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Use this information for the next three questions.  A 32‐year‐old recently post‐partum female presents to outpatient therapy with widespread left buttockpain. She is positive for concordant pain during sacral thrust, left thigh thrust, sacroiliac joint gapping,and sacroiliac joint compression. She has vague, nonconcordant pain and tenderness with lumbar jointaccessory mobility assessment. Quantitative sensory testing reveals widespread reduced pressure painthresholds. She also expresses signs of post‐partum depression. She reports difficulty managing herweight since she recently stopped breast‐feeding. Prior to and during pregnancy she enjoyed walkingand Pilates; however, she now is fearful of returning to previous levels of activity due to her pain. Shereports a lack of sleep due to frequent feedings for her newborn during the night.     Which of the following special tests during pregnancy is most associated with greater post‐partum disability and lower post‐partum health‐related quality of life?

The exercise that most selectively and effectively activates the tibialis posterior is:

You begin study of a T2w sagittal knee study with 4-millimeter slices that begins laterally and progresses medially. What structure will you encounter last as you study the images in chronological order?

A 19-year-old patient had a Boxer’s fracture 4 weeks ago after punching a wall.  The patient had ORIF surgery 3 weeks ago.  Postoperative positioning in an ulnar gutter cast should hold the MP joints in _____.

A patient arrives in your clinic with symptoms of severe cervical pain of 8 days with no specific cause, but states that she has severe pain of an 8/10 that “comes and goes”.  The patient states that she is very worried because these symptoms can come on without any real warning and that the pain is in the suboccipital region and will “stop her in her tracks”.   What following objective finding would heighten your suspicion of VBI?

Which surgical technique would provide the most stability after a bony Bankart injury?

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.