NBCE PART 4 EXAM WITH COMPLETE
QUESTIONS AND ANSWERS (RATED
100% CORRECT)
Lewin Standing Test - Answer-INSTRUCT: ex instructs pt to bend forward slightly at the
waist with knees slightly flexed; ex first brings one knee into complete extension; next
the ex brings the other knee into complete extension; finally the ex brings both knees
into complete extension
POSITIVE: radiating pain down the leg causing flexion of the pt's knee or knees
INDICATES gluteal, lumbosacral or sacroiliac pathologies
Belt (Supported Adam's) Test - Answer-flex trunk without and with support
pain better= SI
Goldthwait's test - Answer-Patient supine with your fingers in between spinous of
lumbar spine. With your other hand, passively perform a straight leg raise (SLR)
(+) TEST: if pain presents prior to palpation of movement in lumbar segments,
dysfunction is related to SIJ
Gaenslen's Test - Answer-Patient is supine with the involved side near the edge of the
examining table. The opposite knee and thigh are fully flexed and fixed against the
abdomen by the patient. The involved leg is gradually extended off the table by the
doctor. The doctor then applies downward pressure against clasped knee and knee of
the extended hip.
Positive sign is pain the SI joint indicating an SI lesion
Lewin-Gaenslen's Test - Answer-Patient lie on unaffected side and pulls (table
contacting) lower knee to chest. Doctor stabilizes pelvis and hyper extends top thigh.
Positive: SI pain -> SI lesion
Illiac Compression Test - Answer-side lying press down on iliac crest
Hibb's Test - Answer-prone, flex knee and internally rotate
Double Leg Raise Test - Answer-also called Bilateral SLR Test
___Perform a SLR on both legs *individually* noting the angle that pain/Sx was
produced
,___Perform a bilateral simultaneous SLR noting the angle at which the pain was
produced
___Uses an inclinometer correctly to note the angles
___Positive finding: lumbar pain is produced at an *early angle* when raising both legs
together
___Indications: possible radiculopathy w/ instability &/or lumbosacral joint involvement
SI resisted abduction test - Answer-???
Piedallu - Answer-seated, *on flat surface. Palpate PSIS, patient flexes, low side
becomes high* (S-I)
AKA: seated flexion sign
Erichsen's test - Answer-- Patient supine
- Examiner places hands on ilium bilaterally
- Applies medial pressure towards sacroiliac joints bilaterally
- Positive test: Pain at the SI joints
- Indicates: Sacroiliitis at the side of pain
Yeoman's Test - Answer-prone , extend hip with SI stabilization
Nachlas - Answer-With the patient prone the leg is flexed to 90 degrees and heel is
approximated to same buttock. The doctor stabilizes the side they are testing.
Positive sign is pain in the SI joint indicating SI lesion, pain in the lumbosacral joints
indicating lumbosacral lesion(s), pain in the anterior thigh indicates femoral nerve
stretch
Ely test - Answer-bring heel to contralateral buttocks
Trendelenburg test - Answer-The patient stands and rises one foot and then the other
while the doctor observes the buttocks.
Positive sign is when the buttock drops on the side that the foot is elevated indicating
hip abductor weakness on the stance leg side.
ludloff - Answer-seated, raise involved thigh off the table with foot outside knee
Noble's test - Answer-supine with hip and knee flexed press lateral femoral condyle with
thumb whil extending 30 degrees
Ober's test - Answer-abduct and extend hip release
Gauvain's Test - Answer-?????
, Anvil test - Answer-straight leg, supine, strike heel
Thomas - Answer-uninvolved knee to chest =psoas contracture
apparent leg length (functional) - Answer-Umbilicus to medial malleolus
Actual length (structural) - Answer-asis to lateral maleolis
allis - Answer-supine flexed knees and feet together
compare fibula and tibia lengths
tinels knee - Answer-lateral fibular head: tinels
Drawer Test - Answer-Knee Flexed 90* and move tibia forward
pull P-A: ACL, A-P: PCL
Slocum Test - Answer--pt. supine with knees flexed to 90 and hip flexed to 45. therapist
rotates pt. foot 30 degrees medially to test anterolateral instability
-PT stabilizes lower leg by sitting on it and provides anterior force to tibia
+=movement of tibia occurring primarily on the lateral side
-anteriolateral instability
-can anteriomedial corner by laterally rotating foot 15 degrees
Lachman's Test - Answer-supine, knee is bent to 30 degrees. Outside hand above
knee. Lower hand inside on tibial tuberosity. pull anterior
Fouchet's test (grind) - Answer-compress patella and rub sideways
clarke's - Answer-traction patella inferior and patient contracts quads
Ballotment Test - Answer-compress patella and release
Patellar tap test - Answer-The patient is positioned in supine with the knee flexed or
extended to a point of discomfort. The therapist applies a slight tap over the patella. A
positive test is indicated if the patella appears to be floating and may be indicative of
joint effusion. ?
McMurray's Meniscal Test - Answer-supine, hip and knee flexed internally and
externally rotate as you extend the leg
Apley's Compression Test - Answer-prone with knee flexed
press down with rotation twice and pull up with rotation twice
Fairbank's Test/Patella Apprehension - Answer-supine, knee extended manually
displace patella laterally
QUESTIONS AND ANSWERS (RATED
100% CORRECT)
Lewin Standing Test - Answer-INSTRUCT: ex instructs pt to bend forward slightly at the
waist with knees slightly flexed; ex first brings one knee into complete extension; next
the ex brings the other knee into complete extension; finally the ex brings both knees
into complete extension
POSITIVE: radiating pain down the leg causing flexion of the pt's knee or knees
INDICATES gluteal, lumbosacral or sacroiliac pathologies
Belt (Supported Adam's) Test - Answer-flex trunk without and with support
pain better= SI
Goldthwait's test - Answer-Patient supine with your fingers in between spinous of
lumbar spine. With your other hand, passively perform a straight leg raise (SLR)
(+) TEST: if pain presents prior to palpation of movement in lumbar segments,
dysfunction is related to SIJ
Gaenslen's Test - Answer-Patient is supine with the involved side near the edge of the
examining table. The opposite knee and thigh are fully flexed and fixed against the
abdomen by the patient. The involved leg is gradually extended off the table by the
doctor. The doctor then applies downward pressure against clasped knee and knee of
the extended hip.
Positive sign is pain the SI joint indicating an SI lesion
Lewin-Gaenslen's Test - Answer-Patient lie on unaffected side and pulls (table
contacting) lower knee to chest. Doctor stabilizes pelvis and hyper extends top thigh.
Positive: SI pain -> SI lesion
Illiac Compression Test - Answer-side lying press down on iliac crest
Hibb's Test - Answer-prone, flex knee and internally rotate
Double Leg Raise Test - Answer-also called Bilateral SLR Test
___Perform a SLR on both legs *individually* noting the angle that pain/Sx was
produced
,___Perform a bilateral simultaneous SLR noting the angle at which the pain was
produced
___Uses an inclinometer correctly to note the angles
___Positive finding: lumbar pain is produced at an *early angle* when raising both legs
together
___Indications: possible radiculopathy w/ instability &/or lumbosacral joint involvement
SI resisted abduction test - Answer-???
Piedallu - Answer-seated, *on flat surface. Palpate PSIS, patient flexes, low side
becomes high* (S-I)
AKA: seated flexion sign
Erichsen's test - Answer-- Patient supine
- Examiner places hands on ilium bilaterally
- Applies medial pressure towards sacroiliac joints bilaterally
- Positive test: Pain at the SI joints
- Indicates: Sacroiliitis at the side of pain
Yeoman's Test - Answer-prone , extend hip with SI stabilization
Nachlas - Answer-With the patient prone the leg is flexed to 90 degrees and heel is
approximated to same buttock. The doctor stabilizes the side they are testing.
Positive sign is pain in the SI joint indicating SI lesion, pain in the lumbosacral joints
indicating lumbosacral lesion(s), pain in the anterior thigh indicates femoral nerve
stretch
Ely test - Answer-bring heel to contralateral buttocks
Trendelenburg test - Answer-The patient stands and rises one foot and then the other
while the doctor observes the buttocks.
Positive sign is when the buttock drops on the side that the foot is elevated indicating
hip abductor weakness on the stance leg side.
ludloff - Answer-seated, raise involved thigh off the table with foot outside knee
Noble's test - Answer-supine with hip and knee flexed press lateral femoral condyle with
thumb whil extending 30 degrees
Ober's test - Answer-abduct and extend hip release
Gauvain's Test - Answer-?????
, Anvil test - Answer-straight leg, supine, strike heel
Thomas - Answer-uninvolved knee to chest =psoas contracture
apparent leg length (functional) - Answer-Umbilicus to medial malleolus
Actual length (structural) - Answer-asis to lateral maleolis
allis - Answer-supine flexed knees and feet together
compare fibula and tibia lengths
tinels knee - Answer-lateral fibular head: tinels
Drawer Test - Answer-Knee Flexed 90* and move tibia forward
pull P-A: ACL, A-P: PCL
Slocum Test - Answer--pt. supine with knees flexed to 90 and hip flexed to 45. therapist
rotates pt. foot 30 degrees medially to test anterolateral instability
-PT stabilizes lower leg by sitting on it and provides anterior force to tibia
+=movement of tibia occurring primarily on the lateral side
-anteriolateral instability
-can anteriomedial corner by laterally rotating foot 15 degrees
Lachman's Test - Answer-supine, knee is bent to 30 degrees. Outside hand above
knee. Lower hand inside on tibial tuberosity. pull anterior
Fouchet's test (grind) - Answer-compress patella and rub sideways
clarke's - Answer-traction patella inferior and patient contracts quads
Ballotment Test - Answer-compress patella and release
Patellar tap test - Answer-The patient is positioned in supine with the knee flexed or
extended to a point of discomfort. The therapist applies a slight tap over the patella. A
positive test is indicated if the patella appears to be floating and may be indicative of
joint effusion. ?
McMurray's Meniscal Test - Answer-supine, hip and knee flexed internally and
externally rotate as you extend the leg
Apley's Compression Test - Answer-prone with knee flexed
press down with rotation twice and pull up with rotation twice
Fairbank's Test/Patella Apprehension - Answer-supine, knee extended manually
displace patella laterally
