Answers for Practice Test Questions
Goodman & Snyder: Differential Diagnosis for Physical Therapists,
5th Edition
Chapter 18: Screening the Shoulder and Upper Extremity
Answers to Practice Questions
1. Orthopedic evaluation: Palpate structures of the shoulder, including trigger point assessment; perform special orthopedic tests such as Yergason’s, apprehension test, relocation test, and Speed’s test; perform neurologic screening examination, including reflex testing, coordination, manual muscle testing, and sensory testing; screen for mechanical dysfunction above and below (temporomandibular joint, cervical spine, elbow).
Systemic evaluation: Assess the effects of stair climbing or stationary bicycle riding (using only the lower extremities) on shoulder pain; assess for associated signs and symptoms (e.g., dyspnea, fatigue, palpitations, diaphoresis, cough, dizziness), and perform a systems review; measure vital signs on both sides.
2. (d)
3. (a) Kehr’s sign
4. (c)
5. (b)
6. (c) Thoracic outlet syndrome (TOS) is discussed more completely in Chapter 17.
7. (a)
8. (b)
9. (a)
10. (d)
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