Page: 28-29 (Clinical Orthopedics: Malignering, AS, Meningeal Irritation, Other Useful Tests)

Question 1

At the beginning of the case history, patient is asked to point to the site of pain on the back; the examiner marks it with a skin pencil. Later on, the patient is again asked to point to the site of pain.

• Positive (+): The patient does not point to the same point
  a. ) Burn’s bench test
  b. ) Hoover’s sign
  c. ) Laseque’s sittiing
  d. ) Magnusson’s
  e. ) Mannkopf’s sign

Answer 1

d.) Magnusson’s

Question 2

Patient instructed to kneel on a table 18 inches from floor, bend forward at the trunk, and touch the floor. Doctor holds ankles.

• Positive (+): Patient refuses to perform.
  a. ) Burn’s bench test
  b. ) Hoover’s sign
  c. ) Laseque’s sittiing
  d. ) Magnusson’s
  e. ) Mannkopf’s sign

Answer 2

a.) Burn’s bench test

Question 3

Doctor takes resting pulse rate. Dr. then applies pressure over painful area and takes pulse rate again.

• Positive (+): an increase of 10 beats per minute.
  a. ) Burn’s bench test
  b. ) Hoover’s sign
  c. ) Laseque’s sittiing
  d. ) Magnusson’s
  e. ) Mannkopf’s sign

Answer 3

e.) Mannkopf’s sign

Question 4

Patient supine. Doctor places on hand under each heel and asks patient to lift affected limb.

• Positive (+): Dr. doesn’t feel the unaffected side pressing downward.
  a. ) Burn’s bench test
  b. ) Hoover’s sign
  c. ) Laseque’s sittiing
  d. ) Magnusson’s
  e. ) Mannkopf’s sign

Answer 4

b.) Hoover’s sign

Question 5

The patient is sitting upright on the edge of a table or chair which has no backrest. The examiner faces the patient and usually under the guise of “checking circulation” extends the patient’s leg below the knee, one at a time, so that the limb is parallel with the floor.

• Positive (+): No pain when there has been a +SLR
  a. ) Burn’s bench test
  b. ) Hoover’s sign
  c. ) Laseque’s sittiing
  d. ) Magnusson’s
  e. ) Mannkopf’s sign

Answer 5

c.) Laseque’s sittiing

Question 6

Which orthopedic exams are used to test malingering?

Answer 6

• Burn’s bench test
• Hoover’s sign
• Lasegue’s sitting
• Magnusson’s
• Mannkopf’s

Question 7

Which orthopedic test when positive (+) indicates that the patient is not a maligner?

a. ) Burn’s bench test
b. ) Hoover’s sign
c. ) Laseque’s sittiing
d. ) Magnusson’s
e. ) Mannkopf’s sign

Answer 7

e.) Mannkopf’s sign

Question 8

What is the range of normal chest expansion?

Answer 8

1.5 - 3 inches

Question 9

1. ) A positive (+) Chest Expansion Test in WOMEN?

2. ) A positive (+) Chest Expansion Test in MEN?

Answer 9

1. ) less than 1.5 inches

2. ) less than 2 inches

Question 10

The tape measure is placed around the _____ intercostal space for the Chest Expansion Test?

a. ) 2nd
b. ) 4th
c. ) 6th
d. ) 7th

Answer 10

b.) 4th

Question 11

When a patient is asked to go from a side lying position to a seated position, this is called?

Answer 11

Amoss sign

Question 12

What orthopedic tests are used to diagnosis Ankylosing Spondylitis?

Answer 12

• Chest expansion test
• Forrestier’s bowstring sign
• Lewine supine test
• Amoss sign

Question 13

A patient with Meningeal Irritation will present with what signs/symptoms?

Answer 13

• fever
• headache
• photophobia
• nuchal rigidity

Question 14

What orthopedic exams are used to diagnosis Meningitis?

Answer 14

• Kernig’s sign

- Brudzinski sign

Question 15

What is a positive (+) for Kernig’s sign?

a. ) Buckling of the patient’s knees
b. ) Resistance causing a kicking motion

Answer 15

b.) Resistance causing a kicking motion

K = K

Question 16

What is a positive (+) for Brudzinski sign?

a. ) Buckling of the patient’s knees
b. ) Resistance causing a kicking motion

Answer 16

a.) Buckling of the patient’s knees

B = B

Question 17

Evaluation of CSF fluid with Menigitis shows an INCREASE in PROTEIN. Is it viral or bacterial caused?

Answer 17

viral

Question 18

Evaluation of CSF fluid with Menigitis shows an DECREASE in GLUCOSE. Is it viral or bacterial caused?

Answer 18

bacterial

Question 19

Dr. applies finger pressure over mastoid process. Pressure increased until patient expresses discomfort?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 19

e.) Libman’s

Question 20

The patient spontaneously grasps the head with both hands when rising from the recumbent position?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 20

a.) Rust sign

Question 21

When arising from a supine position, patient turns to prone position and then climbs up on themselves?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 21

c.) Gower’s sign

Question 22

Patient seated or supine. Patient actively/passively flexes head toward chest?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 22

d.) Lhermitte’s sign

Question 23

Patient supine in the 90/90 position. Dr. squeezes calf and dorsiflexes the foot simultaneously?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 23

b.) Homan’s sign

Question 24

Which of the following orthopedics exams is indicative of Cervical instability due to sprain/strain, fracture of RA?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 24

a.) Rust sign

Question 25

Which of the following orthopedics exams is indicative of Deep Vein Thrombosis?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 25

b.) Homan’s sign

Question 26

Which of the following orthopedics exams is indicative of Muscular Dystrophy?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 26

c.) Gower’s sign

Question 27

Which of the following orthopedics exams is used to determine pain threshold of the patient?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 27

e.) Libman’s

Question 28

Which of the following orthopedics exams is indicative of Multiple Sclerosis, Myelopathy, and other demyelinating cord lesions?

a. ) Rust sign
b. ) Homan’s sign
c. ) Gower’s sign
d. ) Lhermitte’s sign
e. ) Libman’s

Answer 28

d.) Lhermitte’s sign

Question 29

Patient raises both arms over head while seated and laterally bends to both sides?

a. ) Forrestier’s bowstring sign
b. ) Schepelmann’s sign
c. ) O’Donohue’s test
d. ) Dejerine’s triad

Answer 29

b.) Schepelmann’s sign

Question 30

Patient actively moves against resistance, and then the Dr. passively moves the part through a full ROM. Can be performed on any joint?

a. ) Forrestier’s bowstring sign
b. ) Schepelmann’s sign
c. ) O’Donohue’s test
d. ) Dejerine’s triad

Answer 30

c.) O’Donohue’s test

Question 31

Patient reports that pain is brought on by coughing, sneezing, or straining at the stool?

a. ) Forrestier’s bowstring sign
b. ) Schepelmann’s sign
c. ) O’Donohue’s test
d. ) Dejerine’s triad

Answer 31

d.) Dejerine’s triad

Question 32

Which of the following orthopedics exams is indicative of a SOL?

a. ) Forrestier’s bowstring sign
b. ) Schepelmann’s sign
c. ) O’Donohue’s test
d. ) Dejerine’s triad

Answer 32

d.) Dejerine’s triad

Question 33

A positive (+) Schepelmann’s sign on the CONCAVE side is indicative of _____?

a. ) Pleurisy
b. ) Intercostal neuralgia
c. ) Myofascitis

Answer 33

b.) Intercostal neuralgia

Question 34

A positive (+) Schepelmann’s sign on the CONVEX side is indicative of _____?

a. ) Pleurisy
b. ) Intercostal neuralgia
c. ) Myofascitis

Answer 34

a. ) Pleurisy

c. ) Myofascitis

Question 35

A positive (+) O’Donohue’s test during PASSIVE ROM is indicative of _____?

a. ) Sprain
b. ) Strain
c. ) Myofascitis
d. ) None inclusive

Answer 35

a.) Sprain

Question 36

A positive (+) O’Donohue’s test during ACTIVE ROM is indicative of _____?

a. ) Sprain
b. ) Strain
c. ) Myofascitis
d. ) None inclusive

Answer 36

b.) Strain