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NMS 2 > Orthopedic Tests NMS I > Flashcards

Orthopedic Tests NMS I Flashcards

1
Q

Rust’s Sign

A

grasps head with both hands

Sprain, RA, FX, Sever subluxation

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2
Q

Libman’s Sign

A

apply pressure to mastoid increase pressure til it hurts

pain tolerance

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3
Q

Bakody Sign

A

place hand on head with elbow at level of ear>reduced pain

traction on Brachial Plexus

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4
Q

Reverse Bakody Sign

A

pt. place hand on head>increase pain

TOS

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5
Q

Bikeles sign

A

Pt. abducts straight arm to 90º

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6
Q

Brachial Plexus Tension test

A

Pt. Hands behind head. Dr. Pulls back.

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7
Q

Dejerin’s Triad

A

coughing, sneezing, straining cause radicular Sx

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8
Q

Swallowing Test

A

pt. swallows>pain

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9
Q

Valsalva’s Maneuver

A

pt. breath in and bear down>dizzy

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10
Q

Barre Lieou

A

pt. seated shake head back and forth as fast as can>vertigo, dizziness, nystagmus, nausea, visual disturbances

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11
Q

Vertebrobasilar Artery Fxnal maneuver

A

pt. seated, Dr. auscultates (bell + diaphragm) carotid and subclavian bilat. Then plapates. Pt. Rotates and hyperextends counts backwards from 20>vertigo, dizziness, visual stuff, nausea

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12
Q

Dekleyn’s Test

A

pt. lying supine. Dr. rotates and hyperextends to one side. count back from 20>vertigo, dizziness, visual stuff, nausea

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13
Q

Distraction test

A

pull up on back of pt. head hold 30-60 sec

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14
Q

Foramina Compression Test

A

pt. rotates head side to side. Dr. pushes down on neutral head, then rotate head with pushing down

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15
Q

Jackson Compression test

A

pt. rotates head, then lateral bend. Dr. pushes on neutral head, then lateral flexed head 30-60 sec

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16
Q

Maximum Cervical Compression Test

A

pt. looks over shoulder

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17
Q

Spurling’s

A

pt. rotates, laterally bends. Dr. pushes on neutral head, then laterally flexes and extends head as far as tolerated while pushing down 30-60s. Head neutral give it a bop>pain, paresthesia

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18
Q

Lhermitte’s

A

pt. drops chin to chest Dr. then passively flexes>electric shock down spine

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19
Q

O’Donoghue $

A

cervical active ROM, passive ROM, resisted ROM

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20
Q

Kernig

A

flex hip and knee to 90º then extend leg>pain, flexion of opposite hip

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21
Q

Brudzinski

A

pt. supine flex head to xiphoid>pain, hip and knee flexion

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22
Q

Shoulder Depression Test

A

Dr. Push on head and shoulder opposite directions>radicular Sx

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23
Q

Soto-Hall

A

Dr. places hand on sternum of pt. then flexes pt’s head to chest>pain

24
Q

Allen’s Test

A

pt. rests forearms palms up, pump fist and hold. Dr. occludes Radial and Ulnar art. Open hand and release on side. Repeat with other side>greater than 5 sec filling time

25
Q

Adson’s Test

A

dr. palpates radial pulse then slightly ABduct ext. rotates arm. Pt. looks to same side extends neck and holds deep breath for 10s>paresthesia, decrease in amplitude

26
Q

Modified Adson’s

A

same as adsons but pt. rotates head away from side being tested>paresthesia, decrease in amplitude

27
Q

Halstead

A

palpate Radial pulse, dr. pulls down on affected arm pt. hyperextends neck, no change pt. rotates head to opposite side>paresthesia, decr. amplitude

28
Q

Allen’s MANEUVER

A

find pulse, pt in bicep flex position, rotate head away check pulse>absent pulse

29
Q

Roo’s Test

A

Hands up pump fist for 3 minutes>paresthesia

30
Q

Wright’s Test

aka hyperabduction test

A

feel pulse from lap to hail position>compare side to side for diminished pulse at what º

31
Q

Edens

A

feel pulse on lap palms up, pt. then pulls shoulders down, and back, hold breath for 10s>radicular pain, paresthesia

32
Q

Apley’s scratch test

A

pt. touches superior angle of opposite scap, then inf. angle of opposite scap>pain

33
Q

Apprehension Test

A

dr. abducts and externally rotates pt. shoulder>pt. shows apprehension or alarm and resists motion.

34
Q

Drop Arm Test

A

Passively abduct arm, dr. then drops arm>pt. unable to return arm slowly to side

35
Q

Dawbarn

A

Deep palpation of shoulder gets a tender area, dr. abducts arm while keeping pressure on that spot>painful spot moves

36
Q

Dugas Test

A

pt. grabs opposite shoulder then touches chest with elbow>cant do it

37
Q

Impingement Sign

A

Dr. moves pt’s arm through full flexion>pain

38
Q

Speed’s Test

A

Dr. resists flexion of shoulder>pain

39
Q

Supraspinatus Press test

A

Dr. resists abduction of shoulder at 90º. Shoulder is then angled 30º forward thumb down and dr. resists abduction>weakness pain

40
Q

Yergason’s

A

Pt. flexes elbow while seated, dr. resists supination of the hand>pain, pop over transverse humeral

41
Q

Load and Shift Test

A

Dr. stabilizes scapula, pushes humerus into glenoid, pushes forward, backward and pulls down>sulcus

42
Q

Lift Off Test

A

pt. puts back of hand in small of back push backwards>can’t do it

43
Q

O’Brien’s

A

Pt. Flex straight arm to 90º adducts 10-30º full supination, resistance. repeat in pronation>pain

44
Q

Elbow Flexion test

A

hold elbow in flexion for 5 min>paresthesia

45
Q

Tinels test at Elbow

A

tap groove btwn olecranon and lat. epicondyle repeat on med. epicondyle side>hypersensitivity

46
Q

Cozen’s Test

A

Pt. Clenches fist dorsiflexes it. Dr. stabilizes forearm and tests resistance>pain to lateral epicondyle

47
Q

Golfer’s Elbow

A

Pt. flexes fist. Dr. stabilizes forearm and tests resistance>pain to medial epicondyle

48
Q

Lift Test

A

Support forearm and lift 20lb sandbag with wrist fully supinated, then pronated>pain to lat. or med. epicondyle

49
Q

Ligamentous instability test

A

Stabilize elbow and wrist apply adduction forces and abduction force to elbow>laxity, mobility, pain

50
Q

Mill’s Test

A

pt. flexes forearm, wrist, fingers then pronates and extends forearm>pain to lateral epicondyle

51
Q

Tinel’s Sign

A

Tap carpal tunnel>tingling to median nv. distribution

52
Q

Phalen’s Test

A

Dr. flexes wrists and pushes them together 1 min

53
Q

Froments

A

Pt. grasps piece of paper between flat of thumb and forefinger, Dr. pulls it away>do pinch move

54
Q

Pinch Grip

A

Pinch tips of index finger and thumb>uses flats of fingers and thumb

55
Q

Bunnell Littler Test

A

MCP joint extended dr. moves PIP joint into flexion>cannot flex

56
Q

Finkelstein’s Test

A

Pt. makes a thumb tucked fist. Dr. Stabilizes forearm and ulnar deviates wrist>pain

57
Q

Mannkopf Sign

A

Dr. establishes pulse rate, applies pressure/pain to painful area>pulse increase 10 bpm

NMS 2 (3 decks)

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