UE Exam

Question 1

What do you all need to palpate on a shoulder exam?

Answer 1

Sternoclavicular joint
Supraclavicular fossa
AC joint
Scapular spine
Supraspinatus
Infraspinatus
Acromion process
Rotator cuff
Greater tuberosity
Intertubercular groove
Anterior joint

Question 2

Testing Motor Strength of Upper Extremity

Answer 2

Flexion/extension
External/internal rotation
Forward elevation
Abduction
Internal rotation

Question 3

Specific Cervical Spine Tests

Answer 3

Spurling's
Reverse Spurling's
L'Hermitte's sign
Adson test
Babinski

Question 4

Describe Spurling’s/Reverse Spurling’s Test

Answer 4

Spurling’s: compression of cervical nerve & pain shoots down ipsilateral arm
Reverse Spurling’s: compression of cervical nerve & pain shoots down contralateral arm

Question 5

Describe L’Hermitte’s Sign

Answer 5

Passive or active neck flexion elicits a pain/electric sensation shooting down back or into the legs

Question 6

What is Adson’s test, testing for?

Answer 6

Thoracic outlet syndrome

Question 7

Describe Adson’s Test

Answer 7

When extension at the shoulder demonstrates an absent or diminished pulse

Question 8

Describe Hoffman’s Test

Answer 8

Have patient relax hand
Flick nail of middle finger
Muscles in hand should not flex

Question 9

What does a positive Hoffman’s test indicate?

Answer 9

There is a lesion that originates in the CNS & is not a radiculopathy or peripheral nerve lesion

Question 10

Shoulder Impingement Tests

Answer 10

Neer’s

Hawkin’s

Question 11

Subscapularis Tests

Answer 11

Belly press
Lift off
Bear hug

Question 12

Supraspinatus Tests

Answer 12

Empty can

Drop test

Question 13

Should Instability/Dislocation Tests

Answer 13

Apprehension
Sulcus
Jobe’s relocation

Question 14

Shoulder Labral Lesion Tests

Answer 14

Speed’s

Yergason’s

Question 15

AC Joint Separation Test

Answer 15

Cross arm test

Question 16

Describe Neer’s Test for Impingement

Answer 16

Pronation of the arm
Hold scapula in blace
Passively flex the patient’s arm at the shoulder

Question 17

Describe Hawkin’s Test for Impingement

Answer 17

Forward flexion of arm at 90 degrees
Elbow flexion at 90 degrees
Internal rotation of arm

Question 18

Describe the Bear Hug Test

Answer 18

Place patient’s hand on opposite shoulder

Try to lift the patient’s hand off of their shoulder

Question 19

Describe the Belly Press Test

Answer 19

Place patient’s hand on stomach

Try to pull patient’s hand away from stomach

Question 20

Describe the Lift-Off Test

Answer 20

Place patient’s hand in small of back

Have patient push away examiner’s hand

Question 21

Describe Drop Arm Test

Answer 21

Passively abduct patient’s arm to 90 degrees

Have patient smoothly bring arm back to side

Question 22

Describe Positive Drop Arm Test

Answer 22

Rachel like movement of arm down

Pain in the upper shoulder

Question 23

Describe Empty Can Test

Answer 23

Flexion of arm in scapular plane
Internal rotation of arm & pronation of hand
Try to push patient’s arm down

Question 24

Describe Apprehension Test

Answer 24

Patient in supine position
90 degree abduction of arm
90 degree flexion of elbow
Externally rotate arm

Question 25

Describe Jobe’s Relocation Test

Answer 25

Same as apprehension test with pressure on the humeral head at the glenohumeral joint
Try to remove hand from joint and patient will feel like shoulder will pop out

Question 26

Describe Posterior Apprehension Test

Answer 26

Forward flexion of arm to 90 degrees
Flexion of elbow at 90 degrees
Stabilize scapula with on hand
Push down on elbow/forearm with other hand

Question 27

Describe Speed’s Test

Answer 27

Patient in anatomic position
Have patient perform forward flexion
Resist patient’s flexion
Do same test with patient’s arm pronated

Question 28

Describe Yergason’s Test

Answer 28

Elbow flexion to 90 degrees
Grasp hand
Patient supinates against resistance

Question 29

Describe the Cross Arm Test

Answer 29

Forward flexion of arm to 90 degrees

Cross arm across body

Question 30

Instability Elbow Tests

Answer 30

Varus

Valgus

Question 31

Peripheral Nerve Compression Elbow Tests

Answer 31

Tinel's
Modified Phalen's
Bent elbow
Wartenberg
Froment's

Question 32

Distal Biceps Elbow Test

Answer 32

Hook Test

Question 33

Describe Varus & Valgus Test

Answer 33

Flexion of arm at 45 degrees
Flexion of elbow at 90 degrees
Valgus: elbow pushed in, wrist pushed out
Varus: elbow pushed out, wrist pushed in

Question 34

Describe Tinel’s Sign

Answer 34

Gently tap on area of nerve

Question 35

Describe Modified Phalen’s Test

Answer 35

Help patient into wrist flexion and hold for 1 minute

Painful = positive test

Question 36

Describe Wartenberg’s Sign

Answer 36

Have patient abduct fingers
Then have patient adduct fingers
Pinky doesn’t return = positive

Question 37

Froment’s Sign

Answer 37

Have patient grasp paper
Try pulling paper away from patient
Positive = flexion of thumb

Question 38

Describe Distal Biceps Hook Test

Answer 38

Elbow flexion at 90 degrees

Hook finger underneat tendon

Question 39

Describe Finkle’s Sign or De Quervains

Answer 39

Tuck thumb into flexed fingers
Radial flexion normal
Ulnar flexion painful

Question 40

What is usually wrong with extra snuff box tenderness?

Answer 40

Scaphoid fracture