Comp

Question 1

Verbalize and perform inspection of the affected joint

Answer 1

no swelling

• no deformities
• symemetric

Compare with other joint

Question 2

muscle strength

Answer 2

+5/5

Question 3

bicep and tricep tendon reflex numbers

Answer 3

2+/4

Question 4

Radial pulse numbers

Answer 4

+2/4

Question 5

Evaluate sensation of the upper extremities bilaterally (at least one dermatome and/or area of peripheral nerve innervation)

Answer 5

Touch upper shoulder. Can you feel this? “Okay C4 of the upper shoulder looks good”

Question 6

Apprehension test

Answer 6

1. Apprehension test
   a. Patient is seated.
   b. Put arm in external rotation
   d. Doc stabilizes shoulder to block linkage
   e. Force arm into external rotation
   f. + test apprehension to movement
   g. Indicates: glenohumeral instability

Question 7

2. Sulcus test

Answer 7

a. Pt relaxes hand
b. Grab elbow and pull down
c. + test indention below acromion
d. Indicates glenohumeral instability

Question 8

Yergasons Test

Answer 8

A. have put their arm to their side at 90 degrees
B. Doc palpates the bicipital groove
C. With other hand, grab wrist
D. Have patient supinate and externally rotate while you resist
E. + test: pain
F. Indicates unstable bicipital tendon

Question 9

Speeds test

Answer 9

A. Flex shoulder, supinated to 90
B. Tell pt to resist the docs downward pressure
C. + test: pain
D. Indicates biciptal tendonitis of longhead biceps

Question 10

Empty Can test

Answer 10

A.	Flex shoulder to 90
B.	Horizontally abduct to 45
C.	Internally rotate to thumbs are down
D.	Doc presses down while pt resists
E.	+ test: pain 
F.	Indicates prob with rotator cuff (spec supraspinatus)

Question 11

Drop arm test

Answer 11

A.	Tell pt to abduct arms to 90
B.	Slowly drop arms 
C.	Doc taps wrist
\+ indicator arm drops quickly
Indicator: tear of supraspinatus

Question 12

Painful arc test

Answer 12

A Tell pt to put arms to side and abduct shoulder
+ test if pain is felt from 60-120 degrees
Indicates: rotator cuff injury

Question 13

Neer impingement

Answer 13

A.	Have pt sit
B.	Use hand to depress scapula
C.	With other hand, internally rotate arm and fully flex it upwards
\+ test: pain
Inidicates: rotator cuff impingement

Question 14

Hawkins test

Answer 14

A.	Have it sit
B.	Flex shoulder to 90
C.	Flex elbow to 90
D.	Doc internally rotates hand
E.	+ sign: pain
F.	Indicates: rotator cuff impingement

Question 15

Lift Off Test

Answer 15

Place patient’s arm into internal rotation and
extension. Patient pushes arm into further
internal rotation as physician resists.
(+) Test: Weakness (inability to resist)
Indicates: Subscapularis weakness

Question 16

Cross arm test

Answer 16

A. Doc passively adducts patients arm
B. +: pain in AC joint with end range adduction
C. Indication: problem with AC joint.

Question 17

Apley scratch test

Answer 17

• Try to bring hands together on the back while one comes from above and one comes from below
• Switch arms

Tests range of motion and notes how far they can reach