Pages: 1-21 (Neuromusculoskeletal Diagnosis) Flashcards
1
Q
This ossifying hematoma is found in the adduction magnus muscle and is common in horseback riders. Which condition does this represent?
a. Pseudosarcoma
b. Prussian’s disease
c. Paget’s disease
d. Multiple myeloma
A
b. Prussian’s disease
2
Q
Dawbarn’s sign has an indication of _____?
a. posterior shoulder dislocation
b. subacromial bursitis
c. rotator cuff tear
d. lateral disc protrusion
A
b. subacromial bursitis
3
Q
Rotator cuff tear is a positive indication in which of the following?
a. Codman’s test
b. Dugas test
c. Yergason’s test
d. Mill’s test
A
a. Codman’s test
4
Q
Which muscle is usually torn in a positive Drop Arm’s test?
a. subscapularis
b. teres minor
c. infraspinatus
d. supraspinatus
A
d. supraspinatus
5
Q
Which test does not have indications of bicep tendon instability?
a. Abbott Saunders
b. Lundington’s
c. Yergason’s
d. Lewin’s
A
d. Lewin’s
6
Q
Perceptible click in the bicipital groove area is a positive finding in?
a. Yergason’s test
b. Speed’s test
c. Lundington’s test
d. Allen’s test
A
a. Yergason’s test
7
Q
Which can indicate DeQuervain’s disease?
a. Retinacular test
b. Phalen’s test
c. Finkelstein’s test
d. Allen’s test
A
c. Finkelstein’s test
8
Q
Knock knees are referred to as?
a. genu varum
b. genu valgum
c. genu recurvatum
d. all the above
A
b. genu valgum
9
Q
Which has a positive sign of the leg staying in abduction?
a. McMurray’s
b. Allis test
c. Ober test
d. Lachman’s test
A
c. Ober test
10
Q
Achilles tendon rupture is an indication of which of the following?
a. medial collateral ligament test
b. Thomas test
c. Thompson test
d. Patella Apprehension test
A
c. Thompson test
11
Q
Which artery is checked for bruits in the vertebrobasilar maneuver?
a. basilar
b. carotid
c. common iliac
d. aorta
A
b. carotid
12
Q
Which artery is checked for bruits in the vertebrobasilar artery functional maneuver?
a. subclavian
b. basilar
c. vertebral
d. femoral
A
a. subclavian
13
Q
Which test would have the patient in a cervical flexion position?
a. Adson’s
b. Wright’s
c. Halstead’s
d. Eden’s
A
d. Eden’s
14
Q
On x-ray, there is a cervical rib. Which of the following tests should be performed to rule out compression of the neuromuscular bundle?
a. Codman’s
b. Halstead’s
c. Adam’s
d. Maigne’s
A
b. Halstead’s
15
Q
Hip joint pathology is suspected. Which test should be performed?
a. Patrick’s test
b. Bracelet test
c. Shrivel test
d. Patella grinding
A
a. Patrick’s test
16
Q
What reflex should be performed for L5 neurological package?
a. patella
b. achilles
c. tibialis posterior
d. no reflex
A
c. tibialis posterior
- This is a tricky question… There is an actual reflex for L5. Although most chiropractic curriculums teach that there is no reflex here, questions like this can appear on the test.
17
Q
C5 disc is injured, which nerve will be affected?
a. C5
b. C6
c. C7
d. T1
A
b. C6
18
Q
What nerve is being tested in the L4 dermatome?
a. deep peroneal
b. femoral
c. superficial peroneal
d. sciatic
A
a. deep peroneal
19
Q
Which is not consistent with a lower motor neuron lesion?
a. Muscle weakness
b. Flaccid paralysis
c. Hypoactive deep tendon reflex
d. No fasciculations
A
d. No fasciculations
20
Q
The ability to tell the difference between two different weights is called?
a. graphesthesia
b. vibration
c. barognosis
d. stereognosis
A
c. barognosis
21
Q
Upper motor neuron lesions do not have?
a. muscle flaccidity
b. muscle spasticity
c. hyperactive deep tendon reflex
d. fasciculations
A
a. muscle flaccidity
22
Q
Which of the following is not always considered a pathological reflex?
a. Trommer’s
b. Hoffman’s
c. Babinski’s
d. Ankle clonus
A
c. Babinski’s
23
Q
A Babinski response is obtained upon stroking of the tibia:
a. Oppenheim’s
b. Gordon’s
c. Schaffer’s
d. Chaddock’s
A
a. Oppenheim’s
24
Q
Lack of elbow extension may show injury of the _____ nerve.
a. radial
b. ulnar
c. axillary
d. peroneal
A
a. radial
25
The _____ nerve is compressed in carpal tunnel syndrome.
a. radial
b. ulnar
c. median
d. axillary
c. median
26
Yergason's test is positive. What is the indication?
a. shoulder dislocation
b. lateral epicondylitis
c. bicipital tendon instability
d. meniscus tear
c. bicipital tendon instability
27
Which of the following has a positive sign of non-palpable biceps tendon?
a. Dugas
b. Lundington's
c. Yergason's
d. Dawbarn's
b. Lundington's
28
Which of the following can test for lateral epicondylitis?
a. Cozen's
b. Golfer's elbow test
c. Dawbarn's
d. Apley Scratch
a. Cozen's
29
Bow-legged is also known as?
a. genu varum
b. genu valgum
c. Dawbarn's test
d. Codman's test
a. genu varum
30
The doctor flexes the patient's neck to his chest and there is pain down the sciatic pathway of knee flexion is present. What does this indicate since this is Linder's test?
a. meningeal irritation
b. sciatica
c. multiple sclerosis
d. malignering
a. meningeal irritation
31
The classic test for meningitis is?
a. Lhermitte's sign
b. Linder's
c. Brudzinksi
d. Thompson
c. Brudzinksi
32
Which of the following have indications associated with multiple sclerosis?
a. Linder's
b. Brudzinksi
c. Kernig
d. Lhermitte's
d. Lhermitte's
33
Which of the following can test for a possible T10 nerve root lesion?
a. Kernig
b. Beevor's sign
c. Lhermitte's sign
d. Adam's sign
b. Beevor's sign
34
Stroke victims will most commonly have this type of paralysis?
a. diplegia
b. hemiplegia
c. paraplegia
d. quadriplegia
b. hemiplegia
35
Degeneration of both upper and lower motor neurons is associated with?
a. tabes dorsalis
b. AS
c. Huntington's chorea
d. amyotrophic lateral sclerosis
d. amyotrophic lateral sclerosis
36
Which is a sign of Duchenne muscular dystrophy?
a. Meryon's sign
b. Enlargement of the calves
c. Waddling gait
d. all the above
a. Meryon's sign
37
Which is included in the case history of a patient?
a. sex of patient
b. chief complaint
c. site of pain
d. all the above
d. all the above
38
Which is a reflex of the L4 neurological package?
a. Patella
b. Achilles
c. No reflex
d. Tibialis posterior
a. Patella
39
Paralysis of the long thoracic nerve will cause?
a. inability to flex latissimus dorsi
b. winged scapula
c. hemiplegia
d. inability to walk
b. winged scapula
40
Which muscle is not affected in Erb Duchenne Palsy?
a. Soleus
b. Biceps
c. Brachialis
d. Deltoid
a. Soleus
41
Which condition in newborns during the birth process which is characteristic of a waiter's tip?
a. Meralgia paresthetica
b. Marfan's syndrome
c. Erb Duchenne paralysis
d. Neurofibromatosis
c. Erb Duchenne paralysis
42
Stenosis or compression of the vertebral, carotid or basilar arteries are all indications for all of the following except?
a. Dekleyn's test
b. Hauntant's test
c. Barre-Leiou sign
d. Adson's test
d. Adson's test
43
Which artery is not auscultated in the vertebrobasilar artery functional maneuver?
a. Carotid
b. Subclavian
c. Vertebral
d. none of the above
c. Vertebral
44
Occlusion of the radial or ulnar artery is an indication in which test?
a. Hoover's
b. Allen's
c. Adson's
d. Libman's
b. Allen's
45
Positive indicator of tenosynovitis of the abductor pollicis longus is found in which test?
a. Hoover's
b. Tinel's
c. Golfer's elbow
d. Finkelstein's
d. Finkelstein's
46
Carpal tunnel syndrome is suspected in a 28 year old computer operator. Which test is most relevant?
a. Tinel's
b. Finkelstein's
c. McMurray's
d. Magnuson's
a. Tinel's
47
21 year old college football player has hurt his knee in an unfortunate tackle. Which test would be most relevant to use?
a. Apley's compression
b. Burn's Bench
c. Buerger's
d. Dugas
a. Apley's compression
48
Pain over the lateral epicondyle is found in which of the following tests?
a. Cozen's
b. McMurray's
c. Gofer's Elbow
d. Bounce Home
a. Cozen's
49
The corneal reflex is of which type?
a. visceral
b. superficial
c. pathological
d. deep tendon
b. superficial
50
Which does not test arterial insufficiency?
a. Allen's
b. Buerger's
c. Mill's Test
d. all the above
c. Mill's Test
51
Which of the following tests for carpal tunnel syndrome?
a. Finkelstein's
b. Tinel's
c. Wright's
d. Bakody's
b. Tinel's
52
Which if a positive for the Thompson test?
a. gapping of the fibula
b. absence of plantar flexion
c. pain at the patella
d. clicking or pain
b. absence of plantar flexion
53
Contracture of the iliotibial band is an indication of which test?
a. Ely's
b. Ober's
c. Tinel's
d. Hibb's
b. Ober's
54
Which muscle is most commonly torn in a positive Codman's test?
a. supraspinatus
b. infraspinatus
c. teres minor
d. subscapularis
a. supraspinatus
55
Protraction of the scapula is accomplished by?
a. teres minor
b. teres major
c. serratus anterior
d. subscapularis
c. serratus anterior
56
Medial epicondylitis is suspected. Which test should you perform?
a. Cozen's
b. Golfer's elbow
c. Tinel's
d. Mill's
b. Golfer's elbow
57
Constant itching sensations in cervical dermatome area, numbness of extremities and a positive Lhermitte's test are indicative of what?
a. syringomyelia
b. Neurofibromatosis
c. Tabes Dorsalis
d. Multiple sclerosis
d. Multiple sclerosis
58
Which is not part of Charcot's triad?
a. hyperreflexia
b. nystagmus
c. slurred speech
d. intention tremor
a. hyperreflexia
59
Charcot's triad is associated with?
a. syphilis
b. gonorrhea
c. multiple sclerosis
d. muscular dystrophy
c. multiple sclerosis
60
In muscle grading, complete range of motion in opposition to gravity is given a rating of?
a. normal
b. good
c. poor
d. fair
d. fair
61
In muscle grading complete ROM with some resistance is given a rating of?
a. 0
b. 1
c. 2
d. 4
d. 4
62
Multiple sclerosis is associated with?
a. Lindner's sign
b. Lhermitte's sign
c. Kernig's sign
d. Brudzinski sign
b. Lhermitte's sign
63
The classic test for meningitis is?
a. Brudzinski sign
b. Kernig's
c. Adson's
d. Allen's test
a. Brudzinski sign
64
Thoracic outlet syndrome is an indication of?
a. Wright's test
b. Ober's test
c. Lhermitte's sign
d. Brudzinski sign
a. Wright's test
65
Which neurological package tests for foot dorsiflexion?
a. T1
b. C7
c. L4
d. S1
c. L4
66
Electrical shock-like sensations through entire spine is indicative of?
a. Lhermitte's sign
b. Kernig sign
c. Adson's sign
d. Lindner's sign
a. Lhermitte's sign
67
Stenosis of the carotid and vertebral arteries is suspected in a patient. Which is the most appropriate test to perform?
a. Barre-Leiou sign
b. Distraction test
c. Spurling's test
d. Lindner's
a. Barre-Leiou sign
68
Tear of the supraspinatus tendon is an indication of?
a. Codman's sign
b. Apley scratch test
c. Dawbarn's sign
d. Dugas test
a. Codman's sign
69
```
To test if there is a lack of tangential of motion in the shoulder, which test would be most appropriate?
a. Dawbarn's sign
b. Apley scratch test
c. Dugas test
d Codman's sign
```
b. Apley scratch test
70
A patient's axillary artery may be compressed. Choose most appropriate test?
a. Wright test
b. Apley scratch test
c. Dugas test
d. Drop arm test
a. Wright test
71
How many degrees should a patient's arm be abducted in Codman's test?
a. approximately 45 degrees
b. approximately 65 degrees
c. approximately 75 degrees
d. approximately 130 degrees
d. approximately 130 degrees
72
Patient Mr. X has pain at the median nerve distribution at fingers 2, 3 and 4. Which test would demonstrate this finding?
a. Bunnel Littler test
b. Allen's test
c. Phalen's test
d. Finkelstein's test
c. Phalen's test
73
DeQuervain's disease is associated with?
a. positive Bunnel Littler test
b. Allen's test
c. positive Finkelstein's test
d. Tinel's wrist sign
c. positive Finkelstein's test
74
In the Bunnel Littler test, if flexion of the proximal interphalangeal joint is not accomplished, this indicates?
a. joint capsular contractures
b. tight intrinsic muscles
c. tight retinacular ligaments
d. stenosing tenosynovitis
a. joint capsular contractures
75
Flexion of the DIP joint is attained and is a positive finding in?
a. Bunnel Littler tets
b. Retinacular test
c. Allen's test
d. Tinel's Wrist sign
b. Retinacular test
76
Normal internal rotation of the knee is _____ degrees.
a. 10
b. 5
c. 0
d. 20
a. 10
77
All of the following tests should be performed to check for a tear of the meniscus except?
a. Apley's compression test
b. Bounce Home
c. McMurray's
d. Apprehension knee test
d. Apprehension knee test
78
Retraction of the scapula is accomplished by?
a. deltoid
b. levator scapula
c. rhomboid major
d. serratus anterior
c. rhomboid major
79
All of the following have insertions of at the greater tubercle except?
a. teres minor
b. supraspinatus
c. infraspinatus
d. subscapularis
d. subscapularis
80
Which cranial nerve is affected in Meniere's disease?
a. 3
b. 4
c. 5
d. 8
d. 8
81
Irregularities of the pupil is seen in?
a. tabes dorsalis
b. gonorrhea
c. shingles
d. chicken pox
a. tabes dorsalis
82
Which is the most common cause of ascites?
a. M.I.
b. Peptic ulcer
c. Cirrhosis of the liver
d. Gallstones
c. Cirrhosis of the liver
83
Which is best represented by urticaria?
a. Nodule
b. Macule
c. Wheal
d. Pustule
c. Wheal
84
Which is the most common hernia in males?
a. Femoral
b. Indirect inguinal
c. Direct inguinal
d. Indirect femoral
b. Indirect inguinal
85
The pancreas is found primarily in the _____?
a. epigastric region
b. right hypochondriac region
c. left iliac region
d. umbilical region
a. epigastric region
86
Paralysis agitates and cogwheel rigidity are associated with _____?
a. M.S.
b. Parkinson's
c. Meniere's disease
d. SLE
b. Parkinson's
87
The iliopsoas is innervated by the _____ nerve and has an action of _____.
a. deep peroneal, hip flexion
b. tibial, knee flexion
c. femoral, leg extension
d. femoral, leg flexion
d. femoral, leg flexion
88
Which is not innervated by the tibial nerve?
a. Soleus
b. Plantaris
c. Tibialis anterior
d. Gastrocnemius
c. Tibialis anterior
89
Which nerve toot is responsible for toe extension?
a. L3
b. L4
c. L5
d. S1
c. L5
90
Which is present in upper motor neuron lesions?
a. fasciculations
b. hyperactive reflex
c. plantar reflex
d. flaccidity
b. hyperactive reflex
91
Which of the following is a pathological reflex found in the lower extremity of a patient?
a. Trommer's
b. Schaffer's
c. Hoffman's
d. McCarthy's
b. Schaffer's
92
Which is not associated with a disc problem?
a. Bowstring test
b. Kemp's
c. Gaenslen's
d. Bechterew's
c. Gaenslen's
93
Which is not related to hyperthyroidism?
a. Grave's disease
b. Exophthalmos
c. Puffy face
d. Fast language
c. Puffy face
94
Which is seen with Argyll-Robertson pupil?
a. diabetes mellitus
b. cirrhosis
c. SLE
d. rubeola
a. diabetes mellitus
95
Normal shoulder adduction is approximately _____ degrees?
a. 20
b. 45
c. 90
d. 180
b. 45
96
A sacroiliac joint lesion is suspected. Which test should no be performed?
a. Lewin-Gaenslen's
b. Iliac compression
c. Hibb's
d. Bonnet's
d. Bonnet's
97
Which of the following is most similar to the Laguerre's test?
a. Sicard's
b. Ely's
c. Patrick's
d. Mill's
c. Patrick's
98
Which does not test for lateral epicondylitis?
a. Mill's
b. Golfer's
c. Cozen's
d. Tennis elbow
b. Golfer's
99
Normal hematocrit levels would be?
a. 20-30%
b. 35-45%
c. 70-87%
d. 12-25%
b. 35-45%
100
The best test to evaluate the liver function would be?
a. SGOT
b. SGPT
c. A:G ratio
d. amylase
b. SGPT
101
Which is associated with plasmocytosis?
a. Multiple myeloma
b. OA
c. RA
d. Enchondroma
a. Multiple myeloma
102
Degenerative spondylolisthesis is most common at?
a. L3
b. L5
c. L4
d. S1
c. L4
103
Extension of the shoulder is performed by?
a. infraspinatus
b. deltoid
c. teres minor
d. serratus anterior
b. deltoid
104
Which is primarily affected in Leriche's syndrome?
a. aorta
b. femoral artery
c. splenic artery
d. jugular vein
a. aorta
105
All of the following are performed in the prone position except?
a. Femoral stretch test
b. Nachlas test
c. Sicard's test
d. Ely's sign
c. Sicard's test
106
Pain during resistive range of motion designates strain of a muscle. which test does this most closely describe?
a. Jackson's
b. Maigne's
c. Halstead's
d. O'Donohue Maneuver
d. O'Donohue Maneuver
107
Normal hip flexion ROM is around _____ degrees. Normal hip extension is approximately _____ degrees.
a. 120, 30
b. 100, 10
c. 90, 10
d. 80, 30
a. 120, 30
108
Neurogenic claudication usually occurs in the _____ spine from a(n) _____ and of injury?
a. cervical, flexion
b. thoracic, flexion
c. lumbar, extension
d. thoracic, extension
c. lumbar, extension
109
Scoliotic deviation toward the high side of the sacrum is called?
a. Lovett in reverse
b. Lovett failure
c. Lovett negative
d. Lovett static
a. Lovett in reverse
110
Which type of lumbar scoliosis would be considered the least painful?
a. Lovett positive
b. Lovett negative
c. Lovett static
d. Lovett failure
a. Lovett positive
111
The coracoid is found on the?
a. clavicle
b. scapula
c. femur
d. ulna
b. scapula
112
Which of the following tests does not have an indication of sciatic radiculopathy?
a. Laseque's test
b. Buckling sign
c. SLR
d. Hibb's test
d. Hibb's test
113
A patient is suspected of having sciatica. Which is the most appropriate test?
a. Yeoman's test
b. Kernig's test
c. Burns Bench test
d. Turyn's test
d. Turyn's test
114
Dorsiflexing the big toe gives radiating pain in the gluteal area, which designates sciatic radiculopathy. Which test does this represent?
a. Minor's sign
b. Braggard's test
c. Turyn's sign
d. Laseque's test
c. Turyn's sign
115
Which is a positive finding of Laseque's test?
a. Pain down the leg
b. Pain in the shoulder
c. Pain in the area of the A.S.I.S.
d. Relief of pain
a. Pain down the leg
116
Lister's tubercle is found on which anatomical structure?
a. transverse process of C6
b. radius
c. ulna
d. femur
b. radius
117
The sciatic nerve would be compressed in?
a. positive Bounce Homes test
b. positive Jackson's test
c. positive Laseque's test
d. positive Soto-Hall test
c. positive Laseque's test
118
A positive is pain in the S.I. joint for all of the following except?
a. Yeoman's
b. Hibb's
c. Gaenslen's
d. Trendelenburg's
d. Trendelenburg's
119
Contraction of the tensor fascia lata is a positive for?
a. Ely's test
b. Ober's test
c. Thomas test
d. Laguerre's test
b. Ober's test
120
Coxa Vera is a femoral angle less than _____ degrees.
a. 120
b. 150
c. 160
d. 180
a. 120
121
Knee height difference is a positive for the _____ test?
a. Allis
b. Ober
c. Faber
d. Thomas
a. Allis
122
Displacement of the femoral head is an indication for?
a. Ortolani's Click test
b. Ober's
c. Thomas
d. Ely's
a. Ortolani's Click test
123
Rotation of the head is accomplished by the _____, which is innervated by the _____.
a. trapezius, cranial nerve XI
b. SCM, cranial nerve XI
c. coracobrachialis, musculocutaneous nerve
d. subclavius, nerve to the subclavius
b. SCM, cranial nerve XI
124
This is very painful type of lumbar scoliosis, which consists of scoliosis toward the right side of the sacrum with body rotation to the left high side of the sacrum.
a. Lovett negative
b. Lovett positive
c. Lovett in reverse
d. Lovett failure
a. Lovett negative
125
All of the following have a scoliosis deviating to the low side of the sacrum except?
a. Lovett in excess
b. Lovett static
c. Lovett negative
d. Lovett in reverse
d. Lovett in reverse
