1. During a football game a player sustains a powerful blow to the lateral side of his weight bearing leg.

He experiences excruciating knee pain and is unable to walk. The three structures most likely to be injured are the a. ACL and LCL and the lateral meniscus b. ACL, MCL and the medial meniscus c. PCL, LCL and the lateral meniscus d. PCL, MCL and the lateral meniscus 2. 25 year old hockey player experiences an anterior dislocation of the shoulder. Cutaneous sensation over the lower half of the deltoid muscle is impaired. These findings suggest damage to which of the following nerves? a. Axillary b. Median c. Musculocutaneous d. Radial 3. During an interview, a 34 year old psychiatric patient suddenly becomes aggressive. The patient is quickly taken into a quiet, private room and given an intramuscular inkjection of haloperidol in the upper outer quadrant of the buttock. The injection is given at this specific location to prevent daage to which of the following nerves? a. Common peroneal b. Lateral femoral cutaneous c. Obturator d. Sciatic 4. A 48-year old is admnitted to your rehabilitation facility 3 weeks after sustaining a spinal cord injury. The motor and sensory examination is as follows R motor L motor Deltoid 5 5 Biceps 5 5 Wrist extensor 5 5 Triceps 3 3 Finger flexors 1 1 Intrinsics 1 1 Hip flexors 0 0 Knee extensors 0 0 Dorsiflexors 0 0 Plantarflexors 0 0 Sensory exam revealed intact pinprick and light touch sensation through C7. Sensation is absent below C7 except for intact perianal sensation. What is the patients ASIA score? a. C7 ASIA B b. C6 ASIA B c. C6 ASIA C d. C7 ASIA C

5. A 38 year old woman slips on the sidewalk and falls, hitting the ground with her right elbow. She reports that she is experiencing severe pain in the upper limb. Examination reveals that she cannot extend her hand at the wrist. She has dimished sensation on the lateral portion of the dorsum of her hand. Which of the following is the most likely site of her fracture? a. Scaphoid b. Distal end of humerus c. Surgical neck of the humerus d. Midportion of the shaft of the humerus 6. A 20 year old woman sees her baby cousin for the first time. As she attempts to play with the infant, he begins to cry incessantly. Which is the most likely age of this infant? a. 1 to 4 months b. 5 to 8 months c. 9 to 12 months d. 13 to 16 months 7. A 45 year old man has an obvious mass on the right side of his face. It is determined that he has a benign tumor of the parotid gland and the tumor is excised. After surgical excision of the tumor, it is noted that the patients mouth drops on the right side and when asked to smile, his smile is asymmetrical. The patient is able to open and close both eyes normally and can wrinkle his forehead symmetrically and raise both eyebrows. Sensation is normal on both sides of his face. Which of the following is the most likely cause of the findings? a. Damage to branches of the mental nerve b. Damage to branches of the infraorbital nerve c. Damage to branches of the facial nerve d. Damage to branches of the hypoglossal nerve 8. A 50 year old administrative assistant presents with low back pain. After taking her history, performing a physical examination, and reviewing her imaging studies, you determine that her pain is likely discogenic. She asks if there are any positions which would be better for her back while at work. Which postion exerts thje most pressure on the lumbar discs? a. Standing erect b. Standing erect and flexed forward c. Seated in a chair d. Seated in a chair and flexed forward 9. You are asked to evaluate a 1 year old who is not yet walking but is developmentally appropriate. Which reflex would you expect to find? a. Asymmetric tonic neck b. Symmetric tonic neck c. Palmar grasp d. Plantar grasp 10. A football player is examined by the team physician following a shoulder injury during a game. Preliminary x-ray films showed an inferior disclocation of the humerus. On further examination, there is weakness in lateral rotation and abduction of the arm. The nerve most likely affected is the a. Axillary?

b. Dorsal scapular c. Radial d. Suprascapular 11. The following muscles are elbow flexors except a. Brachialis b. Brachioradialis c. Pronator teres d. Pronator quadratus 12. A 20 year old male presents with loss of abduction and adduction of the fingers and has a benediction hand deformity, which of the following nerves was most likely injured a. Median nerve b. Radial nerve c. Ulnar nerve d. Anterior interosseous nerve 13. This deformity results from the loss of intrinsic muscle action and the overaction of the extrinsic extensor muscles on the proximal phalanx of the fingers. The metacarpophalangeal joints are hyperextended and the proximal and distal interphalangeal joints are flexed. a. Claw fingers b. Swan neck deformity c. Boutonniere deformity d. Trigger finger 14. Results from a rupture or avulsion of the extensor tendon where it inserts into the distal phalanx of the finger. The distal phalanx rests in a flexed position. a. Mallet finger b. Trigger finger c. Jersey finger d. Gamekeepers thumb 15. Thomas test is used to assess a. Hip flexion contracture b. Hip dislocation c. Hipe anteversion d. Hip fracture 16. In trendelenburgs test, if the pelvis on the side of the nonstance leg falls, the test is considered positive and it indicates a. Weakness of the gluteus medius on the stance side b. Weakness of the gluteus medius on the nonstance side c. Weakness of the gluteus maximus on the stance side d. Weakness of the gluteus minimus on the stance side 17. A positive froments sign is indicative of injury to the a. Radial nerve b. Median nerve

c. Ulnar nerve d. Posterior interosseous nerve 18. Weakness of the quadriceps, adductor longus, magnus, and brevis would indicate involvement what nerve root a. S1 b. L5 c. L4 d. L3 19. Finkelstein test is used to determine the presence of De Quervains disease which indicates tenosynovitis of a. Abductor pollicis longus and extensor pollicis brevis b. Adductor pollicis and extersor pollicis longus c. Abductor pollicis longus and extensor pollicis longus d. Adductor pollicis and extensor pollicis brevis 20. Wasting of the thenar eminence of the hand as a result of median nerve palsy a. Bishops hand b. Ape hand c. Drop wrist deformity d. Z deformity of the thumb 21. In the American spinal injury association impairment scale, if the motor function is preserved below the neurologic level and at least half of key muscles below the neurological level have a muscle grade of 3 or more. It is classified as a. D b. C c. B d. A 22. The most common cause of autonomic dysreflexia in spinal cord injury a. Fecal impaction b. Pressure ulcers c. Bladder distention d. Ingrown toenails 23. In SCI, the neurologic level of injury is the most caudal levels at which both motor and sensory modalities are intact on both sides of the body. In cases where there is no key muscle available (i.e., cervical levels at and above C4, T2-L1, and sacral levels S2-5), the neurological level is that which corresponds to the a. Sensory level b. Motor level c. Both d. None of the above

24. A 60 year old woman is seen in consultation by your rehabilitation team after elective surgery. She has a new finding of 1/5 strength in her lower extremities but retained proprioception and vibratory sense. You make the diagnosis of a. Posterior spinal cord syndrome b. Central cord syndrome c. Anterior spinal cord syndrome d. Conversion disorder 25. An 80 year old man with peripheral neuropathy and multiple medical conditions fell at home and was found several hours later. He was admitted to the hospital for a sacral insufficiency fracture and failure to thrive. During your initial consultation you notice a skin ulcer in which the entire thickness of the skin is involved without involvement of the underlying fascia. According to the National Pressure Ulcer advisory Panel, the patients ulcer is classified as stage a. 1 b. 2 c. 3 d. 4 26. Defined as a motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes a. Rigidity b. Spasticity c. Tremors d. Clonus 27. A patient with painful swelling in the distal calf cannot plantar flex at the ankle with any power. Which tendon was likely ruptured? a. Calcaneal b. Extensor digitorum longus c. Extensor hallucis longus d. Plantaris 28. A 65 year old male presents with right sided weakness and right central facial palsy. Patient has impaired fluency expression, repetition and naming but comprehension is mildly impaired. What type of aphasia does the patient have? a. Transcortical motor b. Transcortical sensory c. Conduction d. Brocas 29. A 15 year old male came in at the ER and upon examination there was spontaneous eye opening, withdraws to pain, and he converses but was noted to be disoriented. What is the GCS score? a. 15 b. 14 c. 13 d. 12

30. The following are factors that determine prognosis in traumatic brain injury a. Duration of coma b. Duration of postrraumatic amnesia c. Age >5 years old d. All of the above? 31. De Quervains tenosynovitis involves the following a. EPB and APL b. EPB and EPL c. APL and OP d. EPB and FPL 32. Most common location of clavicular fractures a. Middle 3rd b. Lateral 3rd c. Medial 3rd d. None of the above 33. Radiologic Hallmarks of osteoarthritis a. decreased joint space b. subchondral cyst formation c. A and B d. None of the above 34. A patient is unable to wink, what muscle is affected? a. Frontalis b. levator palpebrae superioris c. orbicularis oculi d. superior tarsal 35. As a result of meningitis, a patient develops Bells palsy. One of the symptoms was hyperacusis. What nerve was involved? a. Facial b. Glossopharyngeal c. Oculomotor d. Trigeminal 36. A 56 year old man with cerebral palsy is evaluated in your clinic. He is noted to have a slow, writhing, worm-like movement in his arms. Which term correctly describes this movement? a. Dystonia b. Chorea c. Myoclonus d. Athetosis 37. Supination of the hand and forearm would be diminished by loss of radial nerve function. But one very powerful supinator would remain intact and unaffected, namely: a. Brachialis b. Brachioradialis

c. Biceps brachii d. Supinator 38. Development of tennis elbow (lateral epicondylitis) involves the origin of which muscle? a. Abductor pollicis longus b. Anconeus c. Brachioradialis d. Extensor carpi radialis brevis 39. When falling on an outstretched hand, the most commonly dislocated carpal bone is a. Scaphoid b. Trapezoid c. Lunate d. Capitate 40. The anterior interosseous is a branch of which nerve? a. Axillary b. Median c. Musculocutaneous d. Radial