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NMS > Last practical > Flashcards

Last practical Flashcards

1
Q

Causes of Thoracic Outlet Syndrome

A

Cervical Rib
Scalenus Anticus/Medius problem
Costcoclavicular Syndrome
Pectoralis Minro Problem

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2
Q

ROM for Cervical Neck

A

Flexion 60
Extension 75
Lateral Flexion 45
Rotation 80

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3
Q

Rust’s Sign

A

Upper Cervical Instabillity

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4
Q

Libman’s Test

A

Press on Mastoid- Pain threshold

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5
Q

Bakody’s Test

A

LOWER brachial plexus, POSITIVE if pain allivieted

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6
Q

Reverse Bakody’s Test

A

Worse pain in Bakody’s sign- THORACIC OUTLET SYNDROME

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7
Q

Bikele’s Test

A

Abduct should to 90, Brachial Plexus Lesion

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8
Q

Brachial Plexus Tension Test

A

Hands behind head and pulling on elbows; Brachial Plexus lesion

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9
Q

Valsalva’s Test

A

Ask patient to bear down; SPACE OCCUPYING LESION

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10
Q

Dejerine’s Triad

A

SPACE OCCUPYING LESION
Herniated IVD
Spinal Cord tumor
Spinal Compression

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11
Q

Swallowing Test

A

Have patient swallow liquid, positive if pain in doing so

S.O.L., Sprain, Strain, Fracture, Disc Protrusion, Tumor, or Osteophyte @ Anterior portion of cervical spine

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12
Q

Naffzigner’s Test

A

Test Doctor stands behind patient and occludes the EXTERNAL JUGULAR VEINS @ level of CLAVICLE, then ask patient to cough

  • NOT for cardiac patients
  • Purpose is to find a pooling of venous venous sinuses that will cause an increase in CEREBRAL SPINAL FLUID PRESSURE- Positive + Sharp accentuating level at level of lesion
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13
Q

Barre-Lieou Test

A

Instruct patients to rotate their head back and forth as fast as thy can- any symptoms associated with this procedure is a positive.

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14
Q

Vertebrobasilar Functional Maneuver

A

To rule out vascular insufficiency
Auscultate Carotid and subclavian on both sides of patient–if no asymmetry/bruits exist instruct patient to EXTEND AND ROTATE their head and tell the to count from 20 down by 1’s

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15
Q

DeKleyn’s Test

A

Vetebrobasilar artery Insufficiency;

Patient is supine and doctor stimulates ROM

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16
Q

Distraction Test

A

Cup occiput with web of hand and palm on forehead and lift upwards; Decrease pain is IVF encroachment

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17
Q

Foraminal Compression Test

A

Neutral Compression; IVF Compression

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18
Q

Jackson’s Compression Test

A

Laterally Bend head both head and press down; IVF compression

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19
Q

Maximum Cervical Compression Test

A

Patient turns head and looks up and down without passive influence of doctor
IVF Encroachment. Pain on opposite side-Strain

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20
Q

Spurling’s Test

A

Couples ROTATION AND LATERAL FLEXION for compression

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21
Q

Lhermitte’s Test

A

Tucking chin to chest passively by doctor ; cord inflammation usually of C4/C5

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22
Q

O’Donahue’s Cervical Test

A

Patient flex/extends/laterally bends with doctor holding head in place
Sprain/Strain

23
Q

Kernig’s Sign

A

Patient is supine and doctor flexes hip and knee to 90* THEN extends leg; meningitis

24
Q

Brudzinski Test

A

Patient is supine and doctor flexes head; meningitis

25
Q

Shoulder Depressor Test

A

Depress shoulder while stabilizing the cervical region; IVF encroachment

26
Q

Soto Hall Test

A

Patient is supine chin to chest- resist with hand on sternum can be active or passive

27
Q

Allen’s Test

A

Patient holds up hand with elbow flexed at 90*, pumps hand 5 times, doctor hangs on to both ULNAR AND RADIAL ARTERY —> Extend elbow down release occlusion of radial first THEN CHECK bilateral side THEN ULNAR pulses

28
Q

Adson’s Test

A

Doctor holds onto radial pulse–> patient then turns head to SAME SIDE and extends head back and patient holds breathe, CHECK for change in pulse

29
Q

Modified Adson’s Test

A

Doctor holds onto radial pulse–> patient then turns head to OPPOSITE SIDE and extends head back and patient holds breathe, CHECK for change in pulse

30
Q

Halstead’s Test

A

Feels pulse of radial artery while extending arm at elbow joint. patient turns head away and holds breathe

31
Q

Allen’s Maneuver Test

A

Check pulse, raise are to side (WITH elbow at 90*), Head turned AWAY, looking for amplitude decrease

32
Q

Roos’ Test

A

Patient holds BOTH hands up with elbows flexed at 90* ( Stick’em up position) and holds position for 60 seconds THEN PATIENT PUMPS HANDS for 3 minutes —> looking for pain while performing maneuver

33
Q

Wright’s Test

A

Feel radial pulse and raise arm with elbow fully extended and hyper-ABduct arm, note where and if pulse decreases. Check bilaterally

34
Q

Costoclavicular Maneuver Test

A

Grab radial pulse on both sides from behind patient, extend elbows and brings arms backwards (extending shoulders), checking for change in AMPLITUDE, PATIENT FLEXES HEAD FORWARD

35
Q

Apley’s Scratch Test

A

Checking for shoulder RANGE OF MOTION (ROM)
1st arm from above THEN opposite arm
2nd from BELOW THEN opposite arm
-Common finding include a greater ROM in non-dominant hand
+ Test: Rotator Cuff injury, usually SUPRASPINATOUS TENDON

36
Q

Apprehension Test

A

Passively abduct arm and externally rotate with elbow at 90*,
THEN have patient lay down and doctor brings arm across body elbow flexed and doctor pushes straight down on arm
-Patient will be apprehensive as a positive because it will feel like the shoulder is going to dislocate again
+ Test: Anterior Shoulder dislocation

37
Q

Codman’s Arm Drop Test

A

Brings arm up with the THUMB DOWN and quickly releases arm once the patents arm is at 90*; patient should be able ‘to catch’ it with minor recoil down and up
+Test: SUPRASPINATOUS TENDON INJURY

38
Q

Dawbarn’s Test

A

Doctor pinches area around shoulder joint FIRST, Then abducts arm with palm down and with elbow is straight/fully extended, ask if there is any pain while performing the passive movement
+ Test: SUBACROMIAL BURSITIS

39
Q

Dugas Test

A

Patient grabs opposite shoulder by hand and doctor presses elbow into patients chest
+ Test: Possible Joint dislocation

40
Q

Impingement Test

A

Bring arm up with elbow extended; ask patient if this passive motion illicit any pain
+ Test: BICIPITAL TENDONITIS, Supraspinatous oversue, or possible Degenerative Joint Disease

41
Q

Speed’s Test

A

Have patient flex elbow against resistance of Doctor’s stabilization at wrist, allow patient to move arm by flexing shoulder through ROM
+ Test: BICIPITAL TENDONITIS

42
Q

Supraspinatus Press Test

A

Abduct shoulder passively with elbow fully extended and THUMB DOWN. THEN have patient resist downward motion provided by doctor (similar to muscle test of supraspinatous)

43
Q

Yergason’s Test

A

Yergason’s Test- Doctor places one hand pinching shoulder while the other hand is being held by the patient.
Elbow is FLEXED, Forearm SUPINATES doctors hand, Doctor externally rotates arm while feeling for a CLICK in shoulder
+ Test: TRANSVERSE HUMERAL LIGAMENT and/or Bicipital TENDONITIS

44
Q

Load and Shift Test-

A

Doctor places one hand on trap/shoulder while the other hand
FIRST pulls down on arm–> LOOKING for SULCUS SIGN
THEN push shoulder up, forward and pull backwards feeling for laxity
+ Test: Supporting ligaments of shoulder

45
Q

O’Brien’s Test

A

Have patient cross arm 30* (CROSSING STERNUM, to PERFORM CORRECTLY) with elbow extended and lift shoulder up THUMB UP FIRST and doctor will press against patients arm to test resistance
THEN perform same with THUMB DOWN; ask patient which hurts worse
+ Test: Labral region of shoulder joint

46
Q

Lift off Test

A

Patient brings arm backwards with elbow slightly flexed. Doctor is seeing if the patient can move hand away from back in both arms equally on both sides
+ Test: Supporting ligaments of shoulder

47
Q

Elbow Flexion Test

A

Instruct patient to flex both elbows with hands going towards shoulders; ask patient if hold position illicit and pain, numbness, or tingling
+ Test: Cubital Tunnel Syndrome

48
Q

Tinel’s Test at the Elbow

A

Elbow extended
Tapping 1-2 inches above and below medial and lateral side of elbow;
Ask patient if any of 4 sights per arm illicit any radiating pain/numbness/tenderness/tingling in arm
+ Test either Ulnar or Radial Nerve

49
Q

Cozen’s Test

A

ARM ON LAP with PRONATED GRIP AND WRIST/HAND UP
Doctor has hand on dorsum of hand and the other holding onto cubital fossa
Doctor instructs patient to resist and doctor tries pressing down
+ Test for Lateral Epicondylitis

50
Q

Golfer’s Elbow Test

A

ARM ON LAP with SUPINATED GRIP and WRSIT/HAND UP (FLEXED)
Doctor has hands on patient’s hand and proximal forearm
Doctor instructs patient to resist and doctor tries pressing down
+ test Medial Epicondyle

51
Q

Lift Test

A

Patient hold forearm out in space and doctor stabilizes forearm with both hands
Instruct patient to grab sandbag and EXTEND WRIST FIRST
SECOND patient will supinate hand and FLEX WRIST

52
Q

Ligament Instability Test

A

Doctor extends patients elbow and presses on patients elbow both laterally and medially
Stressing LATERAL COLLATERAL–> VARUS STRESS
Stressting MEDIAL COLLATERAL –VALGUS STRESS

53
Q

Mill’s Test

A

Have patient “Make a muscle” with flexed wrist
forearm is pronated and extended
After “Make a muscle” move have patient turn hand away from them and extend elbow
After elbow is extended have patient bring arm backwards
Doctor may passively flex wrist further if no pain is illicit when arm is behind shoulder
+ test LATERAL EPICONDYLE

NMS (3 decks)

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