Flex Therapist CEUs

Knee Pain - Ligamentous Injuries

1. All of the following are predisposing risk factors of sustaining a noncontact Anterior Cruciate Ligament (ACL) injury, EXCEPT:

A. Increased body mass index.

B. Joint stiffness

C. Narrow femoral notch width

D. Preovulatory phase of the menstrual cycle in females


2. Clinicians should use which of the following outcome measures for patients with knee stability and movement coordination impairments?

A. A validated patient-reported outcome measure

B. A general health questionnaire

C. A validated activity scale

D. All of the above


3. Early weight-bearing can be used for patients following ACL reconstruction without incurring detrimental effects on stability or function.

A. True

B. False


4. Which of the following is a primary ICD-10 code and condition associated with knee stability and movement coordination impairments?

A. S83.5 Sprain and strain involving (anterior) (posterior) cruciate ligament of knee

B. D2302 Completing the daily routine

C. B7601 Control of complex voluntary movements

D. None of the above


5. Approximately 30% of all ACL injuries are contact injuries.

A. True

B. False


6. What are the most common causes for Posterior Cruciate Ligament (PCL) injury?

A. Motor vehicle accidents and athletics

B. Poor quadriceps strength

C. Job related injuries

D. None of the above


7. Where does the Anterior Cruciate Ligament (ACL) originate?

A. Lateral side of the lateral femoral condyle

B. Medial side of the medial femoral condyle

C. Medial side of the lateral femoral condyle

D. Medial tibial eminence


8. The Posterior Cruciate Ligament (PCL) is the primary restraint to:

A. Anterior tibial translation

B. Lateral femoral translation

C. Lateral tibial translation

D. Posterior tibial translation


9. All of the following are risk factors associated with noncontact Anterior Cruciate Ligament (ACL) injuries, EXCEPT:

A. Environmental

B. Bone density

C. Hormonal

D. Neuromuscular


10. The clinical findings of hearing or feeling a “pop” at time of injury, hemarthrosis within 0-2 hours following injury, history of giving way, loss of end range knee extension, and positive Lachman test indicate an ICD diagnosis of?

A. Sprain of the anterior cruciate ligament

B. Sprain of the posterior cruciate ligament

C. Sprain of the lateral collateral ligament

D. None of the above


11. The Ottawa Knee rule has been developed and validated to assist clinicians in determining when to order radiographs in individuals with acute knee injury. A knee radiogragh series is required with which of the following criteria?

A. Tenderness of the head of the fibula

B. Inability to flex knee to 90 degrees

C. Inability to bear weight both immediately and in the emergency department for 4 steps regardless of limping

D. All of the above


12. A validated patient-reported outcome measure, a general health questionnaire, and a validated activity scale for patients with knee stability and movement coordination impairments are tools to help with:

A. Locating where a patient has muscle weakness

B. Identifying a patient's baseline status relative to pain, function and disability.

C. Monitoring changes in the patient's status throughout the course of treatment.

D. B and C


13. The single-limb hop tests are the most common hop tests utilized to capture which of the following?

A. Limb asymmetries in patients with lower extremity dysfunction

B. Knee ligament laxity

C. Lower extremity muscle endurance

D. All of the above


14. During the single-limb triple hop test the patient:

A. Takes two hops forward and one hop backward

B. Takes three maximal hops as far as possible forward and lands on the same limb

C. Hops three times in one place

D. Hops three times forward with both feet at once


15. The Bulge Sign is used to:

A. Rule out meniscal tears

B. Test joint laxity

C. Measure joint effusion

D. Test range of motion


16. The Lachman's Test is performed with the patient in what position?

A. Prone with knee at 90 degrees of flexion

B. Supine with the knee in full extension

C. Prone with knee at 20-30 degrees of flexion

D. Supine with the knee at 20-30 degrees of flexion


17. A positive sign for the Pivot Shift Test is when the knee is moved into:

A. Flexion, there is a sudden reduction of the anteriorly subluxed lateral tibial plateau

B. Extension, with a sudden reduction of the anteriorly subluxed lateral tibial plateau

C. Hyperextension, and the patient experiences pain

D. Flexion, there is no sudden reduction of the anteriorly lateral tibial plateau


18. The Posterior Drawer Test is used to identify ACL injuries.

A. True

B. False


19. The Valgus Stress Test is used to identify injury to which ligament?

A. LCL

B. MCL

C. ACL

D. PCL


20. What type of exercises should clinicians consider using in patients with knee stability and movement coordination impairments?

A. Open-chain

B. Closed-chain

C. All of the above

D. None of the above


Copyright © 2014 Flex Therapist CEUs

Visit us at http://www.flextherapistceus.com