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Boards Part 1 ?'s > Boards 4 orthos > Flashcards

Boards 4 orthos Flashcards

1
Q

Naffzinger’s

A

Seated, digitally compress both internal jugular veins for 30 secs, finish with coughing (Doc is post) - positive = pain in peripheral distribution

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2
Q

Milgram’s

A

Double SLR - Supine, raise & hold legs (30 secs) 3 inches off the table. - positive = LBP (disk herniation/strain) or inability to maintain = hip flexor issues / deconditioned

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3
Q

Swallowing test

A

seated instruct patient to swallow - pain with swallowing = SOL, Cx fx, tumor, sprain/strain

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4
Q

Jackson’s test

A

Seated, rotation and compress = (IVF encrouchment)

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5
Q

Spurlings test

A

Seated, fist strike after “maximal position” = Disc and IVF encrouchment

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6
Q

O’Donoghue’s

A

Varies, active with resistance then passive rotation of neck - positive = pain (strain/sprain)

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7
Q

Sternal Compression

A

Supine, pressure on sternum (doc pushes down on patient sternum) -> lateral rib pain = rib fracture, midline pain = costochondritis

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8
Q

Libman’s

A

Seated, pressure on mastoid - assessment of patient pain threshold

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9
Q

George’s (Maigne’s)

A

Seated, cervical rotation & extension for 45 seconds - positive = nausea, dizziness, nystagmus

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10
Q

DeKleyn’s

A

Supine George’s test

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11
Q

Hallpike’s (Nylan Barrany)

A

Supine, extend head off table, add rotation & lateral flexion then unsupported extension

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12
Q

Reverse Bakody’s

A

Seated hand on head = positive for TOS when increase in pain

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13
Q

Allen’s Maneuver

A

Seated, flex elbow 90, ext arm horizontal, ext, rotated arm, patient rotates head away (check pulse) = positive for TOS if decreased pulse

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14
Q

Mazion shoulder rock

A

Seated touch opposite shoulder & bring elbow up and down (reverse Dugas) = Pain is significant shoulder pathology

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15
Q

Calloway’s

A

Seated, measure vertical shoulder circumferences (increased girth) = dislocation

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16
Q

Dawbarn’s

A

Seated Press on bursa while abducting arm (decreased pain after 90 degrees) = subacromial bursitis

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17
Q

Supraspinatus arc

A

Standing, resist patient arm abduction throughout entire 180 degrees - positive for pain at 10-20 and 90-110 for supraspinatus issues

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18
Q

Supraspinatus press

A

Seated, 1) With patient at arm 90 degrees abducted, resist abduction 2) angle arms forward 30 degrees and internally rotate, resist abduction (weakness in 1 = deltoid, weakness in 2 = supraspinatus)

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19
Q

Wrinkel shrivel

A

Seated, place hand in tepid water for 5 minutes - positive = no pad wrinkle (denervation)

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20
Q

Bunnel - Littler’s

A

Seated 1) with MCP extended, flex (test) PIP 2) With MCP flexed, flex (test PIP (decreased motion in 2 = PIP joint problem, increased motion in 2 = intrinsic muscle problem)

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21
Q

Retinaculum test

A

Same as bunnel-littler’s except using the PIP to test DIP flexion

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22
Q

Finsterer’s

A

Seated, strike base of 3rd metacarpal = Kienboch’s Disease

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23
Q

Adam’s positions

A

Adam’s test in 3 positions: Standing, kneeling, sitting = scoliosis

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24
Q

Forestier’s Bowstring

A

Standing, feel paraspinals, as patient laterally flexes = ipsilateral contraction = AS

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25
Q

Chest expansion

A

Seated erect or standing, tap measure at T4 level (or rib 6), patient expires, then inspires = positive less than 2 inches male or 1.5 inches in females = AS

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26
Q

Lewin Supine

A

Supine stabilize legs as patient attempts a sit up = positive when unable = AS

27
Q

Amoss’ sign

A

Supine or side-lying, patient rises to a sitting position (positive if action causes a localized thoracic pain) = AS

28
Q

SLR (Laseque’s)

A

SLR

29
Q

Laseque differential sign

A

Supine, SLR until sciatic pain elicited , dr. then flexes knee (relieves pain - rules out hip involvement)

30
Q

Sicard’s

A

Supine, SLR, drop 5 degress, extend big toe = positive (sciatica)

31
Q

Turyn’s

A

Supine, extend big toe (sciatica)

32
Q

Fajerstajn’s

A

Supine, Well Leg Raise, decreased 5 degree, dorsiflex foot (sciatica on affected side = medial disc)

33
Q

Lindner’s

A

Supine, holding head, flex body into a “C” (positive sciatica) (lateral disc)

34
Q

Tripod sign

A

Seated, observed during bechterew’s - increased trunk extension (tight hamstring)

35
Q

Beery’s sign

A

Sitting relieves hamstring discomfort

36
Q

Neri bowings

A

Standing, trunk flexion without/with knee flexion (curtsy)

37
Q

Lewin standing

A

Standing, pull each knee into extension then both while stabilizing pelvis - if pain with extension followed by one or 2 legs snap back to flex

38
Q

Mazion’s pelvic maneuver (advancement)

A

Standing, advance uninvolved leg & flex trunk (touch toes)- bend forward till heel of back leg come off floor or with pain on affected side

39
Q

Lewin-Gaenslen’s

A

Side lying Gaenslen’s stabilize pelvis and extend hip - pain in SI joint

40
Q

Double leg raiser

A

Supine, SLR one side, then the other - note what angle pain occurs then raise both legs, also noting when pain occurs - SI or lumbosacral joint

41
Q

Piedallu

A

Seated, palpate PSIS, patient flexes forward, low PSIS becomes high (affected side usually starts out low)

42
Q

Ely’s sign

A

Bring heel to buttock (no stabilization) + if heel doesn’t touch butt, hip rises off table or pain and tingling

43
Q

Ludloff’s

A

Seated, raise involed thigh off table (lift knee upwards) = lesser trochanter fracture if unable

44
Q

Gauvain’s

A

Side-lying, extend and continually rotate hip, feeling abdominals and hip for pain and tightness (TB of the hip)

45
Q

Fouchet’s (Grind)

A

Supine, compress patella, if no pain, rub sideways (perkin’s sign) = Chodromalacia patellae

46
Q

Patellar tap

A

Supine, milk down to superior pole & press patella (+ = feel a tap) (Minor effusion)

47
Q

Leg length functional

A

Supine, compare measurement from umbilicus to each medial malleolus

48
Q

Actual structural leg length

A

Supine, compare measurement from ASIS to each ipsilateral medial malleolus

49
Q

Hoover’s test

A

Supine place hands under heels & patient attempts to raise paralyzed leg (+ no downward pressure on uninvolved side) (malingering)

50
Q

Burn’s bench

A

Kneeling on table, bend forward (+ = refusal) (Low back pain malingering)

51
Q

Magnuson’s

A

Ask patient to locate pain, distract, ask again (+ when change location) (malingering)

52
Q

Perthes’ (Tourniquet)

A

Standing with tourniquet around thigh, exercise (+ = varicosities) ie: kickout for 1 min

53
Q

Claudication

A

Walk for 1 min at 120 steps/min check for color change/cramp (+ claudication) (arterial competency)

54
Q

Bicycle/Stoop

A

Bicycling upright until claudication then stoop forward (relief of pain = neurgenic claudication, no relief = intermittent claudication)

55
Q

Barre-Lieou’s

A

Seated maximally rotate head side to side several times (VBI)

56
Q

Mittlemeyer’s

A

Standing, march in place eyes opened & then closed (positive rotation towards side of vestibular lesion)

57
Q

Gonda’s

A

Flick 4th or 5th toe (positive “baby” babinski response

58
Q

Rossolimo’s

A

Tap ball of foot (+ = curling toes) pathological response UMNL

59
Q

Tromner’s

A

Tap end of fingers (+ flexion of thumb and fingers) UMNL

60
Q

Gordon’s finger sign

A

Press pisiform (+ for extension of fingers) UMNL

61
Q

Chaddock’s wrist

A

Stroke medial forearm, near wrist (+ = flexion of wrist, extension and flaring of fingers) UMNL

62
Q

Babinski pronation

A

Tap dorsum of hands that are supinated (+ pronation of hand) UMNL

63
Q

Mannkopf’s

A

Monitor pulse & press into painful site

Boards Part 1 ?'s (10 decks)

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