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AssessmentsReview
CanColl May 2012 AssessmentsReview Term 2
Question | Answer |
---|---|
What is the most commonly sprained lig in the body? | Anterior Talofibular Ligament ATFL |
In what position is the foot, when the ATFL is sprained? | Inverted and plantar-flexed |
Which test is testing for an Achilles Tendon rupture? | Thompson's Test |
What is another name for the medial collateral ligament in the ankle? | The Deltoid Ligament |
Which test do you use to test the Deltoid Ligament? | Valgus Stress Test |
How do you treat someone who tests positive for Homan's Sign? | CI - refuse to treat and send them immediately to a doctor or hospital |
Homan's Test is testing for? | Deep Vein Thrombosis DVT |
What is a positive sign for Homan's Test? | Sharp pain deep in calf muscles - can also include swelling, warmth & redness. |
Which is the strongest and thickest ligament in the body? | Achilles Tendon |
What makes up the Tom, Dick and Harry structures? | Tibialis Posterior (Tom), Flexor Digitorum Longus (Dick), Flexor Hallucis Longus (Harry) - also - Posterior Tibial Artery and the Tibial Nerve. |
Anterior Drawer Test (Ankle) is testing for? | Integrity of the Anterior Talofibular Ligament ATFL |
Patellofemoral Grinding Test (aka Clarke's sign) is testing for? | Patellar chonromalacia (roughening of the back of the patella) |
What is McMurray's Test testing for? | Medial Meniscus Damage |
What is Alternate McMurray's Test testing for? | Lateral Meniscus Damage |
Screw Home Mechanism Test is testing for? | The normal external rotation of the tibia when the knee is fully extended. |
A postive sign for Anterior Drawer Test (Knee) would be? | Excessive anterior movement of the tibia |
Anterior Drawer Test (Knee) is testing for? | Anterior Cruciate Ligament damage |
A dot is put on the apex of the patella and the tibial tuberosity. The client is instructed to fully extend their knee and the alignment of the dots is re-evaluated. What test is this? | Screw Home Test |
That is the function of the ACL? | Prevents anteriof dislocation of the tibia on the femur. |
What structures make up the Terrible Triad? | Medial Collateral Ligament (MCL), Medial Meniscus (MM) and the Anterior Cruciate Ligament (ACL) |
Which MM's make up the GST muscles that attach to the Pes Anserine insertion? | Gracilis, Sartorius, and Semi-Tendinosis |
Which is the longest MM in the body? | Sartorius |
A patellar tracking problem is tested for by which orthopedic test? | Q angle |
Which tests are testing for meniscus damage? | McMurray's, Alternate McMurray's, Apley's Grinding and ODonaghue's Tests |
Which tests are testing for LCL or MCL damage? | Apley's Distraction, Valgus and Varus Tests |
Which tests are testing for ACL or PCL damage? | Anterior Drawer, Posterior Drawer and Posterior Sag Sign |
Patrick's or Faber's Test is testing for? | Hip Joint Pathology, Scaroiliac Joint Dysfunction and Adductor Muscle Injury |
Placing your thumbs on PSIS and S2 tubercle and having the client raist their leg on the PSIS side - describes which test? | Gillet's Test |
What is a negative sign for Gillet's Test? | The PSIS should drop forward with hip extension |
Describe how Ober's Test is performed. | Client is sidelying, top leg extended at hip, flexed 90 degrees at knee. Grasp ankle and knee, raise them and then release knee. |
A postive sign for Ober's Test would be? | The knee does not drop when released. |
Noble's Test is testing for? | IT Band Friction Syndrome |
Client is supine. Therapist places palms of their hands on the outside of the ASIS's then presses in on the ASIS's. This describes which test? | Posterior Gapping Test |
Trendelenberg Test is testing for? | Weakness in the gluteus medius mm |
Which test should you try if your client is experience signs of sciatica but all sciatica tests are showing negative? | Piriformis Test |
The Femoral Triangle is made up of which three structures? | Inguinal crease (superior), Adductor Longus (medial) and Sartorial mm ridge (lateral) |
Sharp shooting pain during a lumbar quadrant test indicates Facet or Nerve irritation? | Nerve |
Which type of scoliosis can be resolved with massage treatments - functional or structural? | Functional |
What 3 tests (and in what order) should you perform if you suspect sciatica? | Straight Leg Raise, Braggard's and Well Leg Raise (aka Lermitte or Crossed Extension SLR) |
Is it more accurate to measure leg length from the umbilicus to the medial malleolus or from the ASIS to the medial malleolus? | From the ASIS is more accurate - bony chains |
Where does sciatic pain present? | Low back and posterior leg |
What are you looking for when performing Hoover's test? | Malingering - neg sign is when the opposite heel presses down with effort |
Facet joint irritation presents as Local or Radating Pain? | Local |
Hyperreflexia may be indicative of? | Upper Motor Neuron Lesion UMNL |
Hyporeflexia may be indicative of? | Lower Motor Neuron Lesion LMNL |
What is the normal rating for a DTR? | 2 |
Winging of the scapula is potentially caused by damage to which nerve? | The Long Thoracic Nerve |
Which MM innervated by the Long Thoracic Nerve - can cause winging of the scapula? | Serratus Anterior |
Which two tests test for bicipital tendonitis? | Speed's and Yergason's Tests |
Which three tests are used to test for Thoraci Outlet Syndrome TOS? | Adson's, Eden's and Wright's Tests |
What pulse do you monitor when checking for TOS? | The radial pulse |
Golfer's Elbow Test - tests for what? | medial epicondylitis |
What mm group is affected by medial epicondylitis? | The forearm flexor group |
What are the three stresses for any tendonitis test? | Pain on palpation, pain on stretch and pain on resisted action |
What is Tennis Elbow known as? | Lateral Epicondylitis |
What mm group is affected by lateral epicondylitis? | The forearm extensor group |
Is the carrying angle larger on males or females? | Females (males = 5 degrees, females = 10 - 15 degrees) |
The Ulnar nerve is also known as the? | Funny bone |
What makes up the mobile wad of three? | Brachioradialis, Extensor CarpiRadialis Longus ECRL and Extensor Carpi Radialis Brevis ECRB |
What muscles make up the anatomical snuff box? | Abductor pollicis longus, extensor pollicis longus and extensor pollicis brevis (APL, EPL & EPB) |
What is Allen's Test testing for? | Integrity of the radial and ulnar arteries |
What are you testing for with Finkelstein's Test? | DeQuervain's Tenosynovitis |
With DeQuervain's Tenosynovitis - where is the pain felt? | At the radial styloid process |
What three tests are used for Carpal Tunnel Syndrome? | Tinel's, Phalen's and Reversed Phalen's |
How are the hands positioned for Phalen's Test? | backs of hands together |
How are the hands positioned for Reversed Phalen's Test? | praying (palms together) |
Which nerve is affected by Carpal Tunnel Syndrome? | Median Nerve |
Jaw reflex tests the integrity of which nerve? | CNV - the trigeminal nerve |
Chovstek's Test is for which nerve? | CNVII - Facial Nerve |
What three things is Cervical Compression/Spurling's testing for? | Narrowing of the spinal foramen, Facet Joint Irritation and Disc protrusion |
With Spurling's - any dull, achy pain would indicate what problem? | facet joint irritation |
With Spurling's - any sharp but local shooting pain would indicate what problem? | disc protrusion |
With Spurling's - any sharp shooting pain which refers down the arm would indicate what problem? | narrowing of the spinal foramen i.e. nerve root compression |
Always follow a compression test with what? | A distraction |
What are the three tests used for Vertebro Basilar Artery Insufficiency? | Quadrant Test (cervical), Backward Bending and Maigne's Test |
What are the signs and symptoms of VBAI (VAI)? | nystagmus, nausea, dizziness, faintness, personality changes, slurred speech,tinnitus |
The ulnar nerve passes thru the elbow on which side of the olecranon? | Medial |
Epicondylitis is a fancy name for? | Tendonitis |
The test for inflammation of the abductor pollicis longus and extensor pollicis brevis is called? | Finkelstein's Test |
Abductor pollicis longus, extensor pollicis longus nad extensor pollicis brevis make up what structure? | The anatomical snuff box |
Striking the tendon of tricps at the olecranon process and observing a contraction in the mm is a test for? | Deep Tendon Reflex at C7 |
What mm is absent in 15 to 20% of the population? | palmaris longus |
Dislocation of the lunate bone occurs in which direction? | Anterior |
The jaw reflex test is testing which nerve? | CN V |
What action is performed when a client reaches behind their back to touch the inferior angle of their opposite scapula? | internal rotation and adduction |
Performing a DTR on the biceps brachii is testing which nerve root? | C 5 |