Flex Therapist CEUs

Knee Injury Medical Treatment Guidelines

Introduction to Knee Injury

1. The history and physical examination assessment should include evaluation for red flags. In the knee these findings or indicators may include which of the following?

A. Fracture, dislocations, and ligamentous tears. B. Infection or inflammation. C. Neurological or vascular compromise including compartment syndrome. D. All of the above.

2. Radiographic imaging should be routinely performed.

A. True B. False

Diagnostic Studies

3. Since Doppler Ultrasonography / Plethysmography is less sensitive in detecting deep-vein thrombosis in the calf muscle area, if an initial test is negative, an ultrasound should be repeated _____ post initial symptoms to rule out popliteal thrombosis.

A. 3 days B. 7 days C. 10 days D. 14 days

4. All of the following statements are true regarding joint aspiration, except for:

A. Aspiration should be performed through an infected area. B. Particularly at the knee, aspiration of a large effusion can help to decrease pain and speed functional recovery. C. The presence of fat globules in the effusion strongly suggests occult fracture. D. A large hemorrhagic effusion should prompt suspicion that a fracture or ligament tear may be present.

Specific Knee Injury Diagnoses, Testing, and Treatment

5. Physical therapists should be aware that aggravated osteoarthritis may be caused by:

A. Traumatic knee injury. B. Repetitive activity or constant position. C. Valgus or varus trauma force applied to the knee. D. Twisting or a hyperextension force.

6. Isolated Grade I collateral ligament tears and many Grade II tears have been shown to heal with poor results without surgical intervention.

A. True B. False

7. Findings on a physical exam for an anterior cruciate ligament injury include all of the following, except:

A. Lachman's test B. Pivot shift test C. Posterior drawer test D. Anterior drawer test

8. Findings on a physical exam for a meniscus injury include which of the following?

A. Joint line tenderness B. Locked joint C. Effusion D. All of the above

9. Non-operative treatment for retropatellar pain syndrome include active and/or passive therapy, bracing, orthotics, and therapeutic injections.

A. True B. False

10. Bursitis can be precipitated by all of the following, except:

A. Edema B. Gout C. Arthritis D. Infection

Therapeutic Procedures: Non-Operative

11. No treatment plan is complete without the physical therapist addressing issues of individual and/or group patient education as a means of facilitating self-management of symptoms.

A. True B. False

12. Due to the cross reactivity between aspirin and NSAIDs, NSAIDs should not be used in aspirin-sensitive patients, and should be used with caution in all asthma patients.

A. True B. False

13. Long-term use of topical medications are safe as they cannot result in toxic blood levels.

A. True B. False

14. Indications for gait training include all of the following, except:

A. Instruct in the safety and proper use of assistive devices. B. Instruct in the progressive use of more independent devices. C. The need to promote a normal gait pattern without assistive devices. D. Instruct in gait on uneven surfaces and steps.

15. Passive therapies are directed at controlling symptoms such as:

A. Pain B. Inflammation C. Swelling D. All of the above


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