Part B thématiques > Physical Exam > Flashcards

Physical Exam Flashcards

(102 cards)

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1
Q

What to always conduct in an exam?

A 
- observe
\+ colour
\+ deformity
\+ postural aligments
- AROM, PROM, RROM
- Inspect and palpate
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2
Q

Beighton Scoring system?

A
  • test for hypermobility
  • thumb to back of hand
  • increased elbow extension
  • increased pinky extension
  • increased knee extension
  • hand flat on floor with straight knees
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3
Q

Tests for TMJ dysfucntion?

A
  • knuckle test
  • auscultation
  • mandible deviation, to the side of lesion
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4
Q

Cervical Radiculopathy Tests?

A
  • Kemps
  • maximal foraminal compression
  • spurlings
  • jacksons
  • compression distraction
  • shoulder depression
  • tinels tap
  • doorbell sign
  • bakody’s sign
  • shoulder abduction relief sign
  • Soto Hall
  • dermatomes, myotomes DTRs
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5
Q

Cervical Instability Test?

A
  • alar ligament stress test, lateral flex + rotation, should feel the sp move to the opposite direction
  • sharp purser test/ transverse ligament test
  • atlantoaxial lateral shear test
  • sagital shear test
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6
Q

TOS tests?

A
  • Roo’s (EAST)
  • Adson’s
  • Halstead’s
  • Costoclavicular
  • Wright’s Test
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7
Q

General Thoracic pain?

A
  • costovertebral expansion
  • rib motion
  • breathing assessment
  • diaphragm inspection/palpation
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8
Q

Function vs structural scoliosis?

A
  • Adam’s forward bend test
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9
Q

Subacromial Impingement Tests?

A
  • Hawkin’s Kennedy
  • Neer’s Impingment
  • posterior lateral impingement test
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10
Q

Rotator cuff?

A

Supraspin

  • drop arm
  • empty can/jobes

Infraspin/teres minor

  • infraspinatus test
  • external rotation lag
  • hornblowers test/ patte’s

Subscapularis

  • internal rotation lag sign
  • bear hug
  • belly press
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11
Q

Bicep Tendonitis/SLAP lesion Tests?

A
  • Speeds
  • yergasons
  • biceps load 2 test
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12
Q

Labral tear tests?

A
  • O’Briens
  • Crank Test
  • anterior apprehension test
  • dynamic labral shear
  • biceps load II
  • Speed’s Test
  • Yergason’s Test
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13
Q

Shoulder Instability Tests?

A
  • sulcus sign
  • anterior draw/posterior draw
  • load and shift
  • posterior apprehension
  • anterior apprehension/crank/ relocation/release
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14
Q

Lateral Epicondylopahty Tests?

A
  • Cozen’s
  • Mills
  • Middle finger sign
  • varus stress test
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15
Q

Medial Epicondylitis Tests?

A
  • medial epicondylopahty test
  • valgus stress test
  • moving valgus stress test
  • valgus extension overhead test
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16
Q

Pronator teres syndrome nerve entrapement?

A
  • pronator teres syndrome test
  • OK sign for AIN
  • tinels tap
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17
Q

Cubital tunnel Syndrome?

A
  • elbow flexion test (trapped ulnar nerve)
  • froments sign
  • Tinels tap
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18
Q

Radial Head pain(posteriolateral instability) tests?

A
  • posterolateral pivot shift
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19
Q

OCD of the radial head tests?

A
  • radiocapitellar test
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20
Q

De Queroins synovitis?

A
  • finkelstein

- flexor pollicis brevis

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21
Q

TFCC injury?

A
  • fovea sign

- TFCC load test

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22
Q

Carpal tunnel syndrome?

A
  • phalen’s
  • reverse phalen’s
  • carpal compression
  • tinels tap at the carpal tunnel
  • allen’s test
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23
Q

Carpal intability (dislocation)?

A
  • lunotriquetral ballottement
  • dorsal capitate displacement test
  • watson scaphoid shift
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24
Q

Flexor digitorum profundus injury?

A
  • FDP test, flex DIPs

- sweater finger sign/jersey test

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25
Flexor digitorum superficialis injury?
- FDS test, flex PIPs, dips extended
26
Lumbar Disc Tests?
- Valsava - compression distraction - slump/bechterew's sitting test - SLR/Lasgue's - bragard's - bonnet's (piriformis test) - bowstring test - well leg raise
27
Lumbar Facet Tests?
- kemps
28
Lumbar Spondy/Instability Tests?
- single leg stork extension - prone segmental instability - pheasant's test/prone knee bend - anterior instability test - posterior instability test - palpable step-defect
29
Neurogenic Claudication (stenosis) tests?
- Provocation stoop test - buergers - distal pulses - treadmill test - bicycle von der wall test - shopping cart sign
30
Lumbar versus SI pathology?
- adam's supported belt test
31
Glue med weakness?
- trendelemburg sign
32
SIJ motion?
- gillette's test - piedallu's test - SIJ gapping tet - approximation test - thigh thrust - yeomans - gaenslen's - Hibb's test/ prone gap test, knee flex and hip int rot while pal ipsi SI
33
Hip Labral Tears?
- FABER - FADIR - scouring - anterior posterior labral tear - sign of buttock
34
TFL HT?
- ober's test | - noble's compression test
35
Rectus femoris tightness?
- Ely's test
36
Psoas HT?
- Thomas Test
37
Hip #?
- fulcrum test | - log roll
38
Leg length?
- craig's | - weber-barstow
39
Knee Meniscus injury?
- thessaly - bounce home - mcmurray's - modified mcmurrays - appley's
40
ACL tear?
- anterior draw - slocom - lachman - varus/valgus stress test - lateral pivot shift test/ external rotation recuvatum
41
Patellar dislocation?
- patellar aprehension test/fairbanks apprehension test | - patellar glide test
42
Patellofemoral pain syndrome?
- clarks test - weak VMO - pain can be felt in all parts of the knee - ascending descending stairs - sitting with bend knee kneeling squatting
43
Patellar tendonitis tests?
- jumping - inferior pole of the patella - must ultrasound to confirm
44
Chondromalacia patella Tests?
- clarks - wipe test - posterior patella degen - effusion - crepitus
45
OCD of knee?
- wilson's test, extend internally rotated knee until pain
46
Medialpatellar plica?
- medialpatellar plica test, medial glid fo the patella - hugston plica test, knee flexed to 30 + medialpatellar test - plica stutter test
47
Anterior Talofibular ligament or calcaneofibular ligament sprain?
- anterior draw mor ATFL | - talar tilt inversion more CTFL
48
Posterior talofibular ligament sprain?
- posterior drawer
49
Deltoid ligament (tibionaviicular, tibiocalcaneal) sprain?
- talar tilt eversion
50
High ankle sprain?
- squeeze test | - kleiger test
51
Peroneal tendon dislocation?
- windlass test, dorsiflexion of the toes
52
Achillies Rupture?
- thompson test
53
Tarsal Tunnel Tests?
- tinel's tap medial malleolous
54
Morton's neuroma test?
- squeeze test - mortons neuroma test - commonly inbetween the 3rd and 4th digit
55
DVT Tests?
- Homan's sign | - Buerger's sign
56
Medial longitudinal arch injury predisposition test?
- navicular drop test - could cause + shin splints + plantar fascitis + PFPS
57
Facet Mediated pain protocol?
- 4 tests increase the diagnostic ability - palpation for segmental tenderness - manual joint plapation (motion palp) - kemps (extension and passive rotation test) - supine passive flexion rotation test
58
Radiculopathy protocol?
- < 60 deg cervical rotation toward the affected side - positive median NTT - positive cervical distraction - positive spurlings
59
Myelopathy Protocol?
- gait deviation - hoffman's test - inverted supinator sign (finger flexion or elbow extension w/ brachioradialis tapped) - babinski test - > 45
60
Lower Limb Myotomes?
- L1/2: hip flexion - L2/3: hip adduction - L3: kne extension - L4: foot inversion - L4/L5: hip abuction, dorsiflexion - L5: big toe extenion - L5/S1: knee flexion, hip extnesion - S1: plantar flexion, eversion - S2: Toe flexion
61
Upper limb Myotoms?
- C1/2: neck flexion - C2/3: neck lateral flexion - C4: shoulder shrug - C5: shoulder abduction - C6: elbow flexion, wrist extension - C7: elbow extension, wrist flexion, finger extension - C8/T1: finger abduction, finger adduction, finger flexion
62
Lower limb DTR?
- patellar: L4 | - Achilies: S1
63
Upper limb DTR?
- brachial: C5 - brachioradialis: C6 - Triceps: C7
64
Optic nerve testing?
- opthalmoscopy - pupillary light reflex - visual accuity - visual fields
65
Occulomotor testing?
- H-movement - X-movement - smooth pursuit - sacades - convergence
66
Trochlear testing?
- can patient move eye in and down
67
Trigeminal nerve Testing?
- facial sensation - chewing muscles - jaw jerk reflex
68
Abducens testing?
- H movement - x movement - saccades - optokinetic nystagmus - oculocephalic testing
69
Facial Nerve testing?
- facial expression - taste tests (anterior 2/3 of tongue) - corneal reflex
70
Vestibulocochlear nerve testing?
- general hearing - webers and Rinnes - otoscopy - dix hall pike - fukuda step test
71
Glossopharyngeal nerve testing?
- palate movement ipsilateral to lesion - reflex - posterior 1/3 of tongue
72
Vagus nerve testing?
- voice - articulation - aphasia - gag reflex
73
Accessory nerve testing?
- SCM MT | - trap MT
74
Hypoglossal nerve testing?
- atophy of tongue | - ipsilateral deviation of the tongue if LMNL
75
Sensory cortex testing?
- sterognosis - graphesthesia - two point discrim - point localisation
76
Cranial reflex arcs?
- pupillary light reflex, CN2 and 3 - occulocephalic reflex CN 3, 4, 6 and 8 - corneal reflex, 5 and 7 - jaw jerk reflex 5 and 7 - gag reflex 9 and 10 uvula deviates contra to lesion
77
Cerebellar exam?
- Drift + eyes closed, arms horizontal, palms up, feet apart, shake no for 60s + arm move up and pronate = cerebellar disease - scanning speach - nystagmus - finger nose agnosisa - dysdiadochokinesia - heel to shin test - hypotonia cerebellar ataxia: wide based staggering gait
78
What does rigid muscle tone mean?
- basal ganglia lesion + constant throughout ROM + lead pipe rigidity + cog wheel
79
What does spastic muscle tone mean?
- UMNL - clasp knife - stiff and quick release
80
What does Beevor's sign mean?
- dorsal myelopathy @ T10 | - umbilicus drifting toward weak side on contraction
81
L'Hermitte's test?
- seated neck flexion = electric shooting pain from neck to the back - MS screening tool or meningeal irritation
82
What does pin prick test?
- lateral spinothalamic lesion, pain and temperature
83
What does light touch test?
- posterior columns, proprioception
84
Testing for dorsal column medial leminescus pathoway?
- joint position sense - passive movement recognition - vibration sense
85
What is a spastic gait?
- decoricate arm - circumducting leg - UMNL (pyramidal loss)
86
What is a spastic diplegic gait?
- scissoring legs - flexed internally rotated hips - hyperlordosis
87
What is a Trendelemberg gait?
- single hip dip
88
What is a parkinsonian gait?
- difficulty starting stopping - short fesinating steps - stooped - little arm movement - basal ganglia lesion
89
What is an apraxic gait?
can't walk, but can describe how | - cortical lesion
90
What is a magnetic gait?
- shuffling gait glued to the floor | - frontal lobe lesion
91
What is a marche a petit pas?
- b/l cortex lesion
92
Tests for Truncal Vestibulocerebellum lesion?
- vertigo - nystagmus - nausea - broad base drunk gait - can't perform romberg
93
Tests for appendicular Spinocerevellum or cerebrocerebellum lesion?
- intentional tremour - dysdidokinesia - precision finger tap - finger nose-finger agnosia - heel shin overshot
94
Tests for Tabetic gracilis DCML or peripheral neuropathy lesion?
- high step and foot slap - joint position sense - rombergs
95
Tests for Vertiginous vesibular pathway lesion?
- druken gait - vertigo - nystagmus
96
What does the rebound tenderness test test for?
- periotonitis
97
What could you have with + Rheumatoid factor?
- sarcoidosis - Sjoren's syndrome - SLE - RA
98
What can you have with + HLA - B27?
- psoriatic arthritis - ankylosing spondylitis - inflammatory bowel disease - reactive arthritis
99
What is present in Multiple Myeloma?
- bence jones proteins
100
What is wassermans test for?
- syhilis
101
What is downey cell?
- infectious mono | - epstein bar
102
What is paul bunnet test for?
- infectious mono | - epstein barr
Part B thématiques
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