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ONC Orthopedic Tests 6 Questions
with answer
C5 MRS
✔- Deltoid/Biceps
- Biceps
- Lateral Arm shoulder to elbow C6 MRS ✔- Biceps/Wrist Extensors
- Brachioradialis
- "Shooter" C7 MRS ✔- Triceps, Wrist Flexors, Finger Extensors
- Triceps
- Middle finger to wrist front and back C8 MRS ✔- Finger Flexors/Interossei
- No Reflex
- Medial ForeArm, Axilla to elbow T1 MRS ✔- Interossei
- No Reflex
- Inner arm axilla to elbow L4 MRS ✔- Tibialis anterior
- Patellar
- Medial leg: medial malleolus to big toe L5 MRS ✔- Extensor Hallucis Longus
- Medial Hamstring (do not need to test)
- Lateral leg, top of foot S1 MRS ✔- Peroneus longus/Brevis (plantar flxn/eversion
- Achillies
- Posterior leg & plantar surface of foot Thomas Test ✔Supine Knee to chest Trendelenberg ✔Stand on one leg Obers ✔Side lying, abduct-extend-allow to lower Piriformis Test ✔Side Lying, flex & horizontally adduct leg Craig's Test ✔Prone, trochanter palpation, anteversion/retroversion Prone Extension Test ✔Prone, support feet, ask to lift torso Adams Forward Flexion ✔Hands in front, flex trunk to flow Adam's Lateral Flexion ✔Stanging, laterally flex trunk Foraminal/Cervical Compression ✔Progressive axial load to apex of head, test neutral and painful position Cervical distraction ✔Supine, axially lift head Jackson's Compression ✔laterally flex neck and apply axial load Spurlings Test
Bowstring Test ✔SLR to point of pain, foot on students shoulder, knee allowed to flex to alleviate tension, palpate popliteal fossa Neri/Bowing Sign ✔standing, flex trunk to floor, look for reflexive knee tension Ely Sign ✔Prone, knee flexed and pushed contralateral to buttock Prone Knee flexion ✔prone, knee flexed to 90 and pushed to ipsilateral buttock Femoral Nerve Tension ✔patient lying on unaffected side, knee fully flexed with hip extended, SI joint stabilized, head flexed to chest Brachial Plexus tension test ✔arm abducted to 120 dg and externally rotated and placed hand on back of head Lidner's Sign ✔Supine, passive cervical flexion -- radiating pain down one extremity L'Hermittes sign ✔supine, passive cervical flexion -- Electrical shock down spine and extremity Brudzinski Sign ✔supine, passive cervical flexion, reflexive flexion of knees Baked Sign ✔actively place hand on top of head, eliminate radiating pain Reverse Bakody Sign ✔actively place hand on head, reproduction of radiating pain Allen Maneuver ✔locate radial pulse, abduct to 90dg and externally rotate, turn head away
Adson test ✔locate pulse, extend and externally rotate, look oblique and hold breath Eden's Test ✔locate pulse, extend and externally rotate, look down Wrights Test ✔palpate radial pulse on both arms and abduct maximally bilaterally Roo's Test ✔Abduct and externally rotate arms, fist pump Angelescu ✔Supine hip bridge nachlas ✔prone, passive knee flexion, heel to ipsilateral buttock Hibbs ✔- prone, passively flex to 90 dg, internally rotate both legs Yeoman ✔prone, stabilize sacrum, extend hip passively Gaenslen ✔passive knee flex to chest, extend opposite leg Lewin-Gaenslen ✔unaffected side, passively flex unaffected to chest, stabilize sacrum and extend thigh Laguerre ✔supine, hip flexed, abducted, externally rotated, inferior hand on opposite hip as fulcrum, superior hand increases torque Chest Expansion ✔measure 4th intercostal, inhale and exhale
