Orthopedic Physical Examination Techniques Quiz
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Questions and Answers

Which test is used to assess medial meniscus tear by flexing the knee, externally rotating the leg, and bringing the knee into extension to elicit a palpable pop or click?

  • Anterior drawer test
  • Lachmann test
  • McMurray's test (correct)
  • Apley test
  • What maneuver is performed in the Apley test to assess for meniscal injuries?

  • Flexing the knee to 90 degrees while the other leg is fully extended (correct)
  • Applying a posteriorly directed force to the proximal tibia at 90° flexion
  • Bringing the tibia into slight external rotation and then trying to translate it anteriorly
  • Externally rotating the leg and bringing the knee into extension
  • Which test is used to assess ACL injury by bringing the patient’s tests leg into 30 degrees of flexion, fixating the femur, and then trying to translate the tibia anteriorly?

  • McMurray's test
  • Posterior drawer test
  • Lachmann test (correct)
  • Anterior drawer test
  • What is the primary purpose of the Anterior Drawer test in knee examination?

    <p>To assess ACL injury</p> Signup and view all the answers

    Which ligament is primarily assessed for valgus instability in the knee examination?

    <p>MCL</p> Signup and view all the answers

    What is the main purpose of the Posterior Drawer test in knee examination?

    <p>To assess PCL injury</p> Signup and view all the answers

    Which joint is primarily assessed in the Ankle and Foot Examination for range of motion in supination and pronation?

    <p>Subtalar joint</p> Signup and view all the answers

    What is the Thompson test primarily used to diagnose in the Ankle and Foot Examination?

    <p>Achilles tendon rupture</p> Signup and view all the answers

    What is the main purpose of the Valgus stress test in the Ankle and Foot Examination?

    <p>To assess MCL injury</p> Signup and view all the answers

    Which test is used to assess PCL injury by applying a posteriorly directed force to the proximal tibia at 90° flexion?

    <p>Posterior drawer test</p> Signup and view all the answers

    What is typical in axillary nerve lesion?

    <p>Deltoid atrophy</p> Signup and view all the answers

    Which joint can show separation by inspection during shoulder examination?

    <p>Acromioclavicular joint</p> Signup and view all the answers

    Which test involves forced forward flexion with the patient's arm in internal rotation?

    <p>Neer Sign</p> Signup and view all the answers

    What is typically painful on palpation in conditions of chronic inflammation and degenerative arthritis?

    <p>Acromioclavicular joint</p> Signup and view all the answers

    Which muscle, joint, and bony prominences should be palpated during shoulder examination?

    <p>Acromioclavicular joint</p> Signup and view all the answers

    What is assessed by performing special physical orthopedic tests during shoulder examination?

    <p>Rotator Cuff Pathology</p> Signup and view all the answers

    What is the joint with the widest range of motion?

    <p>Glenohumeral joint</p> Signup and view all the answers

    What should be evaluated comparatively for the right and left sides during shoulder examination?

    <p>Scapular winging</p> Signup and view all the answers

    What is indicated by pain during the Neer Sign test?

    <p>Positive test</p> Signup and view all the answers

    What does a positive Lift-off Test indicate?

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

    What does a positive Fabere Test indicate?

    <p>Groin or buttock pain produced in flexion, abduction, and external rotation</p> Signup and view all the answers

    What does the Ober Test assess for?

    <p>Tight Iliotibal Band</p> Signup and view all the answers

    What does the Faddir Test help identify?

    <p>Anterior labral tear</p> Signup and view all the answers

    What does the Hawkins Test assess for?

    <p>Shoulder dislocation</p> Signup and view all the answers

    What does the Instability Test (Anterior Drawer Test) assess for?

    <p>Anteriorly pushed humerus displacing above glenoid cavity level</p> Signup and view all the answers

    What does the Biceps Test (Speed Test) assess for?

    <p>Pain along biceps during forearm pronation against resistance at 90° flexion</p> Signup and view all the answers

    Which test is primarily used to assess biceps pathology during shoulder examination?

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

    What is primarily assessed by the Hornblower’s Sign during shoulder examination?

    <p>Teres Minor Function</p> Signup and view all the answers

    Which anatomical structure is primarily assessed by the Neer Test during shoulder examination?

    <p>Rotator Cuff</p> Signup and view all the answers

    Which test is used to assess for meniscal injuries by flexing the knee to 90 degrees while the other leg is fully extended and resting on the exam table?

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

    What is the primary purpose of the Posterior Drawer test in knee examination?

    <p>Assess PCL Injury</p> Signup and view all the answers

    Which test is used to assess ACL injury by bringing the patient’s tests leg into 30 degrees of flexion, fixating the femur, and then trying to translate the tibia anteriorly?

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

    What is indicated by pain in the heel during the Thompson test in the Ankle and Foot Examination?

    <p>Achilles Tendon Rupture</p> Signup and view all the answers

    What is the main purpose of the Valgus stress test in the Ankle and Foot Examination?

    <p>Assess Medial Collateral Ligament (MCL) Injury</p> Signup and view all the answers

    What should be assessed during Ankle and Foot Examination to test range of motion in supination and pronation?

    <p>Subtalar Joint</p> Signup and view all the answers

    What is assessed by the Anterior Drawer test in knee examination?

    <p>ACL Injury</p> Signup and view all the answers

    What is primarily assessed by palpating the metatarsal and tarsal bones in Ankle and Foot Examination?

    <p>Bone Tenderness</p> Signup and view all the answers

    What does a positive Hornblower’s Sign indicate during shoulder examination?

    <p>Rotator cuff tear</p> Signup and view all the answers

    What does the Faddir Test primarily help identify?

    <p>Femoroacetabular impingement syndrome</p> Signup and view all the answers

    What does a positive Lift-off Test indicate during shoulder examination?

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

    What is primarily assessed by the Ober Test?

    <p>Iliotibal Band tightness</p> Signup and view all the answers

    What is primarily assessed by palpating the metatarsal and tarsal bones in Ankle and Foot Examination?

    <p>Bone abnormalities</p> Signup and view all the answers

    What is the main purpose of the Valgus stress test in the Ankle and Foot Examination?

    <p>Assess for MCL injury</p> Signup and view all the answers

    What is typically assessed during the Elbow Examination range of motion?

    <p>Varus/Valgus Stress Test at 20-30 degrees flexion</p> Signup and view all the answers

    What does the Instability Test (Anterior Drawer Test) primarily assess in shoulder examination?

    <p>Glenohumeral instability</p> Signup and view all the answers

    What is primarily assessed by the Hawkins Test in shoulder examination?

    <p>Impingement syndrome</p> Signup and view all the answers

    What does a positive Drop Arm Test indicate during shoulder examination?

    <p>Rotator cuff tear</p> Signup and view all the answers

    Study Notes

    Orthopedic Physical Examination Summary

    • Neer Test: Positive indicates pain relief after 1% 10 cc lidocaine injection.
    • Hawkins Test: Positive if shoulder forced into adduction and internal rotation at 90 degrees of elevation.
    • Drop Arm Test: Positive if patient is unable to slowly lower the arm in abduction or if arm falls painfully down.
    • Hornblower’s Sign: Positive if patient cannot maintain position when shoulder is abducted at 90 degrees and elbow is passively placed in external rotation at 90 degrees flexion.
    • Lift-off Test: Positive if patient cannot move hand away from back, indicating subscapularis tear or insufficiency.
    • Biceps Test (Speed Test): Positive if pain occurs along biceps during forearm pronation against resistance at 90° flexion.
    • Instability Test (Anterior Apprehension Sign): Positive if patient experiences fear of shoulder dislocation at 90° abduction, 90° elbow flexion, and external rotation.
    • Instability Test (Anterior Drawer Test): Positive if passive anteriorly pushed humerus displaces above glenoid cavity level.
    • Elbow Examination: Consists of 3 joints - Humeroradial, Humeroulnar, Radioulnar.
    • Elbow Examination Inspection: Includes carrying angle and palpation of bone structures.
    • Elbow Examination Range of Motion: Involves Varus/Valgus Stress Test at 20-30 degrees flexion.
    • Wrist and Hand Examination: Includes tests for Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, and corresponding signs for each.

    Hip Examination:

    • Faddir Test: Used to identify Femoroacetabular impingement syndrome, Anterior labral tear, and Iliopsoas tendinitis.
    • Fabere Test: Positive if groin or buttock pain is produced when hip is in flexion, abduction, and external rotation.
    • Ober Test: Positive if the leg is unable to adduct when dropped into adduction, indicating a tight Iliotibal Band.
    • Inspection, palpation, range of motion, muscle strength, and specific hip joint examinations are also conducted.

    Knee Examination:

    • Includes inspection, palpation, and range of motion tests.
    • Range of Motion: Knee can perform 135 degrees flexion and 0 degrees extension.

    Orthopedic Physical Examination Summary

    • Neer Test: Positive indicates pain relief after 1% 10 cc lidocaine injection.
    • Hawkins Test: Positive if shoulder forced into adduction and internal rotation at 90 degrees of elevation.
    • Drop Arm Test: Positive if patient is unable to slowly lower the arm in abduction or if arm falls painfully down.
    • Hornblower’s Sign: Positive if patient cannot maintain position when shoulder is abducted at 90 degrees and elbow is passively placed in external rotation at 90 degrees flexion.
    • Lift-off Test: Positive if patient cannot move hand away from back, indicating subscapularis tear or insufficiency.
    • Biceps Test (Speed Test): Positive if pain occurs along biceps during forearm pronation against resistance at 90° flexion.
    • Instability Test (Anterior Apprehension Sign): Positive if patient experiences fear of shoulder dislocation at 90° abduction, 90° elbow flexion, and external rotation.
    • Instability Test (Anterior Drawer Test): Positive if passive anteriorly pushed humerus displaces above glenoid cavity level.
    • Elbow Examination: Consists of 3 joints - Humeroradial, Humeroulnar, Radioulnar.
    • Elbow Examination Inspection: Includes carrying angle and palpation of bone structures.
    • Elbow Examination Range of Motion: Involves Varus/Valgus Stress Test at 20-30 degrees flexion.
    • Wrist and Hand Examination: Includes tests for Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, and corresponding signs for each.

    Hip Examination:

    • Faddir Test: Used to identify Femoroacetabular impingement syndrome, Anterior labral tear, and Iliopsoas tendinitis.
    • Fabere Test: Positive if groin or buttock pain is produced when hip is in flexion, abduction, and external rotation.
    • Ober Test: Positive if the leg is unable to adduct when dropped into adduction, indicating a tight Iliotibal Band.
    • Inspection, palpation, range of motion, muscle strength, and specific hip joint examinations are also conducted.

    Knee Examination:

    • Includes inspection, palpation, and range of motion tests.
    • Range of Motion: Knee can perform 135 degrees flexion and 0 degrees extension.

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    Test your knowledge of orthopedic physical examination techniques with this quiz. From shoulder to hip and knee examinations, understand the key tests, signs, and maneuvers used to assess musculoskeletal conditions.

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