What is the next physical examination test that should be conducted to determine their cause of mobility symptoms?

The patient is a 43-year-old man who works in a factory where he is responsible for operating a drill press and lifting heavy (25kg) cases of metal plates over his head several times throughout the day. He presents with a chief complaint of chronic low back pain that ranges from 3/10 at rest to 9/10 at the end of the day. He denies lower limb pain; he also denies lower limb numbness or muscle weakness. His symptoms began several years ago when he tried to stop a pallet of metal plates from falling off a truck. He felt a tearing sensation in his back and indicates that it has not been “right” since that time. He has had several periods of lost work time due to low back pain and has currently been out of work on a worker’s compensation claim for one month. This patient has had 2 lumbar magnetic resonance imaging examinations that revealed mildly degenerative, bulging disks at L4-5 and L5-S1. His previous physical therapy treatment has been centered on pain control approaches using moist heat and ultrasound. He indicates that he was instructed in the performance of sit-up exercises but stopped doing them after a couple of days because they increased his pain. He has avoided physical activity and exercise since that time. During your physical examination of this patient you note that, surprisingly, he has full range of motion of his lumbar spine and lower extremities. However, he has great difficulty controlling the position of his spine and pelvis when trying to perform a simulated lift that is similar to his job requirements. This task also increases his pain intensity but does not cause it to peripheralize. Given only this currently obtained information, which of the treatment approaches listed below is most supported by the literature?

17 yo male was playing quarterback during high school game.  During the cocking phase of a throw he was hit from behind and suffered an anterior dislocation. What ligamentous structure was most likely torn in this position of the shoulder?

Which of the following is the correct for patient education and activity modification in this case?

Use the below case information to answer the next 3 questions  A 46 year old patient arrives at your clinic with a chief complaint of neck and head pain.  The patient labels “sharp” pain on the right side of her neck going up into the suboccipital region.  The patient reports that the pain has been present for 18-24 months, and denies a focal mechanism of injury.  The patients main complaints is rotation of her head to the right when driving and headaches after being at the computer all day.   Pain at rest is 3/10, and increases to 6/10 at the end of the day.      In the review of systems form she marked headaches, and a prior MVA 5 years ago.     The patient reports that he job is as a customer service representative for a cable company where she is in front of a computer and on the phone all day.  The patient has a referral from the MD that states “neck pain”, and during his examination x-rays were taken that were unremarkable.  The patient is currently taking 800mg of ibuprofen prescribed by MD for the past week that has been mildly effective.    The patient arrives with a moderate forward head posture noted, as well as rounded shoulders present.  The patient ROM is 45 degrees in flexion without increased pain, 25 degrees in extension without reproduction of symptoms,  side-bending is 20 degrees bilaterally, and 30 degrees of right rotation with focal pain at base of skull, 70 degrees of left rotation without focal symptoms.  All neurological testing was negative. 

What is the next physical examination test the physical therapist should conduct?

Which of the following programs is the preferred choice of your initial management?    

Which surgical technique would provide the most stability after a bony Bankart injury?

Use the below case information to answer the next 3 questions  A 57‐year‐old female is referred to physical therapy for evaluation and treatment of numbness and tingling in her right dominant hand. She works as a legal secretary and began experiencing night pain and paresthesia in the long finger approximately 8 weeks ago. Her medical history includes type II diabetes and hypothyroidism. She demonstrates full active range of motion (ROM) throughout the upper extremity.

SECTION II – MULTIPLE CHOICE These questions are from your didactic sessions and any additional readings.