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PA1 - Ortho/Neuro > All > Flashcards

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1
Q

Babinski Weils

A

Walk forward and backward

Same side lean both times = Cerebellar lesion
Different side leans = CN VIII lesion

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2
Q

Clasp Knife

A

UMNL

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3
Q

Cog wheel/ Lead pipe rigidity

A

Basal Ganglia

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4
Q

Gordon’s (Hands)

A

Squeeze pisiform

Fingers go into extension

UMNL

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5
Q

Chaddock’s (Hands)

A

Squeeze Anterior wrist

Fingers go into extension

UMNL

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6
Q

Rossolimo’s (Hands)

A

Tap 3rd Metacarpal (4-8x)

Fingers go into flexion

UMNL

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7
Q

Tromner’s

A

Strike 4th and 5th metacarpal

Finger goes into flexion

UMNL

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8
Q

Hoffman’s

A

Strike dorsal aspect of 3rd digit

Makes OK sign

UMNL

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9
Q

Jordan’s (Feet)

A

Squeeze calf

Up-going Toe Sign (UTS)

UMNL

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10
Q

Chaddock’s (Feet)

A

Make C around the lateral malleolus

UTS

UMNL

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11
Q

Oppenheim’s

A

Stroke tibia distal-proximal

UTS

UMNL

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12
Q

Schaeffer’s

A

Squeeze Achillies

UTS

UMNL

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13
Q

Rossolimo’s (Feet)

A

Strike 3rd metatarsal

Toe flexion

UMNL

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14
Q

Abadie’s

A

Differentiate pressure at the Achillies tendon

Inability to detect

Dorsal Column Lesion

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15
Q

Biernacki’s

A

Differentiate pressure at the Triceps tendon

Inability to detect

Dorsal Column Lesion

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16
Q

Visual Fields

A

CNII

Superior, Inferior, Lateral and Medial fields

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17
Q

Direct/Indirect Light reflex

A

CNII and III

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18
Q

Mittlemeyer

A

Pt marches in place, then with eyes closed for 10sec

Pt will lean/rotate to side of CNVIII lesion

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19
Q

C5 MRS

A

M - Deltoids
R - Biceps tendon
S - Lateral arm ( 3 swipes)

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20
Q

C6 MRS

A

M - Wrist Extensors
R - Brachioradialis
S - Lateral forearm and 1st and 2nd digit

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21
Q

C7 MRS

A

M - Wrist Flexors
R - Triceps
S - 3rd digit

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22
Q

C8 MRS

A

M - Finger Flexors
R - 2ndary Brachioradialis
S - Medial forearm and 4th and 5th digits

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23
Q

T1 MRS

A

M - Finger AB/AD-ductors
R - None
S - Medial arm

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24
Q

Axillary MRS

A

M - Deltoid and Teres Minor
R - None
S - Upper Arm

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25
Q

Musculocutaneous MRS

A

M - Biceps and Coracobrachialis
R - Biceps tendon
S - Lateral forearm

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26
Q

Radial MRS

A

M - Finger extensors, Flexor Carpi Radialis, brachioradialis and triceps
R - Triceps tendon
S - Dorsal Web of hand

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27
Q

Median MRS

A

M - FCB, FDP (2nd and 3rd digits), Flexor carpi radialis
R - None
S - Lateral 2nd digit

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28
Q

Ulnar MRS

A

M - Adductor polices, FDP (4th and 5th digits), Flexor carpi ulnarisand interossei
R - None
S - Medial 5th digit

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29
Q

Bakody Maneuver

A

Hand on Pt. head

Relief of cervical or UE pain

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30
Q

Cervical Distraction

A

Distract Pts. Head

Relief = nerve root issue (osteophytes)
Pain = Capsular inflammation
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31
Q

Shoulder depression

A

Push shoulder down with Pt leaning head away

Increase pain = radicular/nerve root

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32
Q

O’donaghue’s

A

Patient goes Via ROM and then with resistance applied

Pain without resistance = ligamentous, capsular or articular injury

Pain with resistance = muscle, musclotendinous injury

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33
Q

Libman’s

A

Apply mastoid pressure

pain = Low threshold/Emotional compnent

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34
Q

Triad of dejerine

A

Increase in Sx with sneezing, coughing, and pooping

S.O.L –> Disc herniation

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35
Q

Valsalva’s

A

Pt blows on thumb

S.O.L –> Disc herniation

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36
Q

Milgram’s Test

A

Pt is supine.
Feet elevated off table (3-6 inches) for 15 seconds

S.O.L –> Disc herniation
Weak musculature

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37
Q

Allen’s test

A

Pump hand above head, close the radial and ulnar arteries

Both have delayed flushing = atherosclerosis, TOS, stenosis
One vessel = fibrosis, local callus formation

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38
Q

Adson’s/ Reverse adsons

A

Patient looks up and towards the side tested

Decrease pulse patency

Entrapment of subclavian artery/brachial plexus in scalene triangle, cervical rib

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39
Q

Edens / Solder’s position

A

Shoulders are brought back and down and hold breath ||| Soldier’s (passive)

Decrease pulse patency

Entrapment of subclavian artery/brachial plexus in scalene triangle

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40
Q

ROOS

A

Arms at 90 and shoulder at 90

Traction pec minor

Pain, pallor, cramping, UE pain –> TOS

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41
Q

Hostage position

A

Radial pulse at side, the arm at 90 and shoulder at 90

Traction pec minor

Pain, pallor, cramping, UE pain –> TOS

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42
Q

Wright’s test

A

Radial pulse at side, the arm raised until pulse diminishes

Mid-axillary line and atleast 120

Traction pec minor

Pain, pallor, cramping, UE pain –> TOS

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43
Q

Alleys scratch test

A

ROM

General screen

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44
Q

Yergason’s test

A

Elbow at 90, hand supinated, palpate bicipital groove. Extend and pronate arm at various degrees of Ext/Int rotation

Stress bicipital tendon

+ : slip, pain, crepitus
Meaning instability or tenosynovitis

45
Q

Speeds test

A

Shoulder at 90, in thumb up, doctor Extends and pronate arm

Stress bicipital tendon

+ : slip, pain, crepitus
Meaning instability or tenosynovitis

46
Q

Abbot-Saunter’s test

A

Palpate transverse ligament of bicipital tendon and passively abduct to 120-180 and then supinate arm down

+ : tendon pain, slippage, click
Meaning instability to transverse humeral ligament, tenosynovitis or tendonitis

47
Q

Impingement sign

A

Abduct 10 degrees, and into shoulder flexion, while depressing the AC joint

Increase shoulder pain between 30-90, Meaning supraspinatus tendon impingement

48
Q

Supraspinatus press test

A

Ab 90, 30 anterior, 10 inferior

Thumb up first and then down

Pain/weakness of supraspinatus
meaning strain

49
Q

Corman’s drop arm

A

Ab 90, the drop

Loads RTC mm

+: inability to maintain ab, pain, hunching
Meaning RTC tear (SS)

50
Q

Apprehension

A

90 shoulder Ab with elbow flexion 90. Externally rotate shoulder

Apprehension, pain, withdrawal

GHJ dislocation tendency

51
Q

Dawburn’s Pushbutton Test

A

Push the subacromial bursa to induce pain, hold position, Ab to 90 and repeat

Pain dissipates with the Ab, its positive meaning subacromial bursitis

52
Q

Cozens

A

Wrist extension with flexed elbow

Lateral epicondylitis

53
Q

Mills

A

fist flexed, pronated, extended arm

Lateral epicondylitis

54
Q

Golfer’s Elbow Test

A

Extended elbow, extended wrist

Medial epicondylitis

55
Q

English Test/Sphyg/Tourniquet test

A

15-30 sec pressure at anterior wrist

Median nerve paresthesia

56
Q

Finkelstein’s test

A

thumb in fist and Adduct at wrist

pain at radial styloid

Stenosing tenosynovitis

57
Q

Front’s Paper Test

A

Hold paper with thumb

Ulnar neuropathy

58
Q

L1 MRS

A

M- Iliopsoas
R - None
S - thigh

59
Q

L2 MRS

A

M- Iliopsoas
R - 2ndary - Patellar
S - thigh

60
Q

L3 MRS

A

M- Adductors
R - 2ndary - Patellar
S - thigh

61
Q

L4 MRS

A

M - Tib Anterior, Quads
R - Patellar
S - Down to the floor

62
Q

L5 MRS

A

M - Extensor Hal, Extensor Digitorum, Abductors
R - Medial Hams
S - Off to the side

63
Q

S1 MRS

A

M - peroneus L/B, Gastroc/Soleus, Glut Max
R - Achillies tendon
S - Lateral foot

64
Q

Femoral MRS

A

M - Sartorius, Quads, Illiopsoas
R - Patellar
S - thigh

65
Q

Obturator MRS

A

M- Abductors
R - None
S- Vastus Medialis

66
Q

Superficial Peroneal MRS

A

M - Peroneus L/B
R - None
S - Lateral lower leg

67
Q

Deep Peroneal MRS

A

M - Ext Hal, Digitorum, tib anterior
R - None
S - Dorsum between 1st and 2nd

68
Q

Tibial MRS

A

M - Tib Post, Gastroc/soleus
R - Achillies Tendon
S - Heel of the foot

69
Q

Superficial Gluteal MRS

A

M - TFL, Hip abductors, glut med

70
Q

Inferior Gluteal MRS

A

M - Glut max

71
Q

Bowstring sign

A

SLR to postive, maintain angle and flex knee, compress hamstring, popliteal fossa to create sciatic like pain

72
Q

Piriformis stretch test

A

Stabilize contra SI

73
Q

Bonnet’s test

A

SLR, and then turn foot into EXT/INT rotation

74
Q

Goldthwaite test

A

Pt supine, SLR while palpating the LS junction

F/U with Smith-Peterson

75
Q

Smith-Peterson

A

PT is supine, WLR noting the height

76
Q

Double leg raise

A

Raise both legs, LS involvement will have lower leg elevation

77
Q

Bechterews test

A

Seat, SLR, WLR, Both legs–> Tripod position

78
Q

Adams test

A

Look for scoliosis, Pt flexes at hip and notes any changes

79
Q

Belt Test

A

Doctor anchors Pts ASIS with hip flexion. Decrease in pain is positive.. Meaning SI Dysfunction

80
Q

Nerds sign (bowing sign)

A

Pt flexes at hip and has to bend one of their knees (affected side)

81
Q

Advancement test

A

Pt advances the affected leg and hip flexes to elicit pain

82
Q

Nachlas

A

Pt is prone, hit ankle to butt.. Area of pain indicated injury

83
Q

Ely’s sign

A

Hip hunching during Nachlas test… tight Rec fem and TFL

84
Q

Ely’s to buttock test

A

Nachlas, but to other butt. Pain indicates area of issue

85
Q

Gaenslens

A

Supine bring hip to chest

86
Q

Lewins-gaenslens

A

Pt is on side same move as gaenslens

87
Q

Hibbs

A

Piriformis stretch test without stabilization…

Hip or SI joint dysfxn

88
Q

Magnusons

A

Malingering test.. Its complaint changes over the course of Tx

89
Q

Thomas test

A

Similar to Gaenslens, but checks for tight ITB or Rec Fem

90
Q

Lachman’s Test

A

Pt supine, knee at 30 , perform anterior drawer test to check ACL

91
Q

Alpleys Compression

A

Pt prone, knee 90, Compress at neutral, INT/EXT rotation for pain or clicking

EXT- Damage to posterior medial horn
INT - Damage to posterior lateral horn

92
Q

Grinding test

A

Pt prone, knee 90, Compress at neutral, INT/EXT rotation for pain or clicking

EXT- Damage to posterior medial horn
INT - Damage to posterior lateral horn

93
Q

McMurray’s test

A

Pt is supine, doc flexes hip and knee and the adds a virus/valgus force. for pain or clicking

EXT- Damage to posterior medial horn
INT - Damage to posterior lateral horn

94
Q

Patellar scrape test

A

Light pressure on patella looking for grinding or deep pain

Chrondromalacia patella or retropatellar arthritis

95
Q

Clarke’s sign

A

Light pressure on patella looking for grinding or deep pain

Chrondromalacia patella or retropatellar arthritis

96
Q

Grinding test

A

Light pressure on patella looking for grinding or deep pain

Chrondromalacia patella or retropatellar arthritis

97
Q

Fouchet’s sign

A

Apply compression or transverse friction to patella to elicit pain

Chrondromalacia patella or retropatellar arthritis

98
Q

Dreyers sign

A

Supine, compress quads, ability to hip flex indicates patellar Fx

99
Q

Buerger’s test

A

ROOS for the feet

100
Q

Simmonds

A

Pt prone, squeeze belly of gastroc/soleus

Absence of PF = achilleas tendon rupture

101
Q

Thompson’s

A

Pt prone, squeeze belly of gastroc/soleus

Absence of PF = achilleas tendon rupture

102
Q

Achille’s Integrity test

A

Pt prone, squeeze belly of gastroc/soleus

Absence of PF = achilleas tendon rupture

103
Q

Duchennes

A

Press foot into DF, PT tries to PF, Lateral side stays in DF

Paralysis/paresis of peroneus L/B

104
Q

Soto-Hall

A

Pt supine, stabilize at sternum and flex pt neck

Pain at CT region = Fx, herniation, sprain/strain

105
Q

Brudzinski’s sign

A

Pt supine flex head without stabilization

Knee flexion and Lumbar extension = Meningitis

106
Q

Kernig’s test

A

Flex hip and then extend knee.

Pain at the CT region or Flexion and extension of the head

Meningitis

107
Q

L’Hermitte’s sign

A

shock like dysphasia down spine/extremity during sotohall, brudzinski

indicates cord compression or demylination

108
Q

Shepelmann’s sign

A

Leaning into pain = intercostal neuritis

Leaning away from pain pleural inflammation

109
Q

Beevor’s test

A

Umbilical migration for T-spine MRS

PA1 - Ortho/Neuro (1 decks)

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