NPTE REVIEW | UPDATED Questions with 100% Verified Answers
Question: Posterior Internal Impingement Test
Answer:
Protocol - pt supine, passively move pt into 90/90 ER (+) test - reproduction of pain Implication - posterior RC
or labral impingement
Question: Yocum Test
Answer:
alternate version of Hawkins Kennedy Test - pt starts with hand on opposite shoulder --> elevate the elbow
Question: Horn Blower's Sign (Patte Test)
Answer:
similar to external rotation lag sign, but pt attempts resisted ER
,Question: Abdominal Compression Test
Answer:
similar to internal rotation lag sign (aka. lift off sign, Gerber's test), but pt attempts resisted IR
Question: Halstead Maneuver
Answer:
protocol - find radial pulse, apply downward traction on the UE while the neck is hyperextended and
contralaterally rotated (+) sign - disappearance of pulse Implication - TOS
Question: Clunk Test
Answer:
,protocol - pt supine with UE in full abd --> push humeral head anteriorly while rotating humerus externally (+)
sign - clunk implication - labral tear
Question: posterior apprehension sign
Answer:
similar to Jerk test but the patient may be supine and the (+) sign is apprehension rather than a "clunk"
Question: Roos Test
Answer:
aka. elevated arm stress test protocol - pt stands in goal post position and slowly opens/closes hands for 3 mins
(+) test - pt unable to hold the position, ischemic pain, heaviness, profound weakness, numbness/tingling
implication - TOS
, Question: Elbow Flexion Test
Answer:
protocol - maximal elbow flexion with wrist extension (+) test - pain in ulnar n. distribution in <5 sec
implication - cubital tunnel syndrome
Question: Bunnell-Littler Test
Answer:
test passive MCP extension + PIP flexion followed by MCP flexion + PIP flexion if PIP flexion limited in MCP
extension ONLY --> tight intrinsic mm if PIP flexion limited under both conditions --> contracture of joint
capsule
Question: tight retinacular test
Answer:
test passive PIP neutral + DIP flexion followed by PIP flexion + DIP flexion if DIP flexion limited in PIP
neutral ONLY --> tight retinacular lig if DIP flexion limited under both conditions --> contracture of the joint
capsule
Question: Posterior Internal Impingement Test
Answer:
Protocol - pt supine, passively move pt into 90/90 ER (+) test - reproduction of pain Implication - posterior RC
or labral impingement
Question: Yocum Test
Answer:
alternate version of Hawkins Kennedy Test - pt starts with hand on opposite shoulder --> elevate the elbow
Question: Horn Blower's Sign (Patte Test)
Answer:
similar to external rotation lag sign, but pt attempts resisted ER
,Question: Abdominal Compression Test
Answer:
similar to internal rotation lag sign (aka. lift off sign, Gerber's test), but pt attempts resisted IR
Question: Halstead Maneuver
Answer:
protocol - find radial pulse, apply downward traction on the UE while the neck is hyperextended and
contralaterally rotated (+) sign - disappearance of pulse Implication - TOS
Question: Clunk Test
Answer:
,protocol - pt supine with UE in full abd --> push humeral head anteriorly while rotating humerus externally (+)
sign - clunk implication - labral tear
Question: posterior apprehension sign
Answer:
similar to Jerk test but the patient may be supine and the (+) sign is apprehension rather than a "clunk"
Question: Roos Test
Answer:
aka. elevated arm stress test protocol - pt stands in goal post position and slowly opens/closes hands for 3 mins
(+) test - pt unable to hold the position, ischemic pain, heaviness, profound weakness, numbness/tingling
implication - TOS
, Question: Elbow Flexion Test
Answer:
protocol - maximal elbow flexion with wrist extension (+) test - pain in ulnar n. distribution in <5 sec
implication - cubital tunnel syndrome
Question: Bunnell-Littler Test
Answer:
test passive MCP extension + PIP flexion followed by MCP flexion + PIP flexion if PIP flexion limited in MCP
extension ONLY --> tight intrinsic mm if PIP flexion limited under both conditions --> contracture of joint
capsule
Question: tight retinacular test
Answer:
test passive PIP neutral + DIP flexion followed by PIP flexion + DIP flexion if DIP flexion limited in PIP
neutral ONLY --> tight retinacular lig if DIP flexion limited under both conditions --> contracture of the joint
capsule
