Musculoskeletal Tests: Upper Extremity (Msq Drill 168)

1. Does the empty can test evaluate the intergrity of the supraspinatus muscle?

Yes

No

2. Do patients with lateral epicondylitis also have pain on palpation of the lateral epicondyle?

Yes

No

3. Could a positive phalen's test be indicative of carpal tunnel syndrome?

Yes

No

4. What is the innervation for the triceps muscle?

Radial nerve

Median nerve

Ulna nerve

5. Which of the following tests assesses collateral circulation of the hand?

Lift off test

Allen's test

Empty can test

Phalen's test

6. If the hand does not flush or react quickly in the Allen's test then the patinet may have an incomplete anastomosis from a congenital anomaly. True or false?

True

False

7. What nerve root levels innervate the abductor pollicis brevis?

C6

C7

C8/T1

8. Can the neer's sign also be used to check for bursitis?

Yes

No

9. What is the common origin of the the wrist extensors?

Lateral epicondyle

Medial epicondyle

10. When performing manual muscle testing, should each muscle be in a fully contracted position before you attempt to break the contraction?

Yes

No

11. What is the nerve root level for the triceps muscle?

C6

C7

C8/T1

12. When testing for tennis elbow, the pain is localized to thel ateral or medial epicondyle?

Lateral epicondyle

Medial epicondyle

13. What is the innervation for the triceps?

Median

Radial

Ulna

Axillary

14. What is the innervation of the deltoid muscle?

C5

C6

C7

C8

15. Co can, tinel's test be used to check for possible carpal tunnel syndrome?

Yes

No

16. Which reflex testing is done to assess C6 nerve root?

Biceps

Brachioradialis

Triceps

17. The shoulder should be abducted or adducted to 90 degrees when triceps reflex testing?

Abducted

Adducted

18. What nerve is being evaluated when the examiner percussess at the patient's distal wrist crease and toward the area between the thenar and hypothenar eminences in line with the metacarpal of the long finger?

Median

Ulna

Radial

19. In a healthy patient should you be able to overcome the triceps muscle in manual muscle testing?

Yes

No

20. A glenohumeral joint that is limited in most of the motions of abduction, adduction, internal and external rotation and forward flexion and extension and also has pain may be suggestive of:

Supraspinatus impingment

Labral tear

Frozen shoulder or adhesive capsulitis

Damaged long thoracic nerve

21. In the Hawkin's test which tuberosity is being driven under the coracoacromial ligament?

Greater

Lesser

22. What is the major internal rotator in glenohumeral motion?

Subscapularis

Pectoralis major

Rhomboid major

Teres major

Latissimus dorsi

23. What test is used to test for adequate subscapularis motion?

Empty can test

Lift off test

Hawkin's test

Yergason's test

24. A positive phalen's test is indicative of ________ nerve pathology.

Ulna

Radial

Median

25. What is this test?

The patient’s forearm is stabilized and he is instructed to make a fist and extend the wrist. When the patient has done so, pressure is applied to the dorsum of the wrist by the examiner with their other hand in an attempt to force the wrist into flexion.

O'brien test

Tennis elbow test

Phalen's

Speed's test

26. Is the forearm pronated or supinated in the yergasons's test?

Supinated

Pronated

27. What muscle is being tested:

with the patient seated or standing with the shoulder in forward flexion and elbow in an extended position. The student will then brace the upper arm and attempt to flex the elbow. The student may not be able to “break” this muscle

Deltoid

Extensor carpi radialis

Triceps

Abductor policis brevis

Frist dorsal interosseous

28. When testing the extensor carpi radialis is the examiner forcing flexion or extension of the wrist?

Flexion

Extension

29. If a patient has a partial or complete rupture of the supraspinatus tendon will the yergason's test be positive or negative?

Positive

Negative

30. The biceps rflex testig is done to primarily assess which nerve root?

C4

C5

C6

C7

C8/T1

31. Abductor Pollicis brevis is innervated by the ______ nerve.

Radial

Ulna

Median

32. What nerve roots innervate the first dorsal interoosseous muscle?

C6

C7

C8/T1

33. What is the position of the elbow in the yergason's test?

Extended

Flexed 45 degrees

Flexed 60 degrees

Flexed 90 degrees

34. In the O'Brien's test if the patient's thumb is up and the patient has pain relief, is it a labral tear or an AC joint problem?

Labral tear

AC joint problem

When the thumb is up, if the patient has pain relief, then it is a labral tear. If the patient does not have pain relief then it is an AC joint problem.

Explanation

When the thumb is up, if the patient has pain relief, then it is a labral tear. If the patient does not have pain relief then it is an AC joint problem.

35. What nerve root level innervated the triceps?

C5

C6

C7

C8

T1

36. What is the nerve root level for the radial nerve that innervates the extensor carpi radialis (longus and brevis?)

C4

C5

C6

C7

C8

37. A positive speed's test will elicit pain in which area?

In the glenohumeral joint

In the subacromial space

In the bicipital groove

In acromioclavicular joint

38. In Neer's sign, you are basically conmpressing the greater tuberosity of the humerus against the:

Posterior coracoid

Posterior acromion

Anterior acromion

39. A positive schober's test is indicative of:

Disc herniation

Brachial plexus injury

Injury to the rhomboid muscle

Cervical radiculopathy

Rotator cuff impingement

40. What nerve innervates the first dorsal interooseus muscle?

Ulnar

Radial

Median

41. Which of the following fully describe the position of the arm in the O'Brien' test?

45 degrees of flexion

90 degrees of felxion

15-30 degrees of abduction

15-30 degrees of adduction

Submit

42. The Hawkin's test is used to assess for:

Rotator cuff tear

Rotatorcuff impingment

Bicipital groove tendonitis

Labral tear

Submit

43. What test if positive is suggestive of subacromial impingment?

Phalen's test

Yergason's test

Speed's test

O'brien test

Tinel's test

44. Which of the following are assessed using O'brien's test?

Subacromial impingment

AC joint instability

Glnohumeral labral pathology

SLAP

Bankaart (anterior labral) tears

Submit

45. A positive yergason's test is indicative of which of the following?

Synovitis

Tear of the tendon sheath

Possible ulna head fracture

Possible lesser humeral tuberosity fracture

Possible greater humeral tuberosity fracture

Submit

46. When you depress the scapula with one hand and elevate the arm with the other, you are testing for?

Rotator cuff impingment

Rotator cuff tear

Subscapularis muscle function

Supraspinatus tendon sheath

This is Neer's sign.

Explanation

This is Neer's sign.

Submit

Musculoskeletal Tests: Upper Extremity (Msq Drill 168)

1. Does the empty can test evaluate the intergrity of the supraspinatus muscle?

2.

What first name or nickname would you like us to use?

2. Do patients with lateral epicondylitis also have pain on palpation of the lateral epicondyle?

3. Could a positive phalen's test be indicative of carpal tunnel syndrome?

4. What is the innervation for the triceps muscle?

5. Which of the following tests assesses collateral circulation of the hand?

6. If the hand does not flush or react quickly in the Allen's test then the patinet may have an incomplete anastomosis from a congenital anomaly. True or false?

7. What nerve root levels innervate the abductor pollicis brevis?

8. Can the neer's sign also be used to check for bursitis?

9. What is the common origin of the the wrist extensors?

10. When performing manual muscle testing, should each muscle be in a fully contracted position before you attempt to break the contraction?

11. What is the nerve root level for the triceps muscle?

12. When testing for tennis elbow, the pain is localized to thel ateral or medial epicondyle?

13. What is the innervation for the triceps?

14. What is the innervation of the deltoid muscle?

15. Co can, tinel's test be used to check for possible carpal tunnel syndrome?

16. Which reflex testing is done to assess C6 nerve root?

17. The shoulder should be abducted or adducted to 90 degrees when triceps reflex testing?

18. What nerve is being evaluated when the examiner percussess at the patient's distal wrist crease and toward the area between the thenar and hypothenar eminences in line with the metacarpal of the long finger?

19. In a healthy patient should you be able to overcome the triceps muscle in manual muscle testing?

20. A glenohumeral joint that is limited in most of the motions of abduction, adduction, internal and external rotation and forward flexion and extension and also has pain may be suggestive of:

21. In the Hawkin's test which tuberosity is being driven under the coracoacromial ligament?

22. What is the major internal rotator in glenohumeral motion?

23. What test is used to test for adequate subscapularis motion?

24. A positive phalen's test is indicative of ________ nerve pathology.

25. What is this test?The patient’s forearm is stabilized and he is instructed to make a fist and extend the wrist. When the patient has done so, pressure is applied to the dorsum of the wrist by the examiner with their other hand in an attempt to force the wrist into flexion.

26. Is the forearm pronated or supinated in the yergasons's test?

27. What muscle is being tested:with the patient seated or standing with the shoulder in forward flexion and elbow in an extended position. The student will then brace the upper arm and attempt to flex the elbow. The student may not be able to “break” this muscle

28. When testing the extensor carpi radialis is the examiner forcing flexion or extension of the wrist?

29. If a patient has a partial or complete rupture of the supraspinatus tendon will the yergason's test be positive or negative?

30. The biceps rflex testig is done to primarily assess which nerve root?

31. Abductor Pollicis brevis is innervated by the ______ nerve.

32. What nerve roots innervate the first dorsal interoosseous muscle?

33. What is the position of the elbow in the yergason's test?

34. In the O'Brien's test if the patient's thumb is up and the patient has pain relief, is it a labral tear or an AC joint problem?

35. What nerve root level innervated the triceps?

36. What is the nerve root level for the radial nerve that innervates the extensor carpi radialis (longus and brevis?)

37. A positive speed's test will elicit pain in which area?

38. In Neer's sign, you are basically conmpressing the greater tuberosity of the humerus against the:

39. A positive schober's test is indicative of:

40. What nerve innervates the first dorsal interooseus muscle?

41. Which of the following fully describe the position of the arm in the O'Brien' test?

42. The Hawkin's test is used to assess for:

43. What test if positive is suggestive of subacromial impingment?

44. Which of the following are assessed using O'brien's test?

45. A positive yergason's test is indicative of which of the following?

46. When you depress the scapula with one hand and elevate the arm with the other, you are testing for?

25. What is this test?

The patient’s forearm is stabilized and he is instructed to make a fist and extend the wrist. When the patient has done so, pressure is applied to the dorsum of the wrist by the examiner with their other hand in an attempt to force the wrist into flexion.

27. What muscle is being tested:

with the patient seated or standing with the shoulder in forward flexion and elbow in an extended position. The student will then brace the upper arm and attempt to flex the elbow. The student may not be able to “break” this muscle