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1. The classification of primary frozen shoulder is considered idiopathic.
A. True
B. False
2. All of the following are considered part of secondary frozen shoulder EXCEPT:
A. Rotator cuff tendinitis
B. Lung cancer
C. Cardiopulmonary disease
D. Diabetes mellitus
3. Contracture of the rotator cuff interval (RCI) is prevalent in patients with frozen shoulder. Release of the RCI in patients with frozen shoulder may lead to an immediate and dramatic increase in shoulder external rotation. The RCI is comprised of:
A. Anterior supraspinatus tendon
B. Upper subscapularis border
C. Superior glenohumeral ligament
D. Coracohumeral ligament
E. All of the above
4. Minimal pain except at end ROM and significant limitation of ROM with rigid end feel is part of which stage of Adhesive Capsulitis?
A. Stage 1
B. Freezing Stage
C. Frozen Stage
D. Thawing Phase
5. Three specific factors from the history may be useful in determining the stage or irritability level of the patient's condition. This includes all but the following:
A. Ability to sleep through the night
B. Whether pain or stiffness is the predominant symptom
C. Whether symptoms are improving or worsening over the last 3 weeks
D. All are important factors
6. Which of the following differentiates frozen shoulder from other shoulder pathologies?
A. Significant loss of passive external rotation with the arm at the side
B. Loss of active and passive motion of shoulder in all planes of movement.
C. A and B
D. None of the above
7. In patients classified with high irritability, high-intensity and long duration ROM exercises should be performed to alter the joint receptors' input, reduce pain, decrease muscle guarding, and increase motion.
A. True
B. False
8. There is strong evidence that glenohumeral intra-articular corticosteroid injections have a significantly greater 4-6 week beneficial effect compared to other forms of treatment.
A. True
B. False
9. Common criteria for discharging a patient include all of the following EXCEPT:
A. Significant pain reduction
B. Stagnant motions gains between sessions
C. High irritability when performing exercises
D. Improved functional motion
10. The difference between translational manipulation and traditional manipulation is that translational includes all of the following, EXCEPT:
A. Angular stretching forces
B. Gliding techniques
C. Static end-range capsular stress
D. Short-amplitude high-velocity thrust
11. Primary adhesive capsulitis is the main cause of shoulder pain and dysfunction in individuals aged 40 to 70 years.
A. True
B. False
12. Which of the following was used in the study to alter the viscoelastic properties of the connective tissue to maximize the effectiveness of the stretch mobilizations?
A. Thermal ultrasound
B. Iontophoresis
C. Electrical Stimulation
D. All of the above
13. During this study, the end range position of the mobilization was held for at least how long:
A. 1 second oscillatory motions
B. 30 seconds
C. 45 seconds
D. 1 minute
14. In this study, which direction of sustained pressure during mobilization produced a sudden "giving away", accompanied by an audible pop?
A. Anterior mobilization
B. Posterior mobilization
C. Inferior mobilization
D. None of the above
15. In this study, the PM group shoulder external rotation ROM improved in all subjects. The largest improvement in ROM for the subjects in the AM group (18 degrees) was less than the smallest ROM improvement for the PM group (22 degrees).
A. True
B. False
16. At low moments the humeral head initially translates across the glenoid surface in the direction opposite to the motion, due to the joint surface geometry, as consistent with the concave-convex rule. With increasing the moment and angle of rotation which of the following is thought to apply?
A. The humeral head changes direction as the capsule tightens "pushing the humeral head back along the glenoid surface".
B. The capsular tissues rather than joint surface geometry controls the translatory movements of the humeral head.
C. A and B
D. None of the above
17. In this study, all of the following are true EXCEPT:
A. It is unknown if posterior mobilization is effective with secondary adhesive capsulitis.
B. Anterior mobilization is as effective as posterior mobilization to increase external range of motion.
C. Substantial improvements were made in the posterior mobilization group in just 6 visits.
D. All are false.
18. If glenohumeral external rotation range of motion becomes greater as the shoulder is abducted which of the following are true?
A. Impairments in muscle flexibility are likely to be the primary restriction.
B. Interventions such as soft tissue mobilization and muscle-stretching procedures should be selected to normalize the muscle flexibility deficits.
C. Indicates primarily capsular involvement
D. A and B
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