Orthopedic and Neurological Tests Overview
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Questions and Answers

What condition does the Phalen Test primarily aim to diagnose?

  • Hip flexor tightness
  • Carpal tunnel syndrome (correct)
  • Lumbar spine injury
  • Gluteus medius weakness
  • What positive result is indicated by the Tinel Test?

  • Tingling in the fingers (correct)
  • Reduction of lumbar flexion
  • True bony length difference
  • Hip flexor tightness
  • During the Shober Test, what must be measured to indicate lumbar flexion?

  • Angle of the lumbar spine
  • Length of the upper leg
  • Flexibility of the hip joint
  • Distance between marked points before and after bending (correct)
  • What does a positive result in the Trendelenburg Test suggest?

    <p>Weakness of the gluteus medius</p> Signup and view all the answers

    Which measurement is taken in the True Leg Length Test?

    <p>From ASIS to medial malleolus</p> Signup and view all the answers

    What does the Empty Can Test primarily assess?

    <p>Supraspinatus tears or tendinopathy</p> Signup and view all the answers

    During which test is the patient's arm abducted to 90° with thumbs pointing downward?

    <p>Empty Can Test</p> Signup and view all the answers

    What indicates a positive result in the External Rotation Lag Test?

    <p>Inability to maintain a passively rotated arm position</p> Signup and view all the answers

    Which test specifically assesses subscapularis strength?

    <p>Internal Rotation Test</p> Signup and view all the answers

    Which test is considered a part of evaluating the supraspinatus tendons for impingement?

    <p>Hawkins Test</p> Signup and view all the answers

    What is the purpose of the Painful Arch Test?

    <p>Differentiate between supraspinatus pain and acromioclavicular pain</p> Signup and view all the answers

    Which test is used to check for lumbar motility?

    <p>Shober Test</p> Signup and view all the answers

    What does an inability to lift the hand away from the lower back indicate?

    <p>Subscapularis tear or weakness</p> Signup and view all the answers

    Which test is used to detect supraspinatus impingement?

    <p>Neer's Test</p> Signup and view all the answers

    During the Hawkins Test, what indicates a positive result?

    <p>Pain during internal rotation</p> Signup and view all the answers

    In the Painful Arc Test, what does pain at 60-120° indicate?

    <p>Supraspinatus pathology</p> Signup and view all the answers

    What conclusion can be drawn from an uncontrolled drop during the Arm Drop Test?

    <p>Suggests supraspinatus tear</p> Signup and view all the answers

    What does the Apprehension Test primarily evaluate?

    <p>Shoulder instability or risk of dislocation</p> Signup and view all the answers

    In the Durkan Test, what is considered a positive result?

    <p>Numbness in the thumb</p> Signup and view all the answers

    Which of the following does not indicate rotator cuff pathology?

    <p>Numbness in the distribution of the median nerve</p> Signup and view all the answers

    What is the procedure for conducting the Hawkins Test?

    <p>Stabilizing the scapula while flexing the arm at 90°</p> Signup and view all the answers

    What is the primary purpose of the Painful Arc Test?

    <p>To detect rotator cuff or AC joint pathology</p> Signup and view all the answers

    Study Notes

    Orthopedic and Neurological Tests

    • Shoulder Tests:

      • Empty Can Test (Jobe's): Assesses supraspinatus for tears or tendinopathy.
      • Extended Rotation Lag Test: Tests infraspinatus and teres minor.
      • Internal Rotation Test: Tests subscapularis strength and function.
      • Impingement Tests (e.g., Neer's, Hawkins): Assess supraspinatus impingement.
      • Painful Arc Test: Assesses rotator cuff or acromioclavicular joint pathology.
      • Arm Drop Test: Detects supraspinatus tear.
      • Apprehension Test: Detects shoulder instability or risk of dislocation.
    • Carpal Tunnel Tests:

      • Durkan Test: Detects carpal tunnel syndrome (30 seconds of pressure).
      • Phalen Test: Detects carpal tunnel syndrome (60 seconds with wrists flexed).
      • Tinel Test: Detects carpal tunnel syndrome (tapping over median nerve).
    • Spine Tests:

      • Shober Test: Measures lumbar spine flexion (often for ankylosing spondylitis).
    • Hip Tests:

      • Thomas Test: Detects hip flexor tightness.
      • Trendelenburg Test: Tests for gluteus medius weakness.
    • Knee Tests:

      • Patellofemoral Grinding Test (Clarke's Test): Diagnoses patellofemoral pain syndrome.
      • Effusion Tests (Bulge, Balloon, Balloting): Assess effusion (fluid build-up).
      • Ligament Stress Tests (Valgus/Varus): Assess MCL/LCL.
      • Drawer Tests (Anterior/Posterior): Assess ACL/PCL.
      • Lachman Test: Assesses ACL.
      • McMurray Test: Assesses medial/lateral meniscus.
    • Leg Length Assessment:

      • Apparent Leg Length Test: Detects functional leg length discrepancy (measuring from umbilicus to medial malleolus).
      • True Leg Length Test: Measures true leg length (bony discrepancy) (measuring from ASIS to medial malleolus).

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    Description

    This quiz covers a variety of orthopedic and neurological tests, focusing on assessments for the shoulder, carpal tunnel, spine, and hip. Each test is designed to help identify specific conditions or issues. Test your knowledge on these important clinical evaluations.

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