Vignette for Questions 1-3:
A 34-year-old male arrived at an outpatient physiotherapy clinic with right shoulder pain. The physiotherapist assessed the arthrokinematics of the shoulder during the objective assessment.

Q1) During the range of motion (ROM) assessment the patient complained of increased pain during passive elevation of the right shoulder, no pain in the left shoulder. The pain was also reproduced with passive internal rotation. What condition is most likely to be present?

Vignette for Questions 1-3:
A 34-year-old male arrived at an outpatient physiotherapy clinic with right shoulder pain. The physiotherapist assessed the arthrokinematics of the shoulder during the objective assessment.

Q2) The physiotherapist also suspects cervical spine impingement to be the cause of this pain because the patient complained of increased pain with Bakody’s sign. In order to make a differential diagnosis from the C-spine impingement, the Bakody sign should be:

Vignette for Questions 1-3:
A 34-year-old male arrived at an outpatient physiotherapy clinic with right shoulder pain. The physiotherapist assessed the arthrokinematics of the shoulder during the objective assessment.

Q3) A couple months later, the patient now presented with increased pain and limited range of motion (ROM) with horizontal abduction. The physiotherapist decided to use manual therapy to reduce the pain and increase the ROM. Which of the following mobilization techniques would be MOST appropriate to include in the treatment plan?

Vignette for questions 4-6:
A 65-year-old male was admitted to the hospital secondary to shortness of breath (SOB) and chest pain. The patient later attended cardiac rehab a few weeks after discharge.

Q4) The physician told the patient that age related changes to the brain were the cause of these symptoms. What part of the brain is responsible for modulating the cardiovascular system?

Vignette for questions 4-6:
A 65-year-old male was admitted to the hospital secondary to shortness of breath (SOB) and chest pain. The patient later attended cardiac rehab a few weeks after discharge.

Q5) The patient’s ECG showed ST wave depression on the V1 and V2 leads. The depression measured at 0.95mm. What would be the most appropriate diagnosis on ECG findings?

Vignette for questions 4-6:
A 65-year-old male was admitted to the hospital secondary to shortness of breath (SOB) and chest pain. The patient later attended cardiac rehab a few weeks after discharge.

Q6) The patient completed some endurance training in cardiac rehab. The patient’s heart rate was 110 beats per minute (bpm) and had a pulse oximetry of 92%. During the rest period, the patient kept looking at the pulse oximeter and was concerned his heart rate had not returned to baseline after 30 seconds. What is the best explanation the physiotherapist could give the patient?

Vignette for questions 7-8:
A 2-month-old infant was taken to the physician for a routine well visit. During the objective assessment, the physician noted that the baby had limited active movement in the entire right upper limb. The physician provided a physiotherapy referral for further evaluation.

Q7) The physiotherapist completed the assessment and noted that the skin colour, pulses and edema was unremarkable, however, the patient had diminished reflexes in the right upper limb. What would be the appropriate diagnosis for this patient?

Vignette for questions 7-8:
A 2-month-old infant was taken to the physician for a routine well visit. During the objective assessment, the physician noted that the baby had limited active movement in the entire right upper limb. The physician provided a physiotherapy referral for further evaluation.

Q8)In view of preventing a contracture in the right upper extremity, the physiotherapist recommended the use of an airplane splint. What arm position would the physiotherapist be trying to correct with the use of this splint?

Vignette for questions 9 and 10:

A 59-year-old female patient arrived at an outpatient clinic with complaints of wrist and hand discomfort. The patient has a history of rheumatoid arthritis, heart failure and liver cirrhosis. The patient has been attending physiotherapy for a very long time.

Q9) Upon examination, a physiotherapist observed deformities with Metacarpophalangeal (MCP) and distal interphalangeal joint extension and the proximal interphalangeal joint is flexed. Which of the following conditions would MOST likely cause these deformities?

Vignette for questions 9 and 10:

A 59-year-old female patient arrived at an outpatient clinic with complaints of wrist and hand discomfort. The patient has a history of rheumatoid arthritis, heart failure and liver cirrhosis. The patient has been attending physiotherapy for a very long time.

Q10) A patient with a normal capsular pattern at the carpometacarpal (1st digit) would MOST likely present as: