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Simmons NURP 532 Exam 2 > 12: MSK Tests > Flashcards

12: MSK Tests Flashcards

1
Q

Which test/maneuver?

Aids in evaluating hip or sacroiliac disease (pain in buttocks, groin, or hip)

A

Patrick’s Maneuver (FABER or Figure-4 Test)

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2
Q

Which test/maneuver?

Flexion, abduction, and external rotation of the leg/hip.

A

Patrick’s Maneuver (FABER or Figure-4 Test)

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3
Q

Which test/maneuver?

Tests for malingering (made up pain)

A

Waddell Signs

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4
Q

Which test/maneuver?

  • Apply pressure in the mid-gluteal region.
  • A positive sign could indicate potential sciatica or a herniated disc.
A

Sciatic Notch Test

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5
Q

Which test/maneuver?

  • Used to assess nerve root pain (radicular pain).
  • The examiner turns the patient’s head to the affected side while extending and applying downward pressure to the top of the patient’s head.
  • Positive test causes pain to radiate into the upper extremity.
A

Spurling Test

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6
Q

Which test/maneuver?

  • Adduct the patient’s arm across the chest.
  • Positive test indicates AC joint inflammation or arthritis.
A

Crossover Test

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7
Q

Which test/maneuver?

  • Ask the patient to touch the opposite scapula from below and again from over the shoulder (above).
  • Difficulty suggests a rotator cuff disorder or adhesive capulitis.
A

Apley Scratch Test

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8
Q

Which test/maneuver?

  • Press on the scapula to prevent scapular motion with one hand.
  • Raise the patient’s arm with the other.
  • Pain indicates inflammation or rotator cuff tear.
A

Neer’s Impingement Sign

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9
Q

Which test/maneuver?

  • Flex the patient’s shoulder and elbow to 90 degrees with the palm facing down.
  • Then with one hand on the forearm and one on the arm, rotate the arm internally.
  • Pain indicates inflammation or rotator cuff tear.
A

Hawkin’s Impingement Sign

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10
Q

Which test/maneuver?

This compresses the tuberosity of the humerus against the acromion.

A

Neer’s Impingement Sign

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11
Q

Which test/maneuver?

This compresses the greater tuberosity against the coracoacromial ligament.

A

Hawkin’s Impingement Sign

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12
Q

Which test/maneuver?

This tests supraspinatus strength.

A

Empty Can Test

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13
Q

Which test/maneuver?

This tests infraspinatus strength.

A

Patient places arms at the side and flexes elbows to 90 degrees with thumbs turned up. Provide resistance as the patient presses the forearms outward.

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14
Q

Which test/maneuver?

  • Flex the patient’s forearm to 90 degrees at the elbow and pronate the patient’s wrist.
  • Provide resistance as the patient turns arms upward.
  • Pain indicates inflammation of the long head of the biceps tendon or rotator cuff tear.
A

Forearm Supination

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15
Q

Which test/maneuver?

  • Elevate arms to 90 degrees and internally rotate the arms with the thumbs pointing down.
  • Ask the patient to resist you as you place downward pressure on the arms.
  • Weakness indicates rotator cuff tear.
A

Empty Can Test

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16
Q

Which test/maneuver?

  • Ask the patient to grasp the thumb against the palm and then move the wrist toward the midline in ulnar deviation.
  • Pain indicates deQuervain’s tenosynovitis.
A

Finkelstein’s Test

17
Q

Which test/maneuver?

  • Ask the patient to raise the thumb straight up as you apply downward resistance.
  • Weakness is a sign of carpal tunnel.
A

Thumb Abduction

18
Q

Which test/maneuver?

  • Tap lightly over the median nerve.
  • Aching and numbness in the first 3 fingers indicates carpal tunnel.
A

Tinel’s Sign

19
Q

Which test/maneuver?

  • Hold the wrists in flexion for 60 seconds.
  • Alternatively, ask patient to press the backs of both hands together to form right angles for 60 seconds.
  • Numbness and tingling in the first 3 fingers is positive.
A

Phalen’s Sign

20
Q

Which test/maneuver?

  • Suprapatellar compression ejects fluid into the spaces adjacent to the patella.
  • Causes a palpable fluid wave.
A

Balloon Sign

21
Q

Which test/maneuver?

  • With the patient supine, grasp the heel and flex the knee.
  • Cup your other hand over the knee joint with fingers and thumb along the medial joint line.
  • From the heel, externally rotate the lower, then push on the lateral side to apply valgus stress on the medial side of the joint.
  • At the same time, slowly extend the lower leg in external rotation.
  • Repeat maneuver with internal rotation and fingers over lateral joint line.
  • Positive sign is a click (felt/heard), tenderness along joint line.
A

McMurray Test

22
Q

Which test/maneuver?

  • Patient supine, knee slightly flexed, move the thigh about 30 degrees laterally.
  • Place one hand against the lateral knee to stabilize the femur and the other hand around the medial ankle.
  • Push medially against the knee and pull laterally at the ankle to open the knee joint on the medial side.
  • Pain or a gap in the medial joint line is positive.
A

Valgus Stress Test (Abduction)

23
Q

Which test/maneuver?

This tests the MCL.

A

Valgus stress Test (Abduction)

24
Q

Which test/maneuver?

This tests the LCL.

A

Varus Stress Test (Adduction)

25
Q

Which test/maneuver?

  • Patient supine, knee slightly flexed, move the thigh about 30 degrees laterally.
  • Place one hand against the medial knee to stabilize the femur and the other hand around the lateral ankle.
  • Push laterally against the knee and pull medially at the ankle to open the knee joint on the medial side.
  • Pain or a gap in the lateral joint line is positive.
A

Varus Stress Test (Adduction)

26
Q

Which test/maneuver?

  • Have the patient lie supine with legs extended.
  • Squeeze the calf.
  • Positive sign has no plantar flection.
A

Thompson Squeeze Test

27
Q

Which test/maneuver?

  • Patient lies on stomach and bends knees up.
  • Presss down on the heel.
  • Positive sign is pain.
A

Apley’s Grind Test

28
Q

Which test/maneuver?

  • Patella bounces up and down when you touch it.
  • Effusion or pocket of fluid under the patella.
A

Patellar Ballottement

29
Q

Which test/maneuver?

  • Arm at 90 degrees.
  • Anterior pressure and external rotation.
  • Pain or fear of the feeling of subluxation.
  • Positive test indicates glenohumeral instability.
A

Apprehension Test

Simmons NURP 532 Exam 2 (25 decks)

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