PHYSICAL EXAMINATION OF THE UPPER EXTREMITY MUSCULOSKELETAL SYSTEM

Question 1

True or False

Normal shoulder movement is a composite movement that couples glenohumeral motion with movement of the scapula on the thorax

Answer 1

True

Question 2

Scapular movement is derived from the motion of what two joints?

Answer 2

1. Acromioclavicular

2. Sternoclavicular

Question 3

When assessing shoulder strength pain with flexion may indicate what?

Answer 3

biceps tendinitis

Question 4

What special test of the shoulder is used to diagnose shoulder impingement or rotator cuff tears?

This maneuver compresses the greater tuberosity against the anterior acromion

Answer 4

Neer’s impingement sign

Question 5

What special test of the shoulder reinforces a positive Neer sign for impingement and when the patient has pain to the subacromial space, it is indicative of rotator cuff tears or tendinitis?

Answer 5

Hawkin’s impingement sign

Question 6

A positive sign of what test would be pain focal to the middle aspect of the subacromial space?

Answer 6

Empty can test

Question 7

What special test of the shoulder detects tears in the rotator cuff (supraspinatus), and if there are tears in the rotator cuff the arm will drop to the side from a position of about 90 degrees?

Answer 7

Drop arm test

Question 8

What special test of the shoulder is used to evaluate the teres minor, weakness indicating a positive sign?

Answer 8

Hornblower’s test

Question 9

What special test of the shoulder tests bicep strength and is helpful in diagnosing biceps tendonitis?

Patient will be positive if they have pain in the bicipital groove

Answer 9

Speed’s test

Question 10

What special test of the shoulder is used to test subscapularis strength and possible tendon rupture?

Answer 10

Gerber lift off test

Question 11

A positive sulcus sign suggests that the patient has what?

Answer 11

inferior shoulder instability

Question 12

Patients with anterior instability may be APPREHENSIVE during what special test of the shoulder because of impending dislocation?

Answer 12

Apprehension sign

Question 13

A positive relocation test of jobe would be if there is a relief of pain and apprehension occurs and suggests what kind of instability?

Answer 13

anterior glenohumeral instability

Question 14

What special test of the elbow is used to asses the stability of the medial ligamentous structures, primarily the ulnar collateral ligament?

Answer 14

Valgus stress test

Question 15

What special test of the elbow is used to assess the stability of the lateral collateral ligament in the lateral capsule?

Answer 15

Varus stress test

Question 16

Tingling, numbness and paresthesia in the ulnar nerve distribution during the elbow flexion test means the patient is positive for what?

Answer 16

Cubital tunnel (ulnar nerve) syndrome

Question 17

During the long finger test pain to the lateral epicondyle means the patient is positive for what?

Answer 17

Lateral epicondylitis

Question 18

A positive tinel sign suggests what?

Answer 18

ulnar nerve entrapment

Question 19

A positive tinel sign suggests what syndrome?

Answer 19

Carpal Tunnel syndrome

Question 20

True or False

Pain at the dorsoradial aspect of the wrist during the finklestein test indicates a stenosing tenosynovitis of the abductor pollicis longus and extensor brevis

Answer 20

True

Question 21

A recreation of tingling and numbness during the Phalen maneuver suggests what ?

Answer 21

Carpal tunnel syndrome

Question 22

If the adductor pollicis muscle appears to be weak during the test for Froments sign it suggests what?

Answer 22

ulnar nerve paralysis