3rd OSCE Flashcards

(79 cards)

1
Q

What is the procedure for the Apprehension test?

A

–Patient supine abduct the arm 90, bend at elbow 90 and externally rotate

–Patient supine abduct the arm 90*, bring patients hand to opposite shoulder, press posteriorly on the bent elbow

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2
Q

What is expected for the apprehension test?

A

No pain or restricted ROM

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3
Q

What is a positive apprehension test?

A

Pain

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4
Q

What is the significance of a positive apprehension test?

A
  • -Anterior dislocation

- -Posterior dislocation

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5
Q

What is the procedure for a Load and Shift test?

A

Patient seated, stabilize shoulder at scapula,

  • -1.) push on humerus inward towards glenoid fossa
  • -2.) push head of humerus forward and backward
  • -3.) traction arm downward
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6
Q

What is expected for a Load and Shift test?

A

Stable, no excessive joint play

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7
Q

What is a positive Load and Shift test?

A

Laxity, visible sulcus during motions/traction

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8
Q

What is the significance of a positive Load and Shift test?

A

Shoulder instability

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9
Q

What is the procedure for Supraspinatus Press Test?

A

Empty can position at 90*, press arm down

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10
Q

What is expected for Supraspinatus Press Test?

A

No Pain/weakness

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11
Q

What is the significance of a positive Supraspinatus Press Test?

A

Supraspinatus tendon/muscle tear

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12
Q

What is the procedure for a Full Can test?

A

Press down on full can (thumb up) at 90*

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13
Q

What is expected for Full Can Test?

A

No pain/weakness

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14
Q

What is a positive Full Can test?

A

Pain/weakness

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15
Q

What is the significance of a positive Full Can Test?

A

Supraspinatus tendon/muscle tear

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16
Q

What is the procedure for a Codman’s Drop Arm?

A

Passively raise arm up to 90* then let go to see if arm falls

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17
Q

What is a positive Codman’s Drop Arm?

A

Patient should be able to stop arm from falling

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18
Q

What is a positive Codman’s Drop?

A

Arm falls

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19
Q

What does a positive Codman’s Drop indicate?

A

Supraspinatus muscle/tendon drop

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20
Q

What is the procedure for O’Briens test?

A

–Patient flexes shoulder 90* w/ elbow at full extension, addicted 10-30*, thumb up and Doc presses down on arm

–Patient then pronates thumb down and Doc presses down on arm

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21
Q

What is expected for O’Briens test?

A

No pain

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22
Q

What is a positive O’Briens test?

A

Pain

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23
Q

What is the significance of a positive O’Briens test?

A

Labrum lesion

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24
Q

What is the procedure for Speed’s test?

A

Patient flexes shoulder w/ Docs resistance

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25
What is expected for Speed's test?
No pain/weakness
26
What is a positive Speed's test?
Pain
27
What is the significance of a positive Speed's Test?
Bicep Tendonitis
28
What is the procedure for Yergason's test?
Patient seated, actively flexes elbow, Doc resists patient supination of and resists Docs extension of arm
29
What is expected for a Yergason's test?
No pain
30
What is a positive Yergason's test?
Pain, clicking
31
What is the significance of a positive Yergason's test?
Bicipital tendonitis or Transverse humeral lig tear
32
What is the procedure for Apley's scratch test?
Patient tries to touch opposite scapula from above and below
33
What is the expected for Apley's Scratch test?
No pain
34
What is a positive Apley's Scratch?
Pain during reaching
35
What is the significance of a positive Apley's scratch test?
Lesion to supraspinatus tendon
36
What is the procedure for Dugas Test?
Patient places hand on opposite shoulder and bring elbow to chest
37
What is expected for Dugas Test?
No pain, able to touch elbow to chest
38
What is a positive Dugas Test?
Pain, can't touch elbow to chest
39
What is the significance of a positive Dugas Test?
Ligament laxity, dislocation
40
What is the procedure for Impingement Test (NEER's)?
Passively flex shoulder through full ROM
41
What is expected for Impingement Test (NEER)?
No pain
42
What is a positive Impingement Test (NEER's)?
Pain
43
What is the significance of a positive Impingement Test (Neer's)?
Impingement
44
What is the procedure for Dawbarn's test?
Deeply palpate shoulder for location of pain, then hold pressure while passively abducting the arm
45
What is expected for Dawbarn's test?
No change in pain
46
What is a positive Dawbarn's test?
Pain disappears
47
What is the significance of a positive Dawbarn's Test?
Subacromial bursitis
48
What is the procedure for a Valgus stress test?
Patients arm is held by doctor at wrist and stabilized at elbow --elbow flexed slightly, valgus stress is applied to distal forearm
49
What is expected during a Valgus stress test?
No pain
50
What is a positive Valgus stress test?
Pain in elbow, hypermobility
51
What is the significance of a positive Valgus stress test?
Instability in MCL
52
What is the procedure for Varus stress test?
Patients arm is held by doctor at wrist and stabilized at elbow --Elbow flexed slightly, varus stress is applied to distal forearm
53
What is expected for Varus stress test?
No pain
54
What is a positive for Varus stress test?
Pain in elbow, hypermobility
55
What is he significance of a positive Varus stress test?
Instability in LCL
56
What is the procedure for Golfer's elbow test?
Patient flexes elbow and wrist against resistance
57
What is expected for Golfer's elbow test?
No pain
58
What is a positive Golfer's elbow test?
Pain over medial epicondyle
59
What is the significance of a positive Golfer's elbow test?
Medial epicondylitis
60
What is the procedure for Froment's test?
Patient attempts to grasp paper between the pads of thumb and index finger
61
What is expected for Froment's test?
Able to grip paper
62
What is a positive Froment's test?
Unable to hold paper
63
What is the significance of a positive Froment's test?
Ulnar nerve lesion
64
What is the procedure for Pinch-Grip test?
Patient grips paper w/ thumb and index finger
65
What is expected for Pinch-Grip test?
Able to grip paper
66
What is a positive Pinch-Grip test?
Unable to hold paper
67
What is the significance of a positive Pinch-Grip test?
Anterior interosseous nerve lesion Median nerve
68
What is the procedure for Cozen's test?
Patient actively extends wrist then doctor presses down on the fist
69
What is expected for Cozen's test?
No pain/weakness
70
What is a positive Cozen's test?
Pain radiating to lateral epicondyle
71
What is the significance of a positive Cozen's test?
Epicondylitis or radio-humeral bursitis
72
What is the procedure for Tinel's sign?
Reflex hammer taps groove between Olecranon process and lateral/medial epicondyle
73
What is expected for Tinel's sign?
No pain
74
What is the positive for Tinel's sign?
Nerve irritation symptoms
75
What is the significance of a positive Tinel's sign?
Radial nerve carpal tunnel Ulnar nerve carpal tunnel
76
What is the procedure for Finkelstein's test?
Patient creates fist w/ fingers wrapped around thumb and ulnar deviate then doc add extra passive force
77
What is expected for Finkelstein's test?
No pain
78
What is a positive Finkelstein's test?
Pain over abductor policies longus and extensor policies brevis
79
What is the significance of a positive Finkelstein's test?
Tenosynovitis of thumb