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Orthopedic exams Test

Enter the letter for the matching steps and interpretation
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1.
Schober
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2.
O'donohgue
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3.
wrist compression
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4.
mill
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5.
Goldwaith
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6.
bunnel-littler
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7.
antalgic lean
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8.
dawbarn
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9.
Bonnet
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10.
drawer
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11.
reverse bakody
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12.
McMurray
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13.
varus stress test
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14.
pace
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15.
brachial plexus tension
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16.
Kernig
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17.
Rust
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18.
adduction (varus)stress knee
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19.
maximum cervical compression
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20.
Bowstring
A.
pt supine. grasp pts ankle and fully flex knee on affected side such that the heel is close to the buttock. place hand over knee and externally rotate and slowly extend knee keeping hip partially flexed. thud or click = medial meniscus damage. int=lat men
B.
Pt's backache caused by disc herniation lateral to nerve root, pt leans away from side with lesion. if herniation is medial to nerve root pt leans to side with lesion. Post central disc herniation pt stands straight and stiff in slight flexion.
C.
PROM. raise pt's shoulders by abducting arms. pts elbows are extended and shoulders externally rotated (palms up) Doc supports arm while patient flexes elbows. pain = irritation of roots of brachial plexus
D.
passively flex patient's forearm, fingers and wrist, then passively pronate and extend elbow. lateral epicondylitis
E.
seated pt attempts to flex, extend, laterally bend and rotate neck while doctor resists movement. PROM pain = muscle strain, AROM pain = ligamentous sprain
F.
mark 5cm below PSIS and 10cm above psis midline. pt bends forward and doc measures the difference between the 2 marks and subtracts 15. if increase is less than 5 = ankylosing spondylitis
G.
pt in supine position and have them flex knees at 90 degrees. sit on pts feet and push tibia posterior and pull it anteriorly. perform on both legs excessive movement >6mm torn cruciate ligament
H.
passively flex DIP, then extend finger and passively flex MCP and DIP. if no change in degree of flexion = restriction of fibrous capsule of DIP joint. if increase in flexion=contraction of lumbrical muscle
I.
attempt to completely extend the partly flexed knee of the supine patient. if this action causes pain or other knee to flex involuntarily = meningeal irritation, meningitis
J.
instruct seated pt to rotate the neck to the shoulder and extend the head to the affected side, if no pain instruct pt to flex neck while in rotation. perform bilaterally, pain in affected arm = nerve root compression or facet involvement.
K.
invert pts ankle. anterior talofibular or calcaneofibular ligament damage (inversion sprain)
L.
compress region of palm of the wrist just distal to distal crease with both thumb in an anteroposterior direction. hold with thumbs 15secs to 2 mins. tingling or paresthesia = carpal tunnel syndrome
M.
ask pt to place palm of hand on top of head with elbow level with head. pain = scalenus anterior type of TOS
N.
pt is supporting head with both hands = cervical fracture or severe sprain
O.
resisted active hip external rotation and abduction elicits pain = piriformis syndrome
P.
Pt supine. Lift affected leg with knee flexed and place on Doc's shoulder. apply firm pressure on hamstring muscles and then in popliteal fossa. irritation of roots of sciatic nerve.
Q.
palpate pts shoulder for tender spots. hold tender spot and abduct pts arm. if pain is relieved = subaromial bursitis
R.
pt supine knees extended. doc hand over medial joint line and ankle. attempt to adduct leg. pain - LCL injury
S.
Pt supine. Doc raises extended leg, internally rotates foot and adducts extended limb = piriformis syndrome
T.
pt supine. raise affected leg with one hand while other hand is under lumbar region. pain before l-spine begins to move 0-30 SI joint pathology, pain 30-60 lumbosacral joint pathology, 60-90 lumbar region pathology
Type the test that corresponds to the displayed steps and interpretation.
incorrect
21.
pt makes fist and pronates and extends, doctor applies resistance. pain = lateral epicondylitis
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22.
If SLR is positive, lower leg just below point of pain. quickly extend big toe of affected foot. Pain = sciatic nerve root compression
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23.
ask pt to stand.
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24.
palpate radial pulse of effected side, pull down on arm and ask pt to look up. abalone anterior sub-type of TOS
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25.
child sits on floor and then stand. if child places hands on thighs to stand = duchenne's muscular dystrophy
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26.
pt seated. raise pts arm to 90 of shoulder flexion with one hand while your other hand stabilizes the scapula. forcibly internally rotate. pain = impingement or rotator cuff tendonitis
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27.
squeeze medial and lateral aspects of distal ends of radius and ulna. pain = RA, fracture, severe sprain
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28.
pt makes fist of affected hand. occlude both ulnar and radial arteries at wrist. release ulnar artery, then radial artery. if color is blanched more than 5 seconds = arterial embolism
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29.
SLR on each leg separately noting which angle pain was produced. Raise both legs together noting angle of pain. If the angle of pain of both legs raised is less than single SLR = lumbosacral joint involvement
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30.
seated pt slightly extends and rotates head to affected side. doctor exerts downward pressure. pain = nerve root compression by SOL or subluxation

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