARDs)differ from nonsteroidal anti-inflammatory drugs because DMARDs

Accepted Answer

A) produce serious toxicity. 
B) show more rapid improvement in symptoms. 
C) may require up to 3 months to become effective. 
D) are given intravenously. 
A) produce serious toxicity. 
B) show more rapid improvement in symptoms. 
C) may require up to 3 months to become effective. 
D) are given intravenously.

Question 7

Synovial proliferation of vascular granulation is known as

Accepted Answer

A) capillary obstruction. 
B) pannus. 
C) fibrosis. 
D) ankylosis. 
A) capillary obstruction. 
B) pannus. 
C) fibrosis. 
D) ankylosis.

Question 8

Standard application of a manual muscle test may be inappropriate for a patient with RA because of

Accepted Answer

A) pain in portions of the ROM. 
B) excessive muscle weakness. 
C) atrophy of type II muscle fibers. 
D) general inflammation. 
A) pain in portions of the ROM. 
B) excessive muscle weakness. 
C) atrophy of type II muscle fibers. 
D) general inflammation.

Question 9

Late heel rise is a common gait deviation found in patients with arthritis and is related to

Accepted Answer

A) limited inversion range. 
B) swelling at the Achilles insertion. 
C) poor toe alignment. 
D) swelling at the first metatarsophalangeal joint. 
A) limited inversion range. 
B) swelling at the Achilles insertion. 
C) poor toe alignment. 
D) swelling at the first metatarsophalangeal joint.

Question 10

Heberden's nodes are a type of osteophyte found at what joint?

Accepted Answer

A) Distal interphalangeal 
B) Proximal interphalangeal 
C) Metacarpophalangeal 
D) Proximal carpal 
A) Distal interphalangeal 
B) Proximal interphalangeal 
C) Metacarpophalangeal 
D) Proximal carpal

Question 11

An early noticeable change seen in the cartilage of people with OA is

Accepted Answer

A) decreased collagen synthesis. 
B) fibrillation of collagen. 
C) increased elasticity of cartilage. 
D) flaking of superficial collagen. 
A) decreased collagen synthesis. 
B) fibrillation of collagen. 
C) increased elasticity of cartilage. 
D) flaking of superficial collagen.

Question 12

Moderate osteophytes and definite joint space narrowing would be indicative of what grade on the Kellgren and Lawrence scale?

Accepted Answer

A) 1 
B) 2 
C) 3 
D) 4 
A) 1 
B) 2 
C) 3 
D) 4

Question 13

The primary objective of a total joint arthroplasty is to

Accepted Answer

A) restore joint function. 
B) decrease wear and tear on the joint. 
C) improve the condition of the articular cartilage. 
D) improve cosmesis of the joint. 
A) restore joint function. 
B) decrease wear and tear on the joint. 
C) improve the condition of the articular cartilage. 
D) improve cosmesis of the joint.

Question 14

An orthosis that can facilitate push off in a patient with limited ankle motion is

Accepted Answer

A) rocker sole. 
B) metatarsal bar. 
C) enlarged toe box. 
D) cushioned heel. 
A) rocker sole. 
B) metatarsal bar. 
C) enlarged toe box. 
D) cushioned heel.

Question 15

Isometric exercises are often utilized to improve muscle tone and strength in the early stages of rehabilitation,but they may be problematic for muscles surrounding the knee and hip because of

Accepted Answer

A) increase in intra-articular pressure at the joint. 
B) decreased blood flow with each contraction. 
C) increased risk of Valsalva. 
D) decreased joint motion. 
A) increase in intra-articular pressure at the joint. 
B) decreased blood flow with each contraction. 
C) increased risk of Valsalva. 
D) decreased joint motion.

Question 16

Synovial fluid from inflamed joints will present with

Accepted Answer

A) urate crystals. 
B) a yellowish color. 
C) highly viscous texture. 
D) increased number of proteins. 
A) urate crystals. 
B) a yellowish color. 
C) highly viscous texture. 
D) increased number of proteins.

Exam 26: Arthritis

Chronic inflammation of what joints can lead to volar subluxation of the wrist and hand?

Osteoarthritis is marked by progressive destruction of articular cartilage and

Which type of lymphocyte is responsible for cellular immunity and is likely defective in people with rheumatoid arthritis?

Loss of muscle bulk seen in patients with RA may be the result of

Which of the following is a "red flag" sign or symptom found during examination of a patient with arthritis that requires urgent evaluation and management?

Disease-modifying antirheumatic drugs (DMARDs)differ from nonsteroidal anti-inflammatory drugs because DMARDs

Synovial proliferation of vascular granulation is known as

Standard application of a manual muscle test may be inappropriate for a patient with RA because of

Late heel rise is a common gait deviation found in patients with arthritis and is related to

Heberden's nodes are a type of osteophyte found at what joint?

An early noticeable change seen in the cartilage of people with OA is

Moderate osteophytes and definite joint space narrowing would be indicative of what grade on the Kellgren and Lawrence scale?

The primary objective of a total joint arthroplasty is to

An orthosis that can facilitate push off in a patient with limited ankle motion is

Isometric exercises are often utilized to improve muscle tone and strength in the early stages of rehabilitation,but they may be problematic for muscles surrounding the knee and hip because of

Synovial fluid from inflamed joints will present with

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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