PCM Stuff Flashcards
1
Q
Patellar Reflex tests nerve root
A
L4
2
Q
achilles reflex tests nerve root
A
S1
3
Q
Biceps reflex tests nerve root
A
C5
4
Q
brachioradialis reflex tests nerve root
A
C6
5
Q
triceps reflex tests nerve root
A
C7
6
Q
0+ reflex
A
absent reflex
7
Q
1+ reflex
A
somewhat diminished, low normal
8
Q
2+ reflex
A
average, noraml
9
Q
3+ reflex
A
brisker than average, possibly disease, not necessarily
10
Q
4+ reflex
A
very brisk, hyperactive, with clonus
11
Q
0/5 strength
A
no muscle contraction
12
Q
1/5 strength
A
barely detectable contraction
13
Q
2/5 strength
A
active movement with gravity eliminated
14
Q
3/5 strenght
A
active movement against gravity
15
Q
4/5 strength
A
avtive movement against gravity and some resistance
16
Q
5/5 strenght
A
active movement against full resistance without evidence of fatigue (normal)
17
Q
top of shoulder
A
C4
18
Q
radial aspect of forearm
A
C6
19
Q
fifth digit
A
C8
20
Q
nipple line
A
T4
21
Q
Ubilicus
A
T10
G
22
Q
Great Toe
A
L5
23
Q
Posterolateral calf, little toe
A
S1
24
Q
capillary refill is normal when blood returns in
A
2-3 seconds or less
25
0 pulses
absent, not palpable
26
+1 pulses
diminished, barely palpable
27
+2 pulses
average, normal
28
+3 pulses
strong, increased
29
+4 pulses
bounding
30
examine for edema by pressing for 5 seconds over
dorsum of foot
anterior tibia
behind medial maleolus
31
0 edema
absent
32
1+ edema
barely detectable, 2mm pitting
33
2+ edema
slight, 4mm pitting for 10-15s
34
3+ edema
deeper, 6mm for >1min
35
4+ edema
very deep, 8mm for 2-5 min
36
aprehension test
+test is apprehensive of dislocation
indicates glenohumeral dislocation
elbow flexed, shoulder externally rotated, linkage blocked and shoulder pushed posteriorly. "apprehension" is noted when pt is like, Ah no my arm!
37
empty can test
+ test: pain or weakness
indicates rotator cuff path (specially supraspinatus)
arms are held to the side and a bit infront with hands positioned liked they are empyting cans and then doc presses down will pt resists with forearms
38
painful arc test
+ test with pain between 60-120' of shoulder abduction
indicates subacromial impinfement and/or rotator cuff injury
39
neer impigement
+ test: pain
indicates subacromial bursa or rotator cuff impingement
40
hawkins test
+ test: pain
indicates: rotator cuff or subacromial bursa impingement
41
cross arm test
+ test: pain in AC joing with end range adduction
indicates AC joint path
42
valgus stress test
+ test: pain with palpation, increased laxity in MCL
indicates sprained MCL
43
Varus stress test
+ test: pain with palpation, laxity in LCL
indicates sprained LCL
44
Tinel Test for Ulnar Nerve Intrapement
+ test: tingling down arm along ulnar distribution
indication: ulnar nerve entrapment/cubital tunnel syndrome
45
Golfer's Elbow Test
+ test: pain/tenderness ariond medial epicondyle
indicates: medial epicondylitis
pain with resisting flexion at wrist
46
Tennis Elbow Test
+ test: pain around laterla epicondyle with resisted extension at the wrist
indicates: lateral epicondylitis
47
Tinel's sign for Carpal Tunnel
+ test: numbness/tingling with radiation to the thumb when wrist between hypothenar and thenar eminence is struck
indicates: carpal tunnel syndrome
48
phalen's sign
+ test: reproduction of sx of parasthesia of median nerve
indicates: carpal tunnel syndrome
49
DeQuervians Tenosynovitis
graps thumb and ulnar deviate wrist
+ test: increased pain in first dorsal compartment
indicates: DeQuervians Tenosynovitis
50
labral loading
+ test: pain
| indicates: labral or cartilaginous path
51
labral distraction
+ test: improvement of pain
| indicates: labral or cartilaginous pathology
52
scour
+ test: pain
| indicates: labral or articular cartilage path
53
apprehensino Faber 1
+ test: anterior subluxation of hip or apprehension/pain
| indicates: labral path
54
rectus femoris test
+test: knee flexion less than 90'
| indicates: recuts femoris contraction
55
PACE/FAIR test
+test: pain or reproduced sx
| indicates: piriformis path
56
Jump sign
+ test: pt jumps with pressure
indicates: trochanteric bursitis
57
straight leg raise test
+ test: pain over lateral leg, especially greater than 15'
indicates: IT band contracture
58
piriformis test
+ test: pain over posterior aspect of greater trochater
indicates: piriformis spasm or pathology
59
Patricks Faber 2
+ test: pain or weakness
| indicates: gluteus medius path
60
patrick faber 3
+ test: anterior or medial groin pain/wekannes
| indicates: iliopsoas insuffiecieny or path
61
thomas test:
+test: inability to fully extend
indicates: hip flexor contraction
62
drop arm test
+ test: arm will drop or gentle tap will cause arm to drop
indicates: full thickness tear of supraspinatus
pt abducts arm to 90' then slowly drops it.
63
Valgus test (knee)
+ test: increased laxity, soft or absent end point, pain
indicates: medial collateral ligament disruption
if + at 0' with knee fully extended, indicates joint capsule injury
64
Varus test (knee)
+ test: increased laxity, pain
indicates: lateral collateral ligament disruption
65
anterior drawer test (knee)
+ testL excessive translation anteriorly
indicates: ACL insufficiency
66
Lachmand's test
+ test: increased laxity anteriorly, soft or absent end point
indicates: ACL insufficiency
67
Posteiror Drawer test
+ test: excessive translation posteriorly
indicates: PCL insuffiency, posterior capsular injury
68
McMurray's Test
+ Test: pain or click during extension
indicates: possible medial or laterally meniscus tear
lateral meniscus: rotates tibia into internal rotation and applies varus stress then continues into extension
medial meniscus: rotates tibia into external rotation and applies valgus stress, then continues into leg extension
69
apley's grind compression test
+test: pain with rotation and or compresion
indicates: possible meniscal injury, collateral ligament injury or both
70
apley's grind distraction test
+ test: pain with distraction and rotation
indicates: possible collateral ligament damage
+ test: relief of pain with distraction and rotation
indicates: possible meniscal injury
71
patella-femoral grinding test
+ test: crepitus or pain
indicates: rroughness of artciualting surfaces (chondromalacia)
72
anterior drawer test (ankle)
+ test: pain, no springing, excessive motion/laxity
indicates: ATF ligament path (lateral ankle sprain)
73
talar tilt test
+ test: laxity, increased ROM or pain
indicates: calcaneofibular ligmanet path, some ATF (lateral ankle sprain)
74
eversion test
+ test: laxity, increased ROM or pain
indicates: deltoid ligament path
75
squeeze test
+ test: pain at syndesomosis
indicates: achilles tendon rupture
76
Homan's sign
+ tst: pain with dorsiflexion
indicates: DVT/thrombophlebitis
