Specific Physical Exam Maneuvers

Question 1

Disc herniation

Answer 1

Passive straight leg raise

Question 2

Upper urinary tract problem

Answer 2

CVA tenderness

Question 3

Costochondritis

Answer 3

chest point tenderness

Question 4

DVT

Answer 4

Homans’ sign: passive dorsiflexion of ankle causing pain in calf

Question 5

Gall bladder disease, acute chole

Answer 5

+ Murphy’s sign

Question 6

Acute appendicitis

Answer 6

Psoas sign: extend RT leg against resistance
McBurney’s point: 1/3 up from ASIS toward umbilicus
Rovsing’s sign: press on LLQ, elicit pain on RLQ
Obturator sign: pt on LT side, flexion of knee, internal rotation of thigh

Question 7

Multiple Sclerosis

Answer 7

Llermitte’s sign: electrical sensation that travels down neck/back when neck bent forward (shock-like feeling is short/intermittent)
Hoffman’s sign: involuntary flexing of the end of the thumb and index finger

Question 8

Cervical radiculopathy

Answer 8

Spurling’s sign: turn pt head to affected side while extending and applying downward pressure to the top of the patient’s head, + means pain radiates along affected side/arm

Question 9

Meningitis (signs of meningeal irritation from Subarachnoid hemorrhage too)

Answer 9

Kernig’s sign: w/ pt supine flex hip with knee at 90 degrees then extend the leg, positive if that hurts
Brudzinski’s sign: flexion of head/neck leads to hip/knee flexion

Question 10

Benign positional vertigo

Answer 10

Dix Hallpike Maneuver (tilt test)