Special Test

Question 1

Cardio Special Tests?

Answer 1

• Homan’s (DVT)
• Thrombosis (DVT)
• Pitting Edema

Question 2

Respiratory?

Answer 2

• Percussion

* Egophony (“E” sounds like “A’ = consolidation)

Question 3

Neuro?

Answer 3

• Romberg
• Cold/ Heat sensitivity (No need if somatosensation is intact)
• Stereognosis
• Graphesthesia
• Somatosensation (Sharp vs. Dull)
• 2 point discrimination
• DTRs
• Brudzinski’s (Bend that head)
• Kernig’s (Knee)

Question 4

Male GU?

Answer 4

• Cremasteric (test torsion)
• Prehn sign (epididymitis)
• Inguinal hernia cough
• Milk the shaft for discharge
• Tender prostate (prostatitis)
• Firm or enlarged prostate nontender (BPH or cancer)

Question 5

GI?

Answer 5

• Cullen and Grey Turner (pancreatitis)
• Murphy sign (cholecystitis)
• Laying down increases pain (pancreatitis)
• Mcburney’s Point (Appendix)
• Iliopsoas and obturator (Appendix)
• Rovsings sign (Appendix)
• Kehrs Sign (splenic rupture)

Question 6

Audio?

Answer 6

• Weber (whether it’s the left or right) - sensorineural

* Rinne (rinne under the pinne)

Question 7

Altered mental status?

Answer 7

• Glucose
• EKG
• UA

Question 8

Chest pain?

Answer 8

• Glucose
• EKG
• UA

Question 9

Respiratory Distress?

Answer 9

• O2 Sats
• EKG
• Glucose
• UA
• CBC

Question 10

Mental Status for intubation test?

Answer 10

GCS

Question 11

GCS Important numbers?

Answer 11

3 - lowest possible
8 - 8 or less intubate
15 - Eyes open spontaneously, A&Ox3, Obeys commands

Question 12

Shoulder Impingement

Answer 12

NEER
Hawkins (reinforces NEER)
Cross-Body

Question 13

Rotator Cuff

Answer 13

Hawkins (Pain in subacromial space)
Empty Can
Drop Arm Test
Gerber Lift off

Question 14

Biceps Tendonitis

Answer 14

Resisted Elbow flexion
Supination resisted
Speed’s
Yergason (Flex elbow 90 with pronation, try to supinate with resistance and palpate bicipital groove)

Question 15

Dislocation

Answer 15

Apprehension
Jobe relocation (apply anterior stability)
Sulcus (sublux of humeral head)
Jerk

Question 16

Shoulder Instability

Answer 16

Sulcus

Question 17

AC Injury / Clavicle

Answer 17

Cross Body

Question 18

Labral Tear

Answer 18

Obrien's (pain worse with thumb down) - SLAP
Sulcus (inferior)
Jerk (posterior)
Apprehension (anterior)
Jobe relocation (anterior)

Question 19

Medial Epicondltitis

Answer 19

Valgus
Resisted Pronation
Resisted Wrist flexion

Question 20

Lateral Epiconditlitis

Answer 20

Resisted Wrist Extension
Varus
Long Finger test (extension from pip of 3rd finger)

Question 21

Ulnar Nerve Compression / Cubital tunnel

Answer 21

Elbow Flexion test (dinner plate)
Tinel tapping on ulnar nerve
Carrying angle >10 degrees
Froment (Pinch piece of paper)
Flexor Digitorum Profundus

Question 22

Dislocation of elbow

Answer 22

Inability to extend

FOOSH

Question 23

De quervain tenosynovitis

Answer 23

Finkelstein

Question 24

What structure is in the snuff box?

Answer 24

Scaphoid

Question 25

Specific test for SLAP tear?

Answer 25

Obrien's

Question 26

Special test for Hip strain

Answer 26

Thomas

Question 27

Special test for trochanter bursitis?

Answer 27

Trendelenburg | Faber

Question 28

Femoral neck stress fracture

Answer 28

Log roll test

Question 29

Hamstring strain

Answer 29

Hamstring flexibility

Question 30

Hip dislocation

Answer 30

scour test

Question 31

ACL injury

Answer 31

Lachman test

Question 32

PCL Injury

Answer 32

Posterior Drawers | Sag

Question 33

Patellar dislocation

Answer 33

Apprehension sign (push patella laterally)

Question 34

MCL injry

Answer 34

valgus

Question 35

LCL injury

Answer 35

Varus

Question 36

IT band syndrome

Answer 36

Obers

Question 37

Meniscal tear

Answer 37

Mcmurray Look for locking of knee, if so need to medevac

Question 38

Tibial stress fracture

Answer 38

Resisted dorsiflexion | pain at rest

Question 39

Achilles rupture test

Answer 39

Thompson (squeeze calf foot should plantar flex)

Question 40

Special test for lisfranc fracture

Answer 40

Abduct forefoot while stabilizing hindfoot

Question 41

High ankle sprain moi

Answer 41

Eversion with dorsiflexion

Question 42

ATFL ankle sprain moi

Answer 42

Inversion

Question 43

high ankle sprain special test?

Answer 43

tib-fib squeeze

Question 44

test for lateral ankle sprain

Answer 44

Inversion stress | Anterior drawers

Question 45

Special tests for c-spine

Answer 45

``` Spurling (push down on head) - tests compression Hoffman reflex (flick finger and thumb) ```

Question 46

Special tests for herniated disc?

Answer 46

Seated and supine straight leg raise