MPT Sports Physical Therapy 1 — Questions and Answers
Question 1: The Ottawa Ankle Rules are used to determine the need for X-ray in ankle injuries by assessing:
- Swelling and bruising only
- Bone tenderness at specific locations and ability to weight-bear (Correct answer)
- Ligament laxity via stress testing
- Pain with passive range of motion
Correct answer: Bone tenderness at specific locations and ability to weight-bear
The Ottawa Ankle Rules screen for fracture by assessing bone tenderness at the posterior fibula, posterior tibia, navicular, and base of 5th metatarsal, plus ability to bear weight.
Question 2: Return to sport after ACL reconstruction is typically guided by which criteria-based milestone?
- Time alone (6 months)
- Limb symmetry index ≥90% on strength and hop tests plus psychological readiness (Correct answer)
- Pain-free walking only
- Full passive range of motion restoration
Correct answer: Limb symmetry index ≥90% on strength and hop tests plus psychological readiness
Criteria-based ACL return to sport requires ≥90% limb symmetry on quadriceps strength and functional hop tests, plus psychological readiness assessment.
Question 3: Which grading system is used to classify muscle strains?
- Salter-Harris classification
- Grade I (mild), Grade II (moderate), Grade III (complete tear) (Correct answer)
- Outerbridge classification
- ASIA scale
Correct answer: Grade I (mild), Grade II (moderate), Grade III (complete tear)
Muscle strains are graded I (minor fiber disruption, no loss of strength), II (partial tear, significant weakness), and III (complete rupture).
Question 4: Exertional compartment syndrome is best confirmed by:
- X-ray imaging
- Intra-compartmental pressure measurement during and after exercise (Correct answer)
- MRI of soft tissue
- Nerve conduction study
Correct answer: Intra-compartmental pressure measurement during and after exercise
Chronic exertional compartment syndrome is diagnosed by measuring compartment pressures before and after a standardized exercise protocol.
Question 5: Which test best assesses single-leg dynamic balance and lower extremity neuromuscular control in athletes?
- Thomas test
- Star Excursion Balance Test (SEBT) (Correct answer)
- Romberg test
- Gait analysis
Correct answer: Star Excursion Balance Test (SEBT)
The SEBT measures dynamic single-leg balance by having the athlete reach as far as possible in 8 directions while standing on one leg.
Question 6: The PRICE principle for acute sports injury management stands for:
- Pain relief, Rest, Ice, Compression, Elevation
- Protection, Rest, Ice, Compression, Elevation (Correct answer)
- Prevention, Rehabilitation, Immobilization, Cold, Exercise
- Protection, Range of motion, Ice, Crutches, Elevation
Correct answer: Protection, Rest, Ice, Compression, Elevation
PRICE (Protection, Rest, Ice, Compression, Elevation) remains a widely used framework for early management of acute musculoskeletal sports injuries.
MPT Sports Physical Therapy 1
The Ottawa Ankle Rules are used to determine the need for X-ray in ankle injuries by assessing: