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BRADDOM UPPER EXTREMITY DRILLS


May 19, 2016
NAME: ______________________________________
Score: ______
1. The etiology of sternoclavicular joint
sprains is usually atraumatic; 2/3rd of the
dislocation associated with
sternoclavicular joint sprain occurs
posteriorly.
a. First statement is true, second
statement is false
b. First statement is false, second
statement is true
c. Both statements are true
d. Both statements are false
2. The anterior SC joint injury causes
prominent __________ end of the clavicle.
a. Medial
b. Lateral
c. Proximal
d. Distal
e. NOTA
3. 80% of clavicular fractures occur in the:
a. Anterior third
b. Posterior third
c. Proximal third
d. Distal third
e. NOTA
4. Rockwood Classification of AC joint
affectation where the coracoclavicular
ligaments and acromioclavicular
ligaments are already torn and there is a
posterior displacement of the distal
clavicle into the trapezius.
a. Type 1
b. Type 2
c. Type 3
d. Type 4
e. Type 5
5. A condition characterized by repetitive
overload of the distal clavicle; common
among young weight lifters who are fond
of doing bench press and military press
lifts.
a. Osteochondrosis of the distal clavicle
b. Osteomyelitis of the distal clavicle
c. Osteopenia of the distal clavicle
d. Osteolysis of the distal clavicle
e. NOTA
6. While your patient moved his scapula,
you noted a loud grating sound. The
following are possible reasons, except:
a. Bursitis
b. Scapular Winging
c. Muscular Atrophy
d. Malunion of rib fractures
e. Excessive Thoracic kyphosis
7. Stage 2 of Rotator Cuff tendinitis
according to Neer:
I.
Fibrosis
II.
Edema
III.
Partial Tear
IV.
Tendonitis
a. I, II
b. II, III
c. III, IV
d. I, III
e. I, IV
8. Type 1 acromion is classified as flat; while
type 2 acromion is classified as hooked.
a. First statement is true, second
statement is false
b. First statement is false, second
statement is true
c. Both statements are true
d. Both statements are false

PTRP & OTRP by AUGUST 2016


9. Primary Impingement of the rotator cuff
is most commonly caused by what type of
acromion?
a. Type 1
b. Type 2
c. Type 3
d. NOTA
e. AOTA
10. Position that predisposes an individual to
have internal impingement of the
shoulder:
I.
Shoulder abducted to 120 degrees
II.
Shoulder abducted to 90 degrees
III.
Maximal shoulder internal rotation
IV.
Maximal shoulder external rotation
V.
Maximal shoulder extension
a. I, III
b. I, IV
c. I, V
d. II, IV
e. II,V
11. Problems originating in the cervical spine
frequently refer symptoms to the:
a. Scapula
b. Low Back
c. Chest
d. Shoulder
e. Hand
12. Pectoralis major strain most commonly
occurs in athletes who perform forceful
shoulder _______ against resistance
a. Abduction and External Rotation
b. Abduction and Internal Rotation
c. Adduction and External Rotation
d. Adduction and Internal Rotation
e. NOTA
13. Anterior axillary fold in pectoralis major
strain is visible when the shoulder is
abducted in:
a. 45 degrees
b. 60 degrees
c. 90 degrees
d. 120 degrees
e. 150 degrees
14. Refers to the acute anterior glenohumeral
joint dislocation that is associated with a
compression fracture of the
posterolateral aspect of the humeral
head.
a. Bankart Lesion
b. Reverse Bankart Lesion
c. Hill-Sachs defect
d. Reverse Hill-Sachs
e. NOTA
15. It refers to the frequent tear of the
antero-inferior glenohumeral joint
capsule with associated avulsion of
antero-inferior part of the glenoid labrum.
a. Bankart Lesion
b. Reverse Bankart Lesion
c. Hill-Sachs defect
d. Reverse Hill-Sachs
e. NOTA
16. The following are causes of Inferior
Glenohumeral Joint Instability, except:
a. Absence of upward tilting of the
glenoid fossa
b. Excessive glenoid retroversion
c. Lesion to the coracohumeral ligament
d. Capsuloligamentous laxity
e. NOTA
17. Classification of glenohumeral joint
instability resulting from congenital
capsular laxity or repetitive microtrauma:
a. Acute instability
b. Chronic Instability
c. Voluntary Instability

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d. Unidirectional instability
e. Atraumatic instability
18. Type 2 Superior Labral Anterior to
Posterior (SLAP) Lesion:
a. (+) Fraying injury to the superior
labrum without detachment of the
biceps tendon.
b. (+) Bucket handle tearing of the
superior labrum without detachment
of the biceps tendon
c. (+) biceps tendon detachment from
the supraglenoid tubercle
d. (+) tear of the superior labrum that
extends into the biceps tendon.
19. The following are the mechanism of injury
associated with SLAP lesion, except:
a. FOOSH
b. Tractional injuries
c. Torsional peeling back of the labrum
during the early cocking phase of
overhead throwing
d. Traction forces from the long head of
biceps brachii tendon during the
deceleration phase of overhead
throwing.
20. Your patient comes to you for physical
therapy and is complaining of (R)
shoulder pain. Upon doing series of
special test, you confirm that your patient
has a slap lesion on the painful shoulder.
What was the special test that you
performed?
a. Empty can test
b. Roos Test
c. Apprehension Test
d. Drop Arm Test
e. OBrien Test
21. It is the specific ancillary procedure that
can detect SLAP lesions:
a. X-ray
b. Positron Emission Tomography (PET)
scan
c. Computed Tomography (CT) scan
d. Gadolinium-enhanced MRI scan
e. NOTA
22. Gold Standard for diagnosing SLAP
lesions:
a. Arthrography
b. Arthrogram
c. Arthroscopy
d. Special Test
e. NOTA
23. The following are true of Adhesive
Capsulitis, except:
a. It is self-limiting
b. It is characterized by painful,
restricted shoulder range of motion
with normal radiographic findings.
c. Most frequently seen in individuals
between 40-60 years old
d. It occurs 2-4 times more common
among men than women.
e. NOTA
24. Stage of Adhesive Capsulitis which is
characterized by reduced pain with
shoulder movement and severely
restricted glenohumeral joint motion.
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4
25. The following are true about Tennis
Elbow, except:
a. It affects origin of the extensor
digitorum communis

PTRP & OTRP by AUGUST 2016


b. It is confirmed through Maudsleys
test
c. It can be addressed through exercise
and modalities
d. It is also known as medial
epicondylitis
e. NOTA
26. Entrapment of what nerve can mimic
lateral epicondylitis?
a. Superficial branch of the radial nerve
b. Anterior interosseous branch of the
Median Nerve
c. Ulnar Nerve
d. Musculocutaneous Nerve
e. Posterior interosseous branch of the
radial nerve
27. The following are true about Golfers
elbow, except:
a. It occurs 3 to 7 times more frequent
than tennis elbow
b. It occurs traumatically as a result of
an acute rupture of the ulnar
collateral ligament of the elbow
c. It is exacerbated by activities that
require repetitive gripping.
d. Degenerative changes are frequently
found in the origin of pronator teres
and flexor carpi radialis.
e. NOTA
28. Distal biceps rupture is usually caused by
eccentric overload during what phases of
throwing?
a. Acceleration and follow-through
b. Wind up and early cocking phase
c. Deceleration and follow-through
d. Acceleration and deceleration
e. Early cocking and follow-through
29. The following are true about distal triceps
tendonitis & rupture, except:
a. This condition can be found in
conjuction with lateral epicondylitis
b. One of its mechanisms of injury is
FOOSH.
c. The most common site of disruption is
at the olecranon.
d. NOTA
e. AOTA
30. Which of the following activities might
cause distal triceps tendonitis & rupture?
a. Weight lifting
b. Playing golf
c. Swimming
d. Playing tennis
e. AOTA
31. Osteochondrosis of the capitulum:
a. Kienbocks Disease
b. Ehler-Danlos Syndrome
c. Marfan Disease
d. Panners Disease
e. NOTA
32. True about Ulnar Collateral Ligament
Sprain, except:
a. (+) audible pop upon exertion
b. Insidious onset
c. Results from varus stress to the
elbow.
d. (+) medial elbow pain
e. NOTA
33. Ulnar Collateral Ligament Sprain is
attributed to repetitive microtrauma
associated with throwing especially
during ________________ phase.
a. Wind up and Early Cocking
b. Early Cocking and Late Cocking
c. Late Cocking and Acceleration
d. Acceleration and Deceleration

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e. Deceleration and Follow-through
34. Medial elbow pain in professional
baseball players is usually caused by:
a. Valgus extension overload
b. Varus extension overload
c. Valgus flexion overload
d. Varus flexion overload
35. Panners disease most frequently
happens in children of this age:
a. 12 to 15 years
b. 9 to 15 years
c. 7 to 10 years
d. 5 to 7 years
e. 2 to 5 years
36. Elbow dislocations involve the proximal
radius and distal humerus; it is usually
caused by FOOSH mechanism with the
elbow hyperextended.
a. First statement is true, second
statement is false
b. First statement is false, second
statement is true
c. Both statements are true
d. Both statements are false
37. Most frequent direction of elbow
dislocation:
a. Anterolateral
b. Anteromedial
c. Posterolateral
d. Posteromedial
e. NOTA
38. The abductor pollicis longus and extensor
pollicis brevis tendons cross the extensor
carpi radialis longus and extensor carpi
radialis brevis tendons 4-6 cm proximal to
what bony structure?
a. Radial styloid process
b. Ulnar styloid process
c. Listers tubercle
d. Scaphoid
e. Lunate
39. The following are false about De
Quervains Tenosynovitis, except:
a. The least common tendonitis of the
wrist
b. Usually caused by activities that
require forceful gripping with radial
deviation of the wrist
c. Sudden in onset
d. Confirmed through Phalens test
e. NOTA
40. Usually presents with indidious onset of
dorsoulnar wrist pain that occurs during
activities requiring forceful or repetitive
wrist extension and ulnar deviation.
a. Extensor Carpi Radialis Tendonitis
b. Extensor Carpi Ulnaris Tendonitis
c. Flexor Carpi Radialis Tendonitis
d. Flexor Carpi Ulnaris Tendonitis
e. NOTA
41. Most common type of wrist ligament
injury:
a. Pisohamate ligament sprain
b. Flexor Carpi Radialis Tendonitis
c. De Quervains tenosynovitis
d. Scapholunate instability
e. NOTA
42. The following motions if repeated
constantly and sometimes forcefully can
cause flexor carpi radialis tendonitis,
except:
a. Gripping activities
b. Wrist Flexion
c. Wrist ulnar deviation
d. Wrist radial deviation
e. NOTA

PTRP & OTRP by AUGUST 2016


43. The second most common tendonitis of
the wrist:
a. Flexor Carpi Radialis Tendonitis
b. Flexor Carpi Ulnaris Tendonitis
c. De Quervains Tenosynovitis
d. Extensor Carpi Radialis Longus
Tendonitis
e. Extensor Carpi Ulnaris Tendonitis
44. True about scaphoid fracture:
a. Caused by a fall on extended wrist
b. (+) dorsal radial wrist pain
c. (+) ecchymosis
d. Occurs 80 % in the middle scaphoid
and 1% through the distal tubercle
e. AOTA
45. The distal radius is one of the most
frequently fractured areas of the body;
adolescent women are more susceptible
to this fracture.
a. First statement is true, second
statement is false
b. First statement is false, second
statement is true
c. Both statements are true
d. Both statements are false
46. Articulation of distal radius, except:
a. Distal radioulnar joint
b. Radioscaphoid joint
c. Radiohamate joint
d. Radiolunate joint
e. NOTA
47. Frykman Classification System for distal
radial fractures that is referred to as
intraarticular fractures involving the
radiocarpal joint.
a. 1 and 2
b. 3 and 4
c. 5 and 6
d. 7 and 8
48. In Frykman Classification System, the
even numbered fractures indicate the
presence of radial styloid fracture; and
the potential for adverse outcome
increases as the frykman classification
increases as well.
a. First statement is true, second
statement is false
b. First statement is false, second
statement is true
c. Both statements are true
d. Both statements are false
49. Colles Fracture:
a. Frkyman type 2
b. Least common distal radius fracture
c. (+) dorsal angulation of the distal
radius fragment and radial shortening
d. Both A & B
e. Both A & C
50. Hypothesized to be as a result from
repetitive compressive forces to the wrist
causing microfractures in the lunate.
a. Distal radius fractures
b. Kienbocks Disease
c. Freibergs disease
d. Scaphoid Fracture
e. Colles Fracture
51. The following are true about Triangular
fibrocartilage Complex Injuries, except:
a. Its mechanism can either be through
acute trauma such as FOOSH or
repetitive microtrauma such as
gymnastics.
b. It is more common either among
young athletes or older patients who
have degenerative tears of the TFCC

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c.

(+) tenderness on the area between


the tendons of flexor carpi ulnaris and
extensor carpi radialis brevis, just
distal to the ulnar styloid process.
d. NOTA
e. AOTA
52. An increase in the load bearing function
of the TFCC increases the incidence of
TFCC injuries.
a. Positive ulnar variance
b. Negative ulnar variance
c. Positive radial variance
d. Negative radial variance
e. NOTA
53. The following are true about boutonniere
deformity, except:
a. Can be seen among patients with
uncontrolled rheumatoid arthritis
b. Caused by a rupture on the central
slip of the extensor tendon at the
base of the proximal phalanx
c. (+) tenderness over the dorsum of the
proximal interphalangeal joint
d. Patient complains of inability to
extend the flexed PIP joint.
e. NOTA
54. The following are mechanism of injury
following Boutonniere deformity, except:
a. Crush injury
b. Medial volar PIP joint dislocation
c. Forced flexion of the IP joints
d. NOTA
e. AOTA
55. Described as the disruption of the of the
distal extensor tendon at its insertion on
the dorsal proximal aspect of the distal
phalanx:
a. Swan Neck Deformity
b. Trigger Finger
c. Mallet Finger
d. Dupuytrens Contracture
e. NOTA
56. Jersey finger occur with vigorous gripping
activities and may rupture:
a. Flexor Carpi Radialis
b. Flexor Digitorum Superficialis
c. Flexor Digitorum Profundus
d. Flexor Carpi Ulnaris
e. NOTA
57. Your patient had a jersey finger and you
noticed that the affected tendon has
retracted to his palm, as a knowledgeable
future PTRP & OTRPs, you know that the
patient needs to undergo a tendon repair
to prevent formation of adhesion. How
many days should the tendon repair be
performed after the injury happened to
avoid the said complication?
a. 3 to 4 days
b. 4 to 6 days
c. 6 to 8 days
d. 7 to 10 days
e. 10-12 days
58. The most frequently dislocated joint in
the hand:
a. Metacarpophalangeal joint
b. Proximal Interphalangeal joint
c. Distal Interphalangeal joint
d. Carpometacarphal joint
e. Radiocarpal joint
59. Refers to the lesion when a grade 3 ulnar
collateral ligament (UCL) sprain of the
first MCP joint occurs as a result of
avulsion of the distal end of the ligament

PTRP & OTRP by AUGUST 2016


from the base of the first proximal
phalanx.
a. Stenar lesion
b. Stellar lesion
c. Stener lesion
d. NOTA
60. Radially directed forces across the first
metacarpophalangeal joint that may
sprain the ulnar collateral ligament.
a. Gamekeepers thumb
b. Jersey finger
c. Boutonniere deformity
d. Mallet Finger
e. Trigger Finger

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ANSWERS
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D
A
E
D
D
D
E
A
C
D
D
D
C
C
A
B
E
C
C
E
D
C

PTRP & OTRP by AUGUST 2016


23.
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D
C
D
E
A
C
D
A
D
C
C
A
C
B
C
C
E
B
D
C
E
E
A
C
B
B
C
B
C
A
B
B
C
C
D
B
C
A

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