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ECOS II final > Specialty Tests - Fall > Flashcards

Specialty Tests - Fall Flashcards

1
Q

+ve log roll test

posterior pain
anterior/groin pain
clicking

A

posterior pain - piriformis syndrome with TTP in sciatic notch

anterior/groin pain: Intra-articular pathology (SCFE, FAI, AVN)

clicking: acetabular labral tear

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2
Q

+ve Jumpsign test

A

trochanteric bursitis

patient jumps/withdraws with pressure

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3
Q

+Trendelenburg (single leg stance)

A

+ve: a downward drop in the level/height of the iliac crest on the side of the lifted leg

indicates: weakness in hip abductor muscles (gluteus medius and minimus ) on the planted leg side

pathology is on the planted leg

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4
Q

+FAbER test

A

Groin pain = Intraarticular disorders

  • labral tears, FAI (Femoral Acetabular impingement)
  • OA
  • Iliopsoas, bursitis/strain
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5
Q

+Ober Test

A

pain at greater trochanter or inability to adduct

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6
Q

+ Scour Test

A

labral/articular cartilage pathology

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7
Q

Valgus Test is for:

+ve indicates

A

Medial Collateral Ligament

+ve: laxity/soft/absent endpoint/pain

= MCL Disruption: sprain/tear

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8
Q

Valgus Test is for:

+ve indicates

A

Lateral Collateral Ligament

+ve: laxity/soft/absent endpoint/pain

= LCL Disruption: sprain/tear

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9
Q

Lachman’s Test is for:

+ve indicates

A

ACL

+ve: laxity/soft/absent endpoint/pain

= ACL Disruption: insufficient -partial or complete sprain/tear

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10
Q

+ Anterior and Posterior Drawer Test

A

Anterior: ACL
post: PCL

+ve: laxity/soft/absent endpoint/pain

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11
Q

McMurray’s Test is for

+ve tests

A

Meniscus Tear

medial meniscus: tibia ER while applying valgus
lateral meniscus: tibia IR while applying varus

+ve test: palpable click / pain during extension = meniscus tear/injury

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12
Q

+Bounce Home Test

A

normal: knee should fully extend and bounce back at the end point

+ve: failure to extend

indicates: meniscus injury/ effusion/ both

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13
Q

+ve Apley’s grind compression/distraction

A

pain with distraction/rotation or relief of pain with distraction/rotation

collateral ligament damage

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14
Q

+ Patella-femoral Grind

A

+ve : crepitus/pain

roughness of articulating surface -> patella-femoral pain syndrome aka chondromalacia patella

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15
Q

+ Bulge sign

A

+ fluid wave toward lateral aspect or bulge on medial side

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16
Q

+ Talar Tilt Test / inversion test

A

+ve: laxity, increased ROM, PAIN

Main
Anterior Talofibular ligament injury
Calcaneofibuklar ligament pathology /tear

maybe
Medial ankle sprain

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17
Q

+Eversion test

A

deltoid ligament pathology (medial ankle sprain)

18
Q

+Ankle anterior drawer test

A

ATF ligament pathology/tear (lateral ankle sprain)

19
Q

+Squeeze Test

A

Syndesmosis Pathology (high ankle sprain)

20
Q

+Thompson Test

A

squeeze patients calf and expect plantarflexion

+ve: Absence of plantarflexion

Achilles Tendon Rupture

21
Q

+Homan’s Sign

A

+ve pain with dorsiflexion

acute DVT/ Thrombophlebitis

proceed with caution to minimize embolism risk esp if calf shows edema

DVT will be confirmed with an ultrasound

22
Q

+ straight leg raise (SLR)

  1. pain over lateral leg at 30-60
  2. pain at 30-60
  3. pain >70

+resisted SLR

A
  1. IT band contracture
  2. Neurologic pain (lumbar disc herniation at L4-S1 nerve roots, lumbosacral radiculopathy, sciatic neuropathy)
  3. mechanical low back pain due to muscle strain or joint disease —- pathology of hip/SI joints, tight hamstrings, gluteus maximus

+resisted: SCFE, FAI

23
Q

+ adam’s Forward Bend

A
  • resolution of rib hump with sidebending - functional

- persistence of rib hump with sidebending - structural

24
Q

Angle of Trunk Rotation

COBB Angle

A

Angle of Trunk Rotation > 7degrees

COBB Angle >10 degrees …send for X-Ray

25
Q

+ Low Midline sill (step-off sign)

A

+ve if there’s an observable/palpable anterior displacement of superior segment compared to pathologic segment

lumbar spondylolisthesis or lumbar instability

26
Q

+ Thomas Test

A

patient in supine, hugs one knee to the chest and extends one leg

+ve: inability to full extend or leg raises off the table

indicates: tight hip flexor muscle

27
Q

Deep tendon reflexes for Biceps, Triceps, Brachioradialis

A

Biceps C5, C6,
Triceps, C6,C7
Brachioradialis C5,6

28
Q

+Apprehension test

A

GH Instability

29
Q

+ empty can test and Drop Arm test

A

supraspinatus pathology

30
Q

+painful arc test (btwn 60 and 120 Abduction)
+ Neer impingement
+ Hawkins Test

A

Both indicate:

subacromial bursa
impingement/injury of rotator cuff

31
Q

+ Cross Arm Test

A

AC Joint pathology

32
Q

pain with resisted wrist flexion with elbow in full extension

A

medial epicondylitis

33
Q

pain with resisted wrist extension with elbow in full extension

A

lateral epicondylitis

34
Q

+tinel test

A

ulnar nerve entrapment/cubital tunnel syndrome

(tap between olecranon and medial epicondyle in ulnar groove) - tingling sensation down forearm within ulnar nerve distribution

35
Q

+ tinel sign, Phalen’s sign

A

Carpal Tunnel Syndrome

36
Q

+Finkelstein Test

A

DeQuervain’s tenosynovitis

37
Q

nerve tested by swallowing, phonation and gag reflex

A

glossopharyngeal (9)

38
Q

nerve tested by soft palate, uvula, phonation and gag reflex

A

Vagus

39
Q

Rhomberg test + with eyes open or closed

A

open: cerebellar pathology
closed: proprioceptive/vestibular lesion

40
Q

+ve Babinski

A

UMN lesion (dorsiflexion of big toe)

normal : plantarflexion

41
Q

+Nuchal rigidity -> resistance to neck flexion
+ Brudzinski -> hips and knees flex when neck is passively flexed

+ Kernig’s sign -> pain and increased resistance to extension of knee after passive knee flexion

A

meningeal sign

ECOS II final (9 decks)

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