1.
Which of the following are tendon properties?
Correct Answer(s)
A. Bendable
B. Minimal elongation
C. No contractility
2.
Which of the folowing make up the compoistion of tendons?
Correct Answer(s)
A. Type 1 collagen
B. Matrix - proteoglcans & glycosaminoglycans
C. Fibroblastic cells - which repairs collagen, matrix
3.
In which of the following are tendon injuries usually located?
Correct Answer(s)
A. Muscle tedon groups cross two or more joints
B. Convexity of theunderlying bone
C. Tenodns invloved in locomotion
D. Tendons invlved in ballistic performance
4.
In tendonitis is force transmitted through the tendon to the bone?
Correct Answer
A. Yes
5.
So, repetitive mechanical loads through the tendon can eventually lead to tendonitis?
Correct Answer
A. Yes
6.
Can inflammatory changes occur in tendons?
Correct Answer
A. Yes
7.
In addition to inflammation what else can occur to tendons resulting in tenodnitis?
Correct Answer(s)
A. Degeneration
B. Fibrinoid necrosis
C. Microtearing
8.
What is more common tendinopathy or tendinitis?
Correct Answer
A. Tendinopathy
9.
Which tendons are more vulnerable to injury?
Correct Answer
A. Those that cross more than one joint
10.
A laceration or a sudden force will cause a (n) _________ injury
Correct Answer
A. Acute
11.
Does an acute tendon injury disrupt the tendon and sheath?
Correct Answer
A. Yes
12.
So, a chronic strain is basically oversuse repetitive injury to a tendon?
Correct Answer
A. Yes
13.
A chornic strain is referred to as tendonisis or tendinopathy. True or false?
Correct Answer
A. True
14.
Chronic strain can occur due to:
Correct Answer(s)
A. Cumulative damage
B. Microtearing of the tendon fibers
C. Localized tenderness
15.
Does chronic strain cause disruption of the tendon sheath?
Correct Answer
A. Yes
16.
Can you have a combines chronic injry with acute trauma to a tendon?
Correct Answer
A. Yes
17.
Which of the following are characgteristics of a chronic tendon injuury with acute trauma?
Correct Answer(s)
A. An inflamed tendon is subjected to a suddenoverload event causing an acute disrpution
B. Bleeding
C. Tendon sheath is affected
D. Inflammatory changes around the tendon
18.
What is this degree of tearing?tendon and sheath disruptioninflammatory responsehealing depends on extent of contractionmay require surgical repair
Correct Answer
A. Full thickness
19.
Can a partial thickness tendon tear heal spontanesously?
Correct Answer
A. Yes
20.
So, the tendon sheath in a partial thickness tendon tear may or may not tear. If it does tear and bledding occurs, can healing occur without surgery?
Correct Answer
A. Yes, through extrinsic healing
21.
If no bleeding occurs in a partial thickness tendon tear a scar forms though fibroblastic scar formation. what is this scar called?
Correct Answer
B. Tendinosis
22.
Is tendonisis usually a successful repair to a tendon tear?
Correct Answer
B. No
23.
Tendinosis is failed tendon healing. True or false?
Correct Answer
A. True
24.
In tendonisis there is an increase in repair cells due to chronic or acute microtears?
Correct Answer
A. Chronic
25.
Which of the following are characteristics of tendinosis?
Correct Answer(s)
A. Occurs with patial thickness tears when the tendon sheath is not disrupted
B. Local fibroblastic repair without normal inflmmatory cells
C. Results ina poor quality scar - poor collages x-linking, rudimentary vascular structures, fibroblastic hyperplasia and avscualr tendon
D. Common orthpedic complaint
E. Very frequent and disabling
26.
Howdo you treat tendinosis?
Correct Answer(s)
A. Control pain
B. NSAIDS - short term
C. Ice
D. Avoid re-injury
E. Avoid complete immobilization and surgical resection of abnormal tissue
27.
Is tendinitis common?
Correct Answer
B. No
Explanation
It is not common because the tendon is vary pporly vascularized.
28.
Basically tendinitis referes to acute injury with or without inflammation?
Correct Answer
A. With inflammation
29.
There is a paratendon that surrounds the tendon which is richly vascularized. Can this paratendon become inflammed causing paratendonitis?
Correct Answer
A. Yes
30.
What is the inflammation of a tendon and the sheath that surrounds it known as?
Correct Answer(s)
A. Tenosynovitis
C. Paratendonitis
31.
Which of the following will you find in patients with tenosynovitis or pratendonitis?
Correct Answer(s)
A. Pain
B. Swelling
C. Difficulty moving joint where inflammation occurs
32.
Lateral epicondylitis is known as tennis elbow, what muscle is inovlved?
Correct Answer
C. Extensor carpi radialis brevis
33.
Acute lateral epicondylitis can be caused by a laceration?
Correct Answer
A. Yes
34.
Which of the following are rotator cuff clinical findings?
Correct Answer(s)
A. AtropHy or thinning of muscles about he shoulder
B. Pain when lifting the arm
C. Pain when lowering the arm from a fully raised position
D. Pain at rest in severe cases
E. Weakness when lifitng or rotating the arm with crepitus.
35.
With adhesive capsulitis or frozen shoulder is there any inflammation involved?
Correct Answer
A. Yes
36.
Adhesive capsulitis has inflammation of the joint capsule with pain and stiffness of joint. Is the cuase of adhesive capsulitis well understood?
Correct Answer
A. Yes
37.
Even though the cause of adhesive capsulitis is not well understood we do know tha:
Correct Answer(s)
A. It is related to autoimmune processes
B. It follows injury or surgery
C. It can happen following immobilization
D. Treatment is done with mobilization, PT, OT, OMT, NSAIDS and steroids
38.
Biceps tendinitis and rupture involves:
Correct Answer
A. The long head of the biceps
39.
Does the biceps tendon cross one joint or two joints?
Correct Answer
B. Two joints
40.
When is an individual at risk for biceps tendinitis and rupture?
Correct Answer(s)
A. Repetitive strain
C. Overhead activities
41.
Where does biceps tendon rupture usually occur?
Correct Answer
B. At the shoulder attachment
Explanation
It can occur distally at radial tuberosity or at short head on coracoid process.
42.
If a patient has a thickened flexor tendon within the distal aspect of palm leading to abnormal gliding of tendon within sheath. They may develop a nodule on the tendon. What might this be?
Correct Answer
C. Trigger
43.
Jumper's knee is associated with:
Correct Answer
B. Quadriceps and patellar tendinitis
44.
Which of the following are characteristics of quadriceps and patellar tendinitis?
Correct Answer(s)
A. Microtears leading to chronic inflammatory changes
B. Localized tenderness above or below the kneecap
D. Running, jumping, starting and stopping
45.
Should you inject the patellar tendon?
Correct Answer
B. No
46.
Is achilles tendonitis a prostaglandin mediated inflammatory process?
Correct Answer
B. No
47.
Which of the following are the three stages of achilles tendonitis?
Correct Answer(s)
A. Paratendonitis
B. Tendinosis
C. Paratendinosis
D. Tendinosis