ORTHOPEDIC TEST ACTUAL PAPER 2026
QUESTIONS SOLUTIONS GRADED A+
◉ Neers Test. Answer: *Tendinitis/Impingement Syndrome of
supraspinatus*
patient- IR humerus
PT- behind/side of patient, stabilize scapula and try to move arm
into flexion in the scapular plane (passive test)
positive- pain
◉ Empty Can Test. Answer: *Partial RC Tear*
patient- elevate arms to 90 in scapular plane and IR so thumbs
pointed down
PT- in front of patient, push down on patients forearm
positive- weakness or pain in supraspinatus region
◉ Drop Arm Test. Answer: *RC total tear*
AB patients arm to 90 and as them to keep it there, release support
and see if patient can hold in this position
,positive- inability to hold arm in position
◉ Speed's Test. Answer: *Biceps Tendinitis*
(not shown in picture but palpate tendon while applying resistance)
palpate for biceps tendon, have patient supinate and move into arm
flexion, PT applies resistance at distal forearm
positive- tenderness in bicipital groove
◉ Crossover Impingement Test. Answer: *AC separation, RC
impingement*
patient is standing and clinician support at upper back while patient
brings arm across chest, apply OP (COAG has PT on other side of
patient bringing arm across)
positive, location of pain- anterior (subscap, supraspinatus, long
head biceps); superior (AC joint); posterior (infraspinatus, teres
minor, posterior capsule)
◉ GH Instability Ant/Post. Answer: *GH instability*
patient seated with arms relaxed on thigh, stabilize GH joint with
one hand, with other hand grasp humeral head and compress into
joint then slide anterior/posterior
, positive- increased translation, reproduction of symptoms
◉ GH Instability Inferior (Sulcus Sign). Answer: *GH instability*
patient seated, pull down on humerus, will see separation between
humerus and acromion
positive-excess inferior translation
◉ O'Brien's Test. Answer: *SLAP lesion*
patient raise arm to 90deg flexion, horizontal adduction 10deg, IR
and push down at distal arm. Then have pt ER and push down at
distal arm.
positive- pain inside shoulder joint with IR and pressure, relief with
ER and pressure
◉ Clunk Test. Answer: *labrum tear*
(easier to do behind patient, don't forget support under posterior
aspect humeral head) patient supine, put arm in 120-130 degrees
flexion with one hand supporting under posterior aspect of humeral
head, other hand hold humerus just proximal to elbow. Apply
anterior force while compression and rotation to the humerus (into
ER)
QUESTIONS SOLUTIONS GRADED A+
◉ Neers Test. Answer: *Tendinitis/Impingement Syndrome of
supraspinatus*
patient- IR humerus
PT- behind/side of patient, stabilize scapula and try to move arm
into flexion in the scapular plane (passive test)
positive- pain
◉ Empty Can Test. Answer: *Partial RC Tear*
patient- elevate arms to 90 in scapular plane and IR so thumbs
pointed down
PT- in front of patient, push down on patients forearm
positive- weakness or pain in supraspinatus region
◉ Drop Arm Test. Answer: *RC total tear*
AB patients arm to 90 and as them to keep it there, release support
and see if patient can hold in this position
,positive- inability to hold arm in position
◉ Speed's Test. Answer: *Biceps Tendinitis*
(not shown in picture but palpate tendon while applying resistance)
palpate for biceps tendon, have patient supinate and move into arm
flexion, PT applies resistance at distal forearm
positive- tenderness in bicipital groove
◉ Crossover Impingement Test. Answer: *AC separation, RC
impingement*
patient is standing and clinician support at upper back while patient
brings arm across chest, apply OP (COAG has PT on other side of
patient bringing arm across)
positive, location of pain- anterior (subscap, supraspinatus, long
head biceps); superior (AC joint); posterior (infraspinatus, teres
minor, posterior capsule)
◉ GH Instability Ant/Post. Answer: *GH instability*
patient seated with arms relaxed on thigh, stabilize GH joint with
one hand, with other hand grasp humeral head and compress into
joint then slide anterior/posterior
, positive- increased translation, reproduction of symptoms
◉ GH Instability Inferior (Sulcus Sign). Answer: *GH instability*
patient seated, pull down on humerus, will see separation between
humerus and acromion
positive-excess inferior translation
◉ O'Brien's Test. Answer: *SLAP lesion*
patient raise arm to 90deg flexion, horizontal adduction 10deg, IR
and push down at distal arm. Then have pt ER and push down at
distal arm.
positive- pain inside shoulder joint with IR and pressure, relief with
ER and pressure
◉ Clunk Test. Answer: *labrum tear*
(easier to do behind patient, don't forget support under posterior
aspect humeral head) patient supine, put arm in 120-130 degrees
flexion with one hand supporting under posterior aspect of humeral
head, other hand hold humerus just proximal to elbow. Apply
anterior force while compression and rotation to the humerus (into
ER)
