Shoulder and cervical spine examination

Question 1

What are the two components of the shoulder joint

Answer 1

Glenohumeral joint

Scapulothoracic joint

Question 2

Infraspinatus

Answer 2

Below scapula at the back

Question 3

Supraspinatus

Answer 3

Above scapula at the back

Question 4

Where is flexion of the shoulder

Answer 4

up

Question 5

Where is extension of the shoulder

Answer 5

down

Question 6

Hands behind head is testing

Answer 6

External rotation and abduction

Question 7

Hands joined behind back is testing

Answer 7

Internal rotation, abduction and extension

Question 8

Supraspinatus function

Answer 8

Initates abduction below 90 degrees

Question 9

Which muscle takes over abduction above 90 degrees

Answer 9

Deltoid

Question 10

Infraspinatus function

Answer 10

External rotation

Question 11

Where is subscapularis

Answer 11

Front between scapula and rib cage

Question 12

Subscapularis function

Answer 12

Internal rotation

Question 13

Teres minor function

Answer 13

External rotation

Question 14

Deltoid function

Answer 14

Abducts after 90 degrees

Question 15

Trapezius function

Answer 15

Shrugs shoulders, controls scapula movement

Question 16

Shoulder exam, what are you looking at

Answer 16

Posture and symmetry
Muscle wasting
Scars, skin changes
Swelling
Deformity

Question 17

Shoulder exam, what are you feeling for

Answer 17

Temperature
Bony landmarks
Muscle bulk

Question 18

Which 4 muscles are you assessing the bulk of

Answer 18

Deltoid
Infraspinatus
Supraspinatus
Trapezius

Question 19

Shoulder exam, what do you move initially

Answer 19

“put your hands between your head”
“put your hands behind your back”
Watch from front and back

Question 20

What does pain at 120-180 degrees suggest

Answer 20

Acromioclavicular joint

Question 21

What does pain at 120-180 degrees suggest

Answer 21

Acromioclavicular joint

Question 22

How should the elbows be when assessing external rotation

Answer 22

Elbows tucked into the side

Question 23

How should the hand be for rotator cuff arc

Answer 23

Facing down

Question 24

Rotator cuff pathology angles of pain

Answer 24

60-120 degrees

Question 25

Specific test for supraspinatus

Answer 25

Resisted abduction (<90degrees)

Question 26

Specific test for infraspinatus

Answer 26

Resisted external rotation

Question 27

Specific test for subscapularis

Answer 27

Life off test- resisted internal rotation

Question 28

How do you test the acromioclavicular test

Answer 28

'scarf test' forced adduction across body.

Question 29

Questions for function

Answer 29

Dressing? Washing hair? Reach into high cupboards?

Question 30

End questions for MSK exams

Answer 30

Assess joint above and below | Assess neurological and vascular function

Question 31

Examination feel

Answer 31

Temperature Bony landmarks Joint line Surrounding muscles

Question 32

Frozen shoulder

Answer 32

Adhesive capsulitis. Painful restriction of external rotations

Question 33

Risk factors for ashesive capsultis

Answer 33

>40 RA, Diabets, post sroke Minor trauma Postoperative

Question 34

Cause of rotator cuff pathology

Answer 34

Narrowing of gleniohumeral joint

Question 35

3 thing which make the rotator cuff gap smaller

Answer 35

Osteophyte impingement Subacromial bursitis Suprspinatus tenditis

Question 36

What are you looking for in the cervical spine

Answer 36

Normal lordosis

Question 37

What is normal in the spine as cuves

Answer 37

C: Lordosis T: Kyphosis L: Lordosis

Question 38

What are you feeling for in the cervical spine

Answer 38

Spinous processes | Paraspinal muscles

Question 39

What are you moving in the cervical spine

Answer 39

Flexion/extension Lateral rotation Lateral flexion (ear ato elbow)

Question 40

Which nerves control biceps reflex

Answer 40

C5 and 6

Question 41

Which nerves control triceps reflex

Answer 41

C7 and 8

Question 42

Which nerves control supinator ceflex

Answer 42

C5 and C6

Question 43

Which nerve controls shoulder abduction and flexion

Answer 43

C5

Question 44

Which nerve controls elbow flexion

Answer 44

C5/6

Question 45

Which nerve controls elbow extension

Answer 45

C7/8

Question 46

Which nerve controls wrist flexion/ extension

Answer 46

C6/7

Question 47

Which nerve controls finger flexion/extension

Answer 47

C7/8

Question 48

Which nerve controls finger abduction/adduction

Answer 48

T1

Question 49

Signs of OA of neck (cervical spondylosis)

Answer 49

Pain, stiffness, restricted movement, crunching sensation, nerve root symptoms

Question 50

Extension of big toe nerve

Answer 50

L5

Question 51

What are the changes in OA spine

Answer 51

Narrowed disc and bone spurs

Question 52

Signs of spinal disc disease

Answer 52

Pain (worse on bending forwards) Radiculopathy Burning, electric shock, running water

Question 53

What is a radiculopathy

Answer 53

Nerve root pain from impingement

Question 54

In the neck, compression of C5/6 disc would cause

Answer 54

Compression of C6

Question 55

Where does the corresponding nerve root come out of the cervical spine

Answer 55

Above

Question 56

Where does the correpsonding nerve root come out of the thoracic and lumbar nerve roots

Answer 56

Below

Question 57

Prolapse of L4/5 disc causes

Answer 57

Compression of L5 (or L4) as often comes out posteriorly