Exam (elaborations)

PCE EXAM PREP QUESTIONS & ANSWERS 2024/2025

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Uploaded on September 2, 2024
Number of pages 64
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

pce exam prep questions answers

Institution PCE
Course PCE

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PCE EXAM PREP QUESTIONS &
ANSWERS 2024/2025

majority of muscle strains occur in biarticular muslces at muscle-tendon junction... ex.

- terminal swing phase of high speed running typically strains what hamstring?

- conceurrent hip flexion + knee extension tears what hamstring? - ANSWERSlong head of biceps femoris

semimembranosous

- pain > 3 months, btwn diaphgragm and knees

- causes: msk, neuro, gynecological, urogenital

rx: dec. pf resting tone

inc. pf proprioception

inc. motor control

dec pain sensitization - ANSWERSchronic pelvic pain

occurs in 50% of pregnancies

- weakness/laxity of PFM during prego/childbirth

-RF: previous hx of LBP/trauma

- causes: laxity, asym, inadequate motor control

symp: pain in pelvis and groun, post thigh... sustain postures, transitional movements

signs: posture: locked knees, lordosis, kyphosis

asymmetry: standing and supine

gait: shuffling, leg drag, waddling - ANSWERSpelvic girdle pain

,an objective ax for pelvic girdle pain should include? 6 - ANSWERSASLR with force/form closure

- hip quadrants ER/IR

- SIJ stability: P4, gaenslens, FABERS, palpation

- TOP of spinous processes

- TOP piriformis

- resisted hip ADD/ABD

treatment for pelvic girdle pain? - ANSWERSeducation:

- positions to avoid/movement strats

- posture in standing, sitting and sleeping

manual therpy

exercises to stabilize and symmetry

- PFM ex's

pelvic girdle pain can progress to these, define each one

cyctocele

rectocele

uterine prolapse - ANSWERSherniation of bladder into vagina

herniation of rectum into vagina

hernitation of uterus into vagina

when ligament stress testing how long do u hold the stretch and what are u looking for? - ANSWERSyou
hold for 10s, looking for laxity, end feel and pain

inflamed calcaneal apophysis - pulls on tendon at insertion

- effects growing, active children 9-14 yo

,RX: activity mods, gentle exercises - ANSWERSsevers disease

what tendons are invovled in de quervains tenosynovitis

main cause and tx? - ANSWERSo EXTENSOR POLLICIS BREVIS

O - post lower 1/3 radius

I - base of proximal thumb phalanx

F-ext+abdthumb

o ABDUCTOR POLLICIS LONGUS

O - ulna, radius, interosseous membrane

I - base of 1st metacarpal

F - abd thumb

repetitive movements women 30-40 yo

age 35-55 yrs

- tendinosis 80%, partial tear 20%

90% cases involve ECRB - EXT CARPI RADIALIS BREVIS

o O - lat epicondyleo I - post base of 3rd metacarpal o F-ext+abdhando N - radial nerve (deep branch)

10% involve COMMON EXT TENDON & origin of ECRL o O - lat supracondylar ridgeo I - 2nd metacarpal
base (radial side)o F-ext+abdhand

o N - radial nerve

o Symptoms with wrist/finger ext &/or gripping - ANSWERSlat elbow pain/tennis elbow

most common muscle impacted in tennis elbow - ANSWERSECRB

, how is tennis elbow dx?

common diff dx? - ANSWERS- pain over lat epi

- resisted 3rd finger PIP ext (elbow ext, shoulder @90...maudsleys test)

- resisted active wrist ext + rad dev (elbow @ 90.... cozens test)

- passively pronate forearm, flex wrist and elbow

- NO nerve s/s

- TOP in muscle belly

diff dx:

- C spine referral C7, shoulder referral, nerve entrapment, bursitis, LCL sprain, joint

describe type 1 and type 2 impingement

what tendons usually invovleD? - ANSWERS1° impingement NARROWED SUBACROMIAL SPACE (older
patient)

Intrinsic factors anatomical abnormalities, degenerative change

Extrinsic factors muscle imbalances, postural faults

2° impingement INSTABILITY (patient <35) Microtrauma instability subluxation of humeral head
impingement

Overhead activities/sports microtrauma of stabilizers

Ant capsule lax, Post capsule tight ant humeral head subluxation

S/S

long head biceps and supraspinatus

describe how to perform neers, speeds and empty can tests for impingement - ANSWERSneers: passively
flexing the arm while it is internally rotated.

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Exam (elaborations)

PCE EXAM PREP QUESTIONS & ANSWERS 2024/2025

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