NSG 6170 Adv Health Assessment Exam 3
Latest 2025/2026 Cedarville University
Graded A Accurate Spring-Summer
How is the Spurling test test preformed?
Have the patient look over the shoulder and then up to the ceiling. Next position yourself
behind the patient and carefully apply downward pressure on the patients head. Check if
the maneuver reproduces neck pain with radiation on the same side the head is turned.
What does a positive Spurling test look like and what does it indicate?
Test is positive when patient feels pain going down the arm on the same side the head is
turned and indicates cervical nerve root involvement
How is flexion of the HIP in ROM assessed?
Bring your knee to your chest and pull it against your abdomen
How is extension of the HIP in ROM assessed?
- Lie face down, then bend your knee and lift it up
OR
- Lying flat, move your lower leg away from the midline and down over the side of the table
What does a positive Lachman test look like and what does it indicate?
Significant forward extension is a positive test for ACL tear
How is the Anterior draw sign test preformed?
With patient supine, have patient with hips and knees flexed 90 degrees and feet flat on the
table. Cup your hands around the knee area, sitting on the patient's foot. Draw the tibia
forward and observe if it slides forward from under the femur
What does a positive anterior draw test look like and what does it indicate?
A forward jerk showing the contours of the upper tibia is a positive test
,When palpating the Achilles tendon what would focal thickening and tenderness indicate?
Achilles tendinitis, bursitis, or partial tear from trauma
What are some risk factors for developing anxiety?
- Family history
- Personal history of anxiety or mood disorder
- Childhood stressful life events or trauma
- Female
- Chronic medical illness
- Behavioral inhibition
What are some risk factors for developing depression?
- Personal history
- Family history w/first degree relative
- Personal history of recent stressful life events
- Personal history of significant childhood adversity
- Chronic/Disabling medical illness - Female gender
What are some risk factors for developing Alzheimers?
- Advancing age Family history
- Gene mutation (apolipoprotein - APOE)
What is somatic symptom disorder?
Significant focus on physical symptoms. It is either very distressing or results in a
significant disruption of functioning as well as excessive and disproportionate thoughts,
feelings, and behaviors related to those symptoms.
What is illness anxiety disorder?
An obsessive and persistent fear of developing or having a serious medical condition. A
preoccupation with having or acquiring a serious illness where somatic symptoms if
present, are only mild in intensity
What is conversion disorder?
Psychological disorder characterized by symptoms affecting sensory or motor function.
Syndrome of symptoms and deficits mimicking neurological or medical illness
What is factitious disorder?
Falsification of physical or psychological signs or symptoms or induction of disease
associated with identified deception. Individual presents as ill, impaired, or injured even in
the absence of external reward.
,What is body dysmorphic disorder?
Preoccupation with one or more perceived defects or flaws in physical appearance that are
not observable or only appear slightly to others.
What is dissociative disorder?
Experience a loss of connection between thoughts, memories, feelings, surroundings,
behavior and identity. Disruption of and/or discontinuity in the normal integration of
consciousness, memory, identity, emotion, perception, body representation, motor control,
and behavior.
How is abduction of the HIP in ROM assessed? What can abnormalities indicate?
Lying flat, move your lower leg away from the midline. Restricted abduction and
internal/external rotation are common in hip OA
How is adduction of the HIP in ROM assessed?
Lying flat, bend your knee and move your lower leg to the midline
How is internal rotation of the HIP in ROM assessed?
Lying flat, bend your knee and turn the lower leg and foot away from the midline
How is external rotation of the HIP in ROM assessed?
Lying flat, bend your knee and turn the lower leg and foot across the midline
How is the FABER test (i.e. Patrick test) preformed?
With patient supine, position the leg at 90 degrees of flexion and externally rotate and
abduct it so the ipsilateral ankle rests distal to the knee of the contralateral leg (have
patient lay on back, with one leg straight, have the patient bend other leg, placing the ankle
above the knee of the straight leg)
What does a positive FABER test look like and what does it indicate?
Positive test is pain elicited with adduction, which may indicate pathology of the hip or
sacroiliac joint
How is the Kendall test preformed?
, With patient sitting have patients thighs half off the examining table. Next, ask patient to lie
down and flex the uninvolved leg toward the chest and hold just enough to flatten the
lower back on the table. The other knee should be at the edge of the table with the knee
free to flex. Normally the posterior thigh should touch thee table and the knee passively
flexes.
------Patient goes from sitting to lying down while taking one leg back with them as they lay
down pulling the leg towards the abdomen. Patient leaves the other leg unbothered.
What does a positive Kendall test look like and what does it indicate?
- When flexion deformity of the hip is present, the affected hip will rise off the table as the
opposite hip is flexed. This is because the affected hip does not allow full hip extension and
cannot maintain contact with the table as a result
- When leg flexed over the end of the table extends beyond 90 degrees, it suggests rectus
femoris shortening
- If extended leg is able to flex 90 degrees or more, BUT the thigh remains off the table, it
suggest iliopsoas tightness
How is flexion of the KNEE in ROM assessed? What can abnormalities indicate?
Have patient bend the knee. Crepitus with flexion or extension can signal patellofemoral
OA, a probable precursor to knee OA
How is extension of the KNEE in ROM assessed?
Have the patient straighten the leg
How is the McMurray test preformed?
With the patient supine, grasp the heel and flex the knee. Cup your hand over the knee joint
with fingers and thumb along the medial joint line. From the heel externally rotate the
lower leg, then push on the lateral side to apply a valgus stress on the medial side of the
joint. At the same time slowly extend the lower leg in external rotation
What does a positive McMurray test look like and what does it indicate?
A palpable click or pop along the medial or lateral joint line is a positive test for a tear of
the posterior portion of the medial meniscus
How is the Lachman test preformed?
Place knee at 15 degrees of flexion. Grip the distal femur on the lateral side with the other
hand on the proximal tibia on the medial side. Forcefully and simultaneously pull the tibia
forward and the femur back
Latest 2025/2026 Cedarville University
Graded A Accurate Spring-Summer
How is the Spurling test test preformed?
Have the patient look over the shoulder and then up to the ceiling. Next position yourself
behind the patient and carefully apply downward pressure on the patients head. Check if
the maneuver reproduces neck pain with radiation on the same side the head is turned.
What does a positive Spurling test look like and what does it indicate?
Test is positive when patient feels pain going down the arm on the same side the head is
turned and indicates cervical nerve root involvement
How is flexion of the HIP in ROM assessed?
Bring your knee to your chest and pull it against your abdomen
How is extension of the HIP in ROM assessed?
- Lie face down, then bend your knee and lift it up
OR
- Lying flat, move your lower leg away from the midline and down over the side of the table
What does a positive Lachman test look like and what does it indicate?
Significant forward extension is a positive test for ACL tear
How is the Anterior draw sign test preformed?
With patient supine, have patient with hips and knees flexed 90 degrees and feet flat on the
table. Cup your hands around the knee area, sitting on the patient's foot. Draw the tibia
forward and observe if it slides forward from under the femur
What does a positive anterior draw test look like and what does it indicate?
A forward jerk showing the contours of the upper tibia is a positive test
,When palpating the Achilles tendon what would focal thickening and tenderness indicate?
Achilles tendinitis, bursitis, or partial tear from trauma
What are some risk factors for developing anxiety?
- Family history
- Personal history of anxiety or mood disorder
- Childhood stressful life events or trauma
- Female
- Chronic medical illness
- Behavioral inhibition
What are some risk factors for developing depression?
- Personal history
- Family history w/first degree relative
- Personal history of recent stressful life events
- Personal history of significant childhood adversity
- Chronic/Disabling medical illness - Female gender
What are some risk factors for developing Alzheimers?
- Advancing age Family history
- Gene mutation (apolipoprotein - APOE)
What is somatic symptom disorder?
Significant focus on physical symptoms. It is either very distressing or results in a
significant disruption of functioning as well as excessive and disproportionate thoughts,
feelings, and behaviors related to those symptoms.
What is illness anxiety disorder?
An obsessive and persistent fear of developing or having a serious medical condition. A
preoccupation with having or acquiring a serious illness where somatic symptoms if
present, are only mild in intensity
What is conversion disorder?
Psychological disorder characterized by symptoms affecting sensory or motor function.
Syndrome of symptoms and deficits mimicking neurological or medical illness
What is factitious disorder?
Falsification of physical or psychological signs or symptoms or induction of disease
associated with identified deception. Individual presents as ill, impaired, or injured even in
the absence of external reward.
,What is body dysmorphic disorder?
Preoccupation with one or more perceived defects or flaws in physical appearance that are
not observable or only appear slightly to others.
What is dissociative disorder?
Experience a loss of connection between thoughts, memories, feelings, surroundings,
behavior and identity. Disruption of and/or discontinuity in the normal integration of
consciousness, memory, identity, emotion, perception, body representation, motor control,
and behavior.
How is abduction of the HIP in ROM assessed? What can abnormalities indicate?
Lying flat, move your lower leg away from the midline. Restricted abduction and
internal/external rotation are common in hip OA
How is adduction of the HIP in ROM assessed?
Lying flat, bend your knee and move your lower leg to the midline
How is internal rotation of the HIP in ROM assessed?
Lying flat, bend your knee and turn the lower leg and foot away from the midline
How is external rotation of the HIP in ROM assessed?
Lying flat, bend your knee and turn the lower leg and foot across the midline
How is the FABER test (i.e. Patrick test) preformed?
With patient supine, position the leg at 90 degrees of flexion and externally rotate and
abduct it so the ipsilateral ankle rests distal to the knee of the contralateral leg (have
patient lay on back, with one leg straight, have the patient bend other leg, placing the ankle
above the knee of the straight leg)
What does a positive FABER test look like and what does it indicate?
Positive test is pain elicited with adduction, which may indicate pathology of the hip or
sacroiliac joint
How is the Kendall test preformed?
, With patient sitting have patients thighs half off the examining table. Next, ask patient to lie
down and flex the uninvolved leg toward the chest and hold just enough to flatten the
lower back on the table. The other knee should be at the edge of the table with the knee
free to flex. Normally the posterior thigh should touch thee table and the knee passively
flexes.
------Patient goes from sitting to lying down while taking one leg back with them as they lay
down pulling the leg towards the abdomen. Patient leaves the other leg unbothered.
What does a positive Kendall test look like and what does it indicate?
- When flexion deformity of the hip is present, the affected hip will rise off the table as the
opposite hip is flexed. This is because the affected hip does not allow full hip extension and
cannot maintain contact with the table as a result
- When leg flexed over the end of the table extends beyond 90 degrees, it suggests rectus
femoris shortening
- If extended leg is able to flex 90 degrees or more, BUT the thigh remains off the table, it
suggest iliopsoas tightness
How is flexion of the KNEE in ROM assessed? What can abnormalities indicate?
Have patient bend the knee. Crepitus with flexion or extension can signal patellofemoral
OA, a probable precursor to knee OA
How is extension of the KNEE in ROM assessed?
Have the patient straighten the leg
How is the McMurray test preformed?
With the patient supine, grasp the heel and flex the knee. Cup your hand over the knee joint
with fingers and thumb along the medial joint line. From the heel externally rotate the
lower leg, then push on the lateral side to apply a valgus stress on the medial side of the
joint. At the same time slowly extend the lower leg in external rotation
What does a positive McMurray test look like and what does it indicate?
A palpable click or pop along the medial or lateral joint line is a positive test for a tear of
the posterior portion of the medial meniscus
How is the Lachman test preformed?
Place knee at 15 degrees of flexion. Grip the distal femur on the lateral side with the other
hand on the proximal tibia on the medial side. Forcefully and simultaneously pull the tibia
forward and the femur back
