Physical Therapy Assistant Practice Exam

What is a common symptom associated with Patellofemoral syndrome?

1. Point tenderness over the patellar tendon

2. Decreased range of motion in the hip

3. Swelling of the tibial tuberosity

4. Loss of muscle strength in the quadriceps

The correct answer is: Point tenderness over the patellar tendon

Patellofemoral syndrome, often characterized by pain around the kneecap, is typically associated with point tenderness over the patellar tendon. This tenderness can occur due to overuse, misalignment, or muscle imbalances that affect the patellar tracking during knee movement. The discomfort is typically felt during activities that put stress on the knee joint, such as running, jumping, or climbing stairs. Point tenderness indicates localized inflammation or irritation, which is a common symptom of patellofemoral issues. The pain may increase with activities that involve bending the knee or with prolonged sitting where the leg is flexed, known as "theater sign." While the other symptoms listed may be relevant to different knee conditions or injuries, they do not directly align with the hallmark presentation of Patellofemoral syndrome. The syndrome primarily manifests as pain and tenderness, making point tenderness the most recognizable symptom of this condition.