Upper Limb

Question 1

Apprehension a test for Anterior Shoulder dislocation

Answer 1

Positive: face grimace by pt upon ER before end point

Question 2

Sulcus Sign positive Test

Answer 2

Depression between acromion and humeral head with inferior arm pull

Question 3

What does a positive apprehension test for posterior shoulder dislocation indicate?

Answer 3

Grimace with posterior force through humerus

Question 4

Speeds Test is for? How perform

Answer 4

Bicep tendinitis
Arm out straight, supinated force out and palpate over bicep tendon

Question 5

Yergasons Test for? How perform?

Answer 5

Bicep tendinitis; arm at side, elbow bent, have pt complete ABD and supination against resistance

Question 6

Drop Arm Test for? How perform?

Answer 6

Rotator cuff tear; 90 deg ABD have pt slowly lower arm down

Positive if can’t control

Question 7

Hawkins Kennedy impingement test for? How to perform?

Answer 7

Super spinatus tendon impingement; 90° shoulder flexion, internal rotation, resist against

Question 8

Infraspinatus test for? How to perform?

Answer 8

Infraspinatus tear;
elbow in 90°, from patient side, externally, rotate, apply internal rotation force

Question 9

Neer impingement test for? How to perform?

Answer 9

Shoulder impingement, supraspinatus focus

Therapist stabilize, shoulder and elbow move patient through full range, shoulder flexion, looking for pain

Question 10

Supraspinatus test for? How to perform?

Answer 10

Supraspinatus in impingement;

In caption thumbs down apply resistance down

Question 11

Adsons maneuver for? How to perform?

Answer 11

Thoracic outlet syndrome;

Monitor radial pulse while patient rotates head towards test shoulder and extends it, therapist flexes shoulder

Looking for loss of pulse

Question 12

Allen test for? How to perform?

Answer 12

Thoracic outlet syndrome;

Patient in 90° abduction, external rotation, and elbow flexion, rotate head away from arm palpate radial pulse

Question 13

Valgus stress test for? How to perform?

Answer 13

Laxity in MCL of elbow;

Elbow, straight shoulder and 20° flexion apply valgus stress

Question 14

Varus stress test of elbow for?

Answer 14

Laxity of LCL of elbow;

Elbow, straight shoulder in 20° flexion apply varus force

Question 15

Cozens Test for? How to perform?

Answer 15

Lateral epicondylitis;

Palpate over lateral epicondyle have patient make fist, pronate, radially deviate, and extend wrist all against resistance

Question 16

Medial epicondylitis test for? How to perform?

Answer 16

Medial epicondylitis;

Arm straight out, palp medial epicondyle; therapist supinates arm, extends wrist and elbow

Question 17

Mills test for? How to perform?

Answer 17

Lateral epicondylitis;

Palpating lateral epicondyle; elbow at patient side in pronation, therapist manually extends elbow and flexes wrist at same time

Question 18

What is Elbow Fexion test for? How to perform?

Answer 18

Cubital tunnel syndrome

patient flexes elbows while keeping wrist and extension hold 3 to 5 minutes

positive when getting tingling or paresthesia

Question 19

Pinch grip test for? How to perform?

Answer 19

Anterior interosseous nerve pathology

Patient pinches tip of index and thumb together;

Question 20

Tinels sign for? How to perform?

Answer 20

Ulnar nerve pathology

Two finger tap between olecranon and medial epicondyle

Question 21

Phalens Test for? How to perform?

Answer 21

Carpal tunnel syndrome

Maximal wrist flexion hold 60 seconds positive if tingling through nerve distribution

Question 22

Froments Sign for? How to perform?

Answer 22

Adductor pollicis muscle paralysis

Patient tries to pull paper away from therapist excessive flexion of distal, phalanx of thumb

Question 23

Murphy sign for? How to perform?

Answer 23

Dislocated lunate

Patient make fist looking for third metacarpal at same level as second and fourth

Question 24

Finksteins test for? How to perform?

Answer 24

Tenosynovitis in thumb or De Quervains

Out stretch arm, patient ulnar deviates pain over snuff box