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Emma's NPLEX II Other Modalities > Orthopedic Tests Video > Flashcards

Orthopedic Tests Video Flashcards

1
Q

DVT, what would you expect to find on physical exam?

A. absence of pleural rub
B. (+) Homan’s sign
C. High ankle BP
D. (=) Trendelenburg test

A

B. (+) Homan’s sign

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2
Q

Left shoulder pain d/t bicipital tendonitis Point tenderness suggests there may be inflammation or injury to _________ and you confirm this by performing ________.

A. Bicipital tendon; Neer’s test
B. Bicipital tendon; Speed’s test
C. Glenohumeral capsule; Neer’s test
D. Glenohumeral capsule; Speed’s test

A

B. Bicipital tendon; Speed’s test

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3
Q

A diagnosis of ____, supported if symptoms most aggravated by _______.

A. Bicipital tendon; abduction and ext rotation
B. Adhesive capsulitis; adduction and
pronation of the arm
C. Adhesive capsulitis; resisted flexion and
supination of the arm
D. Bicipital tendon; resisted flexion and
supination of the arm

A

D. Bicipital tendon; resisted flexion and

supination of the arm

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4
Q

Which of the following improves her range of motion and is safe and effective?

A. isometric shoulder exercises
B. over-the-head free-weight lifting
C. “wall climbing” shoulder exercises
D. None, exercise contraindicated

A

C. “wall climbing” shoulder exercises

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5
Q

What’s a Ddx for the vertebral column?

A

Scoliosis, TOS, sciatica, disc herniation, meningitis, vertebral artery compression, space occupying lesion

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6
Q

What’s Adam’s sign for?

How do you perform?

A

Structural scoliosis

Involves having patient bend forward

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7
Q

What’s Adson’s test for?

How do you perform?

A

TOS

Involves taking radial pulse and lifting arms to see if pulse is still detected

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8
Q

What’s Braggard’s test for?

How do you perform?

A

Sciatica d/t IV herniation

During SLR, dorsiflex foot of leg that’s raised

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9
Q

What’s Bechterew’s test for?

How do you perform?

A

Sciatica

Involves extending knees while seated

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10
Q

What’s Burn’s bench test for?

How do you perform?

A

Malingering

Touch floor while kneeling on a chair (hence, why it is a bench test)

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11
Q

What’s Cervical Spine Compression test for?

How do you perform?

A

Nerve root compression

Push down on the head

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12
Q

What’s Cervical Spine Distraction test for?

How do you perform?

A

Nerve root impingement

Pull up on head ((+) decrease of pain)

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13
Q

What’s East’s or Roos’ test for?

How do you perform?

A

TOS

Hands up! Open/close hands for 3 minutes.

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14
Q

What’s Hoover’s test for?

How do you perform?

A

Malingering

Supine, flex hip

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15
Q

What’s Kemp’s test for?

How do you perform?

A

Disc herniation

Rotate, extend, lat flex - push on lumbar Ups

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16
Q

What’s Kernig’s test for?

How do you perform?

A

Meningitis

Flex hip then extend knee

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17
Q

What’s Lasegue’s test for?

How do you perform?

A

Disc herniation or sciatica

Straight leg raise

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18
Q

What’s Linder’s test for?

How do you perform?

A

Sciatica

Supine, flex neck

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19
Q

What’s Milgram’s test for?

How do you perform?

A

Disc herniation

Supine, raise extended legs for 30 secs

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20
Q

What’s Minor’s sign for?

How do you perform?

A

Sciatica

Sit then stand and put one hand on back

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21
Q

What’s shoulder depression test for?

How do you perform?

A

Brachial plexus lesion

Apply pressure down on shoulder, flex head

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22
Q

What’s soto hall test for?

How do you perform?

A

Disc herniation

SLR + flex head

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23
Q

What’s valsalva test for?

How do you perform?

A

Space occupying lesion

bear down

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24
Q

What’s vertebral artery test for?

How do you perform?

A

Vertebral art. compression

Extend head, lat flex, rot – hold 30 sec

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25
Q

What’s Wright’s test for?

How do you perform?

A

TOS

Palpate both radial pulses, raise arms

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26
Q

What’s the Ddx for the shoulder?

A

rotator cuff tear, tendinitis, dislocation

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27
Q

What’s Apley’s scratch test for?

How do you perform?

A

Rotator cuff tear, tendinitis

Touch finger tips to middle of back

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28
Q

What’s Drop arm test for?

How do you perform?

A

Rotator cuff tear

Abduct both arms to 180, then move them down in adduction

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29
Q

What’s glenohumeral apprehension test for?

How do you perform?

A

Dislocated shoulder

Cross painful arm, push on elbow toward painful shoulder

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30
Q

What’s impingement test for?

How do you perform?

A

Shoulder lesion

Abduct arm, rotate medially + passively elevate it

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31
Q

What’s Lippman’s test for?

How do you perform?

A

Bicipital tendinosis

Palpate bicipital groove

32
Q

What’s speed’s test for?

How do you perform?

A

Bicipital tendinosis

Resisted shoulder flexion

33
Q

What’s Yergason’s test for?

How do you perform?

A

Bicipital tendinosis

Flex elbow, resists supination/lateral rotation

34
Q

Ddx Wrist/Hand/Elbow?

A

tennis elbow, dequervain’s, carpal tunnel

35
Q

What’s Cozen’s test for?

How do you perform?

A

Tennis elbow (extensor tendonitis / lateral epicondylitis)

Resisted wrist extension in pronated/flexed arm

36
Q

What’s Finkelstein’s test for?

How do you perform?

A

De Quervain’s disease

Hold thumb in hand and ulnar deviate

37
Q

What’s Mill’s test for?

How do you perform?

A

Tennis elbow (lateral epicondylitis)

Palpate lateral epicondyle

38
Q

What’s Phalen’s test for?

How do you perform?

A

Carpal tunnel

Backwards prayer

39
Q

What’s Retinacular test for?

How do you perform?

A

Tight reticular ligament or capsule

Hold PIP, flex DIP, Flex PIP, Flex DIP

40
Q

What’s Tinel’s sign for?

How do you perform?

A

Carpel tunnel

Tap over median nerve

41
Q

What’s valgus/varus stress test for?

How do you perform?

A

Med/Lat collateral lig instability
(Valgus is medial both 6 letters)

Apply stressors

42
Q

What’s a Ddx for the hip/pelvis?

A

TFL contracture, SI lesion, spondylolithesis, dislocation, gluteus weakness

43
Q

What’s ely’s test for?

How do you perform?

A

Tight rectus femoris, lumbar lesion, contracture of TFL, osseous hip lesion

Prone, flex knee to butt

44
Q

What’s Gaenslen’s test for?

How do you perform?

A

SI lesion, hip pathology, likely L4 lesion

Supine, one leg off table, bring the other knee to your chest

45
Q

What’s Hibb’s test for?

How do you perform?

A

Spondylolithesis, facet syndrome, SI lig sprain

Prone, flex knee, move leg laterally

46
Q

What’s Nachla’s test for?

How do you perform?

A

Tight rectus femoris, upper lumbar lesion

Prone knee bending

47
Q

What’s Ober’s test for?

How do you perform?

A

Contraction of TFL

Lateral decubitus, affected leg up, flex knee, raise leg, let it fall

48
Q

What’s Ortolani click test for?

Who are you doing this test on?

How do you perform?

A

Congenital hip dislocation

An infant only

Flex hip/knees, abduct/rotate hips

49
Q

What’s Patrick’s test for?

How do you perform?

A

Hip arthritis, bursitis, lig sprain

Cross legs (tabletop)

50
Q

What’s pelvic rock test for?

How do you perform?

A

SI lesion

Rock the pelvis back and forth

51
Q

What’s Telescoping test for?

Who are you doing this test on?

How do you perform?

A

Congenital hip dislocation

infant only

Move legs like you are adjusting a telescope

52
Q

What’s Thomas’ test for?

How do you perform?

A

Tight hip flexor

Bring knee to chest while supine

53
Q

What’s Tredenlenburg test for?

How do you perform?

A

Glut med weakness

Stand, flex 1 knee

54
Q

What’s Yeoman’s test for?

How do you perform?

A

SI joint dysfunction

Prone, extend hip with knee extended/flexed

55
Q

Ddx the Knee?

A

ACL, PCL, lat/med meniscus, collat ligs, patella

dislocation, chondromalacia patella, effusion

56
Q

What’s Ant/Post drawer test for?

How do you perform?

A

ACL/PCL Tear

Sit on foot, pull leg

57
Q

What’s Apley’s compression test for?

How do you perform?

A

Medial/Lateral meniscus tear

Apley’s coMpression = Meniscus

push ankle, while knee is flexed in prone

58
Q

What’s Apley’s distraction test for?

How do you perform?

A

Collateral Ligament sprain

Apley’s distraction = Ligament

pull ankle, while knee is flexed in prone

59
Q

What’s apprehension compression test for?

How do you perform?

A

Patellar dislocation

Press patella laterally

60
Q

What’s bounce home test for?

How do you perform?

A

Torn meniscus

Passively extend knee “bounce home”

61
Q

What’s lachman’s test for?

How do you perform?

A

ACL injury

Move tibia forward to femur

62
Q

What’s McMurray test for?

How do you perform?

A

Meniscus fragment in joint

Flex patient hip and knee, internally/externally rotate knee

63
Q

What’s Patellar femoral grinding test for?

How do you perform?

A

Chondromalacia patella

Press on patella while patient contracts quads

64
Q

What’s Reduction click for?

How do you perform?

A

Menisci fragment in joint

65
Q

What’s valgus/varus stress test for (knee)?

How do you perform?

A

MCL/LCL sprains

Valgus/Medial

66
Q

What’s the knee joint effusion tests for?

How do you perform?

A

Ballot, bulge

Bulge test = minor effusion
(milk medial side of patella, then stroke lateral side)

Ballot = major effusion

67
Q

What’s the Ddx of the ankle/foot?

A

med/lat talofibular lig, hypertonic gastrocs, foot defect, stress fracture, DVT, flat feet, tibial torsion

68
Q

What’s the ant/post drawer tests for? (ankle)

How do you perform?

A

Medial/Lateral Talofibular ligament lesion

Excess motion on side the ankle turns away from

69
Q

What’s the dorsiflexion test?

How do you perform?

A

Gastrocnemius/soleus hypertonicity

Dorsiflex ankle

70
Q

What’s the Forefoot adduction test?

Who do you test this on?

How do you perform?

A

Forefoot adduction test

Structural foot defect (for INFANTS)

Excessive forefoot adduction, try to bring foot to neutral position

71
Q

What’s the Forefoot squeeze test?

How do you perform?

A

Stress fracture or neuroma

Squeeze metatarsal heads

72
Q

What’s the Homan’s sign?

How do you perform?

A

DVT

Dorsiflex patient’s foot

73
Q

What’s the talor tilt test?

How do you perform?

A

Torn calcaneofibular ligament

Talus is tilted from side to side

74
Q

What’s test for rigid or supple flat feet?

How do you perform?

A

Observe arch in three positions (standing, standing on toes, seated)

Rigid flat feed: no arch present

Supple: Arch absent only while standing

75
Q

What’s the Thompson’s test?

How do you perform?

A

Ruptured Achille’s Tendon

Squeeze gastrocs toward midline

76
Q

What’s the tibial torsion test?

How do you perform?

A

Measure angles between malleoli Toe-in or toe-out torsion

Emma's NPLEX II Other Modalities (9 decks)

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