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medicine > musculoskeletal > Flashcards

musculoskeletal Flashcards

1
Q

test for shoulder rotation

A

apley scartch test

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2
Q

test the acromioclavicular joint

A

crossover test/sign

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3
Q

test for supraspinatus

A

empty can test

thumbs down sign

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4
Q

test for the teres minor and infraspinatus

A

resisted external rotations

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5
Q

test for subscapularis

A

resisted internal rotation

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6
Q

Rotator cuff tests

A

neers impingements sign
hawkins impingement sign
Drop arm sign

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7
Q

rotate shoulders and try to move it upwards

A

hawkin’s impingement sign

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8
Q

patient laterally raises arm and then you push it down

A

drop arm sign

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9
Q

test for bicep’s strength

A

speed test

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10
Q

test for bicipital tendinitis and RTC

A

Yergason’s test

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11
Q

instability tests

A

anterior apprehension test

relocation test

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12
Q

try to elicit the feeling that their shoulder will be dislocated

with their shoulder externally rotated and adducted, try to push

A

anterior apprehension test

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13
Q

patient is supine

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

A

relocation test

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14
Q

prone to gout and infections

A

olecranon area

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15
Q

accumulation of fluid in the elbow

A

olecranon bursitis, septic arthritis, gour

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16
Q

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

A

forearm supination and pronation

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17
Q

extension

A

0

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18
Q

flexion

A

150

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19
Q

pronation

A

70

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20
Q

supination

A

90

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21
Q

resistance will aggravate lateral epicondylitis

A

supination of wrist

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22
Q

resistance will aggravate medial epicondylitis

A

pronation

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23
Q

resistance will aggravate pain of lateral epicondylitis

A

extension of wrist

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24
Q

resistance will aggravate pain of medial epicondylitis

A

flexion if wrist

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25
Q

pulls at the lateral epicondyle

A

resisted long finger extension

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26
Q

resistance tests bicep strength

A

elbow flexion

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27
Q

resistance test tricep strength

A

elbow extension

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28
Q

no creases, tight skin

A

sclerodema

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29
Q

claw hand

A

sclerodactyly (acrosclerosis)

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30
Q

distal to the radial

styloid process with lateral extension of thumb away from hand

A

anatomic snuffbox

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31
Q

Heberden’s and Bouchard’s nodes, which are

gelatinous swelling associated with join narrowing

A

hand osteoarthritis

32
Q

There is tissue swelling, synovial thickening

different from a bony nodularity

A

hand rheumatoid arthritis

33
Q

grasp 2nd and 3rd finger

A

hand grip strength

34
Q

Test sensation on the palmar and dorsal surfaces

innervated by the

A

median - middle 3
ulnar- pinky
radial- humb

35
Q

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

A

thumb movement

36
Q

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

A

watson stress test

37
Q

Pain or numbness of the first three fingers of the

hand, but not in the palm, especially at night

A

carpal tunnel syndrome

38
Q

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

A

tinels test

39
Q

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

A

phalens sign

40
Q

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

A

lhermitte sign

41
Q

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.

A

spurlings maneuver

42
Q

increasing intrathecal pressure may induce pain from tumor or disc collapse

A

valsalva

43
Q

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

A

adson maneuver

44
Q

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

A

femoral nerve stretch

45
Q

To test for underlying nerve root sensitivity

A

lasegues

46
Q

to test for meniscal tearing

A

bragaard’s

47
Q

bony landmarks anterior aspect hips

A 
iliac crest
iliac tubercle
ASIS
greater trochanter
pubis symphysis
48
Q

bony land marks hip posterior asoect

A

PSIS
greater trochanter
ischial tuberosity
sacroiliac joint

49
Q

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

A

trendelenburg test

50
Q

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.

A

faber test

51
Q

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.

A

hop test

52
Q

Severe pain with gentle to-and-fro motion of

pelvis may indicate fracture, infection, or synovitis.

A

log roll test

53
Q

knee joints

A

2 condylar tibiofemoral joints, petollofemoral joint

trochlear groove

54
Q

atrophy of quadriceps muscle is a sign of

A

osteoarthritis

55
Q

patellar tap is tapping it and the patella

seems to bounce.

A

balloon sign

56
Q

abduction or valgus stress test

A

MCL

57
Q

adduction or varus stress test

A

LCL

58
Q

anterior drawer sign, kachman test

A

Anterior cruciate ligament

59
Q

posterior cruciate ligament

A

posterior drawer sign

60
Q

mcmurray test

A

medial and lateral menisci

61
Q

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

A

anterior drawer test

62
Q

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.

A

sag sign

63
Q

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

A

mcmurrays

64
Q

○ 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

A

apley compression test

65
Q

bent PIP

A

hammer toe

66
Q

mallet toe

A

bent DIP

67
Q

claw toes

A

all joints are bent

68
Q

normally abt 20 degrees

A

dorsiflexion

69
Q

about 50 degrees

A

plantar flexion

70
Q

about 30 degrees

A

inversion

71
Q

about 10 degrees

A

eversion

72
Q

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

A

anterior draw test

73
Q

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

A

talar tilt test

74
Q

Inversion laxity compared to the uninvolved side

suggests tearing of the lateral ligaments, while pain with this maneuver suggests ligament injury

A

talar tilt test

75
Q

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

A

thompson test

medicine (14 decks)

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