𝐈𝐍 𝐃𝐄𝐄𝐃 𝐓𝐄𝐀𝐌 | 𝐋𝐄𝐕𝐄𝐋 4

Considering a patient with recent open Bankart repair, when can strengthening exercise for rotator cuff muscles of the involved shoulder be initiated? A. 6 to 8 weeks postoperatively B. 14 to 16 weeks postoperatively C. 10 to 12 weeks postoperatively D. 8 to 10 weeks postoperatively ✅ Q60 With neck rotation, the chin should be in line with the acromioclavicular joint at the end of rotation. If the neck must side bend early in the active rotation range in order to achieve full motion, it most likely suggests: A. Pathology at C3–7 B. Pathology at C0–1 C. Pathology at C1–2 D. Pathology at C2–3 ✅ Q57 A physical therapist evaluates a patient with central neck pain and restricted neck motion following a recent awkward sleeping position. The pain is reproduced at the end ranges of active and passive cervical motion, and the patient reports occasional referred pain to the shoulder. What is the MOST appropriate initial intervention? A. Initiate cervical and thoracic spine mobilization and manipulation ✅ B. Instruct the patient to use a cervical collar for pain relief C. Refer the patient to a neurologist for further testing D. Begin upper extremity endurance exercises to improve shoulder strength Q46 A patient is referred to physical therapy with subacute neck pain. The therapist suspects neck pain with headache. What is the MOST appropriate test to corroborate this diagnosis? A. Cervical flexion-rotation test ✅ B. Cervical mobility testing C. Cervical flexor muscle endurance testing D. Spurling’s test Q45 A physical therapist completes an upper quarter screening examination on a patient diagnosed with a freezing stage idiopathic frozen shoulder. Assuming a pathological end-feel, which of the following classifications would be MOST consistent with shoulder abduction? A. Empty B. Firm (capsular) ✅ C. Soft D. Hard (bony) Q48 A patient complains of increased pain and tingling in both hands after sitting at a desk for longer than 1 hour. The diagnosis is thoracic outlet syndrome (TOS). Which treatment would be the MOST effective physical therapy intervention? A. Stretching program for the pectoralis minor and scalenes ✅ B. Desensitization by maintaining the shoulder in abduction, extension, and external rotation with the head turned toward the ipsilateral shoulder C. Cardiovascular training using cycle ergometry to reduce symptoms of TOS D. Strengthening program for the scalenes and sternocleidomastoids Q54 A patient is performing sleeper stretch at home. What inherent method of scapular stabilization is used in the sleeper stretch? A. Using a foam roller B. Holding a dumbbell C. Body weight ✅ D. Using a resistance band Q74 A patient is referred to physical therapy with a diagnosis of degenerative joint disease (DJD) affecting C2 and C3. The patient complains of pain and stiffness in the cervical region and transient dizziness with some cervical motions. What is the BEST initial examination procedure? A. Adson’s maneuver B. Vertebral artery test ✅ C. Oppenheim’s test D. Lhermitte’s test Q39 To reduce an elderly individual’s chronic forward head posture in standing and sitting, what muscles are likely shortened and should be stretched? A. Rectus capitis posterior major and minor ✅ B. Rectus capitis anterior muscles C. Longus capitis and longus colli muscles D. Middle trapezius and rhomboid muscles Q65 The therapist in the photograph is testing which myotome? A. C5 B. C7 C. C8 D. C6 ✅

A. Supraspinatus B. Infraspinatus C. Subscapularis D. Serratus anterior Q42 A 60-year-old office worker with chronic lateral elbow pain and a PRTEE score of 18/50 is receiving physical therapy. The clinician observes scapular dyskinesis and shoulder girdle weakness during assessment. Which combination of interventions is most appropriate? A. Ultrasound and phonophoresis for the elbow B. Local wrist extensor strengthening and iontophoresis C. Focused scapular stability exercises and regional manipulations D. Isolated cryotherapy for pain control

B. Cryotherapy and forearm support orthosis C. Isometric wrist extensor strengthening with short lever arms D. Concentric/eccentric wrist extensor strengthening with long lever arms Q67 Considering a patient with a recent arthroscopic Bankart repair, when can submaximal isometric contraction of the scapular muscles on the involved shoulder be initiated? A. As soon as 1–2 days after surgery B. 4–6 weeks postoperatively C. 6–8 weeks postoperatively D. 2–3 weeks postoperatively Q20 A physical therapist is manual muscle testing the left infraspinatus muscle of a patient who is suspected of rotator cuff disease. Which of the following positions best isolates the infraspinatus muscle to test strength? A. Arm maximally internally rotated with the back of the hand against the back, lift the arm off the back B. Arm placed to the side; resist external rotation C. Arm placed to the side; resist internal rotation D. Arm placed in neutral position with the thumb up; resist abduction Q71 A patient with a medium-sized rotator cuff tear is 4 weeks post-repair. The rehabilitation protocol follows standard guidelines. Which intervention is the LEAST appropriate for this phase? A. Submaximal isometric scapular protraction exercises B. Gentle sleeper stretch to improve posterior capsule mobility C. Cryotherapy for pain management D. Passive external rotation in the scapular plane to 30° Q77 A 35-year-old patient with elbow pain rated at 6/10 on the NRS presents with a PRTEE score of 30/50 and a type 3 pain distribution. However, after initial treatment, symptoms improve to 2/10 on the NRS and 10/50 on the PRTEE with a type 2 distribution. What does this scenario illustrate? A. Patients can shift between irritability levels based on symptom changes B. Patients can only move from severe to moderate irritability levels C. Type 3 pain distribution is constant regardless of irritability level D. Return to function should be prioritized for moderate irritability levels Q63 A patient is having difficulty raising her arm over her head. The physical therapist hypothesizes that the scapulohumeral rhythm is impaired. Which of the following BEST represents the normal combination of movements that will result in full shoulder flexion? A. Glenohumeral flexion 100°, scapulothoracic upward rotation 80° B. Glenohumeral flexion 100°, scapulothoracic upward rotation 60° C. Glenohumeral flexion 80°, scapulothoracic upward rotation 80° D. Glenohumeral flexion 120°, scapulothoracic upward rotation 60° Q81 A 50-year-old office worker complains of pain over the lateral aspect of the elbow for 3 months. Pain is rated as 5/10, with pain during resisted wrist extension and no neurological deficits. What is the MOST appropriate initial therapeutic intervention? A. Isometric wrist extensor strengthening and activity modification B. Phonophoresis with 10% hydrocortisone gel C. High-resistance eccentric loading exercises D. Corticosteroid injection for immediate pain relief Q76 The therapist in the photograph is testing which muscle? A. Rhomboids B. Lower trapezius C. Middle trapezius D. Subscapularis Q55 An adult patient is diagnosed with thoracic outlet syndrome and presents with guarding in the upper trapezius and scalene muscles. Which technique would be the MOST effective way to decrease muscle guarding and provide pain relief? A. Maitland grade III mobilization of the C6–C7 joint B. Maitland grade I mobilization of the atlanto-axial joint C. Maitland grade IV manipulation of the first rib D. Maitland grade IV manipulation of the C6–C7 joint Q83 A physical therapist conducts manual muscle testing with the patient’s arm at the side in neutral rotation and the elbow flexed to 90°. The patient resists a medially directed force applied to the forearm by the examiner. The therapist is testing for weakness in which of the following muscles?

Q68 A patient presents to physical therapy with acute neck pain secondary to a motor vehicle accident where they experienced a rapid acceleration–deceleration mechanism. The therapist’s diagnosis is whiplash-associated disorder (WAD). Which intervention should be emphasized as part of a multimodal treatment plan during the acute stages of WAD? A. Mobilization B. Long-term use of a cervical collar C. Iontophoresis D. Intermittent cervical traction Q47 A patient rehabilitating from an upper extremity injury affecting the right shoulder performs a resistive exercise as shown. Which muscle would be primarily emphasized when performing the pictured exercise? A. Serratus anterior B. Middle deltoid C. Upper trapezius D. Pectoralis minor Q80 A patient seen in the physical therapy clinic with a complaint of shoulder and neck pain following an injury sustained during a lacrosse game. The patient complains of focal pain and denies any associated paresthesia or numbness. The therapist suspects a suprascapular nerve injury. Which resisted motion test results would support this diagnosis? A. Weakness with shoulder adduction and medial rotation B. Weakness with shoulder abduction and lateral rotation C. Weakness with shoulder medial rotation D. Weakness with shoulder extension Q82 A 30-year-old patient underwent shoulder arthroscopy for a rotator cuff repair. During the postoperative physical therapy evaluation, the therapist wants to assess the patient’s progress in regaining internal rotation strength. Which test would be most appropriate to assess internal rotation strength in this post-surgical patient? A. Neer’s test B. Bear-hug test C. Speed’s test D. Yergason’s test Q53 A patient with thoracic outlet syndrome (TOS) is undergoing conservative treatment. During the Roos test, the patient is asked to perform a specific movement to reproduce symptoms. What is the movement involved? A. Open and close hands while maintaining arms abducted and elbows flexed at 90° B. Rotate the head and neck while palpating the radial pulse C. Laterally flex the cervical spine and rotate it away from the tested side D. Retract and depress the shoulders into a military posture Q22 A patient with neurogenic thoracic outlet syndrome fails conservative treatment and continues to experience debilitating symptoms. Which nerve conduction velocity finding might support the decision for surgical intervention? A. Nerve conduction velocity of 70 m/s B. Nerve conduction velocity below 60 m/s C. Nerve conduction velocity of 85 m/s D. Nerve conduction velocity above 90 m/s Q72 A 55-year-old patient underwent arthroscopic repair of a large rotator cuff tear 6 weeks ago. On examination, passive scapular plane elevation is 100° and passive external rotation is 20°. Which of the following interventions is MOST appropriate for this patient at this stage? A. Pendulum exercises B. Supported vertical wall slides with a towel C. Supine wand-assisted flexion exercises in the scapular plane D. Gentle cross-body stretch for posterior capsule tightness Q78 Which of the following statements about heat modalities for lateral elbow tendinopathy (LET) according to the latest APTA guidelines is accurate? A. Heat is recommended only in combination with cryotherapy B. Heat is contraindicated in all stages of LET C. Heat is strongly recommended to improve pain and function D. There is insufficient evidence to support or refute its use Q75 What is the recommended treatment for active patients with acute traumatic rotator cuff tears? A. Arthroscopic debridement B. Conservative rehabilitation C. Corticosteroid injections D. Surgical repair Q73 For a patient with moderate irritability of lateral elbow tendinopathy (LET), which of the following interventions is most appropriate? A. High-resistance functional exercises

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مع أذان مغرب اليوم، تبدأ أول ليلة من شهر رجب بإذن الله. أول ليلة من شهر رجب من الليالي التي يُستجاب فيها الدعاء بإذن الله. وقد سُمِّي شهر رجب بـ"الشهر الأصبّ" لأن الله يصبّ فيه الرزق والخير والرحمة صبًّا. وكان الصحابة رضي الله عنهم يلاحظون زيادة أرزاقهم وشفاء مرضاهم في رجب، فكانوا يكثرون فيه من الدعاء، لما فيه من بركة وقبول للدعوات. اللهم صُبَّ علينا من خيرك وفضلك وعافيتك صبًّا صبًّا. اللهم بارك لنا في رجب وشعبان، وبلِّغنا رمضان ونحن في أحسن حال.

صباح الخير PT 10 ♥️ ربنا يعينكم ويوفقكم، وتخرجوا يوم السبت مجبورين الخاطر.. خليكوا هاديين، متتوتروش، وإن شاء الله كله خير. محطة صعبة، وكلنا لازم نعدي منها.. اعملوا اللي عليكم لحد آخر دقيقة، والتوفيق من عند ربنا عز وجل. كلها كام شهر، وهتكونوا بتتخرجوا مكان PT 9. 🥹 وأهم حاجة صلاتك في وقتها، أي حاجة في الدنيا ممكن تتعوض ومفيش حاجة تستاهل تضيّع علاقتك بربنا، وف الأول والآخر دنيا مش بتساوي جناح بعوضة عند ربنا سبحانه وتعالى.

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