SPT 3 2019

Question 1 of 20

1. Question

High re-injury rates of ankle sprains in sports are related to

Inadequate rehabilitation
Inadequate rehabilitation and not performing ultrasound treatments
Inadequate rehabilitation and premature return to sport
Rehabilitation that does not include isokinetic training

Question 2 of 20

2. Question

Tests for the integrity of the ATFL:

The most sensitive test is the anterior drawer test performed 4 to 6 daysafter incurring and acute ankle sprain
The most sensitive test is the external rotation test
The most sensitive test is the anterior drawer test, performed immediatelyafter injuring the ankle
The most accurate test is the amount of swelling immediately afterspraining the ankle

Question 3 of 20

3. Question

Ankle fractures

Physiotherapy rehabilitation post ankle fractures should never commencebefore 8 weeks post injury
Early rehabilitation is considered safe as long after a period of 10 dayspost-injury to allow the acute symptoms to settle
A below knee cast for a minimum of 10 weeks is recommended
Early mobilisation has been related to poor outcomes and non-union ofankle fractures

Question 4 of 20

4. Question

Chronic Ankle Instability (CAI)

CAI has been reported of less than 10% of acute ankle sprains
The symptoms of chronic instability may last a minimum of 6 months post-injury or as long as 18 months
CAI has been reported in more than 50 % of ankle sprain and symptomslasting as long as 6 – 18 months
CAI is not related to a previous sprain of the ankle

Question 5 of 20

5. Question

Rehabilitation of CAI

There is no reported benefit of rehabilitation for CAI in preventing furtherinjury
Comprehensive rehabilitation has been showed to prevent furtherinstability of then ankle
Comprehensive rehabilitation should include muscle strengthening and proprioception exercises to achieve stability of the ankle
Comprehensive rehabilitation inclusive of muscle strengthening and proprioception cannot improve motion control of the ankle

Question 6 of 20

6. Question

The talo crural joint / or tibo/ talar joint

is a simple hinge joint.
The simple hinge mechanism of the talo crural joint allows plantar anddorsi-flexion only
The talo-crural joint is similar to a ball and socket joint
Inversion and eversion as well as plantar- and dorsi-flexion occurs at thetalo crural joint

Question 7 of 20

7. Question

The ATFL ligament (anterior talar fibular ligament)

Prevents displacement of the talus anteriorly during plantar flexion of theankle.
The ATFL is an extra-capsular ligament
The ATFL is connected to the peroneal tendons
The ATFL prevents excessive inversion and eversion of the talus

Question 8 of 20

8. Question

Imaging

MRI are indicated to diagnose fractures immediately post-injury
MRI are more sensitive than X Rays to diagnose acute fractures of theankle
Diagnostic ultrasound is indicated to diagnose OCL lesions and is moresensitive than MRi’s
The Ottawa Rules are sensitive to rule out fractures after and acute anklessprain, and of more value than a diagnostic ultrasound that is operatordependent.

Question 9 of 20

9. Question

General

A plaster cast is highly recommended after a moderate sprain
Plaster casts has limited benefit post a sprain
Physiotherapy treatment should be delayed post a sprain for as long as 6weeks
Plaster casts have limited benefit for longer than 10 days after a severesprain, and physiotherapy should be started as early as possible.

Question 10 of 20

10. Question

Most rotation happens in the neck at:

C4/5
C0/1
C2/3
C1/2
C6/7

Question 11 of 20

11. Question

Flexion of the neck is produced by (choose the most correct answer)

Longus capitus, semispinalis capitus, sternocleidomastoid
Longus capitius, longus colli, sternocleidomastoid
Oblique capitus, splenius capitus, sternocleidomastoid
Rectus capitus anterior, semispinalis capitus, sternocleidomastoid
None of the above

Question 12 of 20

12. Question

Cervical myelopathy presents with (choose most correct answer)

Reduced reflexes
Brisk reflexes
Clumsy hands
Unsteady gait
b +c + d
a + c + d

Question 13 of 20

13. Question

Choose the incorrect statement about cervical radiculopathy below

Cervical radiculopathy always has pain referred into the arm
A neurological examination is required to assess for cervical radiculopathy
Cervical radiculopathy can present with pain, weakness and decreased reflexes
C7 nerve root is assessed by triceps reflex, triceps strength and sensation of the middle finger
Most cervical radiculopathies can be treated conservatively

Question 14 of 20

14. Question

Cervical spondylosis can involve ( choose the incorrect statement)

Disc degeneration
Posterior longitudinal ligament calcification
Osteophyte formation
Central canal stenosis
Calcification of the ligamentum flavum

Question 15 of 20

15. Question

What is the ITB’s function in the knee?

Lateral stabiliser of knee; external rotator of tibia; extensor of the knee from30 degrees knee flexions; flexor of the knee from 40 degrees knee flexion
Lateral stabiliser of knee; internal rotator of tibia; extensor of the knee from30 degrees knee flexions; flexor of the knee from 40 degrees knee flexion.
Lateral stabiliser of knee; external rotator of tibia; flexor of the knee from 30degrees knee flexions; flexor of the knee from 40 degrees knee flexion
Medial stabiliser of knee; external rotator of tibia; extensor of the knee from30 degrees knee flexions; flexor of the knee from 40 degrees knee flexion
Lateral stabiliser of knee; external rotator of tibia; extensor of the knee from30 degrees knee flexions; flexor of the knee from 40 degrees knee flexion; inweight-bearing assists contralateral pelvic lift.

Question 16 of 20

16. Question

Rehab of the ACL should be based on:

Symptoms exhibited by patient
Specific goals achieved by the patient
Specific weekly goals
Depends on what the surgeon says
All of the above

Question 17 of 20

17. Question

Risk factors for developing PFP include:

Weak hip abduction in adolescents
Weak quadriceps in military recruits
A high BMI
A high level of activity
Multiple factors which need to be investigated together

Question 18 of 20

18. Question

The MCL offers stability to the knee in which direction?

Valgus
Anterior movement of tibia
Internal rotation of tibia
A and B
A, B and C

Question 19 of 20

19. Question

The MCL can be seen as a

Static stabiliser of the knee
Dynamic stabiliser of the knee
Restraint to medial meniscus movement
All of the above
Only A and C

Question 20 of 20

20. Question

The knee:

Is a classic hinge joint
Is made up of 1 joint
Is made up of 3 articular surface
Acts independently
Exhibits purely flexion/extension