musculoskeletal

Question 1

test for shoulder rotation

Answer 1

apley scartch test

Question 2

test the acromioclavicular joint

Answer 2

crossover test/sign

Question 3

test for supraspinatus

Answer 3

empty can test

thumbs down sign

Question 4

test for the teres minor and infraspinatus

Answer 4

resisted external rotations

Question 5

test for subscapularis

Answer 5

resisted internal rotation

Question 6

Rotator cuff tests

Answer 6

neers impingements sign
hawkins impingement sign
Drop arm sign

Question 7

rotate shoulders and try to move it upwards

Answer 7

hawkin’s impingement sign

Question 8

patient laterally raises arm and then you push it down

Answer 8

drop arm sign

Question 9

test for bicep’s strength

Answer 9

speed test

Question 10

test for bicipital tendinitis and RTC

Answer 10

Yergason’s test

Question 11

instability tests

Answer 11

anterior apprehension test

relocation test

Question 12

try to elicit the feeling that their shoulder will be dislocated

with their shoulder externally rotated and adducted, try to push

Answer 12

anterior apprehension test

Question 13

patient is supine

stabilize arm and place pressure on shoulder, the ox will feel the shoulder is being dislocated

Answer 13

relocation test

Question 14

prone to gout and infections

Answer 14

olecranon area

Question 15

accumulation of fluid in the elbow

Answer 15

olecranon bursitis, septic arthritis, gour

Question 16

assess the function of the proximal and distal radioulnar or humeroradial joint

Answer 16

forearm supination and pronation

Question 17

extension

Answer 17

0

Question 18

flexion

Answer 18

150

Question 19

pronation

Answer 19

70

Question 20

supination

Answer 20

90

Question 21

resistance will aggravate lateral epicondylitis

Answer 21

supination of wrist

Question 22

resistance will aggravate medial epicondylitis

Answer 22

pronation

Question 23

resistance will aggravate pain of lateral epicondylitis

Answer 23

extension of wrist

Question 24

resistance will aggravate pain of medial epicondylitis

Answer 24

flexion if wrist

Question 25

pulls at the lateral epicondyle

Answer 25

resisted long finger extension

Question 26

resistance tests bicep strength

Answer 26

elbow flexion

Question 27

resistance test tricep strength

Answer 27

elbow extension

Question 28

no creases, tight skin

Answer 28

sclerodema

Question 29

claw hand

Answer 29

sclerodactyly (acrosclerosis)

Question 30

distal to the radial | styloid process with lateral extension of thumb away from hand

Answer 30

anatomic snuffbox

Question 31

Heberden’s and Bouchard’s nodes, which are | gelatinous swelling associated with join narrowing

Answer 31

hand osteoarthritis

Question 32

There is tissue swelling, synovial thickening | different from a bony nodularity

Answer 32

hand rheumatoid arthritis

Question 33

grasp 2nd and 3rd finger

Answer 33

hand grip strength

Question 34

Test sensation on the palmar and dorsal surfaces | innervated by the

Answer 34

median - middle 3 ulnar- pinky radial- humb

Question 35

ask oc to grasp the thumb against the palm and then move the wrist toward the midline in ulnar deviation

Answer 35

thumb movement

Question 36

ask the px to abduct the thumb while putting pressure on it

Answer 36

watson stress test

Question 37

Pain or numbness of the first three fingers of the | hand, but not in the palm, especially at night

Answer 37

carpal tunnel syndrome

Question 38

tingling with tapping over the median nerve as it enters the carpal tunnel

Answer 38

tinels test

Question 39

numbness or tingling with pressing backs of hands together in acute flexion for 60 sec

Answer 39

phalens sign

Question 40

Flexion of the neck may produce paresthesia down the arms and legs in multiple sclerosis or spondylosis

Answer 40

lhermitte sign

Question 41

Downward pressure on the neck may produce symptoms of vertebral foramina narrowing. This may be accentuated when pressing down during lateral flexion. When they will feel paresthesia, stop the procedure immediately.

Answer 41

spurlings maneuver

Question 42

increasing intrathecal pressure may induce pain from tumor or disc collapse

Answer 42

valsalva

Question 43

To test for thoracic outlet obstruction. After palpating for the radial artery, the arm is raised, extended and externally rotated and then the head is rotated to the opposite arm. Weakening of the pulse is a positive sign

Answer 43

adson maneuver

Question 44

To identify spinal nerve root compression, which is associated with disc protrusion and femoral nerve injury

Answer 44

femoral nerve stretch

Question 45

To test for underlying nerve root sensitivity

Answer 45

lasegues

Question 46

to test for meniscal tearing

Answer 46

bragaard’s

Question 47

bony landmarks anterior aspect hips

Answer 47

``` iliac crest iliac tubercle ASIS greater trochanter pubis symphysis ```

Question 48

bony land marks hip posterior asoect

Answer 48

PSIS greater trochanter ischial tuberosity sacroiliac joint

Question 49

when the gluteus medius is weak, the pelvis drops on the non weight bearing side when the patient stands on the affected hip

Answer 49

trendelenburg test

Question 50

Performed while supine, with ankle placed on top | of the opposite knee in the figure-4 position. Discomfort is often seen with SI joint pathology.

Answer 50

faber test

Question 51

Stand or hop unsupported on one leg. Look for | reproduced pain in the groin area. This test is usually positive with a femoral neck stress fracture.

Answer 51

hop test

Question 52

Severe pain with gentle to-and-fro motion of | pelvis may indicate fracture, infection, or synovitis.

Answer 52

log roll test

Question 53

knee joints

Answer 53

2 condylar tibiofemoral joints, petollofemoral joint | trochlear groove

Question 54

atrophy of quadriceps muscle is a sign of

Answer 54

osteoarthritis

Question 55

patellar tap is tapping it and the patella | seems to bounce.

Answer 55

balloon sign

Question 56

abduction or valgus stress test

Answer 56

MCL

Question 57

adduction or varus stress test

Answer 57

LCL

Question 58

anterior drawer sign, kachman test

Answer 58

Anterior cruciate ligament

Question 59

posterior cruciate ligament

Answer 59

posterior drawer sign

Question 60

mcmurray test

Answer 60

medial and lateral menisci

Question 61

Performed with knee in 90 degrees of flexion and foot flat on table by pulling the tibia anterior RANGE OF MOTION o The sensitivity of this exam is limited because with the knee flexed to 90 degrees the collateral ligaments are taut and restrain anterior motion

Answer 61

anterior drawer test

Question 62

o Performed with both knees flexed to 90 degrees and feet flat on exam table o A posterior directed tibial sag on the involved knee suggests a PCL tear with significant posterior laxity.

Answer 62

sag sign

Question 63

Performed by flexing and extending the knee, combined with internal and external rotation o A significant clunk with this maneuver may indicate a displaced meniscal tear o May cause a torn meniscus to displace and lock the knee joint o High rate of false-positives

Answer 63

mcmurrays

Question 64

○ Performed with the knee bent to 90 degrees while lying prone on the exam table ○ Clunk during knee flexion and extension while applying an axial load in both internal and external rotation ○ High false positive rate

Answer 64

apley compression test

Question 65

bent PIP

Answer 65

hammer toe

Question 66

mallet toe

Answer 66

bent DIP

Question 67

claw toes

Answer 67

all joints are bent

Question 68

normally abt 20 degrees

Answer 68

dorsiflexion

Question 69

about 50 degrees

Answer 69

plantar flexion

Question 70

about 30 degrees

Answer 70

inversion

Question 71

about 10 degrees

Answer 71

eversion

Question 72

performed by stabilizing the lower leg w one hand while cupping the heel with the other, then pulling forward on the calcaneous/talus complex laxity compared to the uninvolved side suggests lateral ligament rupture

Answer 72

anterior draw test

Question 73

same with anterior draw test except that theres inverting of the ankle joint

Answer 73

talar tilt test

Question 74

Inversion laxity compared to the uninvolved side | suggests tearing of the lateral ligaments, while pain with this maneuver suggests ligament injury

Answer 74

talar tilt test

Question 75

Performed by squeezing at the base of the calf muscle and looking for ankle plantarflexion • A lack of plantar flexion suggests a complete achilles tendon rupture

Answer 75

thompson test