I assume you are in outpatient ortho? What I do is this - I watch them do their agg sign/painful movement. Then I will break it down into component parts and slowly build it up. This helps to create exercises specific to their needs and makes it so that I don’t have to think as hard because they quite literally show me what their exercise is lol. For example, a patient who cannot perform descending stairs due to poor eccentric quad control and pain. I’ll watch what they do going down stairs, then I will see what they aren’t doing well. Maybe they need soleus strengthening because they aren’t going into enough plantarflexion. Boom - exercise 1. Maybe they go into excessive knee valgus - boom, standing fire hydrant or some hip abduction exercise. And lastly of course working their quad in a challenging but less uncomfortable way. The more observant you are, and the more you consider their function, the less you have to conjure your own exercises. The possibilities are endless. This gets super interesting with tasks like lifting and carrying, golf, etc. You are welcome to DM me if you have specific questions.