TEST BANK
Orthopedic Physical Assessment
David J. Magee, and Robert C. Manske
7th Edition
,Table of Contents
Chapter 01 Principles and Concepts 1
Chapter 02 Head and Face 7
Chapter 03 Cervical Spine 13
Chapter 04 Temporomandibular Joint 18
Chapter 05 Shoulder 23
Chapter 06 Elbow 28
Chapter 07 Forearm, Wrist, and Hand 33
Chapter 08 Thoracic (Dorsal) Spine 38
Chapter 09 Lumbar Spine 43
Chapter 10 Pelvis 48
Chapter 11 Hip 53
Chapter 12 Knee 58
Chapter 13 Lower Leg, Ankle, and Foot 63
Chapter 14 Assessment of Gait 68
Chapter 15 Assessment of Posture. 73
Chapter 16 Assessment of the Amputee 78
Chapter 17 Primary Care Assessment 83
Chapter 18 Emergency Sports Assessment 88
,______________________________________________________________________________________________
Test Bank - Orthopedic Physical Assessment, 7th Edition (Magee, 2021)
Chapter 01: Principles and Concepts
Magee: Orthopedic Physical Assessment, 7th Edition
MULTIPLE CHOICE
1. What does the assessment recording technique that uses the acronym “SOAP” stand for?
a. Subjective, orthopedic, assessment, and plan
b. Systematic, orthopedic, assessment, and prognosis
c. Systematic, objective, analysis, and plan
d. Subjective, objective, assessment, and plan
ANS: D PTS: 1
2. Which of the following is not required to perform an adequate patient medical history?
a. Development of rapport with the patient and family
b. Use of medical jargon to impress the patient and family
c. Speaking at a level the patient and family will understand
d. Demonstrating empathy, caring, and interest in the patient
ANS: B PTS: 1
3. Which of the following is considered a red flag finding for cancer in the medical history
portion of the examination?
a. Fever or night sweats
b. Joint swelling and effusion
c. Severe abdominal pain
d. Unusual lumps and growths
ANS: D PTS: 1
4. Which of the following is considered a red flag finding for gastrointestinal or genitourinary
problems in the medical history portion of the examination?
a. Pulsating pain anywhere in the body
b. Persistent pain at night
c. Unwarranted fatigue
d. Frequent nausea or vomiting
ANS: D PTS: 1
5. A patient reports that he or she has been having hip pain that is mostly experienced as night
pain, and the pain is consistent every night, regardless of daily activity. This presentation is a
red flag for which pathologic condition?
a. Neurologic problem
b. Genitourinary disorder
c. Cardiovascular condition
d. Cancer
ANS: D PTS: 1
6. Which of the following is a good open-ended question that could be asked during the physical
examination process?
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Orthopedic Physical Assessment, 7th Edition (Magee, 2021)
a. Does this increase your pain?
b. Do you take narcotic medications?
c. How is your pain altered during activities?
d. Does your pain hurt worst during the day or the night?
ANS: C PTS: 1
7. Patient age is an important determination because certain pathologic conditions or injuries
typically occur in certain age groups. Which pathologic condition would be considered more
common in a young patient?
a. Osteoporosis
b. Osteoarthritis
c. Legg-Perthes disease
d. Tendon ruptures
ANS: C PTS: 1
8. Pain that would be considered from a systemic origin might have which of the following
descriptions?
a. Less intense at night
b. Intermittent
c. Superficial
d. Deep aching
ANS: D PTS: 1
9. Pain that would be considered from a musculoskeletal origin might have which of the
following descriptions?
a. Aggravated by mechanical stress
b. Reduced by pressure
c. Constant waves or spams
d. Disturbs sleep
ANS: A PTS: 1
10. Which of the following types of pain are described as deep, boring, and localized?
a. Bone
b. Vascular
c. Muscle
d. Nerve
ANS: A PTS: 1
11. Which of the following is not inert tissue?
a. Bone
b. Muscle
c. Capsule
d. Ligaments
ANS: B PTS: 1
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Orthopedic Physical Assessment, 7th Edition (Magee, 2021)
12. Which type of pain follows a specific anatomic pathway and affects specific anatomic
structures?
a. Somatic
b. Superficial somatic
c. Referred
d. Neuropathic
ANS: D PTS: 1
13. Dull, aching pain is usually caused by what physical structures?
a. Muscle
b. Ligament
c. Capsule
d. All of the above.
ANS: D PTS: 1
14. Pain that is more intense, sharp, severe, and intolerable would be more indicative of what type
of tissue and injury?
a. Tendon rupture
b. Bone fracture
c. Ligament sprain
d. All of the above.
ANS: B PTS: 1
15. Paresthesia is considered which type of symptom?
a. Aching pain inconsistent with injury severity
b. Diffuse, referred pain from organs
c. Deep, boring, and aching pain
d. Unpleasant sensation occurring without an apparent stimulus
ANS: D PTS: 1
16. Translational instability refers to which form of symptoms?
a. Loss of control of small, arthrokinematic joint movements that occur when the
patient attempts to stabilize a joint
b. Excessive or gross physiologic movement in a joint during which the patient
becomes apprehensive at the end of motion because of subluxation
c. Inability to control either arthrokinematics or osteokinematic movement in the
available motion during functional movements
d. None of the above.
ANS: A PTS: 1
17. In which of the following forms of overt pain behaviors will a patient position him- or herself
in a fully extended limb position to maintain an abnormal distribution of weight during
standing or gait?
a. Guarding
b. Bracing
c. Limping
d. Antalgia
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Orthopedic Physical Assessment, 7th Edition (Magee, 2021)
ANS: B PTS: 1
18. The observation portion of the physical examination should include which of the following?
a. Posture
b. General manner
c. Attitude
d. Willingness to cooperate
e. All of the above.
ANS: E PTS: 1
19. Which of the following vital signs is most imperative in a 75-year-old patient with a suspected
cardiac condition?
a. Blood pressure
b. Respiratory rate
c. Temperature
d. Brachial pulses
ANS: A PTS: 1
20. A scanning examination should be used with all of the following situations except when the
patient experiences
a. radicular signs.
b. altered sensation in the limb.
c. abnormal patterns.
d. typical mechanical pain.
ANS: D PTS: 1
21. A scanning examination for a patient with suspected referral symptoms in the extremity
coming from the spine would include which of the following?
a. Active range of motion or passive range of motion (AROM/PROM) of the
peripheral joint
b. Myotome scan testing
c. Sensory scan testing
d. All of the above.
ANS: D PTS: 1
22. Which part of the nerve connects the nerve to the spinal cord and arises from each segment or
level of the spinal cord?
a. Peripheral nerve
b. Cord
c. Trunk
d. Nerve root
ANS: D PTS: 1
23. An area of the skin supplied by a single nerve root is called which of the following?
a. Myotome
b. Sclerotome
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Orthopedic Physical Assessment, 7th Edition (Magee, 2021)
c. Dermatome
d. None of the above.
ANS: C PTS: 1
24. A patient is exhibiting muscle weakness in the shoulder. To ensure that this weakness is not
coming from the cervical spine, another muscle that is also innervated by the same nerve that
innervates the weak muscle is assessed. What type of distribution is being examined?
a. Myotome
b. Sclerotome
c. Dermatome
d. None of the above.
ANS: A PTS: 1
25. A patient may have radiculopathy. This set of conditions refers to which of the following?
a. Sharp shooting pain felt in dermatome
b. Radiating paresthesia
c. Radiating numbness
d. Both B and C
ANS: D PTS: 1
26. Which of the following muscles is innervated by the L2 nerve root?
a. Hip adductors
b. Quadriceps
c. Tibialis anterior
d. Gluteus medius
ANS: A PTS: 1
27. Which of the following is true regarding myelopathy?
a. Upper motor neuron lesion
b. Upper limbs affected
c. Lower limbs affected
d. All of the above.
ANS: D PTS: 1
28. A patient comes into your clinic with a lower motor neuron lesion. What signs and symptoms
would you not expect to see?
a. Hyperreflexia
b. Flaccid paralysis
c. Muscle atrophy
d. Joint weakness and instability
ANS: A PTS: 1
29. Bone on bone is the normal end feel when assessing which passive movement?
a. Knee flexion
b. Ankle dorsiflexion
c. Finger extension
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Orthopedic Physical Assessment, 7th Edition (Magee, 2021)
d. Elbow Extension
ANS: D PTS: 1
30. When scoring manual muscle testing using the Modified Oxford Scale, what score is given for
complete ROM against gravity with minimal resistance?
a. 5+
b. 4
c. 3+
d. 3-
ANS: C PTS: 1
______________________________________________________________________________________________
6|Page
