Treatment of Tendinopathy Examination

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1. Stretching the Achilles tendon can have a beneficial effect for the treatment of Achilles tendinopathies.


2 . NSAIDSmay be useful as an adjunctive treatment that enhances the healing of chronic tendon injuries.

True

3. Surgery may be considered after 6 months of conservative management of tendinopathies.

True

4. Which of the following exercise protocols is the most appropriate for patellar tendinopathy?

Decline squats on flat surface
Decline squats on a 250 surface
Incline squats on a flat surface
Incline squats on a 250 surface

5. Which of the following appearance does a chronic tendon injury demonstrate?

Dull brown appearance and presence of inflammatory process
Dull brown appearance and absence of inflammatory process
White shiny appearance and presence of inflammatory process
White shiny appearance and absence of inflammatory process

6. Which of the following diagnostic imaging methods is the least useful for diagnosing chronic tendinopathies?

C-T Scan and Radiographs 
Diagnostic Ultrasound and MRI
MRI and C-T scan
Radiographs and Diagnostic Ultrasound 

7. When treating chronic tendinopathies, which of the following is the most appropriate treatment modality? 

Iontophoresis/ Phonophoresis
Moist heat
Transverse friction mobilization
Ultrasound

8. Which of the following exercise protocols for chronic tendinopathies has shown the most promising results?

One time a day:  3 sets of 15 x 4 weeks
One time a day:  3 sets of 15 x 12 weeks
Two times a day:  3 sets of 15 x 4 weeks 
Two times a day:  3 sets of 15  x 12 weeks

9. A chronic overuse injury, as defined in the most recent literature, is best referred to as:

Peritendonitis
Tendonitis
Tendinosis
Tendon rupture

10. According to the most recent evidence based literature, which of the following is the most promising treatment for tendinopathies?

Cortisone injections 
Extracorporeal shock wave therapy (ESWT)
Glycerol trinitrate patches (GTN)
Radial shock wave therapy (RSWT)

11. Which of the following treatment protocols has the best outcome in chronic tendon injuries?

Concentric exercise
Eccentric exercise
Isometric exercise
Plyometric exercise

12. Which of the following is present on the clinical examination of a chronic tendon injury?

Joint effusion
Pain with resisted testing
Redness 
Warmth to touch

13.All of the following contribute to tendon degeneration except:

Age
Anabolic steroid use
High bone mineral density
Improper exercise training

14. How long does it take for most overuse chronic tendinopathies to heal?

3-6 weeks
6-12 weeks
3-6 months
6-9 months

15. Common characteristics of chronic tendinopathies include all of the following except:

Neovascularization within the tendon
Mucoid degeneration within the tendon
Organized tendon fiber alignment
Reduced tensile strength of the tendon

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TEXAS PHYSICAL THERAPY ASSOCIATION
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Austin, Texas  78701
Phone:  512-477-1818  |  Fax: 512-477-1434

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