NMS II OSCE 1- tests

Question 1

adam’s position

Answer 1

patient bends forward at the waist, doctor observes for any change in scoliosis as the patient flexes forward at the waist

Question 2

amoss sign

Answer 2

when patient gets up from a lying position, the doctor observes for any pain and upper body strength

Question 3

beevor’s sign

Answer 3

patient is lying supine, lifts head from up off the table and lifts legs off the table. if there is a problem, then the umbilicus will deviate opposite the direction of abdominal muscle weakness

Question 4

chest expansion test

Answer 4

patient is standing. doctor wraps tape measure around 4th intercostal space. have patient to inhale and exhale maximally

Question 5

forestier bowstring sign

Answer 5

patient stands, bends laterally from side to side

Question 6

rib motion test

Answer 6

doctor places both hands on patient’s chest at the sternocostal angle while patient is supine. doctor is observing for movement of ribs as patient inhales and exhales

Question 7

Schepelmann’s sign

Answer 7

patient is seated ith arms extended over head and laterally flexes to left and right

Question 8

antalgia sign

Answer 8

doctor watches for patient to maintain a posture to alleviate pain

Question 9

straight leg raiser

Answer 9

patient is supine, doctor raises leg with knee straight and keeps going until there is pain

Question 10

bragards sign

Answer 10

if a patient has a positive straight leg raiser, doctor lowers leg a little and dorsiflexes the foot and asks if there’s pain

Question 11

sicard’s sign

Answer 11

if straight leg raiser and bragards’ sign is positive, bring leg down and dorsiflex big toe

Question 12

bechterew’s test

Answer 12

patient is seated on table with back straight, patient extends leg. if no pain, put pressure on thigh and have them extend again

Question 13

kernig

Answer 13

patient lays supine, doctor flexes leg to 90 degrees and extends leg

Question 14

brudzinski

Answer 14

patient supine, doctor flexes sternum toward xiphoid process

Question 15

lasegue

Answer 15

patient supine and flexes leg to 90 degrees. doctor extends leg

Question 16

lindner’s sign

Answer 16

patient is supine or seated and doctor flexes head toward xiphoid process

Question 17

milgram’s

Answer 17

patient lifts legs 6 inches off table and holds there for 30 seconds

Question 18

minor sign

Answer 18

patient has to use upper body strength to get up from a sitting position

Question 19

nachalas’s

Answer 19

patient is prone, doctor flexes patient’s leg to ipsilateral buttocks

Question 20

quick test

Answer 20

patient bends to a squatting position and bounces up and down 3 times

Question 21

bilateral leg lowering test

Answer 21

patient is supine. doctor brings legs up as far as they will go, patient brings them down slowly.
doctor tells them to stop at 45 degrees before going all the way down

Question 22

slump test

Answer 22

patient is seated and maximally slumped. have them extend their knee

Question 23

crossed straight leg raiser

Answer 23

SLR on the asymptomatic side

Question 24

Fajersztajn’s sign

Answer 24

braggard’s on the asymptomatic side

Question 25

cox sign

Answer 25

when the patient lifts the ipsilateral hip to alleviate pain

Question 26

ely’s test

Answer 26

patient is supine. doctor takes leg and pushes heel to contralateral butt cheek

Question 27

femoral nerve traction test

Answer 27

patient lies on unaffected side, bottom leg bent at knee. doctor takes top leg and bend it back as far as it will go

Question 28

heel/toe walking test

Answer 28

have patient walk on toes

have patient walk on heels

Question 29

kemps test

Answer 29

patient is seated. have them start by bending forward on the side that doesn’t hurt. then roll them to the other side, extend them back and have them jut their belly out and push down on the shoulder