Special Tests Indications

Question 1

CVA Tenderness

Answer 1

pyelonephritis
musculoskeletal pain (rib/fractured vertebrae)

Question 2

Shifting dullness

Answer 2

Ascites

Question 3

Fluid Wave

Answer 3

ascites

Question 4

cutaneous hyperesthesia

Answer 4

appendicitis

peritoneal inflammation

Question 5

rebound tenderness

Answer 5

appendicitis

peritoneal inflammation

Question 6

referred rebound tenderness (Rovsing’s sign)

Answer 6

appendicitis

peritoneal inflammation

Question 7

psoas sign

Answer 7

appendicitis

peritoneal inflammation

Question 8

obturator sign

Answer 8

appendicitis

peritoneal inflammation

Question 9

Murphy’s sign

Answer 9

cholecystitis

Question 10

Phalen’s Test

Answer 10

carpal tunnel syndrome

Question 11

Tinnel’s Test

Answer 11

carpal tunnel syndrome

Question 12

Finkelstein’s test

Answer 12

carpal tunnel syndrome

Question 13

Straight leg raise

Answer 13

lumbosacral radiculopathy- herniated disc/sciatica

Question 14

Valgus Stress Test

Answer 14

MCL tears

Question 15

Varus Stress Test

Answer 15

LCL tears

Question 16

Lachman Test

Answer 16

ACL tears

Question 17

Anterior Drawer sign (knee)

Answer 17

ACL tears

Question 18

Posterior Drawer sign (knee)

Answer 18

PCL tear

Question 19

McMurray Test

Answer 19

Medial/Lateral meniscus

Question 20

Patrick or Faber test

Answer 20

SI Joint pathology

Question 21

Brudzinski Sign

Answer 21

meningitis

Question 22

Kernig Sign

Answer 22

meningitis

Question 23

Neer’s Sign

Answer 23

rotator cuff tear/nerve impingement

Question 24

Hawkin’s Impingement sign

Answer 24

rotator cuff tear/nerve impingement

Question 25

Drop Arm sign

Answer 25

rotator cuff tear

Question 26

Crossover test

Answer 26

acromioclavicular joint inflammation/arthritis

Question 27

Anterior Drawer Test

Answer 27

anterior talofibular ligament tear/sprain

Question 28

Talar tilt test

Answer 28

ATF or deltoid ligament tear

Question 29

Allen test

Answer 29

patency of ulnar and radial blood supply

Question 30

evaluating aortic insufficiency

Answer 30

AI murmur: will be diastolic decrescendo murmur

Question 31

jugular venous pressure

Answer 31

right sided heart failure

Question 32

orthostatic hypotension

Answer 32

history of syncope, suspected dehydration, suspected autonomic dysfunction

Question 33

Weber tests

Answer 33

conductive vs. sensorineural hearing loss

Question 34

Rinne test

Answer 34

conductive vs. sensorineural hearing loss

Question 35

Screen for narrow angle glaucoma

Answer 35

eye pain and glaucoma

Question 36

Cover-uncover test

Answer 36

strabismus

Question 37

swinging flashlight test

Answer 37

suspected optic neuritis (CN II dysfunction)

Question 38

bronchophony

Answer 38

assess voice sounds in the setting of abnormal fremitus/percussion due to consolidation

Question 39

egophony

Answer 39

assess voice sounds in the setting of abnormal fremitus/percussion due to consolidation

Question 40

whispered pectoriloquy

Answer 40

assess voice sounds in the setting of abnormal fremitus/percussion due to consolidation

Question 41

diaphragmatic excursion

Answer 41

pleural effusion, atelectasis, diaphragmatic paralysis -you may get an indication to do this from abnormal results from thoracic expansion, or percussion of unequal sounds