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The Big One > Diagnostic accuracy of special tests > Flashcards

Diagnostic accuracy of special tests Flashcards

1
Q

Apprehension test (apprehension and/or pain)

A

SP

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2
Q

Relocation test

A

SP

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3
Q

Jerk test (posterior instability)

A

SN

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4
Q

Hawkins

A

SN

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5
Q

Neer

A

SN

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6
Q

Painful arc

A

SN

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7
Q

Empty can

A

SN>SP but close

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8
Q

Drop arm

A

SP

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9
Q

ER lag

A

SP

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10
Q

Infraspinatus

A

SP

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11
Q

Hornblower

A

SN (1.0!) Rules out complete tear of teres minor

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12
Q

IR lag sign

A

SN (1.0!) Rules out complete tear of subscap

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13
Q

Panxios test

A

SN

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14
Q

Active compression test

A

O’briens: SN

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15
Q

Biceps load II

A

both .9 SN and SP

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16
Q

Anterior slide test

A

SP

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17
Q

Compression rotation

A

Crank/SN

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18
Q

Combination of tests for slap
Name three highly SN
Name three highly SP

A

SN: Crank, apprehension, active compression/obriens
SP: Yergansons, biceps II, speed

You would chose two SN and one SP to get .9 SP

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19
Q

Rule for cluster of RTC. 2 positive vs. 3

A

2 positive = impingment+ LR 11

3 positive = RTC pathology +LR 16

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20
Q

Elbow extension test

A

for elbow fx.

~1 SN

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21
Q

Moving valgus stress test

A

SP of 1.0!

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22
Q

Elbow flexion test

A

neurologic dysfunction: supine max ER, elbow flexion and wrist extension for one minute
SP of ~1.0

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23
Q

Ulnomeniscotriquetral dorsal glide test

A

For TFCC: ulna posterior, radius anterior

Barely SP

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24
Q

Watson/scaphoid shift test

A

pronated, wrist in full ulnar deviation and slight extension while stabilizing metacarpals

Pressure on distal pole of scaphoid while radially deviating and slightly flexion pt’s hand

Just barely SP

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25
Q

Eichoff’s and Finkesteins

A

SN

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26
Q

WHAT test (wrist hyperextension and ABD test

A

De’quervain’s: pt’s wrist hyperflexed with thumb ABD in full MCP and iP extension, examiner pushes thumb into ADD

~1.0 SN

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27
Q

Allens test

A

for ulnar and radial vascular deficiency

SP ~1

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28
Q

Scour

A

SP

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29
Q

FABER

A

SN

30
Q

Trendelenburg

A

SP

31
Q

What is the combination of tests for hip OA (5)

A 
Sxs increase with squatting
Lateral hip pain with active hip flexion
Pain with active hip extension
(+) scour
<25 IR

HUGE (+)LR if all five or four are present

32
Q

Lachman vs. Anterior drawer

Higher SP
Higher SN

A

Higher SP: neither they are both .81 specific

Higher SN: Lachman

33
Q

Anterior drawer

A

SP

34
Q

Posterior drawer

A

~1 SP

35
Q

Posterior lag sign

A

~1 SP

36
Q

Valgus

A

SN

37
Q

pivot shift

A

SP

38
Q

Mcmurry and thessley

A

SP but thessley>mcmurry

39
Q

Patellar apprehension test

A

SP

40
Q

Ottawa knee rules in kids and adults

A

SN

41
Q

Anterior drawer

A

SP

42
Q

talar tilt

A

SP

43
Q

Medial subtalar glide test: hold talus and move calcaneous medially didn’t say anything else about it at all

A

SP

44
Q

Kleiger test

A

SP

45
Q

DF ER test

A

SN

46
Q

squeeze test: syndesmosis

A

SP

47
Q

Thompson test

A

both >.90

SN >SP

48
Q

Windlass test

A

~1 SN

49
Q

Sharp-purser (transverse)

A

SP

50
Q

Compression and distraction and spurlings

A

SP

51
Q

Upper limb tension

A

SN

52
Q

Hoffmann

A

SP

53
Q

Reflex testing

A

SP

54
Q

inverted supinator sign

A

SP

55
Q

Babinski sign

A

SP

56
Q

Clonus

A

SP

57
Q

SLR

A

SN

58
Q

Cross SLR

A

SP

59
Q

Femoral nerve traction

A

SN

60
Q

Centralization and peripheralization

A

SP

61
Q

Slump: think LR cauas SP and SN are too close

A

~4 +LR

62
Q

Passive lumbar extension

A

SP

63
Q

Prone instability test

A

SN

64
Q

Aberrant movement pattern

A

SN

65
Q

FABER

A

SN

66
Q

thigh trust

A

SN

67
Q

Gaenslen’s

A

SP

68
Q

Compression and distraction

A

SP

69
Q

sacral thrust

A

SP

70
Q

Combined: thigh trust, Gaeslen, compression, distraction, sacral trust

A

SN
BUT
(+)3.54 liklihood ratio

The Big One (18 decks)

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