Special tests Flashcards
List all the psych special test questions (5)
1) Over the past 2 weeks have you felt down, depressed, or hopeless?
2) Over the past 2 weeks, have you felt little pleasure in doing things?
3) Over the past 2 weeks, have you felt nervous, anxious, or on edge?
4) Over the past 2 weeks, have you been unable to stop or control worrying?
5) Over the past 4 weeks, have you had an anxiety attack; suddenly feeling fear or panic?
Describe the two hearing special tests
- Tuning fork on top of head: Webber test shows no lateralization
- Tuning fork on back of ear and in front: Rinne shows that air conduction is greater than bone conduction
List the 4 special tests for appendicitis
1) McBurney’s pt
2) Rovsing sign
3) Psoas sign
4) Obturator sign
Describe McBurney’s pt for appendicitis
○ Draw a line from the ASIS to umbilicus, find the midpoint, go two inches inferior to this, palpate McBurney Point for local tenderness. Any pain?
○** No tenderness with palpation**
Describe Rovsing sign for appendicitis
○ Palpate deeply and evenly in the LLQ and quickly let go
○ Any pain here? tap on right lower quadrant
○** No tenderness in RLQ or referred rebound pain, Rovsing sign is absent**
Describe Psoas sign for appendicitis
○ Have patient flex Right hip against your resistance on the R thigh. Ask abt pain.
No pain with flexion, psoas for appendicitis is negative
Describe Obturator sign for appendicitis
○Flex patient’s right leg at hip and with knee bent, rotate leg internally
○No rt hypogastric pain, obturator’s sign is negative
Describe Murphy’s sign for cholecystitis
○ Palpate under R costal margin as the patient inspires, ask if any tenderness with inspiration
○ No arrested breathing or increased tenderness with inspiration, Murphy’s sign for cholecystitis is absent.
List the 2 rotator cuff tear tests
1) Drop arm test
2) Empty can test
Describe the drop arm test for rotator cuff tear
○Have pt abduct arm laterally until horizontal
○Patient slowly adducts arm
○Drop after 90 degrees= positive = RC tear
Describe the empty can test for rotator cuff tear
Have pt put arms out w palms facing outward; you try to push down and they try to resist
Describe Tinel’s sign for carpal tunnel
Tingling with tapping over the median nerve as it enters the carpal tunnel.
No pain in the distr. of the median nerve, negative for carpal tunnel
Describe Phalen’s sign for carpal tunnel
Have pt press backs of hands together in acute flexion for 60 seconds
No numbness or tingling, negative
Describe straight leg raise (for radicular pain/ sciatica)
Raise pt’s leg for them to flex hip to 30-70 degrees, then ask abt pain.
Straight leg test is negative for radicular pain and sciatica
List the 2 carpal tunnel tests
Phalen’s and Tinels
List the 2 tests for ACL
Lachman’s and anterior drawer
Describe Lachman’s test for ACL tear
With knee in slight flexion, stabilize femur with one hand and pull tibia forward with other.
No excessive anterior translation bilaterally, Lachman’s for ACL tear is negative
Describe anterior drawer test for ACL tear
With knee flexed, firmly grasp proximal tibia and pull toward you.
No excess anterior translation bilaterally, anterior drawer is neg. for ACL tear
Describe posterior drawer test for PCL tear
With knee flexed, firmly grasp proximal tibia and push away from you.
No excess posterior translation compared to other knee, posterior drawer is neg. for PCL tear
Describe Valgus test for MCL tear
With knee at both 0 and 30 degree flexion, firmly grab ankle and apply inward force from lateral knee.
No significant laxity bilaterally, Valgus is negative for MCL tear
Describe Varus test for LCL tear
With knee at both 0 and 30 degrees, firmly grab ankle and apply outward force from medial knee.
No significant laxity bilaterally, Varus is negative for LCL tear
Describe McMurray’s test for lateral and medial meniscal injuries
Flex knee, and:
1) Medial meniscus: Externally rotate ankle while extending knee
2) Lateral meniscus: Internally rotate ankle while extending knee
1) What does a 30 degree valgus test test?
2) What abt 0 degree?
1) Medial ligament
2) Medial ligament and ACL
1) What does a 30 degree varus test test?
2) What abt 0 degree?
1) Lateral ligament
2) Ligament and ACL
