OSCE 3- tests

Question 1

apley scratch

Answer 1

patient puts hands over thier head and touches the opposite scapula. Then put hand below-behind her back

Question 2

significance of apley scratch

Answer 2

if there is a difference in how far they can reach then it could be degenerative tendonitis (supraspinatus)

Question 3

apprehension

Answer 3

doctor abducts and externally rotates shoulder

Question 4

significance of apprehension

Answer 4

anterior shoulder dislocation

Question 5

codman’s

Answer 5

patient’s arm is passively abducted. remove support above 90 degrees, makes deltoid contract suddenly

Question 6

significance of codman’s

Answer 6

rotator cuff/supraspinatus injury

Question 7

dawbarn’s

Answer 7

arm at side, deep palpation of shoulder, lift arm all the way up

Question 8

significance of dawbarn’s

Answer 8

evaluates subacromial bursitis

Question 9

dugas

Answer 9

place affected hand on opposite shoulder and attempt to touch elbow with chest

Question 10

significance of dugas

Answer 10

cannot touch elbow to chest (anterior shoulder dislocation)

Question 11

impingement

Answer 11

arm is slightly abducted and moved fully through flexion by doctor

Question 12

impingement significance

Answer 12

pain could mean DJD, supraspinatus/bicipital irritation

Question 13

speed’s

Answer 13

resistance to flexion of the shoulder

Question 14

speed’s significance

Answer 14

pain in bicipital groove (bicipital tendinitis

Question 15

supraspinatus press

Answer 15

shoulder abducted to 90 degrees, doctor provides resistance, shoulder then rotated and angled 30 degrees, patient’s thumb to the floor, resistance

Question 16

supraspinatus press significance

Answer 16

weakness/pain means a supraspinatus tear

Question 17

yergason’s

Answer 17

patient flexes elbow, doctor attempts to supinate hand, patient resists

Question 18

yergason’s significance

Answer 18

pain or pop means transverse humeral ligament rupture or bicipital tendinitis

Question 19

load and shift

Answer 19

push humeral head forward and backward

grab elbow, press down

Question 20

load and shift significance

Answer 20

loose ligaments of the shoulder

Question 21

lift off test

Answer 21

patient puts hand on back and lifts it off their back

Question 22

lift off test significance

Answer 22

loose ligament of shoulder

Question 23

O’Brein’s

Answer 23

patient flexes arm 90 degrees, elbow in extension
adduct arm 10-30 degrees with thumb up
downward pressure resisted
abduct arm 10-30 degrees with thumb down
downward pressure resisted

Question 24

O’Brein’s

Answer 24

pain means labral tear

Question 25

elbow flexion

Answer 25

hold elbow in flexion for 5 minutes

Question 26

elbow flexion significance

Answer 26

cubital tunnel syndrome (ulnar)

Question 27

tinel’s at elbow

Answer 27

tap above and below olecranon process on lateral (radial) and medial (ulnar) side

Question 28

tinel’s at elbow significance

Answer 28

neuritis at ulnar or radial nerve

Question 29

cozen’s

Answer 29

clench fist, dorsiflex and maintain pronated position

doctor applies flexion force

Question 30

cozen’s significance

Answer 30

pain is usually at lateral epicondyle (lateral epicondylitis), tennis elbow

Question 31

golfer’s elbow

Answer 31

flex elbow and supinate hand, doctor applies pressure to resist

Question 32

golfer’s elbow significance

Answer 32

pain is usually at medial epicondyle (medial epicondylitis), golfer’s elbow

Question 33

lift test

Answer 33

golfer’s + cozen’s

Question 34

lift test significance

Answer 34

pain could be at lateral or medial epicondyle

Question 35

ligamentous instability

Answer 35

elbow slightly flexed, press and make valgus and varus stress
compare with uninvolved elbow

Question 36

ligamentous instability significance

Answer 36

laxity, decreased mobility, altered pain

Question 37

mill’s

Answer 37

forearm, wrist and fingers passively flexed, arm is pronated

Question 38

mill’s significance

Answer 38

pain= lateral epicondylitis

Question 39

tinel’s at wrist

Answer 39

tap over carpal tunnel

Question 40

tinel’s at wrist significance

Answer 40

irritation of median nerve

Question 41

phalen’s

Answer 41

flex wrists and push them together firmly

Question 42

phalen’s significance

Answer 42

carpal tunnel

Question 43

reverse phalen’s

Answer 43

extend wrists and press together firmly

Question 44

reverse phalen’s significance

Answer 44

carpal tunnel syndrome

Question 45

froment’s

Answer 45

grab paper between thumb and index finger

doctor pulls away

Question 46

froment’s significance

Answer 46

ulnar nerve paralysis (addector pollicis longus)

Question 47

pinch grip

Answer 47

pinch paper between tips of thumb and index finger

Question 48

pinch grip significance

Answer 48

anterior interosseous nerve engrapment

Question 49

bunnell-littler

Answer 49

flex each of the joints of the finger

Question 50

bunnell-littler significance

Answer 50

joint will feel tight, osteoarthritis

Question 51

finkelstein’s

Answer 51

thumb in fingers, ulnar and radial veviate

Question 52

finkelstein’s significance

Answer 52

pain= tenosynovitis of the thumb

abductor pollicis longus, extensor pollicis bravis

Question 53

mannkopf’s sign

Answer 53

find area of pain and palpate radial pulse

if pulse increases more than 10 BPM, they are truthful

Question 54

mannkopf’s sign significance

Answer 54

evaluate for non-organic pain

Question 55

wrist ROM

Answer 55

flexion- 90 degrees
extension- 70 degrees
radial deviation- 20 degrees
ulnar deviation- 55 degrees

Question 56

elbow ROM

Answer 56

flexion: 140-150
extension: 0-10 degrees
supination: 90 degrees
pronation: 90 degrees

Question 57

shoulder ROM

Answer 57

flexion: 180 degrees
etension: 50 degrees
abduction: 180 degrees
adduction: 50 degrees
internal rotation: 90 degrees
external rotation: 90 degrees