NPTE FINAL FRONTIER SPECIAL TESTS QUESTIONS
WITH ACCURATE ANSWERS
Yergason's test - CORRECT ANSWER✅✅✅-purpose: integrity of transverse ligement
-result: tendon of long head of biceps will pop out of groove
*tenderness in the bicipital groove alone w/o the dislocation may indicate bicipital
paratenonitis/tendinosis
Forearm begins in pronation and elbow flexed shoulder in neutral ... resist pnt supination while
palpating bicipital groove
Speed's test - CORRECT ANSWER✅✅✅-purpose: ID bicipital tendinosis/tendinopathy
-result: pain in long head of biceps tendon/increased tenderness in the bicipital groove
resisted shoulder flexion once in 90 degrees flexion with forearm supinated
Neer's Impingement test - CORRECT ANSWER✅✅✅-purpose: impingement of
supraspinatus & biceps tendon
-result: reproduces symptoms of pain in the shoulder region
Shoulder flexion with arm internally rotated ( as far as possible)
Empty Can/Jobe test - CORRECT ANSWER✅✅✅-Purpose: ID tear/impingement of
supraspinatus tendon or suprascapular nerve neuropathy
-result: reproduces pain in supraspinatus tendon or weakness in empty can position
resist empty can downward pressure ----- supraspinatus muscle impingement
,Drop Arm test (aka Codman's test) - CORRECT ANSWER✅✅✅-purpose: ID tear/full
rupture of rotator cuff
-result: (+) test indicated if pt is unable to return arm to side slowly or has severe pain when
attempting to do so
supra and infra spinatus tear test- lift arm in abduction and take away PT stabilization
Posterior Internal Impingement test - CORRECT ANSWER✅✅✅-purpose: ID impingement
btwn rotator cuff & greater tuberosity or posterior glenoid & labrum
-result: reproduction of pain in posterior shoulder during test
Hawkins-Kennedy Impingement test - CORRECT ANSWER✅✅✅-purpose: identify sub-
acromial impingement
-result: pain indicates a (+) test for supraspinatus paratenonitis/tendinosis or secondary
impingement
Yocum test - CORRECT ANSWER✅✅✅-modification of Hawkin's Kennedy test
-pt's hand is placed on opp shoulder & examiner elevates the elbow
-pain indicates a (+) test
Active Compression Test of O'Brien - CORRECT ANSWER✅✅✅-purpose: detect SLAP
(Type II) or superior labral lesions
-result: if pain on the jt line or painful clicking is produced inside the shoulder (not over the AC
jt) in the 1st part of the test & eliminated or decreased in the 2nd part, the test is (+) for labral
abnormalities
Biceps Load test - CORRECT ANSWER✅✅✅-purpose: check integrity of superior labrum
-result:
1) if apprehension decreases or pt feels more comfortable, test is (-) for a SLAP lesion
, 2) if apprehension remains the same or shoulder becomes more painful, test is (+) for SLAP
lesions
Pain Provocation (Mimori) test - CORRECT ANSWER✅✅✅-purpose: to ID slap lesion
-result: if pain is provoked only in the pronated position or more severe in the pronated position,
test considered (+) for SLAP tear
Lateral Rotation Lag Sign (aka Infraspinatus "Spring Back" test) - CORRECT
ANSWER✅✅✅-purpose: to test teres minor & infraspinatus
-result: for a (+) test, pt can't hold the position and hand springs back anteriorly toward midline,
indicating infraspinatus & teres minor can't hold position due to weakness/pain
Abdominal Compression test (aka Belly-Press or Napoleon test) - CORRECT
ANSWER✅✅✅-purpose: checks subscapularis mm
-result: if pt is unable to maintain pressure on examiner's hand while moving elbow forward, or
posteriorly flexes wrist or extends shoulder, the test is (+) for a tear of the subscapularis mm
Jerk test - CORRECT ANSWER✅✅✅-purpose: to test recurrent posterior instability
-result: a (+) test is the production of a sudden jerk or clunk as the humeral head slides off
(subluxes) the back of the glenoid). When the arm is returned to the original 90 degree ABD
position, 2nd jerk may be felt as the head reduces
Sulcus Sign - CORRECT ANSWER✅✅✅-purpose: to test for inferior shoulder instability
-result: presence of a sulcus sign may indicate inferior instability or GH laxity but should only be
considered (+) for instability if the pt is symptomatic
Pectoralis Major Contracture test - CORRECT ANSWER✅✅✅-purpose: to ID tightness of
pec major mm
-result: (+) test occurs if elbows don't reach the table & indicates a tight pec major mm
WITH ACCURATE ANSWERS
Yergason's test - CORRECT ANSWER✅✅✅-purpose: integrity of transverse ligement
-result: tendon of long head of biceps will pop out of groove
*tenderness in the bicipital groove alone w/o the dislocation may indicate bicipital
paratenonitis/tendinosis
Forearm begins in pronation and elbow flexed shoulder in neutral ... resist pnt supination while
palpating bicipital groove
Speed's test - CORRECT ANSWER✅✅✅-purpose: ID bicipital tendinosis/tendinopathy
-result: pain in long head of biceps tendon/increased tenderness in the bicipital groove
resisted shoulder flexion once in 90 degrees flexion with forearm supinated
Neer's Impingement test - CORRECT ANSWER✅✅✅-purpose: impingement of
supraspinatus & biceps tendon
-result: reproduces symptoms of pain in the shoulder region
Shoulder flexion with arm internally rotated ( as far as possible)
Empty Can/Jobe test - CORRECT ANSWER✅✅✅-Purpose: ID tear/impingement of
supraspinatus tendon or suprascapular nerve neuropathy
-result: reproduces pain in supraspinatus tendon or weakness in empty can position
resist empty can downward pressure ----- supraspinatus muscle impingement
,Drop Arm test (aka Codman's test) - CORRECT ANSWER✅✅✅-purpose: ID tear/full
rupture of rotator cuff
-result: (+) test indicated if pt is unable to return arm to side slowly or has severe pain when
attempting to do so
supra and infra spinatus tear test- lift arm in abduction and take away PT stabilization
Posterior Internal Impingement test - CORRECT ANSWER✅✅✅-purpose: ID impingement
btwn rotator cuff & greater tuberosity or posterior glenoid & labrum
-result: reproduction of pain in posterior shoulder during test
Hawkins-Kennedy Impingement test - CORRECT ANSWER✅✅✅-purpose: identify sub-
acromial impingement
-result: pain indicates a (+) test for supraspinatus paratenonitis/tendinosis or secondary
impingement
Yocum test - CORRECT ANSWER✅✅✅-modification of Hawkin's Kennedy test
-pt's hand is placed on opp shoulder & examiner elevates the elbow
-pain indicates a (+) test
Active Compression Test of O'Brien - CORRECT ANSWER✅✅✅-purpose: detect SLAP
(Type II) or superior labral lesions
-result: if pain on the jt line or painful clicking is produced inside the shoulder (not over the AC
jt) in the 1st part of the test & eliminated or decreased in the 2nd part, the test is (+) for labral
abnormalities
Biceps Load test - CORRECT ANSWER✅✅✅-purpose: check integrity of superior labrum
-result:
1) if apprehension decreases or pt feels more comfortable, test is (-) for a SLAP lesion
, 2) if apprehension remains the same or shoulder becomes more painful, test is (+) for SLAP
lesions
Pain Provocation (Mimori) test - CORRECT ANSWER✅✅✅-purpose: to ID slap lesion
-result: if pain is provoked only in the pronated position or more severe in the pronated position,
test considered (+) for SLAP tear
Lateral Rotation Lag Sign (aka Infraspinatus "Spring Back" test) - CORRECT
ANSWER✅✅✅-purpose: to test teres minor & infraspinatus
-result: for a (+) test, pt can't hold the position and hand springs back anteriorly toward midline,
indicating infraspinatus & teres minor can't hold position due to weakness/pain
Abdominal Compression test (aka Belly-Press or Napoleon test) - CORRECT
ANSWER✅✅✅-purpose: checks subscapularis mm
-result: if pt is unable to maintain pressure on examiner's hand while moving elbow forward, or
posteriorly flexes wrist or extends shoulder, the test is (+) for a tear of the subscapularis mm
Jerk test - CORRECT ANSWER✅✅✅-purpose: to test recurrent posterior instability
-result: a (+) test is the production of a sudden jerk or clunk as the humeral head slides off
(subluxes) the back of the glenoid). When the arm is returned to the original 90 degree ABD
position, 2nd jerk may be felt as the head reduces
Sulcus Sign - CORRECT ANSWER✅✅✅-purpose: to test for inferior shoulder instability
-result: presence of a sulcus sign may indicate inferior instability or GH laxity but should only be
considered (+) for instability if the pt is symptomatic
Pectoralis Major Contracture test - CORRECT ANSWER✅✅✅-purpose: to ID tightness of
pec major mm
-result: (+) test occurs if elbows don't reach the table & indicates a tight pec major mm
