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NMS practical > OSCE 3- tests > Flashcards

OSCE 3- tests Flashcards

1
Q

apley scratch

A

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

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2
Q

significance of apley scratch

A

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

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3
Q

apprehension

A

doctor abducts and externally rotates shoulder

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4
Q

significance of apprehension

A

anterior shoulder dislocation

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5
Q

codman’s

A

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

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6
Q

significance of codman’s

A

rotator cuff/supraspinatus injury

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7
Q

dawbarn’s

A

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

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8
Q

significance of dawbarn’s

A

evaluates subacromial bursitis

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9
Q

dugas

A

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

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10
Q

significance of dugas

A

cannot touch elbow to chest (anterior shoulder dislocation)

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11
Q

impingement

A

arm is slightly abducted and moved fully through flexion by doctor

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12
Q

impingement significance

A

pain could mean DJD, supraspinatus/bicipital irritation

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13
Q

speed’s

A

resistance to flexion of the shoulder

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14
Q

speed’s significance

A

pain in bicipital groove (bicipital tendinitis

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15
Q

supraspinatus press

A

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

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16
Q

supraspinatus press significance

A

weakness/pain means a supraspinatus tear

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17
Q

yergason’s

A

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

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18
Q

yergason’s significance

A

pain or pop means transverse humeral ligament rupture or bicipital tendinitis

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19
Q

load and shift

A

push humeral head forward and backward

grab elbow, press down

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20
Q

load and shift significance

A

loose ligaments of the shoulder

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21
Q

lift off test

A

patient puts hand on back and lifts it off their back

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22
Q

lift off test significance

A

loose ligament of shoulder

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23
Q

O’Brein’s

A 
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
24
Q

O’Brein’s

A

pain means labral tear

25
Q

elbow flexion

A

hold elbow in flexion for 5 minutes

26
Q

elbow flexion significance

A

cubital tunnel syndrome (ulnar)

27
Q

tinel’s at elbow

A

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

28
Q

tinel’s at elbow significance

A

neuritis at ulnar or radial nerve

29
Q

cozen’s

A

clench fist, dorsiflex and maintain pronated position

doctor applies flexion force

30
Q

cozen’s significance

A

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

31
Q

golfer’s elbow

A

flex elbow and supinate hand, doctor applies pressure to resist

32
Q

golfer’s elbow significance

A

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

33
Q

lift test

A

golfer’s + cozen’s

34
Q

lift test significance

A

pain could be at lateral or medial epicondyle

35
Q

ligamentous instability

A

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

36
Q

ligamentous instability significance

A

laxity, decreased mobility, altered pain

37
Q

mill’s

A

forearm, wrist and fingers passively flexed, arm is pronated

38
Q

mill’s significance

A

pain= lateral epicondylitis

39
Q

tinel’s at wrist

A

tap over carpal tunnel

40
Q

tinel’s at wrist significance

A

irritation of median nerve

41
Q

phalen’s

A

flex wrists and push them together firmly

42
Q

phalen’s significance

A

carpal tunnel

43
Q

reverse phalen’s

A

extend wrists and press together firmly

44
Q

reverse phalen’s significance

A

carpal tunnel syndrome

45
Q

froment’s

A

grab paper between thumb and index finger

doctor pulls away

46
Q

froment’s significance

A

ulnar nerve paralysis (addector pollicis longus)

47
Q

pinch grip

A

pinch paper between tips of thumb and index finger

48
Q

pinch grip significance

A

anterior interosseous nerve engrapment

49
Q

bunnell-littler

A

flex each of the joints of the finger

50
Q

bunnell-littler significance

A

joint will feel tight, osteoarthritis

51
Q

finkelstein’s

A

thumb in fingers, ulnar and radial veviate

52
Q

finkelstein’s significance

A

pain= tenosynovitis of the thumb

abductor pollicis longus, extensor pollicis bravis

53
Q

mannkopf’s sign

A

find area of pain and palpate radial pulse

if pulse increases more than 10 BPM, they are truthful

54
Q

mannkopf’s sign significance

A

evaluate for non-organic pain

55
Q

wrist ROM

A

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

56
Q

elbow ROM

A

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

57
Q

shoulder ROM

A

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

NMS practical (18 decks)

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