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How many musculoskeletal tests should an examiner do on a patient that comes in with c/o back, shoulder or knee pain?

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6 years ago

Date created

Mar 1, 2020

Cards (40)

Section 1

(40 cards)

How many musculoskeletal tests should an examiner do on a patient that comes in with c/o back, shoulder or knee pain?

Front

Only perform the tests that are required for a diagnosis. Examiners should not complete every test they remember. Certain tests are done to help rule in or rule out a diagnosis.

Back

True/False : Aadolescent scolioiis is a common reason teens seek medical attention for back pain

Front

False. Scoliosis alone does not cause back pain

Back

How to perform the anterior drawer test for ankle injury

Front

Back

Grade I: Ankle sprain

Front

Mild tenderness and swelling Slight or no functional loss (i.e., patient is able to bear weight and ambulate with minimal pain) No mechanical instability (negative clinical stress examination)

Back

excessive outward curvature of the spine, causing hunching of the back.

Front

Kyphosis

Back

Test for sacroiliac/hip dysfunction

Front

Patrick test The test is performed by having the tested leg flexed and the thigh abducted and externally rotated. If pain is elicited on the ipsilateral side anteriorly, it is suggestive of a hip joint disorder on the same side. If pain is elicited on the contralateral side posteriorly around the sacroiliac joint, it is suggestive of pain mediated by dysfunction in that joint.

Back

osteomyleitis

Front

inflammation of bone or bone marrow, usually due to infection.

Back

Nursemaid's elbow is also called

Front

subluxation of radial head

Back

genu varum

Front

bowlegs

Back

Rotator cuff drop arm test

Front

You abduct the patient's arm (above head) -Release pt's arms and ask him/her to slowly lower the arms to the floor. Positive Test: -pain, weakness or ratcheting motions -patient can't hold arms up or lower with control

Back

Adduction

Front

Back

Lying prone with flexed knee, twist with and without pressure. Twisting with compression that increases pain and demonstrates decreased rotation- meniscus damage

Front

Apley's test

Back

Grade II: Ankle sprain

Front

Moderate pain and swelling Mild to moderate ecchymosis Tenderness over involved structures Some loss of motion and function (i.e., patient has pain with weight-bearing and ambulation) Mild to moderate instability (mild unilateral positivity of clinical stress examination)

Back

How to perform McMurray test

Front

pain or a "click" is felt, this constitutes a "positive McMurray test" for a tear in the lateral meniscus.

Back

excessive inward curvature of the spine.

Front

Lordosis

Back

Lateral epicondylitis (tennis elbow) causes:

Front

pain with resisting wrist extension

Back

Asymmetry

Front

one side is different then the other (physical exam)

Back

The subject lies supine on the table with both the hip and the knee of the involved side to 90 degrees. - Action: the examiner passively stabilizes the positioning of the subject's hip and knee while assessing (inspecting) the location of the Tibia along the longitudinal axis.

Front

Godfrey's/sag sign: Positive Findings: The recognition of one Tibia resting more inferiorly than the contralateral side of may indicate a posterior sag or instability. This may be related to the PCL.

Back

Positive Hawkins test

Front

shoulder impingement

Back

Grade III Ankle sprain

Front

Severe swelling (more than 4 cm about the fibula) Severe ecchymosis Loss of function and motion (i.e., patient is unable to bear weight or ambulate) Mechanical instability (moderate to severe positivity of clinical stress examination)

Back

a test done during the physical examination to determine whether a patient with low back pain has an underlying herniated disk, often located at L5 (fifth lumbar spinal nerve).

Front

Straight leg raise/Lasegue's; If the patient experiences sciatic (buttock/leg) pain when the straight leg is at an angle of between 30 and 70 degrees, then the test is positive and a herniated disc a possible cause of the pain. A negative test suggests a likely different cause for back pain.

Back

back of ankle reflex

Front

Achille's reflex

Back

A sprain affects ______________

Front

ligaments

Back

Cervical radiculopathy will have +__________ test

Front

Spurlings test

Back

Neck muscle pain (common after MVA whiplash) with movement against resistance. Neuro exam is normal.

Front

Cervical strain

Back

How to perform the talar tilt test for ankle injury

Front

Back

How to grade reflexes

Front

Back

Pressure on the nerves that pass up the wrist Tingling, pain, and numbness in the thumb and fingers, especially at night

Front

Carpal tunnel

Back

shoulder flexion

Front

Back

A positive Yergason's test (flex patient's arm 90 degrees. Examiner holds wrist and patient tries to supinate the lower arm which increases patient's pain. What does this indicate?

Front

Biceps tendonitis

Back

Abduction

Front

Back

a problem causing neck pain (down arm) , weakness, numbness, that results when a nerve in the neck is irritated as it leaves the spinal canal. This condition usually occurs when a nerve root is being pinched by a herniated disc or a bone spur.

Front

Cervical radicuolopathy

Back

This test places the knee flexed 20-30 degrees with the patient supine.The examiner should place one hand behind the tibia and the other grasping the patient's thigh. The examiner's thumb is on the tibial tuberosity. The tibia is pulled forward to assess the amount of anterior motion of the tibia in comparison to the femur. An intact ACL should prevent forward movement and will have "firm endpoint" while an ACL sprain will demonstrate increased forward laxity without a decisive 'end-point' - a soft or mushy endpoint indicative of a positive test

Front

Lachman's test

Back

Adam's test revels unilateral rib hump=

Front

Scoliosis

Back

apophysitis of the tibial tubercle, is inflammation of the patellar ligament at the tibial tuberosity. It is characterized by a painful bump just below the knee that is worse with activity and better with rest.

Front

Osgood -Schlatter disease

Back

abnormal, asymmetrical head or neck position, which may be due to a variety of causes

Front

torticollis

Back

How to grade muscle strength

Front

Back

genu valgum

Front

knock knees

Back

A strain affects ______________

Front

muscles

Back

pain and/or cramping in the lower leg due to inadequate blood flow to the muscles. The pain usually causes the person to limp. This pain is typically felt while walking, and subsides with rest.

Front

claudication

Back