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Orthopedic exams Quiz

Select the steps and interpretation that corresponds to the displayed test.
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1. O'Riain




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2. brachial plexus tension




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3. Brudzinski




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4. wince




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5. occult elbow fracture




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6. valgus stress test




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7. ortolani




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8. Double leg raise




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9. Hibbs




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10. McMurray




Select the test that corresponds to the displayed steps and interpretation.
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11. pt prone. flex knee of prone patient to same side buttock while exerting downward pressure on the pelvis to prevent buckling to the hips. Pain in lumbosacral or sacroiliac regions = lumbosacral pathology




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12. pt standing with hands on the hips ask pt to lift 1 leg. if hip falls positive trendelenburg = weak glut medius, damage to superior gluteal nerve (lurching gait) Sign also seen in Legg-calve-perthes disease, muscular dystrophy, or glut med dysfunction




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13. palpate pts shoulder for tender spots. hold tender spot and abduct pts arm. if pain is relieved = subaromial bursitis




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14. Pt supine. raise leg off table. Pain 0-35 extradural nerve root irritation, 35-70 disc herniation causing sciatica, 70< lumbosacral joint disease (no further stretch on nerve)




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15. passive hip adduction and internal rotation causes pain = piriformis syndrome




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16. Pt supine. stabilize thighs or legs on table and ask pt to sit up without using hands. Pain or inability = sciatica or lumbosacral pathology




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17. passive Flexion, Adduction and Internal Rotation of hip causes pain = piriformis syndrome




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18. doc places hand on supine pts sternum, doc flexes head towards chest. Localized pain in posterior neck = vertebral fracture, ligamentous sprain, meningeal irritation or subluxation




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19. pt supine. flex affected knee at 30 degrees. grab proximal end of tibia and pull tibia anteriorly. excessive movement = ACL tear




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20. Pt supine. passively flex patients head and then neck to chest. Pain along L-spine and along sciatic nerve distribution = sciatica due to herniation especially with a lateral disc herniation





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