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Harrison's Internal Medicine > neuromuscular > Flashcards

Flashcards in neuromuscular Deck (67)
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1

test for glenohumeral

test for abduction

2

full abduction occurs when

humerus is externally rotated

3

test for internal rotation shoulder

hand at back

4

test for external rotation shoulder

hands at side, hand behind neck

5

limited active range of shoulder with full passive

test for resisted movement

6

test for supraspinatus

"empty can"
arms flexed 30, internally rotated, resist abduction

7

test for teres minor and infraspinatus

resisted abduction

8

tests for subscapularis

resisted external and internal rotation

9

test bicipital tendinitis

Yergason and speed test

10

yergason test, for what and how

bicipital tendinitis
resisted supination of forearm

11

speed test, for what and how

bicipital tendinitis
resisted flexion of shoulder, arm supinated

12

pain on entire range of motion of shoulder

glenohumeral joint

13

pain occurs from 90 upward (Shoulder)

acromioclavicular joint

14

pain in middle of the arc with no pain on either end

subacromial

15

Neer and Hawkins test

subacromial

16

test acromioclavicular

across chest, hand behind back

17

Neer's impingement test, for what and how

subacromial impingement
full flexion of arm

18

Hawkin's test, for what and how

subacromial impingement
arm abducted, 90 degress, internal rotation

19

how to assess function of proximal and distal radioulnar or humeroradial joint

forearm supination and pronation

20

palpation of elbow position

examiner behind, elbow points backwards and slightly flexed

21

what is triangle sign

assesses bone and cartilage attrition
isosceles triangle when elbow flexed at 90

22

lateral epicondylitis (tennis elbow)
pain where?
tested by?

pain on common extensor origin of lateral epicondyle
test by resisted active wrist extension

23

medial epicondylitis (golfer's elbow)
pain where?
tested by?

medial epicondyle at insertion site of wrist flexors/pronator group
test by resisted active wrist flexion

24

how to test collateral ligaments

varus force to lateral ligament
valgus for ce to medial ligament

25

how many carpal bones?

8

26

anatomic snuffbox is distal to

radial styloid process

27

thumb opposition

thumb touches each finger

28

carpal tunnel syndrome
pain?

first 3 fingers, and medial 4th

29

carpal tunnel syndrome tests
most sensitive?

abduction of thumb (most sensitive)
tinel's sign
phalen's sign

30

tinel's sign

tingling with tapping carpal tunnel

31

phalen's sign

numbness or tingling while pressing back of hands together for 60 seconds

32

vertebra prominens

spinous process of C7

33

5 points

1. vertebra prominens
2. L2
3. L4-LF intervertebral space
4. iliac crests
5. dimples of venus/sacroiliac joints

34

flexion of the neck may produce paresthesia down the arms and legs
diagnosis?
what sign?

multiple sclerosis or spondylosis
Lhermitte's sign

35

downwards pressure on neck may produce symptoms of what?
what manuevre?
accentuated by?

vertebral foramina narrowing
Spurling's manuevre
pressing down during lateral flexion

36

increasing intrathecal pressure may induce pain
diagnosis?
what maneuvre?

tumor or disc collapse?
Valsalva maneuvre

37

test for thoracic outlet obstruction
what maneuvre?
how?
positive is?

Adson maneuvre
arm is raised, externally rotated, and head also rotated
pulse is felt and bruit over subclavian

38

lumbar range of motion

supine extension-20
rotation-45

39

hip flexion increase

C7-T12 increase by 1 inch
T12-S1 increase by 3 inches

40

Bragard test

ankle dorsiflexion

41

Lasegue test

popliteal pressure

42

2 phases of gait

swing and stance

43

bony landmark, both anterior and posterior

greater trochanter

44

flexion deformity of hip

opposite knee hoes into flexion

45

trendelenburg test

gluteus medius
pelvis drops on the non weight-bearing side

46

thomas test

hip flexors (rectus femoris, ilipsoas, iliotibial)
one hip flexed, other will also flex

47

the two condylar tibiofemoral joints are what type of joints

condylar

48

insertion of patellar tendon

tibial tubercle

49

pes anserine bursa position

posteromedial knee

50

abduction or valgus stress test for

MCL

51

adduction or varus stress test for

LCL

52

anterior drawer sign, Lachman test

ACL

53

posterior drawer sign

PCL

54

McMurray test

Menisci

55

bending backwards of knee

recurvatum

56

test for small effusions in knee

bulge test

57

pivot shift test
for? how?

anterior cruciate tear
flex knee, valgus force

58

position of triangular deltoid ligament

medial

59

ankle flexior or?

plantar flexion

60

ankle extension or?

dorsiflexion

61

assess tibiotalar joint

plantarflex and dorsiflex

62

assess subtalar (talocalcaneal) joint

invert and evert the heel

63

assess transverse tarsal joint

invert and evert forefoot

64

assess metatarsophalangeal joints

flex toes

65

flexion of IP joints secondary to plantar subluxation of MTP joints

claw foot

66

test for rupture of achilles tendon

Thompson/ Simmond's test

67

palpate calcaneal bursa

heel