Orthopedic Tests Video Flashcards

(76 cards)

1
Q

DVT, what would you expect to find on physical exam?

A. absence of pleural rub
B. (+) Homan’s sign
C. High ankle BP
D. (=) Trendelenburg test

A

B. (+) Homan’s sign

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2
Q

Left shoulder pain d/t bicipital tendonitis Point tenderness suggests there may be inflammation or injury to _________ and you confirm this by performing ________.

A. Bicipital tendon; Neer’s test
B. Bicipital tendon; Speed’s test
C. Glenohumeral capsule; Neer’s test
D. Glenohumeral capsule; Speed’s test

A

B. Bicipital tendon; Speed’s test

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3
Q

A diagnosis of ____, supported if symptoms most aggravated by _______.

A. Bicipital tendon; abduction and ext rotation
B. Adhesive capsulitis; adduction and
pronation of the arm
C. Adhesive capsulitis; resisted flexion and
supination of the arm
D. Bicipital tendon; resisted flexion and
supination of the arm

A

D. Bicipital tendon; resisted flexion and

supination of the arm

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4
Q

Which of the following improves her range of motion and is safe and effective?

A. isometric shoulder exercises
B. over-the-head free-weight lifting
C. “wall climbing” shoulder exercises
D. None, exercise contraindicated

A

C. “wall climbing” shoulder exercises

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5
Q

What’s a Ddx for the vertebral column?

A

Scoliosis, TOS, sciatica, disc herniation, meningitis, vertebral artery compression, space occupying lesion

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6
Q

What’s Adam’s sign for?

How do you perform?

A

Structural scoliosis

Involves having patient bend forward

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7
Q

What’s Adson’s test for?

How do you perform?

A

TOS

Involves taking radial pulse and lifting arms to see if pulse is still detected

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8
Q

What’s Braggard’s test for?

How do you perform?

A

Sciatica d/t IV herniation

During SLR, dorsiflex foot of leg that’s raised

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9
Q

What’s Bechterew’s test for?

How do you perform?

A

Sciatica

Involves extending knees while seated

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10
Q

What’s Burn’s bench test for?

How do you perform?

A

Malingering

Touch floor while kneeling on a chair (hence, why it is a bench test)

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11
Q

What’s Cervical Spine Compression test for?

How do you perform?

A

Nerve root compression

Push down on the head

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12
Q

What’s Cervical Spine Distraction test for?

How do you perform?

A

Nerve root impingement

Pull up on head ((+) decrease of pain)

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13
Q

What’s East’s or Roos’ test for?

How do you perform?

A

TOS

Hands up! Open/close hands for 3 minutes.

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14
Q

What’s Hoover’s test for?

How do you perform?

A

Malingering

Supine, flex hip

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15
Q

What’s Kemp’s test for?

How do you perform?

A

Disc herniation

Rotate, extend, lat flex - push on lumbar Ups

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16
Q

What’s Kernig’s test for?

How do you perform?

A

Meningitis

Flex hip then extend knee

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17
Q

What’s Lasegue’s test for?

How do you perform?

A

Disc herniation or sciatica

Straight leg raise

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18
Q

What’s Linder’s test for?

How do you perform?

A

Sciatica

Supine, flex neck

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19
Q

What’s Milgram’s test for?

How do you perform?

A

Disc herniation

Supine, raise extended legs for 30 secs

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20
Q

What’s Minor’s sign for?

How do you perform?

A

Sciatica

Sit then stand and put one hand on back

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21
Q

What’s shoulder depression test for?

How do you perform?

A

Brachial plexus lesion

Apply pressure down on shoulder, flex head

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22
Q

What’s soto hall test for?

How do you perform?

A

Disc herniation

SLR + flex head

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23
Q

What’s valsalva test for?

How do you perform?

A

Space occupying lesion

bear down

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24
Q

What’s vertebral artery test for?

How do you perform?

A

Vertebral art. compression

Extend head, lat flex, rot – hold 30 sec

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25
What's Wright's test for? How do you perform?
TOS Palpate both radial pulses, raise arms
26
What's the Ddx for the shoulder?
rotator cuff tear, tendinitis, dislocation
27
What's Apley's scratch test for? How do you perform?
Rotator cuff tear, tendinitis Touch finger tips to middle of back
28
What's Drop arm test for? How do you perform?
Rotator cuff tear Abduct both arms to 180, then move them down in adduction
29
What's glenohumeral apprehension test for? How do you perform?
Dislocated shoulder Cross painful arm, push on elbow toward painful shoulder
30
What's impingement test for? How do you perform?
Shoulder lesion Abduct arm, rotate medially + passively elevate it
31
What's Lippman's test for? How do you perform?
Bicipital tendinosis Palpate bicipital groove
32
What's speed's test for? How do you perform?
Bicipital tendinosis Resisted shoulder flexion
33
What's Yergason's test for? How do you perform?
Bicipital tendinosis Flex elbow, resists supination/lateral rotation
34
Ddx Wrist/Hand/Elbow?
tennis elbow, dequervain’s, carpal tunnel
35
What's Cozen's test for? How do you perform?
Tennis elbow (extensor tendonitis / lateral epicondylitis) Resisted wrist extension in pronated/flexed arm
36
What's Finkelstein’s test for? How do you perform?
De Quervain’s disease Hold thumb in hand and ulnar deviate
37
What's Mill’s test for? How do you perform?
Tennis elbow (lateral epicondylitis) Palpate lateral epicondyle
38
What's Phalen's test for? How do you perform?
Carpal tunnel Backwards prayer
39
What's Retinacular test for? How do you perform?
Tight reticular ligament or capsule Hold PIP, flex DIP, Flex PIP, Flex DIP
40
What's Tinel's sign for? How do you perform?
Carpel tunnel Tap over median nerve
41
What's valgus/varus stress test for? How do you perform?
Med/Lat collateral lig instability (Valgus is medial both 6 letters) Apply stressors
42
What's a Ddx for the hip/pelvis?
TFL contracture, SI lesion, spondylolithesis, dislocation, gluteus weakness
43
What's ely's test for? How do you perform?
Tight rectus femoris, lumbar lesion, contracture of TFL, osseous hip lesion Prone, flex knee to butt
44
What's Gaenslen's test for? How do you perform?
SI lesion, hip pathology, likely L4 lesion Supine, one leg off table, bring the other knee to your chest
45
What's Hibb's test for? How do you perform?
Spondylolithesis, facet syndrome, SI lig sprain Prone, flex knee, move leg laterally
46
What's Nachla's test for? How do you perform?
Tight rectus femoris, upper lumbar lesion Prone knee bending
47
What's Ober's test for? How do you perform?
Contraction of TFL Lateral decubitus, affected leg up, flex knee, raise leg, let it fall
48
What's Ortolani click test for? Who are you doing this test on? How do you perform?
Congenital hip dislocation An infant only Flex hip/knees, abduct/rotate hips
49
What's Patrick's test for? How do you perform?
Hip arthritis, bursitis, lig sprain Cross legs (tabletop)
50
What's pelvic rock test for? How do you perform?
SI lesion Rock the pelvis back and forth
51
What's Telescoping test for? Who are you doing this test on? How do you perform?
Congenital hip dislocation infant only Move legs like you are adjusting a telescope
52
What's Thomas' test for? How do you perform?
Tight hip flexor Bring knee to chest while supine
53
What's Tredenlenburg test for? How do you perform?
Glut med weakness Stand, flex 1 knee
54
What's Yeoman's test for? How do you perform?
SI joint dysfunction Prone, extend hip with knee extended/flexed
55
Ddx the Knee?
ACL, PCL, lat/med meniscus, collat ligs, patella | dislocation, chondromalacia patella, effusion
56
What's Ant/Post drawer test for? How do you perform?
ACL/PCL Tear Sit on foot, pull leg
57
What's Apley's compression test for? How do you perform?
Medial/Lateral meniscus tear Apley’s coMpression = Meniscus push ankle, while knee is flexed in prone
58
What's Apley's distraction test for? How do you perform?
Collateral Ligament sprain Apley’s distraction = Ligament pull ankle, while knee is flexed in prone
59
What's apprehension compression test for? How do you perform?
Patellar dislocation Press patella laterally
60
What's bounce home test for? How do you perform?
Torn meniscus Passively extend knee “bounce home”
61
What's lachman's test for? How do you perform?
ACL injury Move tibia forward to femur
62
What's McMurray test for? How do you perform?
Meniscus fragment in joint Flex patient hip and knee, internally/externally rotate knee
63
What's Patellar femoral grinding test for? How do you perform?
Chondromalacia patella Press on patella while patient contracts quads
64
What's Reduction click for? How do you perform?
Menisci fragment in joint
65
What's valgus/varus stress test for (knee)? How do you perform?
MCL/LCL sprains | Valgus/Medial
66
What's the knee joint effusion tests for? How do you perform?
Ballot, bulge Bulge test = minor effusion (milk medial side of patella, then stroke lateral side) Ballot = major effusion
67
What's the Ddx of the ankle/foot?
med/lat talofibular lig, hypertonic gastrocs, foot defect, stress fracture, DVT, flat feet, tibial torsion
68
What's the ant/post drawer tests for? (ankle) How do you perform?
Medial/Lateral Talofibular ligament lesion Excess motion on side the ankle turns away from
69
What's the dorsiflexion test? How do you perform?
Gastrocnemius/soleus hypertonicity Dorsiflex ankle
70
What's the Forefoot adduction test? Who do you test this on? How do you perform?
Forefoot adduction test Structural foot defect (for INFANTS) Excessive forefoot adduction, try to bring foot to neutral position
71
What's the Forefoot squeeze test? How do you perform?
Stress fracture or neuroma Squeeze metatarsal heads
72
What's the Homan's sign? How do you perform?
DVT Dorsiflex patient’s foot
73
What's the talor tilt test? How do you perform?
Torn calcaneofibular ligament Talus is tilted from side to side
74
What's test for rigid or supple flat feet? How do you perform?
Observe arch in three positions (standing, standing on toes, seated) Rigid flat feed: no arch present Supple: Arch absent only while standing
75
What's the Thompson's test? How do you perform?
Ruptured Achille’s Tendon Squeeze gastrocs toward midline
76
What's the tibial torsion test? How do you perform?
Measure angles between malleoli Toe-in or toe-out torsion