Question 1

The immobilizer is used primarily to immobilize the shoulder:

Accepted Answer

A)   in varying degrees of flexion.
B)   in varying degrees of adduction.
C)   in varying degrees of abduction.
D)   for short periods of time. C

Question 2

Where should roll tension be greatest when applying an upper arm compression wrap?

Accepted Answer

A)   Distal upper arm
B)   Proximal upper arm
C)   Over inflamed area
D)   Distal upper arm and over the inflamed area D

Question 3

SLAP is the acronym for:

Accepted Answer

A)   superior lateral anteroposterior
B)   shoulder lateral anteroposterior
C)   superior labrum anteroposterior
D)   shoulder labrum anteroposterior C

Question 4

Most recommend that athletes return to collision and contact sports following an acromioclavicular joint sprain with:

Accepted Answer

A)   a shoulder stabilizer.
B)   a neoprene sleeve.
C)   a protective padding.
D)   an acromioclavicular joint brace.

Question 5

Which of the following can be used with a compression wrap to prevent irritation of the cubital fossa?

Accepted Answer

A)   Gauze
B)   Cotton
C)   Self-adherent wrap
D)   Thin foam pad

Question 6

The 4 S wrapping technique stands for:

Accepted Answer

A)   spica, strain, swathe, and support.
B)   spica, sling, shoulder, and swathe.
C)   spica, scapula, shoulder, and sprain.
D)   spica, sling, swathe, and support.

Question 7

Based on the evidence in the literature, the use of shoulder stabilizer braces to prevent the recurrence of shoulder instability:

Accepted Answer

A)   is strongly supported.
B)   is supported.
C)   is unclear.
D)   is not supported

Question 8

Shoulder and/or upper arm protective equipment is required during practices and competitions for all of the following NCAA and NFHS sports EXCEPT:

Accepted Answer

A)   field hockey.
B)   football.
C)   ice hockey.
D)   lacrosse.

Question 9

The majority of glenohumeral joint dislocations are:

Accepted Answer

A)   anterior.
B)   posterior.
C)   superior.
D)   inferior.

Question 10

Excessive adduction and internal rotation of the humerus can cause:

Accepted Answer

A)   sternoclavicular joint sprain.
B)   acromioclavicular joint sprain.
C)   anterior glenohumeral joint dislocation.
D)   posterior glenohumeral joint dislocation.

Question 11

Research examining the effects of sling bracing and figure-of-eight wrapping techniques for the treatment of clavicular fractures found:

Accepted Answer

A)   faster rates of healing with a sling.
B)   greater shoulder function scores with the figure-of-eight.
C)   no differences in shoulder function scores, cosmetic outcomes, and return to activity.
D)   lower levels of pain with the figure-of-eight.

Question 12

Off-the-shelf and custom-made acromioclavicular joint padding techniques protect the joint from:

Accepted Answer

A)   a fall on the outstretched arm.
B)   overhead activities.
C)   a direct or repetitive force(s)  to the acromion.
D)   a fall on the flexed elbow.

Question 13

According to the evidence, the effects of internal rotation or external rotation immobilization of the shoulder after first time anterior glenohumeral dislocations:

Accepted Answer

A)   have demonstrated no differences in rates of recurrent subluxations and dislocations.
B)   have demonstrated lower rates of recurrent subluxations and dislocations with internal rotation immobilization.
C)   have demonstrated lower rates of recurrent subluxations and dislocations with external rotation immobilization.
D)   are inconclusive based on limited evidence.

Question 14

Most sling designs are available in predetermined sizes based on the measurement from the:

Accepted Answer

A)   olecranon process to the fifth metacarpophalangeal joint.
B)   olecranon process to the second distal interphalangeal joint.
C)   olecranon process to the radioulnar joint.
D)   olecranon process to the proximal fifth interphalangeal joint.

Question 15

Which statement describes proper application of the swathe wrap?

Accepted Answer

A)   The wrap is applied medial-to-lateral.
B)   The fingertips and hand should be covered.
C)   The wrap is overlapped by ? of its width over the distal upper arm and trunk.
D)   When finished, the wrap should be anchored at the proximal upper arm.

Question 16

Which option accurately describes the position a patient should maintain during the shoulder spica wrapping?

Accepted Answer

A)   Involved arm abducted to 90 degrees
B)   Involved arm at the side of the body
C)   Involved arm's hand placed on the lateral hip
D)   Involved arm's elbow in 90 degrees of flexion

Question 17

How should you position the patient for the application of a compression wrap to control swelling?

Accepted Answer

A)   Sitting or standing with the involved arm at the side of the body and the elbow flexed to 90 degrees with a moderate isometric contraction of the upper arm and forearm musculature
B)   Sitting or standing with the involved arm at the side of the body and the elbow placed in a pain-free, flexed position
C)   Sitting or standing with the involved arm relaxed and extended at the side of the body
D)   Standing with the hand of the involved arm placed on the lateral hip in a relaxed position

Question 18

A contusion to the distal end of the clavicle is referred to as a:

Accepted Answer

A)   Hill-Sachs lesion.
B)   shoulder pointer.
C)   tackler's exostosis.
D)   Bankart lesion.

Question 19

When properly applied, the figure-of-eight wrap serves to:

Accepted Answer

A)   protract the scapulae.
B)   retract the scapulae.
C)   elevate the scapulae.
D)   depress the scapulae.

Question 20

When the shoulder pointer/acromioclavicular joint sprain tape technique is applied, tape strips are anchored to the skin without tension or stretch to:

Accepted Answer

A)   improve glenohumeral joint range of motion.
B)   improve adherence of the tape.
C)   lessen chances of skin irritation.
D)   lessen difficulty upon removal.

Exam 8: Shoulder and Upper Arm