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NMS > NMS II > Flashcards

NMS II Flashcards

1
Q

Adam’s position revealed that the patient’s scoliosis did get better when bent over. What does this indicate?

A

could be because of subluxation, ligament sprain, muscle spasm

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2
Q

Adam’s position revealed that the patient’s scoliosis didn’t get better when bent over. What does this indicate?

A

hemivertebra

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3
Q

Amoss sign revealed that the patient has pain when trying to get up from a lying to sitting position. What does this indicate?

A

AS, sprain, IVD

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4
Q

Beevor’s sign revealed that the patient’s belly button deviated straight left. What does this indicate?

A

T7-12 deficit

abdominal muscles on the right are weak

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5
Q

Beevor’s sign revealed that the patient’s umbilicus deviated up and to the right. What does this indicate?

A

T11-12 deficit on the left

lower left abdominal muscles are weak

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6
Q

Beevor’s sign revealed that the patient’s umbilicus deviated down and to the left. What does this indicate?

A

T7-9 deficit on the right

upper right abdominal muscles are weak

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7
Q

Chest expansion test revealed that when inhaling, the chest expanded 1 inch. What does this indicate?

A

spinal ankylosis, rib fracture, sprain/strain

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8
Q

Chest expansion test revealed that when inhaling, the chest expended 3 inches. What does this indicate?

A

nothing! this is normal

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9
Q

Forestier bowstring sign revealed that ROM was less on left than the right. What does this indicate?

A

muscle spasm, AS, pain that inhibits motion, stacking

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10
Q

Rib motion test revealed that the T5 rib doesn’t move during expiration. What does this indicate?

A 
rib subluxation
muscle strain
pleuritis
fracture
arthridities
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11
Q

Shepelmann’s sign revealed that the patient has mid thoracic pain at the level of T2 on the left while they were bending to the right. What does this indicate?

A

Myalgia or myofasciitis

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12
Q

Shepelmann’s sign revealed that the patient has mid thoracic pain at the level of T2 on the left while they were bending to the left. What does this indicate?

A

Neuralgia (compression of the intercostal nerve

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13
Q

Patient shows an antalgic posture to the right because they have pain on the left when they stand straight. What does this indicate?

A

Posterolateral herniated disc

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14
Q

Patient shows an antalgic posture to the left because they have pain on the left when they stand straight. What does this indicate?

A

Posteromedial herniated disc

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15
Q

Patient shows an antalgic posture leaning forward because they have pain when they stand straight. What does this indicate?

A

Posterocentral herniated disc

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16
Q

When perforning straight leg raiser, the patient experienced pain. What does this indicate?

A

SOL, IVD lesion, sacroiliac or lumbosacral pain

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17
Q

hyndman’s sign

A

straight leg and raising neck increases pain due to subluxation, SOL or irritation

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18
Q

Patient shows a positive bragards sign. what does this indicate?

A

SOL, IVD lesion, sacroiliac or lumbosacral problem

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19
Q

Patient shows a positive sicard’s sign. What does this indicate?

A

irritation of L5 nerve root most commonly, L4 or S1 can also be the culprit

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20
Q

Patient shows pain when sitting up straight and extending their leg out. What does this indicate?

A

SOL, IVD irritation, sacroiliac or lumbosacral pain

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21
Q

Patient is slumped all the way over and dorsiflexes foot, when extends knee. What test is this?

A

slump’s

will have same findings as SLR

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22
Q

patient shows pain when you perform CSLR. What does this indicate?

A

posteromedial IVD bulge or herniation more likely

could also be posterolateral IVD bulge or herniation

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23
Q

If a patient experiences pain during Fajersztajn’s test, what does this indicate?

A

posteromedial IVD bulge or herniation

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24
Q

when performing SLR, your patient brings up their hip to alleviate the pain. What sign is this? What does it indicate?

A

Cox sign

SOL, IVF encroachment, radiculopathy, nerve root, tension, sciatica

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25
Q

patient has pain in the anterior thigh and groin area, but it doesn’t radiate. What does this indicate? what test would you be doing?

A

indicates quadriceps muscle contracture

ely’s test

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26
Q

patient has pain in the anterior thigh and groin area, and radiates. What does this indicate? what test would you be doing?

A

indicates femoral nerve or upper lumbar spinal root comrpession
ely’s test

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27
Q

patient has pain in the anterior mid-thigh when you perform the femoral nerve traction test. What does this indicate?

A

L3 nerve root radiculopathy

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28
Q

patient has pain in the groin when you perform the femoral nerve traction test. What does this indicate?

A

L1 nerve root radiculopathy

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29
Q

patient can’t walk on their heels when you ask them to. What does this indicate?

A

L5 problem (L4 IVD)

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30
Q

patient can’t walk on their toes when you ask them to. What does this indicate?

A

S1 problem (L5 IVD)

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31
Q

Patient has pain in the left low back when you perform kemps. what does this indicate?

A

NR irritation or IVD herniation

radiculopathy

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32
Q

if patient has local pain with slight rotation on convex side during kemps test, what does this indicate?

A

capsulitis

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33
Q

if patient has local pain on extension or concave side during kemps test, what does this indicate?

A

facet problem

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34
Q

if patient has pain at waist during kemps test, what does this indicate?

A

lumbar spine sprain/strain

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35
Q

if patient has pain that radiates leg pain with flexion during kemps test, what does this indicate?

A

IVD lesion

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36
Q

patient has hip pain during lasegue test. what does this indicate?

A

hip pathology

37
Q

patient has thigh and leg pain during lasegue test. what does this indicate?

A

radiculopathy

38
Q

patient has bilateral pain during lasegue test. what does this indicate?

A

tight hamstrings

39
Q

patient has pain in the low back during lindner’s sign. what does this indicate?

A

nerve root irritation or inflammation

40
Q

supine lindner’s is the same as what other test? what does it indicate?

A

brudzinski

meningitis

41
Q

seated lindner’s is the same as what other test? what does it indicate?

A

lhermitte’s

cervical myelopathy/ meningitits

42
Q

patient has no pain when you perform milgram’s sign. what does this indicate?

A

possible weak core muscles

43
Q

patient has low back pain when you perform milgram’s sign. what does this indicate?

A

herniation or lumbar strain/sprain

44
Q

patient has to use thier upper body to get up. what sign is this? what does this indicate?

A 
minor's sign
SI joint lesion
L5 strain/sprain
lumbo-pelvic fracture
IVD syndrome
muscular dystrophy
sciatica
45
Q

you perform nachlas’s test and they have radiating pain. What does this indicate?

A

could be from femoral nerve or lumbar spinal root compression

46
Q

you perform nachlas’s test and they have localized pain. what does this indicate?

A

quads contracture

47
Q

you have patient perform the quick test and they have pain. what does this indicate?

A

they could have pain/crepitus or locking in the back, hips knees or ankles

48
Q

who should you not do this test on?

A

elderly or pregnant patients

49
Q

you have patient perform bilateral leg lowering test and they have pain. what does this indicate?

A

lumbo-sacral sprain/strain, facet syndrome or IVD lesion

50
Q

you have patient do the anterior innominate test and they had pain over the left SI joint. what does this indicate?

A

unilateral forward displacement of ilium, sacrum or SI joint sprain

51
Q

you perform the belt test on a patient and they have pain when they do it by themselves, but not when you hold their sacrum in place. what does this indicate?

A

SI joint problem

52
Q

you perform the belt test and they have pain during both parts. What does this indicate?

A

they have lumbar involvement

53
Q

you perform the erichsen’s test and they have pain in their SI joint. What does this indicate?

A

anterior SI ligament problem

54
Q

when you perform gaenslen’s test on the patient, they have radiating pain to the thigh or groin. what does this indicate?

A

they have SI joint sprain/instability

55
Q

you perform goldthwait’s test, the patient has pain before L5 and S1 separate. What does this indicate?

A

SI joint problem

56
Q

you perform smith peterson test, the patient has pain after L5 and S1 separate. What does this indicate?

A

lumbar problem

57
Q

you perform hibb’s test on the patient, and they have pain on the right. What does this indicate?

A

sacroiliac lesion on the right

58
Q

you perform iliac compression test and they have pain. What does this indicate?

A

posterior SI ligament sprain
SI joint inflammation
subluxation

59
Q

when performing lewen gaenselen’s test, there is pain. What does this indicate?

A

SI joint sprain/arthritis

60
Q

you perform yeoman’s test on the patient and they experience pain in the anterior thigh. what does this indicate?

A

iliopsoas or rectus femoris muscle contracture

femoral nerve irritation

61
Q

you perform yeoman’s test on the patient and they experience pain in the low back. what does this indicate?

A

anterior SI joint lesion

62
Q

you perform actual leg length on your patient and there is a left leg deficiency of 6mm. what does this indicate?

A

hip joint or long bone deficiency

63
Q

you perform apparent leg length on your patient and there is a right leg deficiency of 6mm. what does this indicate?

A

spinal or pelvic subluxation

64
Q

when you perform galaezzi’s sign, from the front they have a right short leg and when you look from the side, the left kmee appears behind the right knee. what does this indicate?

A

right leg has a short tibia

left leg has a short femur

65
Q

when you perform the anvil test, the patient feels pain in the heel. what does this indicate?

A

calcaneous, tibia or fibula fracture

66
Q

when you perform the anvil test, the patient feels pain in the hip. what does this indicate?

A

arthritis, femoral neck fracture, infection

67
Q

when performing gauvain’s sign, the patient’s abdominal muscles contract on the left. what does this indicate?

A

AVN
infection
fracture
gout

68
Q

when performing hip telescoping test, you hear and feel a click on the right hip. what does this indicate?

A

hip dislocation

hip dysplasia

69
Q

when performing patrick’s test, there is pain in the hip. what does this indicate?

A 
DJD
OA
RA
SCFE
AVN
fracture
strain/sprain
70
Q

when performing ober’s test, you notice the thigh remained abducted and there was some pain. what does this indicate?

A

iliotibial band contraction

71
Q

when performing thomas test, patient can’t keep their left leg on the table. what does this indicate?

A

iliopsoas contracture

72
Q

when performing trendelenburg’s test, their hip dropped on the right when they lifted the right leg up. what does this indicate?

A

weakness of hip abductors on the affected side

hip dysplasia

73
Q

when performing abduction stress test on the knee, there is pain and increased gapping of the knee joint. what does this indicate?

A

MCL rupture

74
Q

when performing adduction stress test on the knee. there is pain of the knee joint. what does this indicate?

A

LCL strain

75
Q

when performing apley’s compression, there is pain and crepitus when doing internal rotation. what does this indicate?

A

lateral meniscus problem

76
Q

when performing apley’s compression, there is pain and creptius when doing external rotation. what does this indicate?

A

medial meniscus problem

77
Q

when performing patella ballottment test, there is a spongy feeling of the patella. what does this indicate?

A

retropatellar effusion

intraarticular knee swelling

78
Q

when performing bounce home test, the patient cannot fully extend the knee and there is pain. what does this indicate?

A

meniscal tear

79
Q

when peforming clarke’s sign, the patient experiences pain. what does this indicate?

A

chondromalacia patella

degeneration of patellofemoral joint

80
Q

when performing mcmurray sign, the patient has pain and there is a clicking sound when internally rotating and valgus stress. what does this indicate?

A

lateral mensicus tear

81
Q

when perfomring mcmurray sign, the aptietn has pain and there is a clicking sound when externally rotating and varus stress. what does this indicate?

A

medial meniscus tear

82
Q

when doing the test of mcintosh, the patient stops you and they said “it feels like it’s going to pop out of place”. what does this indicate?

A

ACL tear

83
Q

when doing the lateral pivot shift maneuver, the patient says it feels like the knee is going to give out. what does this indicate?

A

ACL tear

84
Q

when performing lachman’s test, there is pain and increased translation. what does this indicate?

A

ACL rupture (grade 2 or 3)

85
Q

when performing the drawer test, there is increased translation when pushing on the knee and pain. what does this indicate?

A

PCL rupture

86
Q

what is the normal Q angle?

A

13- 18 degrees

87
Q

if the Q angle is less than 13, then what does this indicate?

A

patellofemoral dysfunction or patalla alta

88
Q

if the Q angle is more than 18, what does this indicate?

A

patellofemoral dysfunction

patella valgum

NMS (16 decks)

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