214 Questions
What is the first step in the global assessment protocol?
Obtain consent to palpate
How many tests are recommended to narrow down the root cause during the assessment?
Two tests to rule IN and one test to rule OUT
Why is it important for the candidate to state the purpose of each Special Orthopedic Test (SOT)?
To ensure the patient understands the specific test being performed
What should the candidate do before performing any range of motion tests?
Obtain consent to palpate
What does a Passive Relaxed range of motion test involve?
Candidate passively moves the patient's joint
What is the purpose of performing TWO tests to rule IN a suspected condition?
To narrow down the root cause
Before palpation, consent should be confirmed to palpate the ______ area
affected
Once the ROM testing is complete, it is up to the candidate to choose appropriate tests to narrow down the root ______
cause
The candidate begins by stating which test is being performed so that the patient and the examiners know where the candidate currently is in the assessment ______
process
The candidate should state the purpose of each SOT that they choose to ______
perform
The candidate begins by telling the patient the general procedure of the ______
test
The clinical testing portion of the assessment should include a variety of tests and ______
assessments
Before palpation, consent should be confirmed to palpate the ______ area
affected
What does a Passive Relaxed range of motion test involve?
joint
The candidate begins by telling the patient the general procedure of the ______
test
The clinical testing portion of the assessment should include a variety of tests and ______
assessments
The candidate should state the purpose of each SOT that they choose to ______
perform
Once the ROM testing is complete, it is up to the candidate to choose appropriate tests to narrow down the root ______
cause
The candidate should choose THREE tests to rule IN the suspected condition and TWO tests to rule OUT possible differential conditions.
False
The purpose of each Special Orthopedic Test (SOT) does not need to be stated by the candidate during the assessment process.
False
The global assessment should always begin with a range of motion test before palpation of the affected area.
False
The candidate must inform the patient of the general procedure of the test after performing it.
False
The candidate should perform an Active Free range of motion test and a Passive Relaxed range of motion test for each joint indicated during the assessment.
True
The general introduction should include the purpose of each Special Orthopedic Test (SOT) that may be performed during the assessment.
False
What is the recommended number of tests the candidate should choose to narrow down the root cause during the assessment?
Two tests to rule in the suspected condition and one test to rule out possible differential conditions
What is the purpose of the candidate stating the purpose of each Special Orthopedic Test (SOT) they choose to perform?
To ensure the patient and examiners understand the reason for each test
What should the candidate do before performing any palpation of the affected area?
Confirm consent from the patient to palpate the area
What is the first step in the global assessment protocol according to the text?
Palpation of the affected area
What should the candidate do after performing the range of motion tests?
Choose appropriate tests to narrow down the root cause
What is the purpose of the Passive Relaxed range of motion test?
To assess the passive range of motion of the joint with the muscles relaxed
According to the assessment protocol, what should the candidate do after performing range of motion tests?
Choose appropriate tests to narrow down the root cause
Which of the following is a recommended action for the candidate during the palpation assessment step?
Ensure patient comfort and safety by verbally checking in
What information should the candidate provide when giving their clinical impression after the assessment?
Characterize positive and negative results, and assign a grade if applicable
During which step should the candidate stabilize the joint being assessed?
Step 2: Stabilization
What should the candidate do before performing any palpation of the affected area?
Confirm consent to palpate the affected area
In which step should the candidate elicit patient feedback to determine a positive/negative/grading of the test?
Step 4: Check in with the patient
Step 2 ______
Stabilization
Ensure patient comfort and safety by verbally checking in with the ______
patient
What characterizes a positive and negative ______?
result
Assign a grade to the test finding if ______
applicable
The candidate should perform an Active Free range of motion test and a Passive Relaxed range of motion test for each joint indicated during the ______
assessment
Before palpation, consent should be confirmed to palpate the ______ area
affected
I will have you seated, and then I will place my hands carefully on your affected ______.
elbow
Is it okay if I proceed with this test? Is my pressure okay? Any pain or ______?
discomfort
I am also noticing that there is some more warmth in your right elbow compared to your ______.
left
You stated that it was tender to the touch on the outside over the common extensor ______.
tendon
The purpose of the palpation assessment may have been stated in the general ______.
introduction
Note: The detailed procedure for conducting a palpation assessment is covered in Station 3: Assessment ______.
1
The candidate should ensure that they modify these script suggestions for their own ______.
purposes
The candidate should perform an Active Free range of motion test and a Passive Relaxed range of motion test for each joint indicated during the ______.
assessment
The clinical testing portion of the assessment should include a variety of tests and ______.
maneuvers
The candidate begins by telling the patient the general procedure of the ______.
test
Before palpation, consent should be confirmed to palpate the ______ area.
affected
The candidate begins by stating which test is being performed so that the patient and the examiners know where the candidate currently is in the ______.
assessment
The candidate should choose THREE tests to rule IN the suspected condition and TWO tests to rule OUT possible differential ______.
conditions
What is the recommended number of tests the candidate should choose to narrow down the root cause during the ______?
assessment
The candidate should state the purpose of each SOT that they choose to ______.
perform
The candidate begins by stating which test is being performed so that the patient and the examiners know where the candidate currently is in the ______.
assessment
I will now perform an Active Free range of motion assessment on your ______.
elbow
An Active Free range of motion assessment will be performed in order to identify how far the patient can move the joint ______ and their willingness to move the joint.
pain-free
Your elbow joint had full range in supination and pronation, but you were only able to reach half of the range in extension and two-thirds of its range in ______.
flexion
A Passive Relaxed range of motion assessment will be performed in order to identify how far the joint can be moved ______ or without resistance, with no muscle activation.
pain-free
I would normally test the opposite elbow and the joints above and below (the shoulder and the wrist), but I will only be testing the affected joint for today's ______.
exam
The standardized patients are trained to give specific responses. Therefore, the candidate should always state exactly what the patient told them and/or ______.
demonstrated
The purpose of the PR ROM assessment may have been stated in the general introduction. When in doubt, restate the ______!
purpose
The candidate performs a PR ROM assessment to the right ______.
elbow
You can remain seated, and I will have you mirror my movements as you move your elbow through the ranges that I ______.
demonstrate
Listen to the Findings/Impression: 00:22 Findings for Active Free range of motion of the ______.
elbow
The candidate needs to remember all of the other possible assessments they could do outside of orthopedic tests, such as: bullet Active Resisted Range of Motion bullet Muscle Strength Testing bullet Muscle Length Testing bullet Neurological Tests (Dermatome, Myotome, DTR) Additionally, several assessments are not typically tested in Station 3: Assessment 1, but could still be used in Station 4: Assessment 2, if the candidate feels they may be a logical and relevant rule-in test: bullet ______ Assessment bullet Postural Assessment bullet Gait Assessment Lesson 15 - Introduction to Mock Exams Additional content has been loaded Top of page
Functional
The candidate begins by telling the patient the general procedure of the ______
test
What is the purpose of the candidate stating the purpose of each Special Orthopedic Test (SOT) they choose to perform?
identify
What characterizes a positive and negative ______?
finding
Before palpation, consent should be confirmed to palpate the ______ area
affected
The clinical testing portion of the assessment should include a variety of tests and ______
assessments
The closing protocol should include the ______ summarizing all findings and formulating a clinical impression in the format of: “Your (primary concern) may be due to (condition indicated by positive tests).” Is Massage Therapy Indicated?
candidate
If all the tests are negative, the ______ should first re-read their exam to ensure that they are assessing the right structure and side.
candidate
The ______ should state that all the tests have come out negative, and the condition will require further and potentially more advanced testing to identify the root cause. Because there were no positive tests, the therapist cannot formulate a concise clinical impression.
candidate
The ______ should ensure that they modify these script suggestions for their own purposes. You experienced pain when you actively flexed your elbow, which would be lengthening your forearm extensor muscles, and you felt pain when you actively extended your elbow, which would cause contraction of your forearm extensor muscles. I also felt increased temperature over your right common extensor tendon, which indicates there may be some inflammation in the area. Both tests for lateral epicondylitis (also known as Tennis elbow) were also positive. Based on all these findings, my clinical impression is that your right elbow pain may be due to Tennis elbow, also known as tendonitis of your common extensor tendon. Massage is indicated today, but I will be cautious not to aggravate any inflammation directly over the affected area. I would also recommend that you see a physiotherapist to complement the Massage Therapy treatments and help you get back to a pain-free state. Do you have any questions about this condition?
candidate
Honesty is always the best policy and an attribute that will certainly play in the ______'s favour.
candidate
When the 3-minute warning buzzer goes off, the candidate has TWO (2) options: 1. They can try to fit one more test in (if they have another one in mind) 2. They can discontinue the assessment process. ______ is always the best policy and an attribute that will certainly play in the candidate's favour.
Honesty
The candidate needs to remember that licensing bodies are primarily concerned with: “Is this person going to be a safe practitioner who will not cause harm?” If all the tests are negative, the ______ should first re-read their exam to ensure that they are assessing the right structure and side.
candidate
If all the tests are negative, the ______ should first re-read their exam to ensure that they are assessing the right structure and side. If they are, they should continue doing any relevant test that they have in their metaphorical toolbox. When the 3-minute warning buzzer goes off, the ______ has TWO (2) options:
candidate
A candidate can go through their entire repertoire of tests for the affected area and be left with only negatives. The ______ needs to remember that licensing bodies are primarily concerned with: “Is this person going to be a safe practitioner who will not cause harm?”
candidate
The candidate should summarize all of their findings and formulate a clinical impression in the format of: “Your (primary concern) may be due to (condition indicated by positive tests).” Is Massage Therapy Indicated? Based on the clinical impression and their findings, the ______ should tell the patient whether or not they believe that Massage Therapy is an appropriate treatment for their condition.
candidate
What should the candidate do before performing any palpation of the affected area?
Confirm consent to palpate the affected area
How many tests should the candidate choose to rule in the suspected condition?
Three tests
What should the candidate do after performing range of motion tests?
Choose appropriate tests to narrow down the root cause
What should the candidate provide when giving their clinical impression after the assessment?
The primary concern and condition indicated by positive tests
What should the candidate do if all the tests come out negative?
State that further and potentially more advanced testing is required
What should the clinical testing portion of the assessment include?
A variety of tests and assessments
What is the purpose of the candidate stating the purpose of each Special Orthopedic Test (SOT) they choose to perform?
To ensure the patient and examiners know where the candidate is in the assessment process
What should the candidate do before performing any palpation of the affected area?
Obtain consent from the patient
What is the first step in the global assessment protocol according to the text?
Obtain patient history
What should the candidate do after performing the range of motion tests?
Choose appropriate special orthopedic tests
Which of the following is a recommended action for the candidate during the palpation assessment step?
Obtain consent from the patient
What information should the candidate provide when giving their clinical impression after the assessment?
All of the above
What is the recommended number of tests the candidate should choose to narrow down the root cause during the assessment?
3 tests to rule in, 2 tests to rule out
What should the candidate do if all the tests they perform are negative?
Re-read the exam to ensure they are assessing the right structure and side, then continue testing
What is the purpose of the clinical testing portion of the assessment?
To rule in or rule out suspected conditions
What is the purpose of the candidate stating the purpose of each Special Orthopedic Test (SOT) they choose to perform?
To ensure the patient and examiners know where the candidate is in the assessment process
What type of range of motion assessment involves moving the joint pain-free and evaluating the patient's willingness to move the joint?
Active Free
During an Active Free range of motion assessment, what should the patient do if they feel pain or restriction?
Stop the movement
In the example given, which forearm movement caused the patient to experience pain and/or discomfort?
Extension
What does a Passive Relaxed range of motion assessment aim to identify?
Joint restrictions
Why is it important for the candidate to ask the patient if there is a specific movement that hurts the most?
To prioritize testing painful movements last
What does the candidate state as the reason for only testing the affected joint in today's exam?
'Normal' protocol adjustment due to affected area
What should the candidate do if all range of motion tests are negative?
Reread the exam to ensure correct assessment
Why does the text emphasize that candidates should not tell patients where they are feeling pain or limitations?
To avoid biasing the patient's responses
What does it indicate if a patient can only reach half of the range in extension and two-thirds of the range in flexion during an AF ROM assessment?
'Abnormal' muscle pathology
What action should the candidate take if a patient experiences pain or discomfort during a specific movement in an AF ROM assessment?
Stop the movement.
If the candidate only has one positive orthopedic test result, what should they consider?
The candidate should consider other assessments beyond orthopedic tests, such as active resisted range of motion, muscle strength testing, etc.
What should the candidate do if all the tests are negative?
The candidate should re-read the exam to ensure they are assessing the correct structure and side, and continue performing relevant tests.
When should the candidate restate the purpose of the range of motion assessment?
The candidate should restate the purpose of the range of motion assessment when in doubt.
What should the candidate do before performing any palpation of the affected area?
The candidate should confirm consent to palpate the affected area.
What should the candidate do when providing the clinical impression?
The candidate should state the patient's primary concern and the condition indicated by the positive tests.
What is the primary concern of licensing bodies regarding the candidate's assessment?
Whether the candidate will be a safe practitioner who will not cause harm.
When performing a range of motion assessment, what should the candidate do first?
Confirm consent to palpate the affected area
When performing a Special Orthopedic Test (SOT), what should the candidate do?
All of the above
If all the tests are negative, what should the candidate do?
All of the above
What should the candidate do before performing any range of motion tests?
Confirm consent to touch the affected area
During the palpation assessment, what should the candidate do?
All of the above
What is the purpose of the Passive Relaxed range of motion test?
To identify how far the joint can be moved without resistance or muscle activation
When should the candidate elicit patient feedback to determine a positive/negative/grading of the test?
During the Special Orthopedic Test (SOT)
What characterizes a positive and negative Special Orthopedic Test (SOT) result?
Both A and B
What should the candidate do when the 3-minute warning buzzer goes off?
Both A and B are valid options
What should the clinical testing portion of the assessment include?
A variety of tests and assessments
What is the purpose of performing a palpation assessment of the affected area?
To evaluate the palpable abnormality within the structure
Why does the candidate feel the patient's unaffected elbow before proceeding with the assessment?
To establish a baseline for comparison with the affected elbow
What does increased tone in the muscles crossing the elbow indicate during a palpation assessment?
Potential inflammation in the area
Why is it essential for the candidate to ask the patient about any pain or discomfort during the palpation assessment?
To identify areas of potential concern or tenderness
What should the candidate do if they do not feel any swelling in the area during a palpation assessment?
Continue with other assessments to confirm findings
Why does a candidate need to obtain consent before palpating a specific area?
To ensure patient comfort and compliance
What is the purpose of performing an Active Free range of motion assessment?
To identify muscle pathology
In the AF ROM assessment, what does it mean if the patient was only able to reach half of the range in extension and two-thirds of its range in flexion?
There may be muscle pathology
What should the candidate do if a patient experiences pain or discomfort during a specific movement in an AF ROM assessment?
Stop the movement if pain is felt
What should the candidate consider if all orthopedic tests during an assessment are negative?
Selecting additional tests from their toolbox
During the AF ROM assessment, what does it indicate if the patient feels pain and/or discomfort upon a specific movement?
Muscle pathology
What should the candidate do if all conducted tests are negative during an assessment process?
Choose additional relevant tests
If a candidate performs an AF ROM and PR ROM assessment on the elbow, what does it help them identify?
Range of pain-free motion and muscle activation
What should a candidate do before conducting range of motion tests?
Ask for permission to continue with the tests
When conducting an AF ROM assessment, what should a candidate avoid asking the patient to do?
Continue through pain or restriction
During an Active Free ROM, why is it important for the patient to mirror the examiner's movements?
To ensure accurate assessment of joint range
What is the purpose of the candidate stating the purpose of each Special Orthopedic Test (SOT) they choose to perform?
To demonstrate their knowledge of the tests to the examiners
What should the candidate do if all the tests they perform are negative?
All of the above
If the candidate only has one positive orthopedic test result, what should they consider?
Perform additional assessments such as active resisted range of motion, muscle strength testing, or muscle length testing
According to the assessment protocol, what should the candidate do after performing range of motion tests?
Choose appropriate tests to narrow down the root cause
What should the candidate do if all range of motion tests are negative?
State that they cannot formulate a clinical impression at this time
What is the purpose of the candidate stating the purpose of each Special Orthopedic Test (SOT) they choose to perform?
To provide a clear rationale for their clinical decision-making process
What should the candidate do before performing any range of motion tests?
All of the above
How many tests are recommended to narrow down the root cause during the assessment?
Three tests to rule in the suspected condition and two tests to rule out possible differential conditions
What is the purpose of performing Cozen's test?
To identify tendonitis of the common extensor tendon
What type of end-feel was noted in the elbow joint during pronation and supination?
Firm end-feel
Which movement during the assessment caused the patient to experience pain and/or discomfort?
Forearm flexion
What is a logical second test to perform if Cozen's test yields a positive result?
Mill's test
Which type of end-feel was observed in elbow extension?
Bony end-feel
What action should be taken if a patient does not experience pain or discomfort during a particular movement?
Continue with the assessment as planned
What is the purpose of applying pressure after reaching the end range of a particular movement?
To assess the quality of the end-feel
During which movement should a candidate watch for a possible capsular pattern in the elbow joint?
Extension
In which range of motion did the elbow exhibit a firm end-feel?
Pronation
What characteristic should a candidate expect when reaching the end range of pronation and supination in the elbow joint?
Firm end-feel
During a palpation assessment, the candidate should modify the script suggestions provided for their own use.
True
In a palpation assessment, the candidate will first assess the patient's left elbow before moving on to the right elbow.
False
The candidate should ask for the patient's consent before proceeding with a palpation assessment.
True
The candidate should mention the purpose of the palpation assessment at the beginning of the procedure.
True
It is recommended for the candidate to compare the affected area with an unaffected area during a palpation assessment.
True
The stem indicates that there was no swelling detected during the palpation assessment of the affected elbow.
False
A candidate may choose to perform only orthopedic tests in Station 3: Assessment 1.
False
If a candidate has one positive orthopedic test result, they should consider it a rule-out test.
False
In the assessment process, it is not crucial for the candidate to determine if massage is indicated before identifying the root cause.
False
Candidates should always tell patients where they are feeling pain or limitations to ensure accurate assessment results.
False
Orthopedic tests are typically the only assessments performed in Station 4: Assessment 2.
False
If all tests are negative, candidates must remember that licensing bodies primarily focus on assessing if the candidate will be a safe practitioner.
True
The candidate should provide a final conclusion after completing the clinical testing portion of the assessment.
True
The candidate should recommend Massage Therapy as a treatment option regardless of their clinical impression.
False
If there are no positive tests during the assessment, the therapist can still formulate a concise clinical impression.
False
The candidate should tell the patient to see a physiotherapist only if Massage Therapy is not indicated.
False
Negative results on all tests may indicate the need for further and potentially more advanced testing to identify the root cause.
True
If all tests are negative, the candidate should continue doing more tests until they find a positive result.
False
The candidate can end the assessment process as soon as all tests come out negative.
False
The candidate must state that all tests have come out negative if no positive results are obtained during the assessment.
True
A concise clinical impression can be formulated even if no positive tests are obtained during the assessment.
False
The candidate should recommend Massage Therapy regardless of their clinical impression.
False
In an Active Free range of motion assessment, the candidate asks the patient to mirror their movements.
True
A Passive Relaxed range of motion assessment is performed to identify how far the joint can be moved pain-free without muscle activation.
True
The purpose of the AF ROM assessment is to see how far a patient can move their elbow without experiencing any resistance.
False
A candidate should always tell the patient where they are feeling pain or where they are limited during ROM assessments.
False
In an AF ROM assessment, if a patient can only reach half of the range in extension and two-thirds in flexion, it suggests a muscle pathology.
True
During a PR ROM assessment, the candidate should normally test joints above and below the affected joint.
False
In a PR ROM assessment, the candidate moves the forearm in the most painful range first.
False
The purpose of an AF ROM assessment is to see how much resistance a patient can exert during elbow movements.
False
Candidates must always state exactly what patients tell them and/or demonstrate during ROM assessments.
True
In a PR ROM assessment, the candidate seeks patient feedback on which movements hurt the most before proceeding with any tests.
True
The candidate should always ask the patient if they are experiencing any pain or discomfort during the PR ROM assessment.
True
In the script provided, Cozen's test is primarily used to identify tendonitis of the common flexor tendon.
False
The candidate should let the patient know the purpose of each Special Orthopedic Test (SOT) they choose to perform during the assessment.
True
Rule-In Test #2 in the script is performed to confirm a negative result from Rule-In Test #1.
False
The end-feel observed during elbow extension in the script was described as firm.
True
The candidate should perform a Ligamentous Varus Instability test to rule out a medial/ulnar collateral ligament sprain.
False
The script specifies that all tests conducted should be negative before the candidate re-reads their exam to ensure proper assessment.
True
The Rule-Out Test #1 in the script involves performing additional tests to identify other conditions with similar symptoms to rule out.
True
The script mentions that a logical second Rule-In test for a specific condition could be Cozen's Test.
False
In the provided script, the Passive Relaxed range of motion test aims to identify how far the joint can move without resistance and with muscle activation.
False
What should the candidate do if all the tests they perform are negative?
Try to fit in one more test before time is up
What is the primary concern of licensing bodies when evaluating a candidate?
Whether the candidate will be a safe practitioner who will not cause harm
What should the candidate do if they are assessing the correct structure and side, but all tests are negative?
Recommend the patient undergo more advanced testing
What is the purpose of performing a palpation assessment of the affected area?
To identify any swelling or tenderness in the area
What should the candidate do before performing any range of motion tests?
Obtain consent from the patient to perform the tests
What should the candidate do if they do not feel any swelling in the area during a palpation assessment?
Continue the assessment by performing a variety of range of motion tests
If all the tests are negative, the candidate should first re-read their exam to ensure that they are assessing the right structure and ______.
side
When the 3-minute warning buzzer goes off, the candidate has TWO (2) options: 1. They can try to fit one more test in (if they have another one in mind) 2. They can discontinue the assessment process. Honesty is always the best policy and an attribute that will certainly play in the candidate's ______.
favour
Because there were no positive tests, the therapist cannot formulate a concise clinical ______.
impression
A concise clinical impression can be formulated even if no positive tests are obtained during the ______.
assessment
What should the candidate do if all the tests they perform are ______?
negative
The candidate should summarize all of their findings and formulate a clinical impression in the format of: 'Your (primary concern) may be due to (condition indicated by positive tests).' Is Massage Therapy Indicated? Based on the clinical impression and their findings, the ______ should tell the patient whether or not they believe that Massage Therapy is an appropriate treatment for their condition.
candidate
Learn about the essential steps involved in clinical testing protocol, including palpation techniques, range of motion tests, and appropriate testing methods for assessing joint mobility and function.
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