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Part B thématiques > Physical Exam > Flashcards

Physical Exam Flashcards

1
Q

What to always conduct in an exam?

A 
- observe
\+ colour
\+ deformity
\+ postural aligments
- AROM, PROM, RROM
- Inspect and palpate
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2
Q

Beighton Scoring system?

A
  • test for hypermobility
  • thumb to back of hand
  • increased elbow extension
  • increased pinky extension
  • increased knee extension
  • hand flat on floor with straight knees
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3
Q

Tests for TMJ dysfucntion?

A
  • knuckle test
  • auscultation
  • mandible deviation, to the side of lesion
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4
Q

Cervical Radiculopathy Tests?

A
  • Kemps
  • maximal foraminal compression
  • spurlings
  • jacksons
  • compression distraction
  • shoulder depression
  • tinels tap
  • doorbell sign
  • bakody’s sign
  • shoulder abduction relief sign
  • Soto Hall
  • dermatomes, myotomes DTRs
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5
Q

Cervical Instability Test?

A
  • alar ligament stress test, lateral flex + rotation, should feel the sp move to the opposite direction
  • sharp purser test/ transverse ligament test
  • atlantoaxial lateral shear test
  • sagital shear test
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6
Q

TOS tests?

A
  • Roo’s (EAST)
  • Adson’s
  • Halstead’s
  • Costoclavicular
  • Wright’s Test
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7
Q

General Thoracic pain?

A
  • costovertebral expansion
  • rib motion
  • breathing assessment
  • diaphragm inspection/palpation
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8
Q

Function vs structural scoliosis?

A
  • Adam’s forward bend test
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9
Q

Subacromial Impingement Tests?

A
  • Hawkin’s Kennedy
  • Neer’s Impingment
  • posterior lateral impingement test
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10
Q

Rotator cuff?

A

Supraspin

  • drop arm
  • empty can/jobes

Infraspin/teres minor

  • infraspinatus test
  • external rotation lag
  • hornblowers test/ patte’s

Subscapularis

  • internal rotation lag sign
  • bear hug
  • belly press
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11
Q

Bicep Tendonitis/SLAP lesion Tests?

A
  • Speeds
  • yergasons
  • biceps load 2 test
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12
Q

Labral tear tests?

A
  • O’Briens
  • Crank Test
  • anterior apprehension test
  • dynamic labral shear
  • biceps load II
  • Speed’s Test
  • Yergason’s Test
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13
Q

Shoulder Instability Tests?

A
  • sulcus sign
  • anterior draw/posterior draw
  • load and shift
  • posterior apprehension
  • anterior apprehension/crank/ relocation/release
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14
Q

Lateral Epicondylopahty Tests?

A
  • Cozen’s
  • Mills
  • Middle finger sign
  • varus stress test
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15
Q

Medial Epicondylitis Tests?

A
  • medial epicondylopahty test
  • valgus stress test
  • moving valgus stress test
  • valgus extension overhead test
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16
Q

Pronator teres syndrome nerve entrapement?

A
  • pronator teres syndrome test
  • OK sign for AIN
  • tinels tap
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17
Q

Cubital tunnel Syndrome?

A
  • elbow flexion test (trapped ulnar nerve)
  • froments sign
  • Tinels tap
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18
Q

Radial Head pain(posteriolateral instability) tests?

A
  • posterolateral pivot shift
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19
Q

OCD of the radial head tests?

A
  • radiocapitellar test
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20
Q

De Queroins synovitis?

A
  • finkelstein

- flexor pollicis brevis

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21
Q

TFCC injury?

A
  • fovea sign

- TFCC load test

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22
Q

Carpal tunnel syndrome?

A
  • phalen’s
  • reverse phalen’s
  • carpal compression
  • tinels tap at the carpal tunnel
  • allen’s test
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23
Q

Carpal intability (dislocation)?

A
  • lunotriquetral ballottement
  • dorsal capitate displacement test
  • watson scaphoid shift
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24
Q

Flexor digitorum profundus injury?

A
  • FDP test, flex DIPs

- sweater finger sign/jersey test

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25
Q

Flexor digitorum superficialis injury?

A
  • FDS test, flex PIPs, dips extended
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26
Q

Lumbar Disc Tests?

A
  • Valsava
  • compression distraction
  • slump/bechterew’s sitting test
  • SLR/Lasgue’s
  • bragard’s
  • bonnet’s (piriformis test)
  • bowstring test
  • well leg raise
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27
Q

Lumbar Facet Tests?

A
  • kemps
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28
Q

Lumbar Spondy/Instability Tests?

A
  • single leg stork extension
  • prone segmental instability
  • pheasant’s test/prone knee bend
  • anterior instability test
  • posterior instability test
  • palpable step-defect
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29
Q

Neurogenic Claudication (stenosis) tests?

A
  • Provocation stoop test
  • buergers
  • distal pulses
  • treadmill test
  • bicycle von der wall test
  • shopping cart sign
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30
Q

Lumbar versus SI pathology?

A
  • adam’s supported belt test
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31
Q

Glue med weakness?

A
  • trendelemburg sign
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32
Q

SIJ motion?

A
  • gillette’s test
  • piedallu’s test
  • SIJ gapping tet
  • approximation test
  • thigh thrust
  • yeomans
  • gaenslen’s
  • Hibb’s test/ prone gap test, knee flex and hip int rot while pal ipsi SI
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33
Q

Hip Labral Tears?

A
  • FABER
  • FADIR
  • scouring
  • anterior posterior labral tear
  • sign of buttock
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34
Q

TFL HT?

A
  • ober’s test

- noble’s compression test

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35
Q

Rectus femoris tightness?

A
  • Ely’s test
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36
Q

Psoas HT?

A
  • Thomas Test
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37
Q

Hip #?

A
  • fulcrum test

- log roll

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38
Q

Leg length?

A
  • craig’s

- weber-barstow

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39
Q

Knee Meniscus injury?

A
  • thessaly
  • bounce home
  • mcmurray’s
  • modified mcmurrays
  • appley’s
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40
Q

ACL tear?

A
  • anterior draw
  • slocom
  • lachman
  • varus/valgus stress test
  • lateral pivot shift test/ external rotation recuvatum
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41
Q

Patellar dislocation?

A
  • patellar aprehension test/fairbanks apprehension test

- patellar glide test

42
Q

Patellofemoral pain syndrome?

A
  • clarks test
  • weak VMO
  • pain can be felt in all parts of the knee
  • ascending descending stairs
  • sitting with bend knee
    kneeling squatting
43
Q

Patellar tendonitis tests?

A
  • jumping
  • inferior pole of the patella
  • must ultrasound to confirm
44
Q

Chondromalacia patella Tests?

A
  • clarks
  • wipe test
  • posterior patella degen
  • effusion
  • crepitus
45
Q

OCD of knee?

A
  • wilson’s test, extend internally rotated knee until pain
46
Q

Medialpatellar plica?

A
  • medialpatellar plica test, medial glid fo the patella
  • hugston plica test, knee flexed to 30 + medialpatellar test
  • plica stutter test
47
Q

Anterior Talofibular ligament or calcaneofibular ligament sprain?

A
  • anterior draw mor ATFL

- talar tilt inversion more CTFL

48
Q

Posterior talofibular ligament sprain?

A
  • posterior drawer
49
Q

Deltoid ligament (tibionaviicular, tibiocalcaneal) sprain?

A
  • talar tilt eversion
50
Q

High ankle sprain?

A
  • squeeze test

- kleiger test

51
Q

Peroneal tendon dislocation?

A
  • windlass test, dorsiflexion of the toes
52
Q

Achillies Rupture?

A
  • thompson test
53
Q

Tarsal Tunnel Tests?

A
  • tinel’s tap medial malleolous
54
Q

Morton’s neuroma test?

A
  • squeeze test
  • mortons neuroma test
  • commonly inbetween the 3rd and 4th digit
55
Q

DVT Tests?

A
  • Homan’s sign

- Buerger’s sign

56
Q

Medial longitudinal arch injury predisposition test?

A
  • navicular drop test
  • could cause
    + shin splints
    + plantar fascitis
    + PFPS
57
Q

Facet Mediated pain protocol?

A
  • 4 tests increase the diagnostic ability
  • palpation for segmental tenderness
  • manual joint plapation (motion palp)
  • kemps (extension and passive rotation test)
  • supine passive flexion rotation test
58
Q

Radiculopathy protocol?

A
  • < 60 deg cervical rotation toward the affected side
  • positive median NTT
  • positive cervical distraction
  • positive spurlings
59
Q

Myelopathy Protocol?

A
  • gait deviation
  • hoffman’s test
  • inverted supinator sign (finger flexion or elbow extension w/ brachioradialis tapped)
  • babinski test
  • > 45
60
Q

Lower Limb Myotomes?

A
  • L1/2: hip flexion
  • L2/3: hip adduction
  • L3: kne extension
  • L4: foot inversion
  • L4/L5: hip abuction, dorsiflexion
  • L5: big toe extenion
  • L5/S1: knee flexion, hip extnesion
  • S1: plantar flexion, eversion
  • S2: Toe flexion
61
Q

Upper limb Myotoms?

A
  • C1/2: neck flexion
  • C2/3: neck lateral flexion
  • C4: shoulder shrug
  • C5: shoulder abduction
  • C6: elbow flexion, wrist extension
  • C7: elbow extension, wrist flexion, finger extension
  • C8/T1: finger abduction, finger adduction, finger flexion
62
Q

Lower limb DTR?

A
  • patellar: L4

- Achilies: S1

63
Q

Upper limb DTR?

A
  • brachial: C5
  • brachioradialis: C6
  • Triceps: C7
64
Q

Optic nerve testing?

A
  • opthalmoscopy
  • pupillary light reflex
  • visual accuity
  • visual fields
65
Q

Occulomotor testing?

A
  • H-movement
  • X-movement
  • smooth pursuit
  • sacades
  • convergence
66
Q

Trochlear testing?

A
  • can patient move eye in and down
67
Q

Trigeminal nerve Testing?

A
  • facial sensation
  • chewing muscles
  • jaw jerk reflex
68
Q

Abducens testing?

A
  • H movement
  • x movement
  • saccades
  • optokinetic nystagmus
  • oculocephalic testing
69
Q

Facial Nerve testing?

A
  • facial expression
  • taste tests (anterior 2/3 of tongue)
  • corneal reflex
70
Q

Vestibulocochlear nerve testing?

A
  • general hearing
  • webers and Rinnes
  • otoscopy
  • dix hall pike
  • fukuda step test
71
Q

Glossopharyngeal nerve testing?

A
  • palate movement ipsilateral to lesion
  • reflex
  • posterior 1/3 of tongue
72
Q

Vagus nerve testing?

A
  • voice
  • articulation
  • aphasia
  • gag reflex
73
Q

Accessory nerve testing?

A
  • SCM MT

- trap MT

74
Q

Hypoglossal nerve testing?

A
  • atophy of tongue

- ipsilateral deviation of the tongue if LMNL

75
Q

Sensory cortex testing?

A
  • sterognosis
  • graphesthesia
  • two point discrim
  • point localisation
76
Q

Cranial reflex arcs?

A
  • pupillary light reflex, CN2 and 3
  • occulocephalic reflex CN 3, 4, 6 and 8
  • corneal reflex, 5 and 7
  • jaw jerk reflex 5 and 7
  • gag reflex 9 and 10 uvula deviates contra to lesion
77
Q

Cerebellar exam?

A
  • Drift
    + eyes closed, arms horizontal, palms up, feet apart, shake no for 60s
    + arm move up and pronate = cerebellar disease
  • scanning speach
  • nystagmus
  • finger nose agnosisa
  • dysdiadochokinesia
  • heel to shin test
  • hypotonia

cerebellar ataxia: wide based staggering gait

78
Q

What does rigid muscle tone mean?

A
  • basal ganglia lesion
    + constant throughout ROM
    + lead pipe rigidity
    + cog wheel
79
Q

What does spastic muscle tone mean?

A
  • UMNL
  • clasp knife
  • stiff and quick release
80
Q

What does Beevor’s sign mean?

A
  • dorsal myelopathy @ T10

- umbilicus drifting toward weak side on contraction

81
Q

L’Hermitte’s test?

A
  • seated neck flexion = electric shooting pain from neck to the back
  • MS screening tool or meningeal irritation
82
Q

What does pin prick test?

A
  • lateral spinothalamic lesion, pain and temperature
83
Q

What does light touch test?

A
  • posterior columns, proprioception
84
Q

Testing for dorsal column medial leminescus pathoway?

A
  • joint position sense
  • passive movement recognition
  • vibration sense
85
Q

What is a spastic gait?

A
  • decoricate arm
  • circumducting leg
  • UMNL (pyramidal loss)
86
Q

What is a spastic diplegic gait?

A
  • scissoring legs
  • flexed internally rotated hips
  • hyperlordosis
87
Q

What is a Trendelemberg gait?

A
  • single hip dip
88
Q

What is a parkinsonian gait?

A
  • difficulty starting stopping
  • short fesinating steps
  • stooped
  • little arm movement
  • basal ganglia lesion
89
Q

What is an apraxic gait?

A

can’t walk, but can describe how

- cortical lesion

90
Q

What is a magnetic gait?

A
  • shuffling gait glued to the floor

- frontal lobe lesion

91
Q

What is a marche a petit pas?

A
  • b/l cortex lesion
92
Q

Tests for Truncal Vestibulocerebellum lesion?

A
  • vertigo
  • nystagmus
  • nausea
  • broad base drunk gait
  • can’t perform romberg
93
Q

Tests for appendicular Spinocerevellum or cerebrocerebellum lesion?

A
  • intentional tremour
  • dysdidokinesia
  • precision finger tap
  • finger nose-finger agnosia
  • heel shin overshot
94
Q

Tests for Tabetic gracilis DCML or peripheral neuropathy lesion?

A
  • high step and foot slap
  • joint position sense
  • rombergs
95
Q

Tests for Vertiginous vesibular pathway lesion?

A
  • druken gait
  • vertigo
  • nystagmus
96
Q

What does the rebound tenderness test test for?

A
  • periotonitis
97
Q

What could you have with + Rheumatoid factor?

A
  • sarcoidosis
  • Sjoren’s syndrome
  • SLE
  • RA
98
Q

What can you have with + HLA - B27?

A
  • psoriatic arthritis
  • ankylosing spondylitis
  • inflammatory bowel disease
  • reactive arthritis
99
Q

What is present in Multiple Myeloma?

A
  • bence jones proteins
100
Q

What is wassermans test for?

A
  • syhilis
101
Q

What is downey cell?

A
  • infectious mono

- epstein bar

102
Q

What is paul bunnet test for?

A
  • infectious mono

- epstein barr

Part B thématiques (9 decks)

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