Exam 3

Question 0

What test does the doctor ask the patient to labor as if laboring during strenuous defecation?

Answer 0

Valsalva’s Maneuver

Question 1

What does pain or difficult swallowing indicate?

What test do you perform?

Answer 1

space occupying lesion, ligamentous sprain, muscular strain

Swallowing test

Question 2

What is the purpose of testing the Valsalva’s maneuver?

Answer 2

Test for the presence of a space occupying lesion

Question 3

While perform a Naffzier’s test What do you occlude?

for how long?

What does it do?

Answer 3

external jugular veins

10-15s, then ask the patient to cough

increases the intra-thecal pressure

Question 4

Which test creates a pooling of the venous sinuses that increases the cerebral spinal fluid pressure?

Answer 4

Naffzigers test

Question 5

What does an increase in pain during a distraction test mean?

A decrease in pain?

Answer 5

muscle spasm

intervertebral foraminal encroachment or facet capsulitis

Question 6

How long should you do a distraction test?

Answer 6

30-60s, but you probably wont do it the full time

Question 7

In relation to pain what does facet capsulities due during a distraction test?

Answer 7

decrease in pain followed by a sudden increase in pain

Question 8

If the patient receives relief from the distraction test, what is that an indicator of?

Answer 8

an impingement of a nerve, such as a tumor or bone spur that is relieved when the joints are separated.

Question 9

What is the purpose of the distraction test?

Answer 9

confirm IVF encroachment

Question 10

Why is the cervical foraminal conmpression test considered progressive?

Answer 10

least invasive to most invasive

Question 11

What tests are included in the cervical foraminal compression test?

Answer 11

Active ROM
Passive ROM
Foraminal Compression test
Jcakson Compression test 
Maximum Cervical Compression Test
Spurlings test

Question 12

What does localized pain indicate during a foraminal compression test?

What does radicular pain indicate?

Answer 12

indicates foraminal encroachment

indicates pressure on the nerve root

Question 13

What is a positive Lheritte’s sign?

What does this indicate?

Answer 13

a sharp pain down the spine and into the upper or lower limbs

dural irritation in the spine, suggests myelopathy of the cervical spine

Question 14

What is a positive sign of a Lheritte’s test?

It is also a classical sign of?

Answer 14

pain is an indicator of a posterior column disease

Multiple sclerosis

Question 15

pain during a passive ROM test would indicate the pain is coming from what?

Answer 15

ligaments

Question 16

pain during resisted range of motion or isometric contraction signifies what?

Answer 16

muscle strain

Question 17

What test can be performed on any joint of the body?

Answer 17

O’Donoghue Maneuver

Question 18

What test would you perform if you are trying to determine if pain is in the muscle or the ligament?

Answer 18

O’Donoghue Maneuver

Question 19

While performing a Brudzinski sign, a patient shows nuchal rigidity with increased headaches is a positive sign of what?

Answer 19

meningitis

Question 20

What is a positive sign of Brudzinski’s sign?

Answer 20

flexion of both knees during the test

Question 21

How do you look for a Kernig Sign?

Answer 21

flex the hip and knee to 90 degrees and then attempt to extend the leg

Question 22

A person with a positive Brudzinski/kernig sign is indicative as what?

Answer 22

menigitis

Question 23

What sign is often accompanied by involuntary flexion of the oposite knee and hip?

Answer 23

Kernigs

Question 24

What sign is present if flexion of both knees occurs?

Answer 24

Brudzinski’s sign

Question 25

Test where doctor laterally bends the head and depresses the shoulder?

Answer 25

Shoulder depression test

Question 26

T/F Soto-Hall tests for meningitis

Answer 26

false

Question 27

What is the difference between a Soto-Hall sign and a Brudzinski’s sign?

Answer 27

possible meningeal irritation