MUSCULOSKELETAL SYSTEM
QUESTIONS WITH CORRECT ANSWERS
McMurray Test - Answer-Tests for torn meniscus in the knee.
Ballottement - Answer-Palpation technique used to assess an organ or mass. Also used
for detection of effusion in the knee
Neer Test - Answer-Shoulder rotator cuff impingement or tear. Forward flex the patient's
arm up to 150 degrees while depressing the scapula. This presses the greater
tuberosity and supraspinatus muscle against the anteroinferior acromion.
Hawkins Test - Answer-Shoulder rotator cuff impingement or tear. Abducting the
shoulder to 90 degrees, flexing the elbow to 90 degrees, then rotating internally rotating
the arm to its limit.
Tinel Sign - Answer-Median nerve integrity. Tested by striking patient wrist with index
finger or middle finger where median nerve passes under the flexor retinaculum and
volar carpal ligament.
Phalen Test - Answer-Median nerve integrity. Patient holds both wrists in a fully palmar-
flexed position with the dorsal surfaces pressed together for 1 minute. Numbness and
paresthesia in the distribution of the median nerve suggestive of carpal tunnel
syndrome.
Bulge sign - Answer-Effusion of fluid in the knee. With patients knee extended, milk the
medial aspect of the knee upward two or three times, and then milk the lateral side of
the patella. Observe for a bulge of returning fluid to the hollow area medial to the
patella.
Anterior & Posterior Drawer Test - Answer-Anterior and posterior cruciate ligament
integrity
Varus-valgus stress test - Answer-Medial or lateral collateral ligament instability in knee
Lachman test - Answer-Anterior cruciate ligament integrity
Thomas Test - Answer-Flexion contracture of hip
Trendelenburg Sign - Answer-Weak hip abductor muscles
Femoral Stretch Test - Answer-L1, L2, L3, L4 nerve root irritation