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Harrison's Internal Medicine > neuromuscular > Flashcards

neuromuscular Flashcards

1
Q

test for glenohumeral

A

test for abduction

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2
Q

full abduction occurs when

A

humerus is externally rotated

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3
Q

test for internal rotation shoulder

A

hand at back

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4
Q

test for external rotation shoulder

A

hands at side, hand behind neck

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5
Q

limited active range of shoulder with full passive

A

test for resisted movement

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6
Q

test for supraspinatus

A

“empty can”

arms flexed 30, internally rotated, resist abduction

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7
Q

test for teres minor and infraspinatus

A

resisted abduction

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8
Q

tests for subscapularis

A

resisted external and internal rotation

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9
Q

test bicipital tendinitis

A

Yergason and speed test

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10
Q

yergason test, for what and how

A

bicipital tendinitis

resisted supination of forearm

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11
Q

speed test, for what and how

A

bicipital tendinitis

resisted flexion of shoulder, arm supinated

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12
Q

pain on entire range of motion of shoulder

A

glenohumeral joint

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13
Q

pain occurs from 90 upward (Shoulder)

A

acromioclavicular joint

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14
Q

pain in middle of the arc with no pain on either end

A

subacromial

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15
Q

Neer and Hawkins test

A

subacromial

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16
Q

test acromioclavicular

A

across chest, hand behind back

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17
Q

Neer’s impingement test, for what and how

A

subacromial impingement

full flexion of arm

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18
Q

Hawkin’s test, for what and how

A

subacromial impingement

arm abducted, 90 degress, internal rotation

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19
Q

how to assess function of proximal and distal radioulnar or humeroradial joint

A

forearm supination and pronation

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20
Q

palpation of elbow position

A

examiner behind, elbow points backwards and slightly flexed

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21
Q

what is triangle sign

A

assesses bone and cartilage attrition

isosceles triangle when elbow flexed at 90

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22
Q

lateral epicondylitis (tennis elbow)
pain where?
tested by?

A

pain on common extensor origin of lateral epicondyle

test by resisted active wrist extension

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23
Q

medial epicondylitis (golfer’s elbow)
pain where?
tested by?

A

medial epicondyle at insertion site of wrist flexors/pronator group
test by resisted active wrist flexion

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24
Q

how to test collateral ligaments

A

varus force to lateral ligament

valgus for ce to medial ligament

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25
Q

how many carpal bones?

A

8

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26
Q

anatomic snuffbox is distal to

A

radial styloid process

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27
Q

thumb opposition

A

thumb touches each finger

28
Q

carpal tunnel syndrome

pain?

A

first 3 fingers, and medial 4th

29
Q

carpal tunnel syndrome tests

most sensitive?

A

abduction of thumb (most sensitive)
tinel’s sign
phalen’s sign

30
Q

tinel’s sign

A

tingling with tapping carpal tunnel

31
Q

phalen’s sign

A

numbness or tingling while pressing back of hands together for 60 seconds

32
Q

vertebra prominens

A

spinous process of C7

33
Q

5 points

A
  1. vertebra prominens
  2. L2
  3. L4-LF intervertebral space
  4. iliac crests
  5. dimples of venus/sacroiliac joints
34
Q

flexion of the neck may produce paresthesia down the arms and legs
diagnosis?
what sign?

A

multiple sclerosis or spondylosis

Lhermitte’s sign

35
Q

downwards pressure on neck may produce symptoms of what?
what manuevre?
accentuated by?

A

vertebral foramina narrowing
Spurling’s manuevre
pressing down during lateral flexion

36
Q

increasing intrathecal pressure may induce pain
diagnosis?
what maneuvre?

A

tumor or disc collapse?

Valsalva maneuvre

37
Q

test for thoracic outlet obstruction
what maneuvre?
how?
positive is?

A

Adson maneuvre
arm is raised, externally rotated, and head also rotated
pulse is felt and bruit over subclavian

38
Q

lumbar range of motion

A

supine extension-20

rotation-45

39
Q

hip flexion increase

A

C7-T12 increase by 1 inch

T12-S1 increase by 3 inches

40
Q

Bragard test

A

ankle dorsiflexion

41
Q

Lasegue test

A

popliteal pressure

42
Q

2 phases of gait

A

swing and stance

43
Q

bony landmark, both anterior and posterior

A

greater trochanter

44
Q

flexion deformity of hip

A

opposite knee hoes into flexion

45
Q

trendelenburg test

A

gluteus medius

pelvis drops on the non weight-bearing side

46
Q

thomas test

A 
hip flexors (rectus femoris, ilipsoas, iliotibial)
one hip flexed, other will also flex
47
Q

the two condylar tibiofemoral joints are what type of joints

A

condylar

48
Q

insertion of patellar tendon

A

tibial tubercle

49
Q

pes anserine bursa position

A

posteromedial knee

50
Q

abduction or valgus stress test for

A

MCL

51
Q

adduction or varus stress test for

A

LCL

52
Q

anterior drawer sign, Lachman test

A

ACL

53
Q

posterior drawer sign

A

PCL

54
Q

McMurray test

A

Menisci

55
Q

bending backwards of knee

A

recurvatum

56
Q

test for small effusions in knee

A

bulge test

57
Q

pivot shift test

for? how?

A

anterior cruciate tear

flex knee, valgus force

58
Q

position of triangular deltoid ligament

A

medial

59
Q

ankle flexior or?

A

plantar flexion

60
Q

ankle extension or?

A

dorsiflexion

61
Q

assess tibiotalar joint

A

plantarflex and dorsiflex

62
Q

assess subtalar (talocalcaneal) joint

A

invert and evert the heel

63
Q

assess transverse tarsal joint

A

invert and evert forefoot

64
Q

assess metatarsophalangeal joints

A

flex toes

65
Q

flexion of IP joints secondary to plantar subluxation of MTP joints

A

claw foot

66
Q

test for rupture of achilles tendon

A

Thompson/ Simmond’s test

67
Q

palpate calcaneal bursa

A

heel

Harrison's Internal Medicine (2 decks)

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