chapter 18 special tests

Question 1

wallenbergs test

Answer 1

test for vertebral artery insufficiency
pt supine
flex neck 10 seconds, extend neck 10 seconds
same with rotation left and right

positive if pt is dizzy or visual change, nystagmus, lightheaded

Question 2

underbers test

Answer 2

neck backward bent and head fully rotated to either side. if pt develops vascular or neuro symptoms, hvla is contraindicated

Question 3

apleys scratch: test for abduction and external rotation

Answer 3

have pt reach behing head and touch opp shoulder

Question 4

apleys scratch eval for internal rotation and adduction

Answer 4

have pt reach in front of head and touch opp shoulder

also reach behind like scratching back

Question 5

speeds test

Answer 5

assess biceps tendon in bicipital groove
pt fully extend elbow, flex should and supinate forearm
physician resists flexion of shoulder

Question 6

yergasons test

Answer 6

stability of bicep tendon in groove

physician pulls down on elbow and externally rotates, pt resists

Question 7

finklesteins test test for tenosynovitis in what tendones

Answer 7

abductor pollicis longus

extensor pollicis brevis

Question 8

hip drop test, ipsilateral iliac crest should drop what

Answer 8

assess sidebnding ability of lumbar spine

more than 20-25 degrees

positive if no smooth convexity in lumbar spine or drop of iliac crest less than 20-25 degrees

Question 9

another name for straight leg test

Answer 9

lasegues test

braggards test when dorsiflex foot to test for sciatic nerve bc stretches

if no pain with braggards then pain is probably from tight hammies

if pain all the way down leg then probably sciatic origin

Question 10

pelvic side shift test

Answer 10

determines if sacrum is midline
easier glide
flexion contracutre of iliopsoas on right will cause positive pelvic shift test to the left

Question 11

bounce home test

Answer 11

evaluates problems with full knee extension from meniscal tears or jiont effusions

Question 12

pain with apley compreesion means what

Answer 12

meniscus tear

Question 13

pain with apley distraction means what

Answer 13

ligamentous injury

Question 14

mcmurray valgus stress test

varus stress test

Answer 14

medial meniscus

lateral meniscus

Question 15

patellar grind test

Answer 15

test patello femoral syndrome

pt supine
physician pushes the patela distal then has pt contract quads, any roughness of articular surfaces will grind

assesses posterior articular surfaces of the patella and possibility of chondromalacia patellae