NBCE PART 2 - ALL SECTIONS
COMBINED.
Heel strike occurs at the end of the _________ phase, and at the
beginning of the __________ phase of gait? - ANSWERS-Swing,
stance
The swing phase constitutes what percentage of the gait cycle? -
ANSWERS-40
50% of flexion and extension occurs between? - ANSWERS-Occiput
and C1
50% of rotation occurs between? - ANSWERS-C1 and C2
Which test is performed by patient actively placing affected arm's
palm on top of head, positive is relief of pain and indicates IVF
encroachment? - ANSWERS-Bakody's test
Which test is performed by patient actively rotating head, doctor then
exerts downward pressure in neutral then pressure with rotation;
positive is radiating pain (NR comp)? - ANSWERS-Foraminal
compression test
,Test that is performed by doctor laterally flexing patients head and
applying downward pressure; radicular pain down arm indicates SOL
or nerve root compression? - ANSWERS-Jackson's compression test
Patient actively rotates the head and hyperextends neck to each side,
then maximally lateral flexes; doctors does not contact patient for this
test? - ANSWERS-Maximum cervical compression test
If pain is increased by a Cervical Distraction test, suspect _________:
if pain is decreased suspect ______________? - ANSWERS-
Sprain/strain, NR compression
A positive finding (pain) when performing a Shoulder Depression test
is indicative of? - ANSWERS-Burner/stinger, NR adhesion
Test that is performed with patient supine, doctor places knife edge of
hand on sternum while passively flexing the patients head toward the
chest; positive is pain (fracture)? - ANSWERS-Soto-Hall
Invasive test where patient actively rotates and laterally flexes head,
doctor delivers downward pressure and extends neck; localized pain is
indicative of facet, radiating NR comp? - ANSWERS-Spurlings test
Test where doctor instructs patient to take a deep breath and hold it
while bearing down? - ANSWERS-Valsalva manuever
,Test where doctor holds digital pressure over jugular veins, patient is
instructed to cough (we didn't perform in class)? - ANSWERS-
Naffziger's
TOS test for vascular compromise; performed with patient seated and
elbow flexed, ask patient to pump the hand while examiner occludes
radial and ulnar arteries to blanch? - ANSWERS-Allen's test
TOS test where doctor abducts, extends and externally rotates the arm
taking radial pulse, patient rotates to tested side and extends, takes
deep breath; positive is alteration in amplitude of pulse, affects
subclavian a? - ANSWERS-Adson's test (scalenus anticus)
Modified Adson's test is performed by patient rotating head to side
opposite tested arm extending head and taking deep breath, positive is
indicative of? - ANSWERS-Scalenus medius syndrome
TOS test performed by pulling both patients shoulders down and into
extension while taking both radial pulses, ask patient to flex chin to
chest; + is altered or lost pulse? - ANSWERS-Eden's costoclavicular
manuever
The Wright's TOS test is cogwheel abduction of arms to 180 degrees,
doctor notes angle where radial pulse diminishes or is lost, + is 10
degree differential; what is syndrome? - ANSWERS-Pec minor
syndrome (axillary a)
, TOS test where doctor exerts downward traction on arm while taking
radial pulse, patient extends neck, if nothing look away; + is alteration
in the amplitude of pulse? - ANSWERS-Halstead's test
Test where patient actively abducts the shoulder to 90 with elbow
flexed and extends the shoulders back (touchdown) + is resistance or
radiating pain means TOS, meningeal? - ANSWERS-Bikele's sign
How long is Roo's (chicken dance) test to be performed? -
ANSWERS-3-5 minutes
Which tendon of the rotator cuff is most frequently torn (tear usually
occurs at its point of insertion onto the humeral head at the
GREATER tuberosity)? - ANSWERS-Supraspinatus
Of the four rotator cuff muscles (SITS) which is the only one that
inserts at the LESSER tubercle of the humerus? - ANSWERS-
Subscapularis
Elevation of the scapula is the responsibility of which 2 muscle
groups? - ANSWERS-Trapezius and levator scapula
Retraction of the scapula is the responsibility of which 2 muscle
groups? - ANSWERS-Rhomboid major and minor
A case history includes - ANSWERS-Chief complaint
Present illness
COMBINED.
Heel strike occurs at the end of the _________ phase, and at the
beginning of the __________ phase of gait? - ANSWERS-Swing,
stance
The swing phase constitutes what percentage of the gait cycle? -
ANSWERS-40
50% of flexion and extension occurs between? - ANSWERS-Occiput
and C1
50% of rotation occurs between? - ANSWERS-C1 and C2
Which test is performed by patient actively placing affected arm's
palm on top of head, positive is relief of pain and indicates IVF
encroachment? - ANSWERS-Bakody's test
Which test is performed by patient actively rotating head, doctor then
exerts downward pressure in neutral then pressure with rotation;
positive is radiating pain (NR comp)? - ANSWERS-Foraminal
compression test
,Test that is performed by doctor laterally flexing patients head and
applying downward pressure; radicular pain down arm indicates SOL
or nerve root compression? - ANSWERS-Jackson's compression test
Patient actively rotates the head and hyperextends neck to each side,
then maximally lateral flexes; doctors does not contact patient for this
test? - ANSWERS-Maximum cervical compression test
If pain is increased by a Cervical Distraction test, suspect _________:
if pain is decreased suspect ______________? - ANSWERS-
Sprain/strain, NR compression
A positive finding (pain) when performing a Shoulder Depression test
is indicative of? - ANSWERS-Burner/stinger, NR adhesion
Test that is performed with patient supine, doctor places knife edge of
hand on sternum while passively flexing the patients head toward the
chest; positive is pain (fracture)? - ANSWERS-Soto-Hall
Invasive test where patient actively rotates and laterally flexes head,
doctor delivers downward pressure and extends neck; localized pain is
indicative of facet, radiating NR comp? - ANSWERS-Spurlings test
Test where doctor instructs patient to take a deep breath and hold it
while bearing down? - ANSWERS-Valsalva manuever
,Test where doctor holds digital pressure over jugular veins, patient is
instructed to cough (we didn't perform in class)? - ANSWERS-
Naffziger's
TOS test for vascular compromise; performed with patient seated and
elbow flexed, ask patient to pump the hand while examiner occludes
radial and ulnar arteries to blanch? - ANSWERS-Allen's test
TOS test where doctor abducts, extends and externally rotates the arm
taking radial pulse, patient rotates to tested side and extends, takes
deep breath; positive is alteration in amplitude of pulse, affects
subclavian a? - ANSWERS-Adson's test (scalenus anticus)
Modified Adson's test is performed by patient rotating head to side
opposite tested arm extending head and taking deep breath, positive is
indicative of? - ANSWERS-Scalenus medius syndrome
TOS test performed by pulling both patients shoulders down and into
extension while taking both radial pulses, ask patient to flex chin to
chest; + is altered or lost pulse? - ANSWERS-Eden's costoclavicular
manuever
The Wright's TOS test is cogwheel abduction of arms to 180 degrees,
doctor notes angle where radial pulse diminishes or is lost, + is 10
degree differential; what is syndrome? - ANSWERS-Pec minor
syndrome (axillary a)
, TOS test where doctor exerts downward traction on arm while taking
radial pulse, patient extends neck, if nothing look away; + is alteration
in the amplitude of pulse? - ANSWERS-Halstead's test
Test where patient actively abducts the shoulder to 90 with elbow
flexed and extends the shoulders back (touchdown) + is resistance or
radiating pain means TOS, meningeal? - ANSWERS-Bikele's sign
How long is Roo's (chicken dance) test to be performed? -
ANSWERS-3-5 minutes
Which tendon of the rotator cuff is most frequently torn (tear usually
occurs at its point of insertion onto the humeral head at the
GREATER tuberosity)? - ANSWERS-Supraspinatus
Of the four rotator cuff muscles (SITS) which is the only one that
inserts at the LESSER tubercle of the humerus? - ANSWERS-
Subscapularis
Elevation of the scapula is the responsibility of which 2 muscle
groups? - ANSWERS-Trapezius and levator scapula
Retraction of the scapula is the responsibility of which 2 muscle
groups? - ANSWERS-Rhomboid major and minor
A case history includes - ANSWERS-Chief complaint
Present illness
