Dr. Sumit PT

Dr. Sumit PT Consultant Physiotherapist
For home visits In Rohtak -
9812728435
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9812728435
(3)

21/05/2026

*Case 25:*
A newborn presents with a head tilt to the right and chin rotated to the left. You palpate a firm mass in the right sternocleidomastoid muscle. Passive cervical ROM into left rotation and right side-flexion is limited.

*What is the most likely diagnosis?*
A) Klippel-Feil syndrome
B) Congenital muscular torticollis
C) Cervical spine fracture
D) Erb’s palsy

Your answer?
Dr. Sumit PT

21/05/2026

*Case 24:*
A 55-year-old with adhesive capsulitis has severe loss of shoulder external rotation, abduction, and flexion. Pain is worse at night. You notice a capsular pattern restriction.

*What glenohumeral joint mobilization is most indicated initially to improve ER?*
A) Anterior glide in resting position
B) Posterior glide in resting position
C) Inferior glide in resting position
D) Superior glide in 90° abduction

Your answer?
Dr. Sumit PT

21/05/2026

*Case 23:*
A patient with spinal cord injury at T6 level presents 3 months post-injury. You note voluntary ankle dorsiflexion, but no voluntary hip flexion. Sensation is intact down to the L2 dermatome.

*What is this patient’s ASIA Impairment Scale grade?*
A) ASIA A
B) ASIA B
C) ASIA C
D) ASIA D

Your answer?
Dr. Sumit PT

21/05/2026

*Case 22:*
You’re assessing balance in an elderly patient. On the Romberg test, she stands stable with eyes open but sways and loses balance immediately when eyes are closed.

*This indicates a problem with which system?*
A) Vestibular system
B) Cerebellar system
C) Proprioceptive/somatosensory system
D) Visual system

Your answer?
Dr. Sumit PT

21/05/2026

*Case 21:*
A 32-year-old runner has diffuse anterior knee pain that worsens going down stairs and after prolonged sitting. No trauma. Patellar grind test is positive. Pain reduces with isometric quad sets at 60° knee flexion.

*What is the most likely diagnosis?*
A) Meniscal tear
B) Patellofemoral pain syndrome
C) IT band syndrome
D) Pes anserine bursitis

Your answer?
Dr. Sumit PT

21/05/2026

A patient 6 weeks post-ACL reconstruction is cleared to progress strengthening. There’s still mild effusion, and full passive extension is lacking by 5°.

*What should be the priority for PT at this stage?*
A) Begin plyometric jumping to prepare for sport
B) Focus on regaining full passive knee extension + closed chain quad strengthening
C) Deep squats with heavy resistance
D) Avoid all weight bearing for 2 more weeks

Your answer?
Dr. Sumit PT

21/05/2026

A 60-year-old with Parkinson’s disease has a shuffling gait, decreased arm swing, and festination. He reports several near-falls when turning.

*Which cueing strategy is most effective to improve gait in this patient?*
A) Instruct to walk faster to overcome bradykinesia
B) Use external cues like stepping over lines on the floor or metronome beats
C) Limit all distractions and have them look down at their feet
D) Encourage double-tasking to normalize movement

Your answer?
Dr. Sumit PT

21/05/2026

A patient post-CVA has increased tone in the right upper limb with a flexor synergy pattern. When you passively extend the elbow, you feel a velocity-dependent resistance that increases, then gives way.

*What is this clinical finding called?*
A) Rigidity
B) Clonus
C) Clasp-knife phenomenon
D) Cogwheel rigidity

Your answer?
Dr. Sumit PT

21/05/2026

You’re testing MMT for the deltoid. Patient abducts the arm to 90° against gravity, but cannot hold against minimal resistance.

*What MMT grade is this?*
A) Grade 2
B) Grade 3
C) Grade 4
D) Grade 5

Your answer?
Dr. Sumit PT

21/05/2026

A 45-year-old office worker complains of lateral elbow pain that worsens with gripping and wrist extension. Tenderness is noted over the lateral epicondyle. Resisted wrist extension with elbow extended reproduces pain.

*What is the most likely diagnosis?*
A) Medial epicondylitis
B) Lateral epicondylitis
C) Olecranon bursitis
D) Carpal tunnel syndrome

Your answer?
Dr. Sumit PT

20/05/2026

A 68-year-old with COPD has an FEV1 of 35% predicted. He reports dyspnea when walking 100m and avoids activity due to fear of breathlessness. RR 22 at rest, SpO2 92% on room air.

*Which pulmonary rehab component will most directly improve his exercise tolerance?*
A) Pursed-lip breathing training only
B) Supplemental oxygen at 6L/min during rest
C) Lower extremity endurance training + education + breathing strategies
D) Diaphragmatic strengthening with weights

Your answer?
Dr. Sumit PT

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