Neck and Upper Extremities Exam

Question 1

anterior triangle borders?

Answer 1

superior - mandible
medial - midline neck
lateral - sternocleidomastoid

Question 2

posterior triangle border?

Answer 2

inferior - clavicle
posterior - trapezius
anterior - sternocleidomastoid

Question 3

preauricular lymph node

Answer 3

anterior to ear

Question 4

occipital lymph node

Answer 4

posterior to sternocleidomastoid

Question 5

deep cervical lymph node

Answer 5

posterior to sternocleidomastoid

Question 6

submandibular lymph node

Answer 6

under mandible lateral

Question 7

submental lymph node

Answer 7

under mandible medial

Question 8

supraclavicular node

Answer 8

posterior to clavicle

Question 9

thyromegaly

Answer 9

goiter

Question 10

thyroglossal duct cyst

Answer 10

thyroid tissue migrates thyroglossal duct into the neck

Question 11

ROM of neck?

Answer 11

flex - 45
extend - 85
rotate - 90
side bend - 40

Question 12

cervical foraminal compression test

Answer 12

aka spurlings maneuver

side bend to affected side with compression yields radicular symptoms

Question 13

maximum cervical compression test

Answer 13

add extension and rotation to samde side as head is side bent

Question 14

distraction test

Answer 14

to alleviate radiculopathy symptoms in neck

Question 15

thoracic outlet syndrome

Answer 15

compression of vesicles and nerves under clavicle

pain in neck and shoulders
-numbness in last 3 fingers and forearm

Question 16

roo’s test

Answer 16

arms abduct to 90 and external rotate

patient opens and closes hands for 3 minutes

weakness - positive for thoracic outlet syndrome

Question 17

adsons test

Answer 17

palpate radial pulse with elbow and shoulder in extension

-move to abduction and external rotation

have patient turn head

if pulse diminishes - thoracic outlet syndrome

Question 18

winged scapula

Answer 18

injury to long thoracic nerve

-weak serratus anterior

Question 19

adley scratch test

Answer 19

upper arm - external rotation / abduction

lower arm - internal rotation / adduction

Question 20

strength testing

Answer 20

0 - no active movement
1 - contraction with no movement
2 - full active ROM with no gravity
3 - full active ROM with gravity
4 - fill active ROM against partial resistance
5 - full active ROM overcome full resistance

Question 21

supraspinatus

Answer 21

patient abducts against resistance

Question 22

subscapularis

Answer 22

patient rotates internal against resistance

Question 23

infraspinatus, teres minor

Answer 23

patient externally rotates against resistance

Question 24

thoracohumeral group strength test

Answer 24

adducts forearm against resistance

Question 25

empty can test

Answer 25

supraspinatus test

Question 26

lift off test

Answer 26

subscapularis test

Question 27

crossover test

Answer 27

adduct arm across chest which compresses acromioclavicular joint

Question 28

drop arm test

Answer 28

abducts arm and slowly lowers arm to side

-drops to side - positive for rotator cuff problem

Question 29

apprehension test

Answer 29

arm abducted and externally rotated

positive test for loose joint capsule

Question 30

obrien’s test

Answer 30

flex arm to 90 and adduct across test

pain is positive test for labral tear
-SLAP - superior labrum

Question 31

speeds test

Answer 31

for biceps tendon

Question 32

hawkins impingement sign

Answer 32

for o[inoagfg’hoafg’jbagrjo

Question 33

nursemaid elbow

Answer 33

sudden pulling on arm by an adult

radial head subluxation

Question 34

varus and valgus test

Answer 34

looseness

Question 35

tinels sign

Answer 35

median nerve

tappy tap on carpal tunnel

Question 36

phalans maneuver

Answer 36

reverse prayer

wrist special test

Question 37

colles fracture

Answer 37

distal radius fracture with distal fracture fragment displace dorsally

Question 38

radial head somatic dysfunction

Answer 38

posterior with pronation
anterior with supination

posterior dysfunction - doesnt move anteriorly with supination

anterior dysfunction- doesnt move posterior with pronation