Upper Quarter Screen

Question 1

The purpose of Upper/Lower Quarter Screens:

• ID joints which may need closer examination
• Rule in/out peripheral nerve involvement
• Rule in/out cervical/lumbar spine involvement
• Reproduction of patient’s symptoms

Answer 1

Got it

Question 2

Basic Components of an Upper/Lower Quarter Screen

• (AROM/PROM) with overpressure
• Muscle testing ((dermatomes/myotomes)) > hold for _ seconds
• Sensation testing ((dermatomes/myotomes))
• Reflex testing

Neurologic Screen:

Motor: (muscle testing/sensation testing)
Sensory: (muscle testing/sensation testing)

Answer 2

AROM; 5; myotomes; dermatomes; muscle testing; sensation testing

Question 3

Upper/Lower Quarter Screen

(AROM/PROM) with overpressure and muscle testing
o Separated here for your reference by body part; typically performed doing all ROM (first/second), then all muscle testing

Answer 3

AROM; first

Question 4

Cervical Spine

AROM:
Flexion, extension, R rotation, L rotation, R side flexion, L side flexion (with overpressure)

Muscle Testing:
N/A

Answer 4

Got it

Question 5

Scapula

AROM:
Elevation

Muscle Testing:
Isometric scapula elevation - (C_-C_)

Answer 5

C2-C4

Question 6

Glenohumeral Joint

AROM:
Elevation (with overpressure)

Muscle testing:
Isometric GHJ abduction (C_)

Answer 6

C5

Question 7

Elbow

AROM:
Flexion, extension, pronation, supination (with overpressure)

Muscle testing:
Isometric elbow flexion (C_-C_)
Isometric elbow extension (C_)
**WILL ACCEPT C7 OR C7-8

Answer 7

C5-C6; C7;

Question 8

Wrist

AROM:
Flexion, extension (with overpressure)

Muscle testing:
Isometric wrist flexion (C_)
Isometric wrist extension (C_)

Answer 8

C7; C6;

Question 9

Digits

AROM:
Flexion, extension, abduction, adduction

Muscle testing:
Isometric thumb extension (C_)
Isometric finger abduction/adduction (T_)

Answer 9

C8; T1;

Question 10

Sensory testing

Posterior neck - C_-C_

Answer 10

C2-C3

Question 11

Sensory testing

Lateral clavicle/AC joint - C_

Answer 11

C4

Question 12

Sensory testing

Lateral aspect of the proximal arm - C_

Answer 12

C5

Question 13

Sensory testing

Lateral aspect of the forearm, hand; and thumb and index finger - C_

Answer 13

C6

Question 14

Sensory testing

Tip of middle finger - C_

Answer 14

C7

Question 15

Sensory testing

Ring and little finger / medial aspect of the hand and wrist - C_

Answer 15

C8

Question 16

Sensory testing

Medial forearm - T_

Answer 16

T1

Question 17

Sensory testing

Medial arm/axilla - T_

Answer 17

T2

Question 18

Reflexes

Grading of reflexes:
(0/1+) absent
(0/1+) diminished
(1+/2+) normal
(2+/3+) exaggerated
(3+/4+) hyperactive repeated, clonus

Answer 18

0; 1+; 2+; 3+; 4+

Question 19

Reflexes

Biceps - C_-C_
Hint: same myotomes as isometric elbow flexion

Answer 19

C5-C6

Question 20

Reflexes

Brachioradialis - C_

Answer 20

C6

Question 21

Reflexes

Triceps - C_
Hint: Same myotome as isometric elbow extension

Answer 21

C7