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[Irene Gold] Part 4 Clinical Orthopedics Exam Questions and Answers
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[Irene Gold] Part 4 Clinical Orthopedics Exam Questions and Answers
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[Irene Gold] Part 4 Clinical OrthopedicsExam Questions and Answers
Foraminal Compression Test - -The seated patient actively rotates head from
side to side. The doctor exerts a downward pressure from the neutral
position. The head is then rotated to each side with pressure.
Radicular Pain = *Nerve Root Compression*.
Localized Pain = *Facet Syndrome*.
-Jackson's Compression Test - -The patient is seated, the doctor laterally
flexes the patients head the right and applies downward pressure. The
doctor then performs the same on the other side.
Radicular Pain = *Nerve Root Compression*.
Localized Pain = *Facet Syndrome*.
-Distraction Test - -With the patient seated, the doctor exerts upward
pressure on the patient's head moving the weight of the patients head from
the neck.
Positive: Decreased Pain.
Indicates: *Nerve Root Compression*.
Positive: Increased Pain.
Indicates: *Sprain/Strain*.
-O'Donohue's Test - -Can be performed on any joint.
Patient actively moves against resistance and then the Doctor passively
moves the part thru a full ROM.
Positive: pain.
Indicates: *sprain if pain during passive ROM/ strain if pain during active
ROM*
-Valsalva's Maneuver - -The doctor. asks the patient to take a deep breath
& hold it while bearing down.
Positive: Radicular Pain.
Indicates: *Space Occupying Lesion*.
-Maximal Cervical Compression Test - -Patient seated & actively rotates,
laterally flexes & hyperextend the neck to the right. If no pain, the patient is
asked to maximally laterally flex the neck. Repeat on the other side. No
compression applied.
Radicular Pain = *Nerve Root Compression*.
Localized Pain = *Facet Syndrome*.
, -Shoulder Depression Test - -With the patient seated, the doctor depresses
the patient's shoulder while laterally flexing the cervical spine away from the
shoulder. Repeat on the other side.
Positive: Pain.
Indicates: *Nerve Root Adhesion*.
-Soto Hall Sign - -With the patient supine, doctor places one hand on the
sternum while passively flexing the patient's head toward the chest.
Positive: Localized Pain.
Indicates: *Fracture* (*anterior* pain), *Ligament Damage* (*posterior*
pain).
-Bakody's Test
[aka Shoulder Abduction Test] - -While seated the patient actively places
affected arm's palm on top of head. The elbow should be at the level of the
head.
Positive: Relief of pain.
Indicates: *IVF Encroachment.*
-Allen's Test - -Patient sits & pumps their hand while elbow flexed &
supinated. Keep hand closed while doctor occludes radial & ulnar arteries
until hand is blanched. Record time it takes for each artery to refill.
Positive: >10 seconds for blood to return.
Indicates: *Occlusion of the corresponding artery.*
-Costoclavicular Maneuver
[aka Eden's Test] - -Doctor palpates radial pulse while drawing patient's
shoulder back & down. Patient flexes chin to chest.
Positive: Alteration in the amplitude of the radial pulse.
Indicates: *Compression between first rib & clavicle*.
-Adson's Test
[aka Scalenus Anticus Test] - -Patient seated, Dr. abducts, extends &
externally rotates the arm while taking the radial pulse. Patient rotates head
to tested side & extends head.
Positive: Alteration of amplitude of radial pulse.
Indicates: *Cervical Rib*.
-Modified Adson's Test
[aka Scalenus Medius Test] - -If Adson's is negative, patient rotates head to
the opposite side, extends head & deep breath.
Positive: Alteration in the amplitude of radial pulse.
Indicates: *Subclavian artery, Scalenus medius syndrome*.
-Wright's Test
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