NMS Orthopedics

Question 1

50% flexion and extension of the neck occurs in

Answer 1

Occ and C1

Question 2

50% rotation of the neck occurs in

Answer 2

C1 and C2

Question 3

Patient seated and place affected palm on top of the head and elbow same level of head

Answer 3

Bakody’s

Question 4

+ Bakodys

Answer 4

Relief of pain

Question 5

Bakody’s indicate

Answer 5

IVF encroachment

Question 6

Patient seated rotates head from side to side, doc put pressure

Answer 6

Foraminal compression

Question 7

+ Foraminal compression

Answer 7

Radicular or localized pain

Question 8

Foraminal compression indicates

Answer 8

NR compression

Fact syndrome

Question 9

+ Jackson, indicates

Answer 9

Radicular and localized pain
NR compression
Fact syndrome

Question 10

Patient seated and actively rotates, laterally flex and hyperextend the neck to right. If no pain, patient asked to maximally laterally flex the neck. NO COMPRESSION APLIED

Answer 10

Maximum cervical compression

Question 11

Maximum cervical compression + and indication

Answer 11

Radicular and localized pain
NR compression
Fact syndrome

Question 12

DIstraction: +, indication

Answer 12

Positive= decreased pain, NR compression

Increased pain, Sprain strain

Question 13

Shoulder depression + and indication

Answer 13

Pain,

NR Adhesion

Question 14

Soto Hall +, indication

Answer 14

Localized pain

Fracture (anterior pain), Ligament damage (Posterior pain)

Question 15

Patient actively maximally rotates and laterally flexed head to the affected side. Doc delivers vertical blow to patient’s head

Answer 15

Spurling

Question 16

+Spurling, Indication

Answer 16

Pain in neck, shoulder, arm

Indicates SOL

Question 17

Valsalva +, indication

Answer 17

Radicular pain indicates SOL

Question 18

Patient sits erect while doc holds digital pressure bilaterally over jugular veins or put a blood pressure cuff around patients neck and pump to 40 mm/Hg hold for up to 30 seconds. If no pain instruct patient to cough.
COntraindicated with vascular compromised

Answer 18

Nefzinger

Question 19

Nefzinger positive, indication

Answer 19

Pain

SOL

Question 20

TOS tests

Answer 20

1. Allen
2. Adson
3. Modified Adson
4. Costoclavicular (edens)
5. Wrights (Hyperabduction)
6. Reverse Bakody
7. ROOS
8. Bikele

Question 21

Patient seated with elbow flexed and FA supinated, ask patient to pump hand and keep closed while doc occludes radial and ulnar arteries until hand is blanched. The patient slowly opens the hand while doctor opens one artery and records filling time

Answer 21

ALLENS

Question 22

+ Allens

Answer 22

Delay of more than 10 seconds

Indicates occlusion of corresponding arteries

Question 23

Patient seated, doc slightly abduct extend and externally rotate the arm. Patient rotates head towards tested side and extends the head. Patient takes deep breath

Answer 23

Adson’s

Question 24

Adsons +, indication

Answer 24

Alteration of amplitude of radial pulse

Indicates cervical rib

Question 25

Adsons AKA

Answer 25

Scalenus anticus test

Question 26

Adson negative, patient rotates head towards opposide side, extend head and take deep breath

Answer 26

Modified adsons

Question 27

Modified adsons AKA

Answer 27

Scalenus medius tes

Question 28

Mod. Adson's + indication

Answer 28

Alteration of amplitude of radial pulse | Indicates Subclavian artery, Scalenius medius syndrome

Question 29

Dr palpates radial pulse while drawing patients shoulder downand back. Pt flex chin to chest

Answer 29

Costoclavicular / Edens

Question 30

Eden's + indication

Answer 30

Alteration of amplitude or radial pulse | Indicates compression between 1st rib and clavicle

Question 31

Wright's +, indication

Answer 31

+ if pulses are lost with more that 10 degree difference | Indicates Pec MINOR syndrome, Axillary artery

Question 32

Reverse Bakody's + and indication

Answer 32

Increased pain | TOS

Question 33

Patient extends the head back, doc slightly abducts arm and applies downward traction on arm while taking pulse

Answer 33

Halstead

Question 34

Halstead + and indication

Answer 34

Alteration in amplitude of the radial pulse | Indicates cervical rib

Question 35

Cervical rib ortho

Answer 35

Halstead, Adsons (scalenus anticus)

Question 36

Patient actively abducts the shoulder to 90 degrees with elbow flexed to 90 degrees and then extend the shoulder. Now patient extend the elbow

Answer 36

Bikele

Question 37

+ Bikele and indication

Answer 37

+ is resistance and increase radicular pain | Indicates TOS, brachial plexus neuritis, and meningeal irritation

Question 38

Patient is seated, both arms at 90 degrees and patient abduct and externally rotates the arm. Patient repeatedly opens and closes fist for 3-5 mins

Answer 38

Roos

Question 39

+ Roos and indication

Answer 39

Reproduction of symptoms and unusual discomfort | Indicates TOS