NMS 1 written test 1

Question 1

What are the 4 types of proactive tests?

Answer 1

Stretch tests
Compression tests
Distraction
Mechanical Tests

Question 2

What is the cervical radiculopathy cluster?

Answer 2

• Spurling’s Test
• Upper limb tension test 1/a
• Distraction test
• Less than 60 degrees of cervical rotation towards involved side

Question 3

When all 4 of these clinical features are present, the post-test probability of cervical radiculopathy is 90%, if only three of the four test are positive the probability decrease to 65%.

Answer 3

The cervical radiculopathy cluster

Question 4

When feeling for a pulse, what attributes do you check for?

Answer 4

Amplitude, rate, rhythm

Question 5

A patient complains of numbness and tingling in one hand. Which of the following things could be wrong? CHOOSE ALL THAT APPLY.
a. Median nerve entrapment
b. Thoracic outlet syndrome
c. Intervertebral foramen stenosis
d. Herniated Disc

Answer 5

All of them

Question 6

Which of the following findings of the active supine occipito-atlantal cervical flexion test would indicate the lower cervical spine as being a part of the problem?
a. The patient can move their occiput 20 degrees
b. The patient cannot move their occiput 20 degrees
c. Both findings would indicate lower cervical involvement
d. Neither findings would indicate lower cervical involvement

Answer 6

a. The patient can move their occiput 20 degrees

Question 7

List 3 orthopedic tests that you would expect to be positive, indicating the patient’s problem was due to an intervertebral foraminal stenosis.

Answer 7

Spurling’s A
Modified Spurling’s
Maximum Cervical Compression Test

Question 8

What problems could exist if the patient has a positive Posterior Respiratory Excursion test?
a. Pneumonia
b. Strained Intercostal Muscle
c. Collapsed Lung
d. Fractured Rib

Answer 8

Pneumonia
Strained Intercostal Muscle
Collapsed Lung
Fractured Rib

Question 9

List 2 conditions that qualify as space occupying lesions

Answer 9

spinal cord tumor
spinal compression fracture

Question 10

List 3 orthopedic tests you would expect to be positive if the patient had a fractured rib

Answer 10

lateral chest compression test
costovertebral stress test
sternal compression test

Question 11

What position would you place the patient’s arm to place the shoulder in the open packed position?

Answer 11

Scaption of 60 degrees

Question 12

When performing the shoulder depression test on the patient’s left side, it produced radiating pain on the right side. What is happening to produce these results?

Answer 12

the facets on the right are being placed in a closed packed position which causes
narrowing of the IVF resulting in radiculopathy down the right arm

Question 13

Which structural characteristics limits rotation in the thoracic spine?

Answer 13

Rib approximation???

Question 14

Which of the following locations of compression is indicated by a positive hyperabduction test?
a. Between the clavicle and first rib
b. Between the anterior and middle scalene
c. Between the middle and posterior scalene
d. Between the pectoralis minor and the rib cage

Answer 14

d. Between the pectoralis minor and the rib cage

Question 15

What is happening to the left cervical facet joints when performing Maximum cervical compression on the right side?

Answer 15

Open packed position

Question 16

Which landmarks would be most appropriate to measure cervicothoracic flexion?

Answer 16

Occiput, L1

Question 17

Is the term dysfunction accurate for diagnosis? Why or why not?

Answer 17

No. Dysfunction is a finding that would lead to further testing to figure out the true diagnosis

Question 18

Which of the following findings are expected with radiculitis?
a. Sensory changes
b. Both
c. Motor changes

Answer 18

Sensory changes

Question 19

Which direction does the proximal clavicle move when the humerus extends (shoulder extension)?

Answer 19

Anterior

Question 20

When performing the shoulder depression test on the patient’s left side, it produces radiating pain on the right side. What is the result of this test?

Answer 20

Negative

Question 21

Which would be the best diagnosis following a series of exam procedures that produce positive findings indicating the patient has facet encroachment?

Answer 21

Facet sprain

Question 22

Spinal Percussion test of the thoracic spine is positive, what are the possible diagnoses?

Answer 22

Herniated Disc
Metastatic Tumor
Compression Fracture

Question 23

List 3 orthopedic tests you would expect to be positive, indicating the patient’s problems was due to a herniated disc

Answer 23

Valsalva maneuver
Soto-Hall test
Dejerine sign

Question 24

Which muscles would you target strengthening efforts to produce better upward rotation of the scapula?

Answer 24

Lower trapezius
Serratus anterior

Question 25

A patient presenting with symptoms that started after spraining their ankle while running around with their children in their backyard 6 months ago. They are refraining from running again due to fear of reinjuring themselves or exacerbating their symptoms. Which of the following categorizations is this patient most likely associated with?

Answer 25

Central sensitization

Question 26

Which 2 muscles work synergistically to keep the head of the humerus centered in the glenoid fossa during shoulder abduction?

Answer 26

Infraspinatus and subscapularis

Question 27

A patient presents with a headache. Which of the following orthos would you choose to prove the cervical spine is the contributing factor of their headaches? CHOOSE ALL THAT APPLY.

a. Occipito-Atlantal Flexion test
b. O’Donoghue’s
c. Cervical Flexion Rotation test
d. Prone Thoracic Extension

Answer 27

a. Occipito-Atlantal Flexion test
b. O’Donoghue’s
c. Cervical Flexion Rotation test