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Exam (elaborations)

Special Tests NPTE Exam Review 2024 Q&A Latest Update |Graded A+

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Special Tests NPTE Exam Review 2024 Q&A Latest Update |Graded A+| Apprehension Test for Anterior Shoulder Dislocation *Ans* Purpose: increased likelihood of anterior shoulder dislocation Method: *PROM* Pt in supine, shoulder in 90 degrees abduct. PT externally rotates shoulder. Positive Test: look of apprehension or facial grimace before reaching end point. Capillary refill *Ans* Purpose: Test for vascular insufficiency Method: Pt. is positioned in sitting or standing. Therapist compresses the pt's nailbed after releasing the pressure notes the amount of time taken for color to return to the nail. Positive Test: Indicated by delayed or muted response (greater than 2 secs) and may be indicative of arterial insufficiency. Homan's *Ans* Purpose: Test for Deep Vein Thrombophlebitis Method: Pt. is positioned in supine. Therapists maintains the leg in ext and passively D/F the pt's foot. Positive: Indicated by pain in the calf and may indicate a DVT. Ely's test *Ans* Purpose: Indicative of rectus femurs contracture Method: Pt. is positioned in prone, while the therapist *passively* flexes the pt's knee. Positive Test: Indicated by spontaneous hip flexion occurring simultaneously with knee flex Codman's Drop Arm Test *Ans* Purpose: -test for tears of rotator cuff (esp. supraspinatus) Method: -Patient seated or standing -You abduct the patient's arm to 150 degrees -Release pt's arms and ask him/her to slowly lower the arms to the floor. Positive Test: -pain, weakness or ratcheting motions -patient can't hold arms up or lower with control *dropping to 90 degrees is controlled by the deltoid *dropping below 90 degrees is controlled by the supraspinatus Apprehension Test for Posterior Shoulder Dislocation *Ans* Purpose: increased likelihood of posterior shoulder dislocation Method: Pt in supine, shoulder flexed to 90 degrees and intern

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Uploaded on
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