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NMS II > Exam 2 Hip SI Knee > Flashcards

Exam 2 Hip SI Knee Flashcards

1
Q

positive finding for anterior innominate test

A

local pain over the SI joint

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2
Q

what could be causing the SI joint pain in the anterior innominate test

A

unilateral forward displacement of the ilium, sacrum, or SI joint sprain

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3
Q

supported adam’s test a.k.a

A

belt test

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4
Q

what is indicated if there is pain only during the first part of the belt test

A

SI joint problem

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5
Q

what is indicated if there is pain during the first and second part of the belt test

A

lumbar spine problem

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6
Q

the patient lies prone and the doctor compresses the SI joints by applying pressure to the PSIS’s with the thenar or thumbs

A

erichsen’s test

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7
Q

what could be causing the SI joint pain in a positive erichsen’s test

A

stress being placed on the anterior SI joint ligaments

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8
Q

with the patient supine, the doctor stands on the affected side and brings the unaffected knee up toward the patient’s chest. the doctor then slowly hyper-extends the affected knee

A

gaenslen’s test

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9
Q

the patient lies supine while the doctor palpates L5 and S1. the doctor uses the other hand to elevate the affected leg

A

goldthwait’s sign

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10
Q

if there is pain before the L5-S1 separation on goldthwait’s test what is the finding

A

SI joint problem

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11
Q

if there is pain after the L5-S1 separation on goldthwait’s test what is the finding

A

lumbar spine problem

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12
Q

with the patient prone, the doctor flexes the knee to 90 degrees and internally rotates the femur by pushing the foot laterally

A

hibb’s test

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13
Q

what is the doctor looking for during hibb’s test

A

femoral head or acetabular problems

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14
Q

the patient lies on their unaffected side and the doctor compresses the iliac crest toward the table

A

iliac compression test

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15
Q

what could be causing the pain during an iliac compression test

A

sprain of the posterior SI ligaments.

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16
Q

gold standard to find SI pain

A

iliac compression test

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17
Q

SI joint problems normally cause neurologic deficits

A

FALSE

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18
Q

the patient lies on their unaffected side and brings their unaffected knee toward their chest. the doctor slowly hyper-extends the affected thigh

A

lewin gaenslen test

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19
Q

a positive lewin gaenslen test

A

SI joint pain or muscle tightness

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20
Q

the patient lies prone and the doctor applies pressure on the base of the sacrum with one hand and places the other under the ipsilateral knee and lifts the knee off of the table (extending the thigh)

A

yeoman’s test

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21
Q

a positive yeoman’s test

A

pain in the SI joint and muscle tightness

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22
Q

what could be causing the pain in a positive yeoman’s test

A
  • stress on the anterior SI ligaments
  • femoral nerve irritation
  • iliopsoas or rectus femoris muscle contracture
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23
Q

which tests have pain being caused by stress on the posterior SI ligaments

A

iliac compression test

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24
Q

which tests have pain being caused by stress on the anterior SI ligaments

A
  • erichsen’s test

- yeoman’s test

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25
Q

test where doctor measures from apex of ASIS to medial malleolus

A

actual leg length

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26
Q

positive sign for actual leg length

A

a difference of more than 6mm from the other leg

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27
Q

what does a positive sign for actual leg length indicate

A

could indicate hip joint or long bone deficiency

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28
Q

test where doctor measures from umbilicus to medial malleolus

A

apparent leg length

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29
Q

positive sign for apparent leg length

A

a difference of more than 6mm from the other leg

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30
Q

what could a positive sign for apparent leg length indicate

A

pelvic subluxation

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31
Q

in which test does the patient lie supine with knees and hips flexed and feet flat on the table

A

allis’ sign

32
Q

in which test does the patient lie supine and the doctor elevates a straight leg and hits the bottom of the heel with a fist

A

anvil test

33
Q

positive sign with anvil test

A

pain in the kinetic chain from the heel to acetabulum

34
Q

the patient lies with the affected side up and the doctor grasps just above the ankle, abducts the leg and then internally and externally rotates the thigh

A

gauvain’s sign

35
Q

positive gauvain’s sign

A
  • ipsilateral contraction of abdominal muscles
  • hip pain
  • referred pain to the groin or anterior thigh
36
Q

what was gauvain’s sign designed to find

A

TB in preadolescents

37
Q

what is a positive sign for telescoping test

A

excess joint play and/or palpable click in the joint

38
Q

what could a positive sign for telescoping test indicate

A

hip dislocation or hip dysplasia

39
Q

the patient lies supine, the doctor stands on the unaffected side and the patient crosses the leg into the figure 4 position while the doctor stabilizes the opposite ASIS

A

patrick’s test

40
Q

positive sign for patrick’s test

A

pain in the hip or the patient is unable to perform

41
Q

the patient lies with the affected side up. the doctor stands behind the patient and stabilizes the pelvis. the doctor uses the other hand to abduct and extend the thigh and the hip. the doctor the slides the hand from knee to ankle while keeping the knee bent

A

ober’s test

42
Q

what is a positive ober’s test

A

the affected thigh remains abducted and may be painful or may drop with clonus

43
Q

what could a positive ober’s test indicate

A

IT band tightness

44
Q

the patient lies supine and actively pulls the unaffected knee to the chest while keeping the other leg straight

A

thomas test

45
Q

what could a positive thomas test indicate

A

flexion contracture or shortening of iliopsoas on affected side

46
Q

the patient stands on the affected foot and raises unaffected foot off of the ground

A

trendelenburg’s test

47
Q

what is a positive trendelenburg’s test

A

high iliac crest on supported leg and low iliac crest on the lifted leg

48
Q

what could a positive trendelenburg’s test indicate

A

gluteus medius insufficiency on the supported leg

49
Q

the infant lies supine. the doctor grasps both thighs and the level of the lesser trochanter and flexes and abducts the thighs bilaterally

A

ortolani’s test

50
Q

positive ortolani’s test

A

palpable click or “clunk”

51
Q

patient lies supine with legs straight. the doctor stabilizes the medial ankle and pushes lateral to medial at the knee

A

abduction (valgus) stress test

52
Q

which ligament is being tested with the abduction (valgus) stress test

A

MCL

53
Q

patient lies supine with legs straight. the doctor stabilizes the lateral ankle and pushes medial to lateral at the knee

A

adduction (varus) stress test

54
Q

which ligament is being tested with the adduction (varus) stress test

A

LCL

55
Q

patient lies prone with knees flexed at 90 degrees and the doctor grasps the foot, pushes down and then medially and laterally rotates the foot

A

apley’s compression test

56
Q

the patient lies supine with the leg straight. the doctor pushes down on the patella and moves it lateral and medial, palpating for motion

A

patella ballottement test

57
Q

positive patella ballottement test

A
  • patella is slow to return to resting position
  • there is increased patella movement
  • patella feels “spongy”
58
Q

what could a positive ballottement test indicate

A

retropatellar effusion or intra-articular knee swelling

59
Q

the patient lies supine. the doctor lifts the leg and bends the knee to 20 degrees. the doctor then allows the knee to drop into full extension

A

bounce home test

60
Q

positive bounce home test

A

knee pain or inability to fully extend the knee

61
Q

what could a positive bounce home test indicate

A

meniscal tear

62
Q

the patient lies supine and the doctor applies S-I pressure on the top of the patella. the patient then contracts the quadeiceps

A

clarke’s sign

63
Q

positive clarke’s sign

A

retroatellar pain

64
Q

what could a positive clarke’s sign indicate

A

chondromalacia patella or degeneration of the patellofemoral joint

65
Q

patient lies supine with hip and knee flexed to 90 degrees. the doctors rotates the tibia internally with valgus stress while extending the leg. procedure is repeated with external rotation and varus stress.

A

McMurray sign

66
Q

positive McMurray sign

A

pain or crepitus

67
Q

during McMurray’s when there is internal rotation and valgus stress being placed on the knee, which structure is being stressed

A

lateral meniscus

68
Q

during McMurray’s when there is external rotation and varus stress being placed on the knee, which structure is being stressed

A

medial meniscus

69
Q

which meniscal tear is more common

A

medial meniscus

70
Q

patient lies supine with hip and knee extended. the doctor then does adduction internal rotation, valgus stress and flexes the knee

A

lateral pivot shift maneuver

71
Q

the lateral pivot shift maneuver is testing which structure

A

ACL

72
Q

patient lies supine with knee flexed at 90 degrees. the doctor pulls the tibia anterior and pushes posterior looking for excess motion

A

drawer test

73
Q

purpose of drawer test

A

checking for ACL or PCL stability

74
Q

drawer test with patient’s knee flexed at 25 degrees

A

lachman’s test

75
Q

which test is said to be most sensitive for testing the stability of the ACL and PCL

A

lachman’s test

76
Q

the doctor places one hand on anterior tibia and the other on posterior calcaneous and pulls the foot anterior

A

anterior drawer sign

NMS II (7 decks)

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