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NMS I COPY (Final) > 3rd OSCE > Flashcards

3rd OSCE Flashcards

1
Q

What is the procedure for the Apprehension test?

A

–Patient supine abduct the arm 90, bend at elbow 90 and externally rotate

–Patient supine abduct the arm 90*, bring patients hand to opposite shoulder, press posteriorly on the bent elbow

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2
Q

What is expected for the apprehension test?

A

No pain or restricted ROM

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3
Q

What is a positive apprehension test?

A

Pain

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4
Q

What is the significance of a positive apprehension test?

A
  • -Anterior dislocation

- -Posterior dislocation

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5
Q

What is the procedure for a Load and Shift test?

A

Patient seated, stabilize shoulder at scapula,

  • -1.) push on humerus inward towards glenoid fossa
  • -2.) push head of humerus forward and backward
  • -3.) traction arm downward
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6
Q

What is expected for a Load and Shift test?

A

Stable, no excessive joint play

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7
Q

What is a positive Load and Shift test?

A

Laxity, visible sulcus during motions/traction

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8
Q

What is the significance of a positive Load and Shift test?

A

Shoulder instability

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9
Q

What is the procedure for Supraspinatus Press Test?

A

Empty can position at 90*, press arm down

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10
Q

What is expected for Supraspinatus Press Test?

A

No Pain/weakness

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11
Q

What is the significance of a positive Supraspinatus Press Test?

A

Supraspinatus tendon/muscle tear

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12
Q

What is the procedure for a Full Can test?

A

Press down on full can (thumb up) at 90*

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13
Q

What is expected for Full Can Test?

A

No pain/weakness

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14
Q

What is a positive Full Can test?

A

Pain/weakness

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15
Q

What is the significance of a positive Full Can Test?

A

Supraspinatus tendon/muscle tear

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16
Q

What is the procedure for a Codman’s Drop Arm?

A

Passively raise arm up to 90* then let go to see if arm falls

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17
Q

What is a positive Codman’s Drop Arm?

A

Patient should be able to stop arm from falling

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18
Q

What is a positive Codman’s Drop?

A

Arm falls

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19
Q

What does a positive Codman’s Drop indicate?

A

Supraspinatus muscle/tendon drop

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20
Q

What is the procedure for O’Briens test?

A

–Patient flexes shoulder 90* w/ elbow at full extension, addicted 10-30*, thumb up and Doc presses down on arm

–Patient then pronates thumb down and Doc presses down on arm

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21
Q

What is expected for O’Briens test?

A

No pain

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22
Q

What is a positive O’Briens test?

A

Pain

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23
Q

What is the significance of a positive O’Briens test?

A

Labrum lesion

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24
Q

What is the procedure for Speed’s test?

A

Patient flexes shoulder w/ Docs resistance

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25
Q

What is expected for Speed’s test?

A

No pain/weakness

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26
Q

What is a positive Speed’s test?

A

Pain

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27
Q

What is the significance of a positive Speed’s Test?

A

Bicep Tendonitis

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28
Q

What is the procedure for Yergason’s test?

A

Patient seated, actively flexes elbow, Doc resists patient supination of and resists Docs extension of arm

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29
Q

What is expected for a Yergason’s test?

A

No pain

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30
Q

What is a positive Yergason’s test?

A

Pain, clicking

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31
Q

What is the significance of a positive Yergason’s test?

A

Bicipital tendonitis or Transverse humeral lig tear

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32
Q

What is the procedure for Apley’s scratch test?

A

Patient tries to touch opposite scapula from above and below

33
Q

What is the expected for Apley’s Scratch test?

34
Q

What is a positive Apley’s Scratch?

A

Pain during reaching

35
Q

What is the significance of a positive Apley’s scratch test?

A

Lesion to supraspinatus tendon

36
Q

What is the procedure for Dugas Test?

A

Patient places hand on opposite shoulder and bring elbow to chest

37
Q

What is expected for Dugas Test?

A

No pain, able to touch elbow to chest

38
Q

What is a positive Dugas Test?

A

Pain, can’t touch elbow to chest

39
Q

What is the significance of a positive Dugas Test?

A

Ligament laxity, dislocation

40
Q

What is the procedure for Impingement Test (NEER’s)?

A

Passively flex shoulder through full ROM

41
Q

What is expected for Impingement Test (NEER)?

42
Q

What is a positive Impingement Test (NEER’s)?

43
Q

What is the significance of a positive Impingement Test (Neer’s)?

A

Impingement

44
Q

What is the procedure for Dawbarn’s test?

A

Deeply palpate shoulder for location of pain, then hold pressure while passively abducting the arm

45
Q

What is expected for Dawbarn’s test?

A

No change in pain

46
Q

What is a positive Dawbarn’s test?

A

Pain disappears

47
Q

What is the significance of a positive Dawbarn’s Test?

A

Subacromial bursitis

48
Q

What is the procedure for a Valgus stress test?

A

Patients arm is held by doctor at wrist and stabilized at elbow
–elbow flexed slightly, valgus stress is applied to distal forearm

49
Q

What is expected during a Valgus stress test?

50
Q

What is a positive Valgus stress test?

A

Pain in elbow, hypermobility

51
Q

What is the significance of a positive Valgus stress test?

A

Instability in MCL

52
Q

What is the procedure for Varus stress test?

A

Patients arm is held by doctor at wrist and stabilized at elbow
–Elbow flexed slightly, varus stress is applied to distal forearm

53
Q

What is expected for Varus stress test?

54
Q

What is a positive for Varus stress test?

A

Pain in elbow, hypermobility

55
Q

What is he significance of a positive Varus stress test?

A

Instability in LCL

56
Q

What is the procedure for Golfer’s elbow test?

A

Patient flexes elbow and wrist against resistance

57
Q

What is expected for Golfer’s elbow test?

58
Q

What is a positive Golfer’s elbow test?

A

Pain over medial epicondyle

59
Q

What is the significance of a positive Golfer’s elbow test?

A

Medial epicondylitis

60
Q

What is the procedure for Froment’s test?

A

Patient attempts to grasp paper between the pads of thumb and index finger

61
Q

What is expected for Froment’s test?

A

Able to grip paper

62
Q

What is a positive Froment’s test?

A

Unable to hold paper

63
Q

What is the significance of a positive Froment’s test?

A

Ulnar nerve lesion

64
Q

What is the procedure for Pinch-Grip test?

A

Patient grips paper w/ thumb and index finger

65
Q

What is expected for Pinch-Grip test?

A

Able to grip paper

66
Q

What is a positive Pinch-Grip test?

A

Unable to hold paper

67
Q

What is the significance of a positive Pinch-Grip test?

A

Anterior interosseous nerve lesion Median nerve

68
Q

What is the procedure for Cozen’s test?

A

Patient actively extends wrist then doctor presses down on the fist

69
Q

What is expected for Cozen’s test?

A

No pain/weakness

70
Q

What is a positive Cozen’s test?

A

Pain radiating to lateral epicondyle

71
Q

What is the significance of a positive Cozen’s test?

A

Epicondylitis or radio-humeral bursitis

72
Q

What is the procedure for Tinel’s sign?

A

Reflex hammer taps groove between Olecranon process and lateral/medial epicondyle

73
Q

What is expected for Tinel’s sign?

74
Q

What is the positive for Tinel’s sign?

A

Nerve irritation symptoms

75
Q

What is the significance of a positive Tinel’s sign?

A

Radial nerve carpal tunnel

Ulnar nerve carpal tunnel

76
Q

What is the procedure for Finkelstein’s test?

A

Patient creates fist w/ fingers wrapped around thumb and ulnar deviate then doc add extra passive force

77
Q

What is expected for Finkelstein’s test?

78
Q

What is a positive Finkelstein’s test?

A

Pain over abductor policies longus and extensor policies brevis

79
Q

What is the significance of a positive Finkelstein’s test?

A

Tenosynovitis of thumb

NMS I COPY (Final) (10 decks)

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