Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NPTE > Special Tests > Flashcards

Special Tests Flashcards

1
Q

Biceps Tendon Pathology

A

Ludington’s
Speed’s
Yergason’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rotator Cuff

A

Drop arm
Infraspinatus test
Lateral rotation Lag sign
Lift off sign
Supraspinatus test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Thoracic Outlet Syndrome

A

adson maneuver
allen test
costoclavicular syndrome test
roos test
wright test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

msc tests for shoulder

A

AC crossover test
Active compression (O’Brien’s Test)
Glenoid labrum tear test
Jerk test
Upper limb tension tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Epicondylitis tests

A

cozens
lateral epicondylitis test (Maudsleys)
medial epicondylitis test
mills test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Neurological Dysfunction for elbow tests

A

elbow flexion
pinch grip
tinels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ligamentous instability in wrist/hand tests

A

ulnar collateral ligament instability test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Vascular insufficiency test in wrist/hand

A

allen test
capillary refill test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Contracture/tightness test

A

bunnel-littler test
tight retinacular ligament test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Neurological dysfunction in wrist/hand tests

A

carpal compression test
froment’s sign
phalen’s test
tinel’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

msc tests for wrist/hand

A

finkelsteins test
grind test
murphy sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hip contracture test

A

tripod sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pediatric tests for hip

A

Barlow’s
Orolani’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

msc tests for hip

A

anterior labral tear
craig’s
patrick’s tes or FABER
quadrant scouring test
trendelenburg test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ligamentous instability in knee test

A

lateral pivot shift test
slocum test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

meniscal pathology tests

A

bounce home test
mcmurray
thessaly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

swelling tests

A

brush test
patellar tap test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

msc knee tests

A

clarkes
hughstons plica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ligamentous intstability tests in the ankle

A

anterior drawer
lateral rotation stress test (Kleiger test)
Talar tilt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

msc ankle tests

A

Homans
thompson
tibial torsion
true leg length discrepancy test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cervical spine tests

A

cervical flexion rotation test
foraminal compression test
vertebral artery test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Lumbar/sacral tests

A

gaenslen’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Infraspinatus test

A

infraspinatus strain/tear (Add description)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Lateral rotation lag sign

A

infraspinatus and/or supraspinatus pathology if cannot hold position. Can be performed with varying levels of elevation. (add description)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Lift off sign (medial rotation lag sign)

A

subscapularis lesion (add description)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Neer impingement test

A

therapist elevates arm through flexion (add description)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Supine impingement test

A

PT rotates and adducts shoulder (add description)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Supraspinatus test

A

tear of supraspinatus tendon and impingement or suprascapular nerve involvement (add description)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Adson maneuver

A

radial pulse monitoring with rotation of the head to test shoulder then extension is performed while PT laterally rotates and extends pt’s shoulder. Diminished radial pulse is a positive test.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Allen test for TOS

A

arm in 90 degrees of abduction, ER, and elbow flexion. Pt rotates head away from test shoulder while therapist monitors radial pulse. positive=diminished radial pulse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Costoclavicular syndrome test

A

military posture and an absent radial pulse is positive but with this one is caused most likely by compression of subclavian artery between the first rib and clavicle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Roos test

A

arm in 90 degrees of abduction, ER and elbow flexion. open and closes hands for 3 min. Positive=inability to maintain position, weakness of arms, sensory or ischemic loss or pain. TOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Wright test (hyperabduction test)

A

PROM in shoulder abduction while monitoring radial pulse. positive=diminished pulse, compression of costoclavicular space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

AC crossover test

A

PROM to 90 degrees shoulder flexion then fully horizontally adducted
positive=pain in AC joint. Pt can also do this AROM

35
Q

active compression test (O’Brien’s)

A

shoulder flexed to 90 degrees, horizontally adducted to 10-15 degrees and IR so thumb points downward. Pt resists as therapist applies downward force to arm. Again when ER.
Positive=superior labral tear when pain with IR but decreased pain in ER. Make sure there isn’t pain over the AC joint.

36
Q

Glenoid labrum tear test

A

supine, abducts and ER shoulder over pts head and applies anterior force to humerus.
Positive=indicated by clunk or grinding sound

37
Q

Jerk test

A

sitting with shoulder elevated to 90 degrees and IR with elbow bend. PT provides axial compression through the elbow while horizontally adducting the shoulder. Sudden clunk or jerk as humeral head subluxes posteriorly is indicative of posterior instability. Second clunk can be heard when it is returned to starting position. Posterior labral lesion with pain in this.

38
Q

Upper limb tension test 1 biases which nerve

A

median, anterior interosseus nerve

39
Q

Upper limb tension test 2 biases which nerve

A

median, musculocutaneous nerve, axillary nerve

40
Q

Upper limb tension test 3 biases which nerve

A

radial

41
Q

Upper limb tension test 4 biases which nerve

A

ulnar

42
Q

Valgus and Varus elbow stress tests place the elbow in what position

A

sitting with 20-30 degrees of flexion

43
Q

Lateral epicondylitis test (Maudsley’s test)

A

arm and hand on surface and resist pressure on third digit.
positive=pain in lateral epidcondylitis area

44
Q

Medial epicondylitis test

A

sitting, therapist PROM supinates forearm, extends wrist and elbow. Pain in medial epicondyle region=positive

45
Q

Mill’s test

A

sitting, therapist PROM pronates pt’s forearm, flexes wrist, and extends the elbow. Pain in lateral epicondyle region=positive.

46
Q

Elbow flexion test

A

fully flexes both elbows while extending wrists for 3-5 minutes. Positive for cubital tunnel syndrome if tingling or paresthesia is noted in ulnar nerve distribution.

47
Q

Pinch grip if they cannot touch the tips means there is something wrong with which nerve?

A

anterior interosseus

48
Q

Ulnar collateral instability test in wrist/hand

A

applying a valgus force to MCP joint of thumb in extension. Excessive movement could be a tear in ulnar collateral ligaments and/or accessory collateral ligaments. Aka gamekeeper’s or skier’s thumb

49
Q

Allen test in wrist/hand

A

open and close hand several times; then maintain closed position; then therapist compresses radial and ulnar arteries; then pt relaxes hand while therapist relaxes grip and if there is delayed or abset flushing of radial or ulnar half of hand there could be occlusion there

50
Q

Bunnel-littler test

A

wrist and hand contracture tests. Try to move PIPs into flexion while MCPs are in slight extension.

If PIP does not flex with MCP extension=tight intrinsic muscle or capsular tightness.

If PIP fully flexes with MCP in slight flexion=intrinsic muscle tightness without capsular tightness.

51
Q

Tight retinacular ligament test

A

PIP is neutral and therapist tries to move DIP in flexion.

If DIP doesnt flex, the retinacular ligaments or capsule may be tight.

If DIP does flex, the retinacular ligaments may be tight and the capsule may be normal.

52
Q

Carpal compression test (median nerve compression test)

A

hold pressure over pts wrist with both hands for 30 seconds. Can also place wrist in 60 degrees of flexion before applying the pressure. Pain or parasthesias in median nerve distribution can indicate a positive sign.

53
Q

Froment’s sign

A

taking a piece of paper away from someone in pinch grip.
Positive= distal phalanx of thumb flexes due to adductor pollicis muscle paralysis.
If above happens plus MCP is hyperextended in thumb, it is called Jeanne’s sign.
Could be due to ulnar nerve compromise or paralysis.

54
Q

Phalens is used for

A

carpal tunnel

55
Q

Finkelstein’s test

A

positive for pain over abductor pollicis longus and extensor pollicis brevis tendons at the wrist and may be indicative of tenosynovitis or DeQuervain’s

56
Q

Grind test

A

apply compression and rotation through metacarpal of thumb and pain will be positive test.
Indicative of DJD in CMC

57
Q

Murphy sign

A

make a fist and pt’s third MCP will not be level with the rest, can be a sign of dislocated lunate

58
Q

Piriformis test is performed with hip in

A

60 degrees flexion

59
Q

Tripod sign

A

sitting with knees flexed to 90 over the edge of the table, therapist PROM extension to one knee. Positive is tightness in hammies or extension of trunk

60
Q

90-90 hamstring SLR test

A

positive indicated by knee remaining in 20 degrees or more of flexion

61
Q

Barlow’s test

A

dislocation of hips posteriorly by adduction and pushing a posterior force

62
Q

Orolani’s test

A

relocation of hips by abducting and apply force over greater trochanters around 30 degrees.

63
Q

Anterior labral tear test in hip

A

full flexion, ER, abd then therapist moves leg into extension, IR, and add. If there is pain or click then it could be a tear but could also be iliopsoas tendonitis or anterior-superior impingement

64
Q

Normal anteversion in craig’s test is

A

8-15 degrees

65
Q

Quadrant scouring test grinding, catching or crepitation could be from

A

arthritis, avascular necrosis, or osteochondral defect

66
Q

lateral pivot shift test for knee

A

palpable shift and clunk around 20-40 degrees of flexion and indicative of anterolateral rotatory instability

67
Q

Slocum test

A

checking anterolateral instability due to lateral movement of tibia
Can test directly for anterolateral instability by rotating the foot 15 degrees laterally

68
Q

Bounce home test

A

maximally flexes pts knee and then it is extended passively. If there is incomplete extension or rubbery end-feel this could be a meniscal lesion.

69
Q

patellar tap test

A

if tapped and the patella appears to be floating due to effusion it is positive

70
Q

Clarke’s sign

A

pushing the patella inferiorly then asking the pt to contract the quad. If cannot contract the quad there might be some patellofemoral dysfunction.

71
Q

Hughston’s plica test

A

flexing knee and IR tibia while trying to move the patella medially. Positive=popping during passive flexion/extension

72
Q

Noble compression test

A

pressure over lateral epicondyle and maintain while pt extends knee slowly. Pain over that area at ~30 degrees of flexion may indicate IT band friction syndrome

73
Q

Lateral rotation stress test (Kleiger test)

A

knees hanging off the table, therapist stabilizes lower leg and then holds food in neutral with other. therapist applies lateral rotation force to foot. pain over anterior or posterior tibiofibular ligaments and the interosseous membrane then positive for high ankle sprain. Test will be positive for deltoid ligament tear if there is pain medially and can feel the talus shift away from medial malleolus.

74
Q

Talar tilt test

A

sidelying, tilts talus in inversion and eversion.
Positive=excessive inversion and may show calcaneofibular ligament sprain.

75
Q

Normal tibial torsion

A

12-18 degrees

76
Q

Cervical flexion rotation test

A

fully flexes head and then rotates in each direction passively. Pt should be able to get 45 degrees of motion each way. If there is limited motion, there is an issue with atlantoaxial joint. Could also show cervicogenic headaches

77
Q

Distraction test

A

place hand under pts chin and other under occiput and applies upward distraction force

78
Q

Foraminal compression test

A

sitting with head laterally flexed, therapist places both hands on top of the head and exerts downward force .(spurlings)

79
Q

Vertebral artery test

A

supine, pts head is placed in extension, lateral flexion and rotation to ipsilateral side. Positive test=dizziness, nystagmus, slurred speech or loss of consciousness

80
Q

Gaenslen’s test

A

supine with hip in full extension off the table. Opposite hip is held in flexion by therapist. simultaneous force on each leg in opposite directions. If there is pain this is a sign of SI joint dysfunction, pubic symphysis instability or hip pathology or L4 nerve root lesion

81
Q

When SI compression test is positive it is testing for which ligaments?

A

posterior SI ligament sprain

82
Q

When SI distraction is positive it is testing for which ligaments?

A

anterior SI ligament sprain

83
Q
A

NPTE (54 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions