Orthopedics Lab mid term review for BS

Question 1

Cervical spinous percussion

Answer 1

shooting or lingering pain/ fracture, disc hemorrhage or mestastasis

Question 2

valsalva maneuver

Answer 2

increased symptoms/ increased intrathecal pressure to affect herniated disk or space occupying lesion

Question 3

Cervical compression test

Answer 3

pain, tingle, numbness down arm or between shoulder blades/ nerve root compression, disk herniation, foraminal encroachment

Question 4

spurling test

Answer 4

pain, tingle, numb down arm, between shoulder blades/nerve root compression, disk herniation, foraminal encrachment

Question 5

Maximal foraminal compression

Answer 5

pain, tingle, numb down arm, between shoulder blades/nerve root compression, disk herniation, foraminal encrachment

Question 6

Cervical distraction test

Answer 6

Less pain/ confirms from cervical compression, maximal foraminal compression or spurling test encroachments, More pain/sprain or strain of fascet joints

Question 7

Shoulder depression test

Answer 7

worsend radicular symptoms/ brachial plexus irritation, adhesions, osteophytes

Question 8

Soto hall

Answer 8

localized pain/ vertebral fracture, joint injury of cervical

Question 9

Soto hall with brudzinski sign

Answer 9

hip and knee flex to control pain/meningitis

Question 10

Thrasic spinous percussion

Answer 10

shooting or lingering pain/fracture, disk hemorrhage or metastasis

Question 11

Forward bending test (adams)

Answer 11

rib hump/ help differientiate between structural or functional scoliosis

Question 12

adsons test

Answer 12

loss of pulse, numb, tingle/ vascular thorasis outlet syndrome from anterior scalene

Question 13

Reverse adsons test

Answer 13

loss of pulse, numb, tingle/ vascular thorasic outlet syndrome from middle scalene

Question 14

edens test

Answer 14

loss of pulse/ vascular thorasic outlet syndrome from costoclavicular space

Question 15

Roo’s test

Answer 15

pain, numb, tingle, loss of motor control, weakness/ vascular throasic outlet syndrome

Question 16

Wrights test

Answer 16

loss of pulse/ compression of neurocervical bundle caused by pectoralis minor

Question 17

Allen test

Answer 17

more than 15 second for hand to go from white to pink/ implies arterial disease may be problem not TOS etc

Question 18

Upper limb tension test

Answer 18

reproduction of symptoms, dermatomal pattern/nerve thorasic outlet syndrome, excessive nerve tension

Question 19

Breathing pattern test

Answer 19

thorasic breating/ could cause irritation to brachial plexu

Question 20

cluster for diagnosing cervicaal radiculopathy

Answer 20

upper limb tension test, cervical rotation less than 60 deg, pos spurling, pos distraction

Question 21

Canadian C spine x ray rules

Answer 21

after high risk trauma: Rust sign, axial load injury, over 65, congntive impairment, neurological symptoms

Question 22

Speeds test

Answer 22

pain and tenderness in bicipital groove/bicipital tendenopathy or tendinosis, SLAP lesion, strain of bicep muscle

Question 23

codmans drop arm test

Answer 23

pain, weakness, dropped arm/tear of supraspinatus, rotator cuff muscle

Question 24

Muscle test for Supraspinatus, empty can

Answer 24

within 5 seconds, weakness or pain/supraspanitous strain or inpingment

Question 25

Muscle test for infraspinatus

Answer 25

5 sec external rotation, weakness or pain/ infraspinatous

Question 26

Muscle test for subscapularis

Answer 26

5 sec internal rotation, weakness or pain/ subscapularis

Question 27

Gerber lift off tet

Answer 27

5 sec internal rotation, weakness or pain/ subscapularis weakness or paralysis

Question 28

Hawkins kennedy test

Answer 28

pain/supraspinatus impingment, tendinosis

Question 29

Neers test

Answer 29

1-pain internal rotation/supraspinatous impingement, 2-pain external rotation bicep impingement

Question 30

AC cross body adduction test

Answer 30

localized pain at acromioclavicular or sternoclavicular joint/ coresponding joint dysfunction or sprain

Question 31

AC compression test (or Obrians part 1)

Answer 31

1-deep internal joint pain or clicking/labral tear, 2-superficial pain at acromioclavicualr joint/ AC sprain

Question 32

Obrian test

Answer 32

1-deep internal joint pain or clicking with internal rotation that is reduced with external rotation/labral tear

Question 33

Shoulder apprehension test

Answer 33

apprehension, wince etc/ant glenohumar instability, labrial tear, rotator cuff tear

Question 34

Relocation test

Answer 34

relief of pain or apprehension of shoulder apprehension test/ confirmation of glenohumeral instability

Question 35

Crank test

Answer 35

Pain, catching or grinding/glenoid labrum lesion

Question 36

cozens test

Answer 36

pain or weakness, maybe palpate lat epicondyle/lateral epicondylosis

Question 37

mills test

Answer 37

pain over lateral epicondyle/lateral epicondylosis or radial nerve compression

Question 38

Reverse cozens

Answer 38

pain over medial epicondyle or common flexor tendon/medial epicondylopathy

Question 39

Reverse mills

Answer 39

Localized pain medial epicondyle/ medial epicondylopathy

Question 40

Valgus stress

Answer 40

pain or excessive motion/medial elbow sprain or instability\

Question 41

Varus stress

Answer 41

pain or excessive motion/medial elbow sprain or instability\lateral elbow strain or instabilitiy

Question 42

Tinels ulnar nerve

Answer 42

shooting,electrical pain or tingling/ulnar neropathy at cubital tunnel or along course proximal to elbow

Question 43

Tinels medial nerve

Answer 43

shooting electral pain or tingle/medial nerver neruopathy

Question 44

Froments pinch

Answer 44

inability to put pads of index finger and thumb together/ulnar neuropathy

Question 45

Active ulnar tension

Answer 45

3-5 min-discomfort or tingling withing 60 sec/cubital tunnel syndrome, ulnar nerve tension

Question 46

Phalens test

Answer 46

numbness or tingling along thumb and 3 fingers/ carpal tunnel syndrom, medial nerve impingment

Question 47

median nerve compression test

Answer 47

median nerve sx, numb tingle/carpal tunnel

Question 48

Finkelsteins test

Answer 48

pain at lateral wrist/tenosynovitus or extensor policis brevis and abductor policis longus

Question 49

scaphoid fracture test

Answer 49

pain/scaphoid fracture

Question 50

Bracelet test

Answer 50

pain with compression/lunate dislocation, scaphoid fracture, ligament instability, RA

Question 51

C5 nerve muscle test

Answer 51

middle deltoid/axillary nerve

Question 52

C6 muscle test

Answer 52

bicep/musculocutaneous, wrist extensors/radial nerve

Question 53

C7 muscle test

Answer 53

Tricep/radial nerve, wrist flexor and finger extensors/Median/ulnar nerve

Question 54

C8 muscle test

Answer 54

Finger flexors/ulnar,median nerve

Question 55

Ti muscle test

Answer 55

finger abduct, adduct/ulnar nerve

Question 56

C5 reflex

Answer 56

bicep

Question 57

C6 reflex testing

Answer 57

brachioradialis

Question 58

C7 reflex testing

Answer 58

triceps

Question 59

C5 sensory

Answer 59

over deltoid tuberosity

Question 60

C6 sensory

Answer 60

lateral forearm, thumb

Question 61

C 7 sensory

Answer 61

middle finger

Question 62

C8 sensory

Answer 62

pinky

Question 63

TI sensory

Answer 63

medial forearm

Question 64

T2 sensory

Answer 64

Medial Upper arm.