Thursday , July 9 2020
Home / MCQ / Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 16 (Answer Key)

Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 16 (Answer Key)

1. The screening model used to help identify viscerogenic or systemic origins of hip, groin, and lower extremity pain and symptoms is made up of:


a. Past medical history, risk factors, clinical presentation, and associated signs and symptoms
b. Risk factors, risk reduction, and primary prevention
c. Enteric disease, systemic disease, and neuromusculoskeletal dysfunction
d. Physical therapy diagnosis, Review of Systems, and physician referral

2. When would you use the iliopsoas, obturator, or Blumberg’s test?

  • Any time you suspect an infectious or inflammatory cause of hip, groin, or pelvic symptoms. Abdominal or intraperitoneal inflammation leads to irritation and/or abscess formation of the psoas muscle, causing musculoskeletal pain. These tests are especially appropriate for the client who has a history of Crohn’s disease, diverticulitis, pelvic inflammatory disease, or
  • Chlamydia with a new onset of hip and/or groin pain.
  • Combined with findings of Blumberg’s rebound test and McBurney’s point, the information gained can help the clinician to identify signs and symptoms of possible appendicitis.


3. Hip and groin pain can be referred from:


a. Low back
b. Abdomen
c. Retroperitoneum
d. All of the above

4. Screening for cancer may be necessary in anyone with hip pain who:


a. Is younger than 20 or older than 50
b. Has a past medical history of diabetes mellitus
c. Reports fever and chills
d. Has a total hip arthroplasty (THA)

5. Pain on weight bearing may be a sign of hip fracture, even when x-rays are negative. Follow-up clinical tests may include:


a. McBurney’s, Blumberg’s, Murphy’s test
b. Squat test, hop test, translational/rotational tests
c. Psoas and obturator tests
d. Patrick’s or Faber’s test

6. Abscess of the hip flexor muscles from intraabdominal infection or inflammation can cause hip and/or groin pain. Clinical tests to differentiate the cause of hip pain resulting from psoas
abscess include:


a. McBurney’s, Blumberg’s, or Murphy’s test
b. Squat test, hop test, translational/rotational tests
c. Iliopsoas and obturator tests
d. Patrick’s or Faber’s test

7. Anyone with hip pain of unknown cause must be asked about:


a. Previous history of cancer or Crohn’s disease
b. Recent infection
c. Presence of skin rash
d. All of the above

8. Vascular diseases that may cause referred hip pain include:


a. Coronary artery disease
b. Intermittent claudication
c. Aortic aneurysm
d. All of the above

9. True hip pain is characterized by:


a. Testicular (male) or labial (female) pain
b. Groin or deep buttock pain with active or passive range of motion
c. Positive McBurney’s test
d. All of the above

10. Hip pain associated with primary or metastasized cancer is characterized by:


a. Bone pain on weight bearing; may not be able to stand on that leg
b. Night pain that is relieved by aspirin
c. Positive heel strike test with palpable local tenderness
d. All of the above

ANSWER KEY

01A03D04A
05B06C07D
08C09B10D
(Visited 26 times, 1 visits today)

About shami

Check Also

Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 14 (Answer Key)

Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 14 (Answer Key)

Elsevier: Goodman & Snyder: Differential Diagnosis for Physical Therapists Screening for Referral|| Chapter 14 (Answer Key)

Leave a Reply

Your email address will not be published. Required fields are marked *