Diagnostic accuracy of special tests

Question 1

Apprehension test (apprehension and/or pain)

Answer 1

SP

Question 2

Relocation test

Answer 2

SP

Question 3

Jerk test (posterior instability)

Answer 3

SN

Question 4

Hawkins

Answer 4

SN

Question 5

Neer

Answer 5

SN

Question 6

Painful arc

Answer 6

SN

Question 7

Empty can

Answer 7

SN>SP but close

Question 8

Drop arm

Answer 8

SP

Question 9

ER lag

Answer 9

SP

Question 10

Infraspinatus

Answer 10

SP

Question 11

Hornblower

Answer 11

SN (1.0!) Rules out complete tear of teres minor

Question 12

IR lag sign

Answer 12

SN (1.0!) Rules out complete tear of subscap

Question 13

Panxios test

Answer 13

SN

Question 14

Active compression test

Answer 14

O’briens: SN

Question 15

Biceps load II

Answer 15

both .9 SN and SP

Question 16

Anterior slide test

Answer 16

SP

Question 17

Compression rotation

Answer 17

Crank/SN

Question 18

Combination of tests for slap
Name three highly SN
Name three highly SP

Answer 18

SN: Crank, apprehension, active compression/obriens
SP: Yergansons, biceps II, speed

You would chose two SN and one SP to get .9 SP

Question 19

Rule for cluster of RTC. 2 positive vs. 3

Answer 19

2 positive = impingment+ LR 11

3 positive = RTC pathology +LR 16

Question 20

Elbow extension test

Answer 20

for elbow fx.

~1 SN

Question 21

Moving valgus stress test

Answer 21

SP of 1.0!

Question 22

Elbow flexion test

Answer 22

neurologic dysfunction: supine max ER, elbow flexion and wrist extension for one minute
SP of ~1.0

Question 23

Ulnomeniscotriquetral dorsal glide test

Answer 23

For TFCC: ulna posterior, radius anterior

Barely SP

Question 24

Watson/scaphoid shift test

Answer 24

pronated, wrist in full ulnar deviation and slight extension while stabilizing metacarpals

Pressure on distal pole of scaphoid while radially deviating and slightly flexion pt’s hand

Just barely SP

Question 25

Eichoff's and Finkesteins

Answer 25

SN

Question 26

WHAT test (wrist hyperextension and ABD test

Answer 26

De'quervain's: pt's wrist hyperflexed with thumb ABD in full MCP and iP extension, examiner pushes thumb into ADD ~1.0 SN

Question 27

Allens test

Answer 27

for ulnar and radial vascular deficiency SP ~1

Question 28

Scour

Answer 28

SP

Question 29

FABER

Answer 29

SN

Question 30

Trendelenburg

Answer 30

SP

Question 31

What is the combination of tests for hip OA (5)

Answer 31

``` Sxs increase with squatting Lateral hip pain with active hip flexion Pain with active hip extension (+) scour <25 IR ``` HUGE (+)LR if all five or four are present

Question 32

Lachman vs. Anterior drawer Higher SP Higher SN

Answer 32

Higher SP: neither they are both .81 specific Higher SN: Lachman

Question 33

Anterior drawer

Answer 33

SP

Question 34

Posterior drawer

Answer 34

~1 SP

Question 35

Posterior lag sign

Answer 35

~1 SP

Question 36

Valgus

Answer 36

SN

Question 37

pivot shift

Answer 37

SP

Question 38

Mcmurry and thessley

Answer 38

SP but thessley>mcmurry

Question 39

Patellar apprehension test

Answer 39

SP

Question 40

Ottawa knee rules in kids and adults

Answer 40

SN

Question 41

Anterior drawer

Answer 41

SP

Question 42

talar tilt

Answer 42

SP

Question 43

Medial subtalar glide test: hold talus and move calcaneous medially didn't say anything else about it at all

Answer 43

SP

Question 44

Kleiger test

Answer 44

SP

Question 45

DF ER test

Answer 45

SN

Question 46

squeeze test: syndesmosis

Answer 46

SP

Question 47

Thompson test

Answer 47

both >.90 SN >SP

Question 48

Windlass test

Answer 48

~1 SN

Question 49

Sharp-purser (transverse)

Answer 49

SP

Question 50

Compression and distraction and spurlings

Answer 50

SP

Question 51

Upper limb tension

Answer 51

SN

Question 52

Hoffmann

Answer 52

SP

Question 53

Reflex testing

Answer 53

SP

Question 54

inverted supinator sign

Answer 54

SP

Question 55

Babinski sign

Answer 55

SP

Question 56

Clonus

Answer 56

SP

Question 57

SLR

Answer 57

SN

Question 58

Cross SLR

Answer 58

SP

Question 59

Femoral nerve traction

Answer 59

SN

Question 60

Centralization and peripheralization

Answer 60

SP

Question 61

Slump: think LR cauas SP and SN are too close

Answer 61

~4 +LR

Question 62

Passive lumbar extension

Answer 62

SP

Question 63

Prone instability test

Answer 63

SN

Question 64

Aberrant movement pattern

Answer 64

SN

Question 65

FABER

Answer 65

SN

Question 66

thigh trust

Answer 66

SN

Question 67

Gaenslen's

Answer 67

SP

Question 68

Compression and distraction

Answer 68

SP

Question 69

sacral thrust

Answer 69

SP

Question 70

Combined: thigh trust, Gaeslen, compression, distraction, sacral trust

Answer 70

SN BUT (+)3.54 liklihood ratio