Midterm practical specialized exams

Question 1

Cover-uncover test

Answer 1

How to perform: “look at my nose while I cover/ uncover each eye”
Tests for: strabismus
Observing for: change in fixation of the uncovered eye and assessing for movement of covered eye after cover is removed

Question 2

Assess depth of anterior chamber

Answer 2

How to perform: shine light from medial to lateral eye on each side
Testing for: increased IOP- glaucoma
Observing for: crescent shadow on medial aspect of iris

Question 3

Weber-lateralization

Answer 3

How to perform: hold tuning fork by base at top of head
Testing for: hearing loss
Observing for: hear the sound better on the right, left, or the same in both ears
-bad ear = conductive
-good ear = SN

Question 4

Rinne

Answer 4

How to perform: place behind mastoid > stop hearing > place in front of ear
Testing for: hearing loss
Normal test: if patient can hear the tuning fork after being moved from mastoid process to front of ear canal (AC > BC)

Question 5

Palpate anatomical snuff box

Answer 5

Testing for: scaphoid/ navicular fracture

Observing for: tenderness

Question 6

Phalen’s test

Answer 6

Testing for: carpal tunnel syndrome

Positive test: hand pain or tingling in the distribution of the median nerve

Question 7

Tinel’s sign

Answer 7

Testing for: Carpal tunnel or cubital tunnel

Positive test: hand pain/ tingling in the nerve distribution

Question 8

Finkelstein’s sign

Answer 8

Testing for: DeQuervains tenosynovitis

Positive test: pain with ulnar deviation

Question 9

Empty can test

Answer 9

Flex and hyperpronate > apply resistance
Testing for: rotator cuff tear
Positive test: weakness- patient unable to resist downward pressure

Question 10

Drop arm test

Answer 10

Passsively abduct arm and patient brings back down to side
Testing for: rotator cuff tear
Positive test: pain/ weakness- patient unable to slowly adduct arm/ bring arm smoothly and gradually to side

Question 11

Hawkins

Answer 11

Flex elbow to 90, passively flex shoulder, internally rotate with resistance
Testing for: supraspinatus tendon impingement
Positive test: pain with internal rotation

Question 12

Neers

Answer 12

brace scapula, flex arm, externally and internally rotate
Testing for: subacromial impingement
Positive test: pain with internal rotation

Question 13

Speeds

Answer 13

supinate @ 30 deg. and push down
Testing for: biceps tendonitis
Positive test: pain on biceps tendon region against resistance

Question 14

Yergason

Answer 14

flex elbow and supinate and externally rotate with resistance
Testing for: biceps subluxation/ tendonitis
Positive test: pain along biceps tendon with supination and external rotation against resistance

Question 15

Apprehension and relocation

Answer 15

flex elbow and shoulder and externally rotate
Testing for: glenohumeral instability
Positive test: pain present with external rotation and relieved with internal rotation

Question 16

O’Briens test

Answer 16

flex to 90 deg and push down
Testing for: labrum tear
Positive test: pain/ weakness with downward pressure

Question 17

Sulcus sign

Answer 17

pull down on arm
Testing for: inferior displacement of the humerus
Positive test: gap between shoulder joint and humerus

Question 18

Tactile fremitus

Answer 18

sides of palms and say “99”
Testing for: consolidation
Positive test: feeling for a change in vibration

Question 19

Bronchophony

Answer 19

say “99” and listen
Testing for: consolidation
Positive test: listening for the sound to become louder/ clearer

Question 20

Egophony

Answer 20

“ee” and listen
Testing for: consolidation
Positive test: “ee” sounds more like like “aa”

Question 21

whispered pectoriloquy

Answer 21

whisper “99”
Testing for: consolidation
Positive test: listening for the sound to become louder/ clearer

Question 22

chest expansion

Answer 22

spread fingers of each hand on either side of spine posteriorly and inhale and exhale
Testing for: symmetry
Positive test: unequal expansion or lack of expansion

Question 23

palpate and auscultate temporal arteries

Answer 23

Testing for: bruits, tenderness, hardening

Question 24

percuss sinuses

Answer 24

Testing for: resonance

Question 25

transillumination of sinuses

Answer 25

Positive: opacity

Question 26

auscultate thyroid for bruits

Answer 26

Testing for: bruits