MPT Musculoskeletal Physical Therapy 1 — Questions and Answers
Question 1: Which special test is used to assess anterior cruciate ligament (ACL) integrity?
- Lachman test (Correct answer)
- McMurray test
- Valgus stress test
- Patellar grind test
Correct answer: Lachman test
The Lachman test is the gold-standard clinical test for ACL integrity, performed with the knee at 20–30° of flexion.
Question 2: A patient presents with pain at the lateral epicondyle of the elbow that worsens with wrist extension against resistance. What is the most likely diagnosis?
- Medial epicondylitis
- Lateral epicondylitis (Correct answer)
- Cubital tunnel syndrome
- Olecranon bursitis
Correct answer: Lateral epicondylitis
Lateral epicondylitis (tennis elbow) involves overuse of the wrist extensor muscles, causing pain at their common origin on the lateral epicondyle.
Question 3: Which grade of joint mobilization is used primarily for pain relief rather than increasing range of motion?
- Grade III
- Grade IV
- Grade I and II (Correct answer)
- Grade V
Correct answer: Grade I and II
Maitland Grades I and II are small-amplitude oscillations within range used primarily for neurophysiological pain relief.
Question 4: The FABER test is used to assess pathology in which region?
- Lumbar spine
- Hip joint and sacroiliac joint (Correct answer)
- Knee joint
- Ankle joint
Correct answer: Hip joint and sacroiliac joint
FABER (Flexion, ABduction, External Rotation) stresses the hip and sacroiliac joint to reproduce pain and identify pathology.
Question 5: Which muscle is tested by asking a patient to abduct the arm between 60° and 120° with pain during this arc?
- Subscapularis
- Supraspinatus (Correct answer)
- Infraspinatus
- Teres minor
Correct answer: Supraspinatus
A painful arc between 60–120° of shoulder abduction is the hallmark of supraspinatus tendinopathy or impingement syndrome.
Question 6: Straight leg raise (SLR) test positive at less than 60° indicates involvement of which structure?
- Piriformis
- Sciatic nerve or lumbar nerve roots L4–S1 (Correct answer)
- Femoral nerve
- Obturator nerve
Correct answer: Sciatic nerve or lumbar nerve roots L4–S1
A positive SLR below 60° indicates tension or irritation of the sciatic nerve or lumbar nerve roots, most commonly from disc herniation.
MPT Musculoskeletal Physical Therapy 1
Which special test is used to assess anterior cruciate ligament (ACL) integrity?