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NMS II OSCE weeks > lumbar tests > Flashcards

lumbar tests Flashcards

1
Q

perform Adam’s position

A

pt bends forward; doc analyzes spine

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2
Q

Adam’s position positive

A

rib humping

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3
Q

Adam’s position meaning

A

scoliosis

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4
Q

perform amoss

A

pt arises from a lying position

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5
Q

amoss positive

A

pain

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6
Q

amoss meaning

A

AS

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7
Q

antalgia positive

A

pt leans in a direction depending on pain relief

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8
Q

antalgia meaning

A

leaning away: posterolateral disc
leaning towards: medial disc
forward: central disc

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9
Q

perform straight leg raiser

A

doc lifts one leg at a time

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10
Q

straight leg raiser positive

A

pain

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11
Q

straight leg raiser meaning

A

0-30: SOL
30-45: sciatica
>60: lumbosacral

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12
Q

perform bechterew’s

A

pt sits and extends one leg at a time and resists downward pressure; repeat on other, then both legs

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13
Q

bechterew’s positive

A

pain from lumbars down leg

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14
Q

bechterew’s meaning

A

disc

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15
Q

perform slump

A

slump shoulders; flex head; raise each leg and dorsiflex, then both legs raised

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16
Q

slump positive

A

pain

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17
Q

slump meaning

A

base on pain pattern

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18
Q

perform braggard’s

A

SLR, then slightly lowered; quickly dorsiflex foot

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19
Q

braggard’s positive

A

pain

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20
Q

braggard’s meaning

A

sciatica

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21
Q

perform well leg raiser

A

SLR on well side first

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22
Q

well leg raiser positive

A

pain

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23
Q

well leg raiser meaning

A

posteromedial disc

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24
Q

perform frajersztajn’s

A

braggard’s on well side first

25
Q

frajersztajn’s positive

A

pain

26
Q

frajersztajn’s meaning

A

medial disc

27
Q

perform cox

A

raise straight leg to 90

28
Q

cox positive

A

opposite side pelvis lifts

29
Q

cox meaning

A

SI

30
Q

perform ely’s

A

push leg to opposite buttocks

31
Q

ely’s positive

A

pain

32
Q

ely’s meaning

A

lumbar NR irritation

33
Q

perform femoral nerve traction

A

stabilize hip; abduct leg, extend, flex knee

34
Q

femoral nerve traction positive

A

pain

35
Q

femoral nerve traction meaning

A

femoral nerve irritation

36
Q

perform heel/toe walk

A

walk on heels; walk on toes

37
Q

heel/toe walk positive

A

toes drop; heels drop

38
Q

heel/toe walk meaning

A

toes drop: L5

heels drop: S1

39
Q

perform kemp’s

A

flex forward, rotate around and extend low back

40
Q

kemp’s positive

A

pain

41
Q

kemp’s meaning

A

flexion: disc
extension: facet

42
Q

perform kernig’s

A

flex leg, straighten leg

43
Q

kernig’s positive

A

opposite knee buckles

44
Q

kernig’s meaning

A

meningitis

45
Q

perform nachla’s

A

push leg to same side buttocks

46
Q

nachla’s positive

A

pain

47
Q

nachla’s meaning

A

SI

48
Q

perform milgram’s

A

pt lifts both legs 6” off table and hold

49
Q

milgram’s positive

A

can’t raise legs or can’t hold them up

50
Q

milgram’s meaning

A

SOL

51
Q

perform minor’s

A

pt stands from a seated position

52
Q

minor’s positive

A

trouble/pain while getting up

53
Q

minor’s meaning

A

SI

54
Q

perform quick

A

pt squats and bounces a couple of times at bottom

55
Q

quick positive

A

pain

56
Q

quick meaning

A

pain pattern depending on where it is

57
Q

perform bilateral leg lowering

A

raise both legs; slowly lower, hold at 45, hold at 6” above

58
Q

bilateral leg lowering positive

A

pain or legs drop

59
Q

bilateral leg lowering meaning

A

lumbopelvic problem

NMS II OSCE weeks (12 decks)

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