PD Musculoskeletal Upper and Lower Extremity Exam

Question 1

Each extremity/joint needs to be inspected for these 7 things..

Answer 1

1. Symmetry
2. Atrophy/hypertrophy
3. Swelling
4. Erythema
5. Deformity
6. Bony landmarks
7. Skin

Question 2

Palpating a joint allows for assessment of…

Answer 2

Warmth, tenderness, deformity, crepitus

Question 3

Range of motion tests should be ____ first then ____

Answer 3

Active, passive

Question 4

Palpations on the shoulder

Answer 4

Sternoclavicular joint to acromioclavicular joint

Question 5

Range of motion on shoulder

Answer 5

Flexion, extension, abduction, adduction, internal rotation, external rotation, Apley’s scratch test!!

Question 6

Answer 6

Deltoid muscle strength test

Question 7

Answer 7

Supraspinatus/empty can test

Question 8

Answer 8

Lift off/subscapularis test

Question 9

Answer 9

Serratus anterior test

Question 10

Answer 10

Rhomboid test, verebral border of scapula should not wing out

Question 11

Answer 11

Neer’s impingement sign, pain suggestive of subacromial impingement

Question 12

Answer 12

Hawkins Kennedy test for impingement

Question 13

Answer 13

Adson’s test for subclavian artery compression, thoracic outlet syndrome (don’t forget to palpate the pulse yo)

Question 14

Answer 14

AC joint arthrosis test

Question 15

Answer 15

Apprehension test for anterior shoulder instability

Question 16

Answer 16

Sulcus sign for inferior shoudler instability

Question 17

Answer 17

Jerk sign for posterior shoulder instability

Question 18

Answer 18

Load and shift test for anterior and posterior shoulder instability

Question 19

Range of motion on elbow

Answer 19

Flexion, extension, pronation, supination

Question 20

Answer 20

Lateral epiconditis (tennis elbow), pain with resisted extension of wrist

Question 21

Answer 21

Medial epicnodylitis (golfer’s elbow) test - palpate, resisted pronate, flex wrist

Question 22

Range of motion on wrist

Answer 22

Flexion, extension, ulnar deviation, radial deviation

Question 23

Answer 23

Finkelstein’s test for De Quarvian’s Tenosynovitis

Question 24

Answer 24

Phalen’s test for carpal tunnel syndrome

Question 25

Answer 25

Tinel's sign for carpal tunnel syndrome

Question 26

Bouchard's nodes

Answer 26

Located at the PIP, indicative of osteoarthritis

Question 27

Heberden's nodes

Answer 27

Located at the DIP joint, indicative of osteoarthritis

Question 28

Ulnar deviation is a sign of what disorder?

Answer 28

Rheumatoid arthritis

Question 29

Dupuytren's contracture

Answer 29

Chronic hand deformity that causes knots to form in the palmar tissue creating a consistent bent position for ring and pinky fingers, different from trigger finger

Question 30

Swan neck deformity and boutoneire deformity

Answer 30

kind of as the name sounds, and what i have :(

Question 31

Range of motion on hip

Answer 31

Gait, flexion, extension, abduction, adduction, external rotation, internal rotation

Question 32

Groin and anterior thigh pain indicates...

Answer 32

...osteoarthritis of femoral head and acetabolum

Question 33

Posterior hip pain indicates...

Answer 33

...sacroiliac pain

Question 34

Lateral hip pain indicates...

Answer 34

Greater trochanteric bursitis

Question 35

Answer 35

Patrick's FABER test for sacroiliis

Question 36

Trendelenberg test

Answer 36

Watch walking for a trendelenberg gait

Question 37

Answer 37

Thomas test for flexion contracture of hip, flex knee and hip of other side to see if affected side remains in a flexion contracture

Question 38

Length leg discrepency

Answer 38

Measure from ASIS to medial malleolus to determine if both sides are same

Question 39

Genu varum

Answer 39

out bowing knees

Question 40

Genu valgus

Answer 40

Inward bowing knees

Question 41

Range of motion on knee

Answer 41

Flexion and extension

Question 42

Answer 42

Varus knee stress test for LCL

Question 43

Answer 43

Valgus stress knee test for mcl

Question 44

Anterior and posterior drawer test

Answer 44

With a slightly flexed knee, pushing and pulling on the leg to assess the integrity of the ACL/PCL, not very accurate

Question 45

Answer 45

Lachman's test for ACL tear

Question 46

Answer 46

Thesalay's test for meniscus tear

Question 47

Answer 47

McMurray's test for meniscal tear

Question 48

Answer 48

Apley's grind test for meniscal tear

Question 49

Answer 49

Patellar apprehension test for patellar sublaxation

Question 50

Answer 50

Patellar compression test for patellofemoral syndrome

Question 51

Range of motion on ankle

Answer 51

Flexion, extension, inversion, eversion

Question 52

Answer 52

Kleigar's test/external rotation test for anteiror tibiofibular ligament, high ankle sprain

Question 53

Answer 53

Talar tilt test for calcenofibular lig

Question 54

Answer 54

Anterior drawer test for anterior talofibular lig

Question 55

Answer 55

thompson test for achilles tendon rupture