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Questions and Answers
What indicates a positive result in the Froments test?
In the context of the Allen test, what does a diminished blood flow indicate?
During which test would a client exhibit pain and paresthesia while performing fist movements?
What physical maneuver is performed during Halstead's Maneuver?
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What is indicated by a positive sign during the Travell's Variation of Adson's test?
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What is the positive sign for McMurray's test when testing for medial or lateral menisci issues?
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What is the indication for the Apley's Compression test?
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Which of the following tests is used to assess for posterior cruciate ligament damage?
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What is observed in the positive sign during Lachman's Test?
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Which condition is indicated by a positive Homan's Sign?
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What is a positive sign of Thompson's Test when assessing for an Achilles tendon rupture?
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Which knee position is used for the Anterior Drawer Test to assess ACL sprain?
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During which movement does the RMT perform the Apley's Compression test?
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What anatomical area is indicated when the positive sign of the Posterior 'SAG' Sign is observed?
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What common misconception might lead someone to misinterpret the Posterior Drawer Test results?
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What positive sign indicates a rupture of the Transverse Humeral Ligament during testing?
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During the ULT Test for the radial nerve, what position is the arm in?
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What is the primary positive sign for diagnosing bicipital tendonitis?
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Which nerve is assessed using the Upper Limb Tension Test #4?
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What is the correct action during the ULTT for median nerve compression?
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What clinical indication is associated with a positive sign of numbness and tingling in the fingers during median nerve testing?
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What action is performed to check for median, musculocutaneous, or axillary nerve compression during the ULTT #2?
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Which sign suggests a positive result for tests assessing ulnar nerve compression?
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What is the positive sign for the Valgus Test, indicating Medial Collateral Ligament instability?
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What does the Finkelstein test indicate if a positive sign is observed?
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What is the appropriate position of the client's arm during the Extensor Tendinosis Test (Cozen's)?
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Which test is used to assess for Common Flexor Tendinosis?
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What symptom is checked during the Tinel's Sign test?
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During which test does the RMT resist wrist extension with the client's hand clenched?
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In the Varus Test, where does the RMT place their hand to test for Lateral Collateral Ligament issues?
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What is the positive sign for the Mills Test, indicating tendonitis of the Common Extensor Tendon?
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What action triggers PAIN in the Reverse Mills Test?
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What does a positive sign indicate during the Flexor Tendinosis Test?
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What is indicated by the Painful Arc Test?
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During the Supraspinatus Test, what posture should the client be in when resistance is applied?
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What is the positive sign observed in the Hawkins – Kennedy test?
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In the Drop Arm Test, what should happen if the Supraspinatus is compromised?
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What does a positive sign for Speed's Test indicate?
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What action should a client perform during Ludington's Test?
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What is the main indication for the Yeargason's test?
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What indicates a positive sign during the Neer Impingement test?
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What is expected from a client during the initial assessment for the Drop Arm Test?
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During the Hawkins – Kennedy test, what position should the client's elbow and shoulder be in?
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What is a common positive sign for Allen's Test when assessing Thoracic Outlet Syndrome?
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Which maneuver is performed during Phalen's test for Carpal Tunnel Syndrome?
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During Adson's Test, what action must the patient perform while the radial pulse is being palpated?
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What is the main indication for conducting the Cyriax Phalen's test?
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What does the positive sign of pain in the fingers during Reverse Phalen's test indicate?
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What movement is observed during the Babinski test for adults?
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What does excessive movement of the talus during the Anterior Drawer Test indicate?
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What positive sign is noted in the Anterior Talofibular Ligamentous Stress Test?
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In the Deltoid Ligamentous Stress Test, what condition is indicated by pain during the test?
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Which ligament is primarily assessed during the Talar Tilt Test?
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During the anterior drawer test, what specific anatomical action is performed with the hammer tool?
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What is the expected positive sign in the Talar Tilt Test when assessing for ligament sprains?
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What is indicated when pulling the foot from abduction to adduction in a supine position?
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What does a positive Trendelenburg's Sign indicate?
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Which test is used to assess for tightness of the IT band?
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What is the positive sign observed in the Straight Leg Raise test for sacroiliac joint dysfunction?
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In which position does the client start for the Valsalva test?
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What is the indication of Kernig's test?
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Which test assesses for appendicitis based on pain response?
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What symptom indicates a positive sign during the Waldron Test?
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What is the expected positive sign for the Well-Leg Raise (Fajerztajn's Test)?
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What does a positive result in Ober's Modified Test typically indicate?
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Which test indicates possible facet joint irritation based on pain response?
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What outcome signifies a positive result in McConnel's Test for patellofemoral syndrome?
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During Clarke's Test, what reaction is noted from the client that indicates a potential issue?
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What is indicated by a positive sign during the Sulcus Sign test?
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What is the primary indication for performing the Patellar Apprehension Test?
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During which test would a client exhibit apprehension or pain when their shoulder is abducted and laterally rotated?
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In Apley's Distraction Test, what is the expected motion that leads to a positive sign?
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What is the primary indication for performing the Jerk Test?
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What does pain or excessive movement during the A/C Shear test indicate?
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For which ligament is the Varus Stress Test specifically assessing integrity?
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Which positive sign is associated with the Clunk Test while testing for labral tears?
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What indicates a positive sign during the Valgus Stress Test?
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What does the Braggard's Test primarily assess?
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In the context of Jackson's test, what indicates a positive result?
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Which mechanism of injury does the Apley's Compression Test primarily examine?
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Which maneuver assesses for G/H joint pathology through the ability to touch hands behind the back?
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What symptom is assessed during the Anterior Apprehension Test?
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What is the expected client response in a positive Valgus Stress Test?
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In the context of patellofemoral syndrome, how does the McConnel's Test determine the impact of resistance?
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What indicates a lack of stability in the shoulder when performing the Shoulder Shrug maneuver?
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What is the primary result that indicates facet joint irritation during cervical distraction?
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What is the primary position of the client's shoulder during Adson's Test?
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Which test involves the client placing the back of their hands together for one minute?
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In which test does the client elevate their chin while holding their breath?
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What positive sign is specifically indicated during the Cyriax Phalen's Test?
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Which positive sign is observed during both Wright's Hyperabduction and Costoclavicular Syndrome tests?
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What is indicated by a positive sign during the Supine to Sit test?
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Which test aims to assess sacroiliac ligament sprain through cross arm pressure?
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What is a positive sign of the Yeoman test?
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What does the Faber test primarily assess?
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Which of the following indicates a sacroiliac ligament sprain during the Squish test?
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What primary test is performed to check for sacroiliac joint integrity through movement?
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Which examination technique employs hip extension while testing for nerve root compression?
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What does early leathery feel during the Hip Quadrant 'Scouring' test indicate?
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Which condition is specifically indicated by the Roos test?
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During which test is the client instructed to check their radial pulse after completing specific shoulder movements?
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What positive sign is observed when testing for an Ulnar Nerve Lesion using the Froments test?
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Which test requires the client to perform arm movements while a pulse is palpated?
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What is the indication for performing the Jackson's Test?
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What is a common positive sign for Eden's test when assessing Thoracic Outlet Syndrome?
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During which test would a positive sign be indicated by a sulcus formation between the acromion and head of the humerus?
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During the Allen test, what is the initial action taken by the client to assess blood flow?
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What is indicated by a grinding or clunk sound during the Clunk Test?
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What maneuver involves the client performing shoulder depression and retraction while the RMT palpates for pulse?
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What is the position of the client during the Roos test?
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Which test assesses difficulty in touching hands behind the back to indicate G/H joint pathology?
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What does a positive response of pain or apprehension during the Anterior Apprehension Test indicate?
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Which test specifically assesses the integrity of the Ulnar and Radial arteries in the hand?
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Which test has a positive sign characterized by a sudden jerking movement of the client due to pain?
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What action is performed during the Halstead's Maneuver to assess Thoracic Outlet Syndrome?
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Which of the following indicates the presence of facet joint irritation according to the cervical distraction method?
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What mechanism does the A/C Shear Test employ to assess joint health?
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In which position is the patient during the Sulcus Sign assessment?
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What is the primary focus of testing with the GH Group Test?
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What is indicated by a positive sign during the Reverse Mills test?
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During the Finkelstein test, what is the client's hand position prior to performing radial deviation?
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What is the positive sign observed during the Extensor Tendinosis Test (Cozen's)?
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What is the correct action performed by the RMT during the Valgus Test?
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Which of the following describes the hand positions during the Flexor Tendinosis Test?
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What aspect does the Tinel's Sign test primarily assess?
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What action does the RMT perform while testing for Common Extensor Tendinosis?
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During the Varus Test for Lateral Collateral Ligament assessment, which direction does the RMT apply pressure?
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What typical symptom is associated with a positive sign in the Mills test?
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What signifies a positive result during the assessment of Quervain's Tenosynovitis using the Finkelstein test?
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What signifies a positive result during Clarke's Test?
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During which test is the leg positioned in full extension while resistance is applied?
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What is a positive indication for the Varus Stress Test?
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What must the RMT do to perform the Apley's Distraction Test correctly?
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What anatomical area is assessed during the Braggards Test?
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Which test specifically indicates a potential patellar dislocation?
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What is the proper knee flexion angle for the Valgus Stress Test?
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In the context of a knee ligament injury, what does a positive sign during the Apley's Distraction Test indicate?
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What is the indication for Tinel's Sign?
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What positive sign would indicate a successful Morton's Neuroma Test?
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During the Vertebral Artery Tension Test, which of the following would indicate a positive sign?
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What does a positive sign in the Three Knuckle Test reflect?
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What is indicated by pain during the Scalene Cramp Test?
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What does a positive sign in the Spurling's Test suggest?
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What symptoms would most likely indicate a positive result in the Cervical Compression Test?
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Which of the following best describes the Scalene Relief maneuver?
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What positive sign is expected during the Swallowing Test for SCM muscle trigger point?
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What positive sign would result from squeezing the foot in the Morton's Neuroma Test?
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What is the primary indication for the Reverse Mills test?
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In the Varus test, where should the RMT place their hands to assess Lateral Collateral Ligament instability?
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What positive sign is associated with the Extensor Tendinosis Test (Cozen's)?
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During the Finkelstein test, what action do clients perform to indicate Quervain's Tenosynovitis?
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What is the result of performing the Mills test for tendonitis of the Common Extensor Tendon?
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What is a common positive sign noted during the Tinel's Sign test?
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What action signifies a positive sign during the Flexor Tendinosis Test?
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Which condition is assessed using the Valgus test for medial instability?
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What is indicated by pain occurring at 70 degrees abduction during the Painful Arc Test?
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During the Hawkins-Kennedy test, the positive sign for shoulder pain occurs primarily due to which motion?
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What specific joint action does the RMT resist during the Flexor Tendinosis Test?
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In the Neer Impingement test, pain in which area indicates a positive sign?
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What is the key indication for the Cozen's test?
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What does a positive sign of arm dropping or inability to adduct slowly indicate in the Drop Arm Test?
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What is assessed during Ludington's Test when the client is unable to contract the bicep?
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During Speed's Test, pain at which specific location indicates bicep tendonitis?
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What action accompanies the Adson's Test to evaluate Thoracic Outlet Syndrome?
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What result is indicative of a weakness during the Supraspinatus Test?
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During Yeargason's Test, the indication of pain suggests which condition?
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In the context of the Supraspinatus Group tests, what is a significant symptom during the Drop Arm Test?
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What is the main aim of the Neer Impingement test?
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What common positive sign is associated with Wright's Hyperabduction test?
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During which test should the client hold their head rotated to the same side while taking a deep breath?
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What is the primary indication for performing the Cyriax Phalen's test?
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What position should the client be in when performing Reverse Phalen's Test?
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What action is taken by the RMT during the Costoclavicular Syndrome assessment?
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Study Notes
Transverse Humeral Ligament Test (Booth or Marvel Test)
- Tests for Transverse Humeral Ligament Rupture.
- Positive sign indicates popping or ligament displacing from the groove.
- Ligament located in bicipital groove.
Lipman Test
- Assesses Bicipital Tendonitis.
- Positive sign is pain during testing.
- Involves palpating and tracking the bicipital tendon movement.
Upper Limb Tension Tests (ULTT)
- ULTT #3: Checks for Radial Nerve; positive sign is paresthesia in the thumb and ring finger.
- ULTT #4: Evaluates Ulnar Nerve; positive sign is paresthesia in the pinky.
- ULTT #1: Tests for Median Nerve Compression (C5, C6); positive sign includes numbness and tingling in fingers.
- ULTT #2: Checks for Median, Mucocutaneous, Axillary Nerve Compression; likewise results in numbness and tingling.
Supraspinatus Group
- Painful Arc Test: Identifies Supraspinatus Tendonitis; positive sign is pain at 70 degrees abduction with relief at 130 degrees.
- Supraspinatus Test: Indicates tear/lesion of supraspinatus; positive sign is pain and weakness during resistance.
- Hawkins-Kennedy Test: Assesses for Supraspinatus Tendonitis; positive sign is pain during internal rotation.
- Drop Arm Test: Evaluates supraspinatus integrity; positive sign is pain or inability to control adduction.
- Neer Impingement Test: Tests for Supraspinatus Tendonitis (overuse); positive sign is pain by acromion area.
Bicep Group
- Yeargason's Test: Examines for Bicep Tendonitis; positive sign is pain and popping of tendon.
- Ludington's Test: Indicates Bicep Tendon Rupture; positive sign is inability to contract bicep.
- Speed's Test: Tests for Bicep Tendonitis; positive sign is pain at tendon origin.
Collateral Ligament Tests
- Valgus Test: Assesses Medial Collateral Ligament Instability; positive sign is pain in MCL.
- Varus Test: Evaluates Lateral Collateral Ligament; positive sign is pain in LCL.
Forearm & Wrist Tests
- Mills Test: Indicates tendonitis of common extensor tendon; positive sign is localized pain.
- Reverse Mills Test: Tests for tendonitis of common flexor tendon; positive sign is localized pain.
- Cozen's Test: Assesses for common extensor tendinosis; positive sign is pain at the common extensor tendon.
- Flexor Tendinosis Test: Evaluates common flexor tendinosis; positive sign includes pain and weakness.
- Finkelstein's Test: Screens for Quervain's Tenosynovitis; positive sign is pain at the lateral wrist.
- Tinel's Sign: Tests for neuroma or nerve compression; positive sign is paresthesia.
Knee Tests
- McMurray's Test: Checks for medial or lateral meniscus issues; positive sign is pain during rotation.
- Apley's Compression Test: Assesses for meniscus damage; positive sign is pain on medial/lateral ligaments.
- Posterior Drawer Test: Evaluates Posterior Cruciate Ligament laxity; positive sign is dent between femur and tibia.
- Anterior Drawer Test: Tests for ACL sprain; positive sign includes excessive movement.
- Lachman's Test: Indicates damage to ACL; positive sign is excessive movement or laxity.
Other Tests
- Homan's Sign: Evaluates for Deep Vein Thrombophlebitis; positive sign is pain deep in calf.
- Thompson's Test: Tests for Achilles tendon rupture; positive sign is absence of plantarflexion during squeeze.
- Rockwood Test: Assesses anterior shoulder instability; positive sign includes pain in both shoulders.
- Allen Test: Evaluates integrity of ulnar and radial arteries; positive sign is diminished or slow blood flow.
- Froment's Sign: Tests for Ulnar Nerve Lesion; positive sign is inability to hold paper.
Thoracic Outlet Syndrome (TOS) Tests
- Roos Test: Assesses TOS (general); positive sign includes pain, paresthesia, and inability to open/close hands.
- Halstead's Maneuver: Tests for TOS; positive sign is diminished/disappeared pulse.
- Eden Test: Evaluates TOS Rib; positive sign is disappearing pulse with scapula depression.
- Travell's Variation of Adson's Test: Tests for TOS of Middle Scalene; positive sign is diminished/disappeared pulse while breathing.
Neurological and Orthopedic Tests
-
Babinski Test: Indicates central nervous system lesions; positive sign for adults is extension of toes, while in infants, it is flexion.
-
Anterior Drawer Test: Assesses potential rupture of the talofibular ligament; positive sign is excessive movement of the talus.
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Anterior Talofibular Ligamentous Stress Test: Checks for talofibular ligament sprain; positive sign includes local pain and excessive movement.
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Deltoid Ligamentous Stress Test: Evaluates for deltoid ligament sprain; positive signs are either pain or excessive movement during plantarflexion, inversion, and adduction.
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Talar Tilt Test (Inversion Stress Test): Used to assess ligament sprains; positive signs are pain or excessive movement.
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Trendelenburg's Sign: Indicates weakness in the gluteus medius; positive sign is the pelvis on the unsupported side either staying level or dropping.
Tests for Lower Back and Hip Conditions
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Ober's Test: Tests for iliotibial band contracture; the positive sign indicates inability to bring the leg down smoothly when abducted.
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Straight Leg Raise: Assesses potential sciatic pain or hamstring contracture; positive sign includes pain at 70-degree flexion of the hip.
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Well-Leg Raise (Fajersztajn's Test): Indicates possible disc herniation; positive sign is pain elicited.
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Rebound Tenderness: Evaluates for appendicitis; positive sign includes severe pain upon release after downward pressure on the abdomen.
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Valsalva Test: Indicates possible disc herniation; positive sign is pain during the maneuver.
Knee Tests and Ligament Injuries
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Kemps Test: Assesses facet joint irritation; positive sign is radiating pain.
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Apley's Distraction Test: Evaluates MCL and LCL knee injuries; positive sign is pain during movement.
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Varus Stress Test: Tests lateral ligaments (LCL) integrity; positive sign includes pain at the ligament during medial push.
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Valgus Stress Test: Assesses integrity of medial ligaments (MCL); positive sign includes pain during lateral push.
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Braggard's Test: Indicates medial meniscus injury; positive sign includes pain on medial aspect of the knee.
Shoulder and Thoracic Outlet Syndrome Tests
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Sulcus Sign: Indicates inferior instability of the glenohumeral joint; positive sign is depression (sulcus) between acromion and humeral head.
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Clunk Test (Labral Test): Evaluates for glenoid labrum tear; positive sign includes a grinding noise or clunk.
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Anterior Apprehension Test: Tests for dislocation or subluxation of the glenohumeral joint; positive sign is apprehension or pain during lateral rotation.
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Wright's Hyperabduction Test: Assesses thoracic outlet syndrome (TOS); positive sign is a diminished or absent pulse upon shoulder abduction.
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Adson's Test: Identifies TOS; positive sign is loss of radial pulse during head rotation towards the side being tested.
Carpal Tunnel Syndrome Assessments
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Phalen's Test: Indicates carpal tunnel syndrome; positive sign is pain or numbness in specific fingers when holding wrists in flexion for one minute.
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Reverse Phalen's Test: Assesses for carpal tunnel syndrome; positive sign is pain or numbness when positioning hands in a prayer-like gesture.
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Cyriax Phalen's Test: Provides a reduction of pain; indicative of carpal tunnel syndrome when transitioning from flexed wrists to wrist extension.
Lower Body SOTs
- Supine to Sit Test (Rattray pg. 1097): Assesses anterior or posterior innominate rotation. Affected limb length changes between supine and seated positions.
- Gillet Test: Evaluates sacroiliac hypermobility. Positive if thumb on affected PSIS moves superiorly when the knee lifts.
- Gapping Test: Indicates anterior sacroiliac ligament sprain. Positive sign is gluteal or posterior leg pain upon examination.
- Squish Test: Assesses posterior sacroiliac ligament sprain. Positive if pain localizes to the sacroiliac joint when lateral pressure is applied.
- Yeoman Test: Tests for nerve root compression or facet joint irritation. Positive if localized pain is felt in the sacroiliac region during hip extension while prone.
- Rocking Test: Checks the integrity of the sacro-tuberous ligament. Positive if pain occurs in the sacroiliac joint when bending the knee towards the contralateral shoulder.
- Hip Quadrant "Scouring" Test: Evaluates capsular tightness or osteophyte formation. Positive if there is a leathery feel, bumpiness, crepitus, or pain during movement.
SI Joint Dysfunction Indicators
- Faber Test (Patrick Test): Tests for sacroiliac joint dysfunction or hip joint pathology. Positive sign is localized pain or affected leg higher than the unaffected leg.
- Cervical Distraction Test: Evaluates facet joint irritation or nerve root compression. Relief of pain indicates a positive result.
- Jackson's Test: Assesses nerve root compression. Positive if pain or numbness occurs on the same side arm during head rotation and downward pressure.
- Apley's Scratch Test: Used for glenohumeral joint pathology. Positive if the client is unable to touch both hands behind their back.
- Sulcus Sign: Indicates inferior instability of the glenohumeral joint. Positive if a dent is noted between the acromion and humerus during downward pull.
- Clunk Test (Labral Test): Checks for glenoid labrum tears. Positive if a grinding or clunk sound occurs during shoulder manipulation.
- A/C Shear Test: Assesses glenohumeral joint pathology. Positive if excessive movement or pain in the joint is detected during compression.
- Anterior Apprehension Test: Tests for dislocation or subluxation of the anterior shoulder. Positive if the client exhibits apprehension or pain during lateral rotation.
- Jerk Test: Assesses for posterior shoulder instability. Positive if the client jerks in response to pain when manipulated.
Collateral Ligaments
- Valgus Test: Evaluates medial collateral ligament (MCL) instability. Positive if pain occurs on the medial side of the elbow.
- Varus Test: Assesses lateral collateral ligament (LCL) instability. Positive if pain is felt on the lateral side of the elbow.
Forearm & Wrist
- Mills Test: Tests for tendonitis of the common extensor tendon. Positive if pain is located at the tendon site during wrist extension.
- Reverse Mills Test: Used for tendonitis of the common flexor tendon. Positive pain indicates involvement of the flexor tendons during wrist flexion.
- Cozen's Test: Assesses common extensor tendinosis. Positive if pain is elicited at the extensor tendon during resisted wrist extension.
- Flexor Tendinosis Test: Evaluates common flexor tendinosis. Positive if pain and weakness occur in the common flexor tendon during resistance.
- Finkelstein Test: Used for Quervain's tenosynovitis. Positive if pain is experienced on the lateral side of the wrist.
- Tinel's Sign: Checks for neuroma or nerve compression. Positive if paresthesia occurs when tapping over the ulnar nerve.
- Rockwood Test: Evaluates anterior shoulder instability. Positive if pain is reported in both posterior and anterior shoulder during abduction and rotation.
- Allen Test (Wrist): Assesses the integrity of the ulnar and radial arteries. Positive if blood flow diminishes post hand-clenching.
Thoracic Outlet Syndrome (TOS)
- Roos Test: Indicates thoracic outlet syndrome. Positive if pain, paresthesia, or inability to open/close hands occurs after 3 minutes of resistance.
- Halstead's Maneuver: Tests thoracic outlet syndrome. Positive if radial pulse diminishes or disappears during neck extension and rotation.
- Eden Test: Similar to costoclavicular syndrome; evaluates thoracic outlet syndrome. Positive if radial pulse diminishes with scapular depression and retraction.
- Travell's Variation of Adson's Test: Assesses thoracic outlet syndrome due to middle scalene involvement. Positive if pulse diminishes during head rotation and deep breathing.
- Wright's Hyperabduction Test: Used for thoracic outlet syndrome caused by pectoralis minor. Positive if pulse decreases upon shoulder abduction.
- Adson's Test: Evaluates thoracic outlet syndrome. Positive if the pulse disappears when the client rotates their head to the same side and holds a deep breath.
- Costoclavicular Syndrome Test: Indicates thoracic outlet syndrome. Positive if the pulse diminishes when scapula is depressed and retracted.
- Allen's Test for TOS: Assesses thoracic outlet syndrome. Positive if the pulse diminishes or disappears when the head is rotated to the contralateral shoulder.
Carpal Tunnel Syndromes
- Phalen's Test: Diagnoses carpal tunnel syndrome. Positive if pain or numbness is felt in specific fingers after holding for one minute.
- Reverse Phalen's Test: Similar to Phalen's, positive if pain or numbness occurs with wrist flexion in a prayer position.
- Cyriax Phalen's: Evaluates carpal tunnel syndrome. Positive if there is a reduction in pain/numbness following sudden wrist extension after Phalen’s position.
Patella Femoral Syndrome Tests
- McConnel's Test: Client seated, affected foot at 120-degree flexion; RMT applies pressure to shin. Pain subsides when RMT pushes on patella during strength testing at various angles (120, 90, 60, 30 degrees).
- Clarke's Test: Client supine with leg extended; RMT presses down on the patella, asks client to flex quadricep. Positive sign shows pain or crepitus.
Patella Dislocation Tests
- Patellar Apprehension Test: Client supine with slight knee flexion at 30 degrees; RMT pushes patella laterally while stabilizing the knee. Signs of pain or apprehension indicate dislocation risk.
Ligament and Meniscus Injury Tests
- Apley's Distraction: Prone position; knee flexed to 90 degrees. RMT pulls up leg and rotates the ankle. Positive sign is pain at the knee.
- Varus Stress Test: Assesses LCL integrity; knee flexed at 20-30 degrees while RMT pushes malleolus medially and pulls knee laterally.
- Valgus Stress Test: Evaluates MCL integrity; similar setup to the varus test, but malleolus is pushed laterally and knee is pushed medially.
- Braggards Test: For medial meniscus injury; knee flexed to 30 degrees, internal rotation followed by full extension causes medial pain.
Nerve Compression Tests
- Tinel's Sign: RMT taps on specific points (head of fibula, lateral malleolus, between medial malleolus and Achilles tendon) to assess for nerve compression, noted by paresthesia.
- Morton's Neuroma Test: Client seated; RMT squeezes the foot. Positive sign is sharp pain at neuroma location.
Head & Neck Assessment
- Vertebral Artery Tension Test: Assessing for vertebral artery compression; signs include dizziness and eye fluttering during head rotation when extended.
- Three Knuckle Test: TMJ dysfunction indicator; client attempts to fit three knuckles in their mouth.
- Scalene Cramp Test: Assess anterior scalene muscle; pain indicates trigger point involvement.
Nerve Root and Facet Irritation Tests
- Spurlings Test: Client extends and laterally bends neck while RMT pushes head down; pain in cervical spine or numbness in arms indicates irritation.
- Cervical Compression Test: RMT applies downward pressure on the head; positive if pain is localized or numbness occurs in arms.
Shoulder Assessment
- Painful Arc Test: Supraspinatus tendonitis characterized by pain during abduction from 60-120 degrees, easing at 130 degrees.
- Supraspinatus Test: Evaluates for rotator cuff issues; pain or weakness during resistance at shoulder abduction indicates injury.
- Hawkins-Kennedy Test: Positive if pain occurs during internal shoulder rotation.
- Drop Arm Test: Pain or dropping of arm while adducting from 90 degrees indicates supraspinatus integrity issue.
Bicep Assessment
- Yeargason's Test: Assesses bicep tendonitis; positive for pain or popping indicates tendon issues.
- Ludington's Test: Positive if unable to contract the bicep indicates possible rupture.
- Speed's Test: Pain at the bicep tendon origin during arm extension assesses tendinitis.
Collateral Ligament Tests
- Valgus Test: Assesses medial collateral ligament instability; pain indicates MCL injury.
- Varus Test: Assesses lateral collateral ligament; pain indicates LCL injury.
Forearm & Wrist Assessment
- Mills Test: Positive for tendonitis if pain is localized at the common extensor tendon.
- Reverse Mills Test: Positive for common flexor tendonitis with localized pain.
- Cozen's Test (Extensor Tendinosis): Pain at common extensor tendon during resisted wrist extension.
- Flexor Tendinosis Test: Pain and weakness in the common flexor tendon while resisting wrist extension.
Thoracic Outlet Syndrome Tests
- Wright's Hyperabduction Test: Positive if pulse diminishes with shoulder abduction.
- Adson's Test: Pulse disappears after head turning while maintaining arm position indicates thoracic outlet syndrome.
- Costoclavicular Syndrome Test: Diminished pulse observed with scapula depression and retraction.
- Allen's Test: Positive if pulse diminishes with contralateral head rotation.
Carpal Tunnel Syndrome Tests
- Phalen's Test: Positive for pain or numbness in fingers when hands are placed back-to-back and compressed.
- Reverse Phalen's Test: Similar assessment leading to pain or numbness in the same fingers.
- Cyriax Phalen's Test: Pain reduction with sudden wrist extension after holding Phalen's position indicates carpal tunnel dynamics.
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Description
This quiz focuses on the Transverse Humeral Ligament Test, a key assessment for identifying ligament ruptures in the shoulder. Participants will learn about the procedure, indications, and signs of a positive test. Gain insights into correct patient assessment and technique for effective practice.