NMS exam 3 (final) EST BANK\\LATEST
VERSION WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS \ASSURED PASS
ALREADY GRADED A+\LATEST EXAM 2025-2026
1. AC joint
2. subscapularis
3. clavicle
4. pec minor
shoulder pain points tendon
5. biceps tendinitis
6. pec major
7. deltoid, C5, facet
8. supraspinatus
tests that check glenohumeral joint stability load and shift, relocation
tests that check for labrum damage O’Brien’s, biceps load I & II, surprise sign
supraspinatus press/empty can test, codman’s
supraspinatus orthopedic exams (drop arm), apley’s scratch test, full can test,
impingement test
belly press test/abdominal compression test,
subscapularis orthopedic exams bear hug test, lift off (gerber’s) test, lift off lag
sign
, lateral rotation lag sign, external lag sign,
infraspinatus and teres minor orthopedic exams external rotation, horn blowers (teres minor
only)
painful arc, impingement/Neer’s test, hawkins
impingement syndrome orthopedic exams
kennedy test
supraspinatus tear/strain/tendinitis, subacromial
causes for impingement syndrome
bursitis, bicipital tendinitis
test for supraspinatus, FOOSH injuries
patient seated, places hand behind head and
touches opposite superior angle of scapula,
places hand behind back and touches opposite
Apley’s scratch test (UE patterns 1 & 2 from inferior angle of scapula
SFMA)
exacerbation of pain indicates tendinitis of a
rotator cuff tendon- usually supraspinatus,
common in swimmers and tennis players
may find frozen shoulder (adhesive capsulitis)
test for supraspinatus
patient seated, arm is passively abducted just
above 90º then suddenly removes support to
Codman’s (drop arm) test see if patient can catch and hold arm up
pain & weakness considered positive
indicates a tear in supraspinatus tendon
test for supraspinatus
patient’s shoulder abducted to 90º, dr provides
resistance to abduction in neutral, shoulder
medially rotated and angled 30º forward (thumb
supraspinatus press test (Jobe/empty can test) points toward floor), doc provides resistance to
this abduction
weakness or pain considered positive
indicates a tear of supraspinatus tendon or
muscle belly
impingement syndrome can be mechanical (subacromial swelling
forms spurs/bursa) but primarily functional
(instability- torn supraspinatus tendon,
overused biceps tendon), MC produced over
time from overhead activities, presents as pain
that worsens with & therefore restricts overhead
activity, often have hx of sports
, ortho exams- impingement/Neers, hawkins-
kennedy, painful arc
neuro exams- none
tests for shoulder impingement syndrome
patient seated, actively moves affected shoulder
throughout abduction
increased pain from 60-120º with less or no pain
painful arc test above or below OR only 170º+ is considered
positive
60-120º indicates glenohumeral space impinged
170º+ indicates acromioclavicular space
impinged
usually develop gradually over weeks-months
pain when arms are extended above head, pain
when lifting arm, pain when lowering arm from
raised position or reaching, pain/tenderness in
symptoms of shoulder impingement front of shoulder, pain that moves from from of
shoulder to side of arm, pain/achiness at night
when lying on affected side that interferes with
sleep, pain when reaching behind back,
weakness of shoulder and/or arm
hx- shoulder pain in anterior or lateral aspect of
shoulder, may be described as a deep and dull
ache, catching sensation may be felt on limb
clinical indications of impingement syndrome elevation,
ortho- painful arc test increases pain within 60-
120º range and no pain above or below
tests for rotator cuff impingement syndrome
patient seated arm at side, doc stabilizes scapula
by depressing it, passively abducts arm slightly
and moved fully through forward flexion
impingement sign/Neer test causes jamming of greater tuberosity
against anteroinferior acromial surface
pain considered positive
indicates overuse injury of
supraspinatus or biceps tendon
Hawkins-Kennedy test tests for rotator cuff impingement syndrome
patient seated or standing, doc forward flexes
arm to 90º, bends elbow to 90º, forcibly
VERSION WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS \ASSURED PASS
ALREADY GRADED A+\LATEST EXAM 2025-2026
1. AC joint
2. subscapularis
3. clavicle
4. pec minor
shoulder pain points tendon
5. biceps tendinitis
6. pec major
7. deltoid, C5, facet
8. supraspinatus
tests that check glenohumeral joint stability load and shift, relocation
tests that check for labrum damage O’Brien’s, biceps load I & II, surprise sign
supraspinatus press/empty can test, codman’s
supraspinatus orthopedic exams (drop arm), apley’s scratch test, full can test,
impingement test
belly press test/abdominal compression test,
subscapularis orthopedic exams bear hug test, lift off (gerber’s) test, lift off lag
sign
, lateral rotation lag sign, external lag sign,
infraspinatus and teres minor orthopedic exams external rotation, horn blowers (teres minor
only)
painful arc, impingement/Neer’s test, hawkins
impingement syndrome orthopedic exams
kennedy test
supraspinatus tear/strain/tendinitis, subacromial
causes for impingement syndrome
bursitis, bicipital tendinitis
test for supraspinatus, FOOSH injuries
patient seated, places hand behind head and
touches opposite superior angle of scapula,
places hand behind back and touches opposite
Apley’s scratch test (UE patterns 1 & 2 from inferior angle of scapula
SFMA)
exacerbation of pain indicates tendinitis of a
rotator cuff tendon- usually supraspinatus,
common in swimmers and tennis players
may find frozen shoulder (adhesive capsulitis)
test for supraspinatus
patient seated, arm is passively abducted just
above 90º then suddenly removes support to
Codman’s (drop arm) test see if patient can catch and hold arm up
pain & weakness considered positive
indicates a tear in supraspinatus tendon
test for supraspinatus
patient’s shoulder abducted to 90º, dr provides
resistance to abduction in neutral, shoulder
medially rotated and angled 30º forward (thumb
supraspinatus press test (Jobe/empty can test) points toward floor), doc provides resistance to
this abduction
weakness or pain considered positive
indicates a tear of supraspinatus tendon or
muscle belly
impingement syndrome can be mechanical (subacromial swelling
forms spurs/bursa) but primarily functional
(instability- torn supraspinatus tendon,
overused biceps tendon), MC produced over
time from overhead activities, presents as pain
that worsens with & therefore restricts overhead
activity, often have hx of sports
, ortho exams- impingement/Neers, hawkins-
kennedy, painful arc
neuro exams- none
tests for shoulder impingement syndrome
patient seated, actively moves affected shoulder
throughout abduction
increased pain from 60-120º with less or no pain
painful arc test above or below OR only 170º+ is considered
positive
60-120º indicates glenohumeral space impinged
170º+ indicates acromioclavicular space
impinged
usually develop gradually over weeks-months
pain when arms are extended above head, pain
when lifting arm, pain when lowering arm from
raised position or reaching, pain/tenderness in
symptoms of shoulder impingement front of shoulder, pain that moves from from of
shoulder to side of arm, pain/achiness at night
when lying on affected side that interferes with
sleep, pain when reaching behind back,
weakness of shoulder and/or arm
hx- shoulder pain in anterior or lateral aspect of
shoulder, may be described as a deep and dull
ache, catching sensation may be felt on limb
clinical indications of impingement syndrome elevation,
ortho- painful arc test increases pain within 60-
120º range and no pain above or below
tests for rotator cuff impingement syndrome
patient seated arm at side, doc stabilizes scapula
by depressing it, passively abducts arm slightly
and moved fully through forward flexion
impingement sign/Neer test causes jamming of greater tuberosity
against anteroinferior acromial surface
pain considered positive
indicates overuse injury of
supraspinatus or biceps tendon
Hawkins-Kennedy test tests for rotator cuff impingement syndrome
patient seated or standing, doc forward flexes
arm to 90º, bends elbow to 90º, forcibly
