Musculoskeletal Tests: Upper Extremity (Msq Drill 168)
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- 1.
A positive schober's test is indicative of:
- A.
Disc herniation
- B.
Brachial plexus injury
- C.
Injury to the rhomboid muscle
- D.
Cervical radiculopathy
- E.
Rotator cuff impingement
Correct Answer
D. Cervical radiculopathy -
- 2.
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
- A.
Deltoid
- B.
Extensor carpi radialis
- C.
Triceps
- D.
Abductor policis brevis
- E.
Frist dorsal interosseous
Correct Answer
C. Triceps -
- 3.
What is the innervation for the triceps?
- A.
Median
- B.
Radial
- C.
Ulna
- D.
Axillary
Correct Answer
B. Radial -
- 4.
What nerve root level innervated the triceps?
- A.
C5
- B.
C6
- C.
C7
- D.
C8
- E.
T1
Correct Answer
C. C7 -
- 5.
What is the nerve root level for the radial nerve that innervates the extensor carpi radialis (longus and brevis?)
- A.
C4
- B.
C5
- C.
C6
- D.
C7
- E.
C8
Correct Answer
C. C6 -
- 6.
When testing the extensor carpi radialis is the examiner forcing flexion or extension of the wrist?
- A.
Flexion
- B.
Extension
Correct Answer
A. Flexion -
- 7.
What test if positive is suggestive of subacromial impingment?
- A.
Phalen's test
- B.
Yergason's test
- C.
Speed's test
- D.
O'brien test
- E.
Tinel's test
Correct Answer
C. Speed's test -
- 8.
A positive speed's test will elicit pain in which area?
- A.
In the glenohumeral joint
- B.
In the subacromial space
- C.
In the bicipital groove
- D.
In acromioclavicular joint
Correct Answer
C. In the bicipital groove -
- 9.
What is the common origin of the the wrist extensors?
- A.
Lateral epicondyle
- B.
Medial epicondyle
Correct Answer
A. Lateral epicondyle -
- 10.
When testing for tennis elbow, the pain is localized to thel ateral or medial epicondyle?
- A.
Lateral epicondyle
- B.
Medial epicondyle
Correct Answer
A. Lateral epicondyle -
- 11.
Do patients with lateral epicondylitis also have pain on palpation of the lateral epicondyle?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 12.
Which of the following are assessed using O'brien's test?
- A.
Subacromial impingment
- B.
AC joint instability
- C.
Glnohumeral labral pathology
- D.
SLAP
- E.
Bankaart (anterior labral) tears
Correct Answer(s)
B. AC joint instability
C. Glnohumeral labral pathology
D. SLAP
E. Bankaart (anterior labral) tears -
- 13.
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?
- A.
Labral tear
- B.
AC joint problem
Correct Answer
A. Labral tearExplanation
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.Rate this question:
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- 14.
What is the major internal rotator in glenohumeral motion?
- A.
Subscapularis
- B.
Pectoralis major
- C.
Rhomboid major
- D.
Teres major
- E.
Latissimus dorsi
Correct Answer
A. Subscapularis -
- 15.
What test is used to test for adequate subscapularis motion?
- A.
Empty can test
- B.
Lift off test
- C.
Hawkin's test
- D.
Yergason's test
Correct Answer
B. Lift off test -
- 16.
A positive yergason's test is indicative of which of the following?
- A.
Synovitis
- B.
Tear of the tendon sheath
- C.
Possible ulna head fracture
- D.
Possible lesser humeral tuberosity fracture
- E.
Possible greater humeral tuberosity fracture
Correct Answer(s)
A. Synovitis
B. Tear of the tendon sheath
D. Possible lesser humeral tuberosity fracture -
- 17.
What is the position of the elbow in the yergason's test?
- A.
Extended
- B.
Flexed 45 degrees
- C.
Flexed 60 degrees
- D.
Flexed 90 degrees
Correct Answer
D. Flexed 90 degrees -
- 18.
Is the forearm pronated or supinated in the yergasons's test?
- A.
Supinated
- B.
Pronated
Correct Answer
B. Pronated -
- 19.
If a patient has a partial or complete rupture of the supraspinatus tendon will the yergason's test be positive or negative?
- A.
Positive
- B.
Negative
Correct Answer
B. Negative -
- 20.
Which of the following fully describe the position of the arm in the O'Brien' test?
- A.
45 degrees of flexion
- B.
90 degrees of felxion
- C.
15-30 degrees of abduction
- D.
15-30 degrees of adduction
Correct Answer(s)
B. 90 degrees of felxion
D. 15-30 degrees of adduction -
- 21.
A positive phalen's test is indicative of ________ nerve pathology.
- A.
Ulna
- B.
Radial
- C.
Median
Correct Answer
C. Median -
- 22.
Could a positive phalen's test be indicative of carpal tunnel syndrome?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 23.
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.
- A.
O'brien test
- B.
Tennis elbow test
- C.
Phalen's
- D.
Speed's test
Correct Answer
B. Tennis elbow test -
- 24.
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?
- A.
Median
- B.
Ulna
- C.
Radial
Correct Answer
A. Median -
- 25.
Co can, tinel's test be used to check for possible carpal tunnel syndrome?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 26.
When you depress the scapula with one hand and elevate the arm with the other, you are testing for?
- A.
Rotator cuff impingment
- B.
Rotator cuff tear
- C.
Subscapularis muscle function
- D.
Supraspinatus tendon sheath
Correct Answer(s)
A. Rotator cuff impingment
B. Rotator cuff tearExplanation
This is Neer's sign.Rate this question:
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- 27.
In Neer's sign, you are basically conmpressing the greater tuberosity of the humerus against the:
- A.
Posterior coracoid
- B.
Posterior acromion
- C.
Anterior acromion
Correct Answer
C. Anterior acromion -
- 28.
Can the neer's sign also be used to check for bursitis?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 29.
The Hawkin's test is used to assess for:
- A.
Rotator cuff tear
- B.
Rotatorcuff impingment
- C.
Bicipital groove tendonitis
- D.
Labral tear
Correct Answer(s)
A. Rotator cuff tear
B. Rotatorcuff impingment -
- 30.
In the Hawkin's test which tuberosity is being driven under the coracoacromial ligament?
- A.
Greater
- B.
Lesser
Correct Answer
A. Greater -
- 31.
What is the innervation of the deltoid muscle?
- A.
C5
- B.
C6
- C.
C7
- D.
C8
Correct Answer
A. C5 -
- 32.
When performing manual muscle testing, should each muscle be in a fully contracted position before you attempt to break the contraction?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
- 33.
In a healthy patient should you be able to overcome the triceps muscle in manual muscle testing?
- A.
Yes
- B.
No
Correct Answer
B. No -
- 34.
What is the innervation for the triceps muscle?
- A.
Radial nerve
- B.
Median nerve
- C.
Ulna nerve
Correct Answer
A. Radial nerve -
- 35.
What is the nerve root level for the triceps muscle?
- A.
C6
- B.
C7
- C.
C8/T1
Correct Answer
B. C7 -
- 36.
Abductor Pollicis brevis is innervated by the ______ nerve.
- A.
Radial
- B.
Ulna
- C.
Median
Correct Answer
C. Median -
- 37.
What nerve root levels innervate the abductor pollicis brevis?
- A.
C6
- B.
C7
- C.
C8/T1
Correct Answer
C. C8/T1 -
- 38.
What nerve innervates the first dorsal interooseus muscle?
- A.
Ulnar
- B.
Radial
- C.
Median
Correct Answer
A. Ulnar -
- 39.
What nerve roots innervate the first dorsal interoosseous muscle?
- A.
C6
- B.
C7
- C.
C8/T1
Correct Answer
C. C8/T1 -
- 40.
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:
- A.
Supraspinatus impingment
- B.
Labral tear
- C.
Frozen shoulder or adhesive capsulitis
- D.
Damaged long thoracic nerve
Correct Answer
C. Frozen shoulder or adhesive capsulitis -
- 41.
The biceps rflex testig is done to primarily assess which nerve root?
- A.
C4
- B.
C5
- C.
C6
- D.
C7
- E.
C8/T1
Correct Answer
B. C5 -
- 42.
Which reflex testing is done to assess C6 nerve root?
- A.
Biceps
- B.
Brachioradialis
- C.
Triceps
Correct Answer
B. Brachioradialis -
- 43.
The shoulder should be abducted or adducted to 90 degrees when triceps reflex testing?
- A.
Abducted
- B.
Adducted
Correct Answer
A. Abducted -
- 44.
Which of the following tests assesses collateral circulation of the hand?
- A.
Lift off test
- B.
Allen's test
- C.
Empty can test
- D.
Phalen's test
Correct Answer
B. Allen's test -
- 45.
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?
- A.
True
- B.
False
Correct Answer
A. True -
- 46.
Does the empty can test evaluate the intergrity of the supraspinatus muscle?
- A.
Yes
- B.
No
Correct Answer
A. Yes -
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Feb 16, 2019Quiz Edited by
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May 03, 2010Quiz Created by
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