Special Tests Shoulder Elbow Wrist Hand(Therex)

13 Questions | Total Attempts: 212

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Special Tests  Shoulder Elbow Wrist Hand(Therex)

Questions and Answers
  • 1. 
    Pt. clasps both hands behind back and asked to contract and relax the biceps muscles. + test= absence of movement in biceps tendon (Indicative of rupture of long head of biceps)
    • A. 

      Speed's test

    • B. 

      Yergason's test

    • C. 

      Ludington's Test

    • D. 

      Drop-Arm test

  • 2. 
    Pt's elbow extended and forearm supinated. Therapist places one hand over bicipital groove and other on volar surface of forearm and resists shoulder flexion. Positive test= pain or tenderness in bicipital groove. (Indicative of bicipital tendonitis).
    • A. 

      Ludington's test

    • B. 

      Speed's test

    • C. 

      Yergason's test

    • D. 

      Apprehension test

  • 3. 
    Pt. with 90 degrees elbow flexion and forearm pronated with humerus stabilized on pt's thorax. Therapist places one hand on pt's forearm and other on bicipital groove. Pt directed to actively supinate and laterally rotate against resistance. Positive test =pain or tenderness in bicipital groove. (Indicative of bicipital tendonitis).
    • A. 

      Ludington's test

    • B. 

      Speed's test

    • C. 

      Yergason's test

    • D. 

      Apprehension test

  • 4. 
    Anterior: pt in supine with shoulder in 90 degrees abduction. Therapist laterally rotates shoulder. Posterior: Pt is supine with shoulder in 90 degrees abduction. Therapist applies posterior force. Positive test= a look of facial grimace prior to reaching end point of motion. (Indicative of risk for dislocation).
    • A. 

      Ludington's test

    • B. 

      Speed's test

    • C. 

      Yergason's test

    • D. 

      Apprehension test

  • 5. 
    Pt in supine: Therapist places one hand on posterior aspect of pt's humeral head while other hand stabilizes the humerus proximal to elbow. Therapist passively abducts and laterally rotates arm over the pt's head and the proceeds to apply an anterior directed force to the humerus. + test = clunking or grinding. (Indicative of glenoid labrum tear).
    • A. 

      Supraspinatus test

    • B. 

      Wright test

    • C. 

      Glenoid labrum tear test

    • D. 

      Roos test

  • 6. 
    Pt sitting with 20-30 degrees elbow flexion. Therapist applies varus force while palpating the lateral joint line. Positive test= increased laxity at LCL compared to other limb. (Indicative of LCL sprain).
    • A. 

      Valgus stress test

    • B. 

      Varus stress test

    • C. 

      Lateral epicondylitis test

    • D. 

      Medial epicondylitis test

  • 7. 
    Pt sitting and therapist stabilizes elbow with one hand and places other hand on dorsal aspect of the pt's hand distal to PIP joint. Pt. is asked to extend 3rd digit against resistance. Positive = pain in lateral epicondyle region or muscle weakness.
    • A. 

      Valgus stress test

    • B. 

      Varus stress test

    • C. 

      Lateral epicondylitis test

    • D. 

      Medial epicondylitis test

  • 8. 
    Pt sitting with 20-30 degrees elbow flexion. Therapist applies valgus force while palpating the medial joint line. Positive = increased laxity at MCL compared to other limb. (Indicative of MCL sprain).
    • A. 

      Valgus stress test

    • B. 

      Varus stress test

    • C. 

      Lateral epicondylitis test

    • D. 

      Medial epicondylitis test

  • 9. 
    Therapist palpates medial epicondyle and supinates the pt's forearm, extends the wrist, and extends the elbow. Positive= pain in the medial epicondyle region.
    • A. 

      Valgus stress test

    • B. 

      Varus stress test

    • C. 

      Lateral epicondylitis test

    • D. 

      Medial epicondylitis test

  • 10. 
    Pt asked to open & close hand several times in succession and the maintain the hand in a closed position. Therapist compresses radial and ulnar arteries. Pt. then asked to relax hand and therapist releases pressure while observing the color of the hand and fingers. Positive= delayed or absent flushing of radial or ulnar half of the hand. (Indicative of occlusion of the radial or ulnar artery). 
    • A. 

      Tinel's sign

    • B. 

      Roos test

    • C. 

      Allen test

    • D. 

      Finkelstein test

  • 11. 
    Pt is asked to make a fist with the thumb tucked inside the fingers. Therapist stabilizes the pt's forearm and ulnarly deviates the wrist. Positive = pain over APL and EPB tendons at the wrist. (Indicative of DeQuervain's syndrome).
    • A. 

      Tinel's sign

    • B. 

      Roos test

    • C. 

      Allen test

    • D. 

      Finkelstein test

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