PCM OSCE Shoulder

Question 1

shoulder bones

Answer 1

clavicle
humerus
scapula

Question 2

shoulder joints

Answer 2

SC
AC
GH

Question 3

shoulder landmarks

Answer 3

scapular spine (T3)
inferior scapular border (T7)
greater humeral tubercle
bicipital groove

Question 4

rotator cuff muscles

Answer 4

SITS

Question 5

arm movements

Answer 5

flexion
extension
abduction
horizontal adduction
horizontal abduction
external rotation
internal rotation

Question 6

arm flexion angle/muscles

Answer 6

180
anterior deltoid
coracobrachialis

Question 7

arm extension angle/muscles

Answer 7

60
latissimus dorsi
teres major

Question 8

arm abduction angle/muscles

Answer 8

180
deltoid
supraspinatus

Question 9

arm horizontal adduction angle/muscles

Answer 9

40-50
pectoralis major
latissimus dorsi

Question 10

arm horizontal abduction angle/muscles

Answer 10

40-55
supraspinatus
middle deltoid

Question 11

arm external rotation angle/muscles

Answer 11

90
infraspinatus
teres minor

Question 12

arm internal rotation angle/muscles

Answer 12

90
subscapularis
pectoralis minor

Question 13

apprehension test

Answer 13

positive: patient is apprehensive of repeat dislocation
indicates: GH instability

Question 14

empty can test

Answer 14

positive: pain or weakness
indicates: rotator cuff pathology, specifically supraspinatus

Question 15

drop-arm test

Answer 15

positive: arm will drop or gentle tap on wrist will cause arm to drop
indicates: full thickness tear of supraspinatus

Question 16

painful arc test

Answer 16

positive: pain elicited within 60 and 120 degrees of shoulder abduction
indicates: subacromial impingement and/or rotator cuff pathology

Question 17

Neer impingment test

Answer 17

positive: pain
indicates: subacromial bursa or rotator cuff impingement

Question 18

Hawkins test

Answer 18

positive: pain
indicates: rotator cuff or subacromial bursa impingement

Question 19

cross arm test

Answer 19

positive: pain in AC joint with end range adduction
indicates: AC joint pathology