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SECTION I – MULTIPLE CHOICE QUESTIONS Please enter your “answer” for the questions in this section using Canvas.  These questions have been selected from the exam associated with the Independent Study course monographs you have read.

What is the next physical examination test that should be conducted to determine their cause of mobility symptoms?

The patient also reports that she is beginning to have symptoms at work and intermittently throughout the day while using her computer. She was advised by her primary care physician to try a “wrist splint.” What type of orthosis (wrist splint) is indicated at this point?

Use the below case information to answer the next 4 questions  A 45 year old male patient reports in your clinic with complaints of bilateral cervical and shoulder pain.    He states that he has had a “stiff neck” for years, but that it has increased in the past 6-9 months.  VAS scores are a 2-3/10 at best, and 6/10 at the worst which occurs after long days at the wheel as a driver for UPS.  The patient denies any increased pain with most lifting activities, but that it really is worse after a 10 hour day.  To relieve pain the patient goes into his la-z-boy chair at home and rests his head.    The patient states that he has been in three car accidents during the course of his job, and had to go to the hospital once for observation after hitting his head during the incident.   NDI is 16%.    During the physical exam observation demonstrates a moderate forward head position with increased muscle bulk in bilateral sternocleoidmastoid muscles, mild forward shoulder, moderate thoracic kyphosis and approx 10 degrees right rotation noted.     ROM measures demonstrate 40 degrees of flexion with pain and anterior head position increasing, extension of 35 degrees with pain and rotation to the right noted, side-bending is 25 degrees bilateral with ipsilateral rotation noted.  Cervical rotation is 55 degrees bilateally with ipslateral sidbending noted.     The patient’s main goal is to reduce pain towards the end of the day and after work. 

Use the below case information to answer the next 3 questions  A 57‐year‐old female is referred to physical therapy for evaluation and treatment of numbness and tingling in her right dominant hand. She works as a legal secretary and began experiencing night pain and paresthesia in the long finger approximately 8 weeks ago. Her medical history includes type II diabetes and hypothyroidism. She demonstrates full active range of motion (ROM) throughout the upper extremity.

Which of the following musculoskeletal conditions is most likely?

Patient is a 52-year-old female presenting to the clinic with 2-month history of Rt shoulder pain. She notes that pain began after a weekend of planting flowers in her front yard. Patient describes increased pain while reaching overhead and behind her back; she also has difficulty sleeping on her Rt side. Patient works as a CEO for a local hospital which includes long hours at her desk and in meetings. She denies any radicular symptoms. During her evaluation, the following measures were gathered: AROM: Flexion: 170*, abduction: 160*, ER at side: 70 deg, IR behind back T6* MMT: Flexion 4/5*, abduction 4/5*, ER 4-/5*, IR 4/5* VAS: 2/10 at rest, 0/10 at best, 5/10 with reaching, lifting, lying on side Joint play: 3/6 TTP noted at Rt anterior shoulder near biceps long head insertion and at lateral aspect of shoulder at supraspinatus insertion m m Special tests on Rt: empty can (+), Hawkins kennedy (+) Select the diagnosis and confirmatory test pair that best fits this case presentation.

Which of the following is the correct for patient education and activity modification in this case?

SECTION II – MULTIPLE CHOICE These questions are from your didactic sessions and any additional readings.  

Which of the following programs is the preferred choice of your initial management?