Deck 18: Screening the Shoulder and Upper Extremity

Question 1

Adhesive capsulitis is not normally associated with which of the following conditions?

A) Diabetes mellitus
B) Hypothyroidism
C) Ischemic heart disease
D) Lung disease

Answer 1

B
Frozen shoulder, or adhesive capsulitis, a condition in which both active and passive glenohumeral motions are restricted, can be associated with diabetes mellitus, hyperthyroidism, ischemic heart disease, infection, and lung diseases.

Question 2

In which stage of complex regional pain syndrome (CRPS) does muscle atrophy begin?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Answer 2

B
Muscle spasm and weakness are characterized in stage I, and muscle atrophy begins in stage II. Stage III is the last and chronic stage with irreversible tissue damage.

Question 3

Shoulder symptoms made worse by what body position are a yellow flag for pulmonary involvement?

A) Standing
B) Walking
C) Sitting
D) Recumbency

Answer 3

D
Shoulder symptoms made worse by recumbence are a yellow flag for pulmonary involvement. Lying down increases the venous return from the lower extremities. A compromised cardiopulmonary system may not be able to accommodate the increase in fluid volume. Referred shoulder pain from the taxed and overworked pulmonary system may result.

Question 4

What are the two most common types of cancer to metastasize to the shoulder?

A) Brain and bone cancer
B) Breast and bone cancer
C) Lung and brain cancer
D) Breast and lung cancer

Question 5

Pancoast's tumor will occasionally affect what part of the brachial plexus?

A) C3-C4
B) C5-C6
C) C7-C8
D) C8-T1

Question 6

A patient with shoulder pain reports to the physical therapist that he took nonsteroidal antiinflammatory drugs (NSAIDs) approximately 2 to 4 hours ago, and now his shoulder pain is worse. What information does this convey to the physical therapist?

A) NSAIDs are not working, and the patient should try aspirin.
B) NSAIDs are not working, and the patient should try acetaminophen.
C) The patient most likely has adhesive capsulitis.
D) The patient has possible gastrointestinal (GI) bleeding, and the therapist should question the patient further.

Question 7

Of the choices provided, which is the most common site of upper-extremity deep vein thrombosis (DVT)?

A) Subclavian vein
B) Internal jugular
C) Brachial vein
D) Radial vein

Question 8

Which of the following is indicative of shoulder pain caused by angina?

A) Shoulder pain begins immediately at the start of activity.
B) Shoulder pain increases with isolated lower-extremity movement.
C) Shoulder pain is relieved by taking antacids.
D) Shoulder pain is relieved by active range of motion.

Question 9

Which of the following positions will make pericardial pain better?

A) Deep breathing
B) Swallowing
C) Leaning forward
D) Belching

Question 10

Shoulder pain from diaphragmatic irritation usually will not be felt where?

A) Anterior shoulder
B) Upper trapezius
C) Suprascapular
D) Posterior portion of shoulder

Question 11

Which spinal nerves innervate the diaphragm?

A) C1-C3
B) C3-C5
C) C5-C7
D) C7-Cl

Question 12

A woman with a ruptured ectopic pregnancy with abdominal hemorrhage can produce pain where?

A) Right shoulder
B) Left shoulder
C) Right elbow
D) Left elbow

Question 13

A physician suspects urinary tract referred pain in a patient with right shoulder complaints. What part of the urinary system would refer pain to the right shoulder?

A) Right upper urinary tract
B) Left upper urinary tract
C) Right lower urinary tract
D) Left lower urinary tract

Question 14

Osteomyelitis is most commonly caused by

A) Haemophilus influenzae
B) Streptococcus
C) Pseudomonas
D) Staphylococcus aureus

Question 15

Damage to the spleen is likely to refer pain to what anatomic location?

A) Left shoulder
B) Right shoulder
C) Left elbow
D) Right elbow

Question 16

What artery is occluded in thoracic outlet syndrome?

A) Brachial artery
B) Radial artery
C) Posterior circumflex humeral artery
D) Subclavian artery

Question 17

Mononucleosis affects what organ?

A) Heart
B) Spleen
C) Lungs
D) Stomach