export_musculoskeletal ii

Question 1

Neer’s test

Answer 1

Internally rotate shoulder, fully extend arm, assess for pain

Question 2

Hawkins test

Answer 2

Abduct shoulder, flex arm, internally rotate forcibly

Question 3

Lift off test

Answer 3

Wing scapula, stabilize elbow, have patient push hand against you to test subscapularis

Question 4

Arm drop test

Answer 4

Abduct patient’s arm, ask patient to lower slowly to see if the rotator cuff is damaged (arm would suddenly drop at a little higher than 90 degrees)

Question 5

Apprehension test

Answer 5

Abduct shoulder, flex elbow, apply external rotation to test for shoulder dislocations

Question 6

Yergason’s test

Answer 6

Palpate interturbicular groove, have pt supinate against resistance

Question 7

Speed’s test

Answer 7

Arm is supinated, shoulder is flexed, have patient press arm down against resistance to test for biceps tendinitis

Question 8

Empty can test

Answer 8

Abduct shoulder, palm facing back, have patient push arm down against resistance

Question 9

How is the patient situated during elbow MSK exam?

Answer 9

Elbows held in close to body

Question 10

What valgus angle would be abnormal?

Answer 10

Greater than 20 degrees

Question 11

Varus and valgus tests

Answer 11

Flex arm about 20-30 degrees, apply varus or valgus force

Assessing RCL and UCL, respectively

Question 12

Tinel sign

Answer 12

Tapping between medial epicondyle and olecranon causes symptoms

Question 13

Lateral epicondylitis

Answer 13

“Tennis elbow”
Inflammation at the origin of the wrist extensors and supinator muscle

Repetitive wrist extension and supination

Question 14

Cozen’s test

Answer 14

Pronation of pt forearm, wrist extension, radial deviation, assess resistance

Question 15

Maudsley’s test

Answer 15

Have pt resist pushing their 3rd finger down, assessing for pain

Question 16

Phalen’s test

Answer 16

Flex the pt’s wrist, positive if pt gets symptoms in

Question 17

Tinel’s sign for CTS

Answer 17

Tapping at base of thumb, assessing for pain

Question 18

de Quervain’s tenosynovitis

Answer 18

Swelling or stenosis of the sheath around the APL and EPB

Question 19

Finkelstein’s test

Answer 19

Thumb flexed and fingers fisted around it
Ulnar deviation

Positive if pain produced over radial wrist

Question 20

Assess for scaphoid fracture

Answer 20

Assess tenderness in the snuff box

Question 21

Dupuytren’s contracture

Answer 21

Painless, flexion contractures of ring finger and pinky

Question 22

Mallet finger

Answer 22

Forced DIP flexion of finger

Question 23

Thumb grind test

Answer 23

Pushing/twisting thumb metacarpal against the trapezium

Positive with pain/grinding

Question 24

Thomas’ sign

Answer 24

Hyperflex one leg, and positive if the other leg lifts up (tightness of hip flexors on the other side)

Question 25

Ober test

Answer 25

Pt lays on their side, extend hip and leg pt’s leg fall, positive if the leg stays up (IT band tightness)

Question 26

Ballottement

Answer 26

Compress thigh down towards knee, then tap patella to see if it’s floating in excess fluid

Question 27

Apley’s compression

Answer 27

Pt is prone, knee is flexed, push on heel and twisting to test menisci

Question 28

Apley’s distraction

Answer 28

Pt prone, flex knee, pull ankle up and rotate, to assess collateral ligaments

Question 29

McMurray’s test

Answer 29

Flex hip, flex knee, externally/internally rotate tibia, exaggerate hip flexion, apply valgus/varus stress, then return leg to neutral position to assess for MCL/LCL, respectively

Question 30

Anterior drawer test (ankle)

Answer 30

Support calcaneus and apply posterior pressure to assess ATFL

Question 31

Talar tilt

Answer 31

Support calcaneus, slight plantar flexion, invert and evert the foot to assess for AFTL and CFL

Question 32

Squeeze test

Answer 32

Squeeze at the distal part of the knee joint, looking for fractures

Question 33

External rotation stress

Answer 33

Fully dorsiflex, rotate the ankle