NPTE Final Frontier Special
Test/2024/ Questions with well
Analyzed Solutions/A+ Graded
Yergason's test - --purpose: integrity of transverse ligement
-result: tendon of long head of biceps will pop out of groove
*tenderness in the bicipital groove alone w/o the dislocation may
indicate bicipital paratenonitis/tendinosis
Forearm begins in pronation and elbow flexed shoulder in neutral ...
resist pnt supination while palpating bicipital groove
-Speed's test - --purpose: ID bicipital tendinosis/tendinopathy
-result: pain in long head of biceps tendon/increased tenderness in the
bicipital groove
resisted shoulder flexion once in 90 degrees flexion with forearm
supinated
-Neer's Impingement test - --purpose: impingement of supraspinatus &
biceps tendon
-result: reproduces symptoms of pain in the shoulder region
Shoulder flexion with arm internally rotated ( as far as possible)
-Empty Can/Jobe test - --Purpose: ID tear/impingement of supraspinatus
tendon or suprascapular nerve neuropathy
-result: reproduces pain in supraspinatus tendon or weakness in empty
can position
resist empty can downward pressure ----- supraspinatus muscle
impingement
-Drop Arm test (aka Codman's test) - --purpose: ID tear/full rupture of
rotator cuff
-result: (+) test indicated if pt is unable to return arm to side slowly or
has severe pain when attempting to do so
supra and infra spinatus tear test- lift arm in abduction and take away
PT stabilization
-Posterior Internal Impingement test - --purpose: ID impingement btwn
rotator cuff & greater tuberosity or posterior glenoid & labrum
-result: reproduction of pain in posterior shoulder during test
, -Hawkins-Kennedy Impingement test - --purpose: identify sub-acromial
impingement
-result: pain indicates a (+) test for supraspinatus
paratenonitis/tendinosis or secondary impingement
-Yocum test - --modification of Hawkin's Kennedy test
-pt's hand is placed on opp shoulder & examiner elevates the elbow
-pain indicates a (+) test
-Active Compression Test of O'Brien - --purpose: detect SLAP (Type II) or
superior labral lesions
-result: if pain on the jt line or painful clicking is produced inside the
shoulder (not over the AC jt) in the 1st part of the test & eliminated or
decreased in the 2nd part, the test is (+) for labral abnormalities
-Biceps Load test - --purpose: check integrity of superior labrum
-result:
1) if apprehension decreases or pt feels more comfortable, test is (-) for
a SLAP lesion
2) if apprehension remains the same or shoulder becomes more painful,
test is (+) for SLAP lesions
-Pain Provocation (Mimori) test - --purpose: to ID slap lesion
-result: if pain is provoked only in the pronated position or more severe
in the pronated position, test considered (+) for SLAP tear
-Lateral Rotation Lag Sign (aka Infraspinatus "Spring Back" test) - --
purpose: to test teres minor & infraspinatus
-result: for a (+) test, pt can't hold the position and hand springs back
anteriorly toward midline, indicating infraspinatus & teres minor can't
hold position due to weakness/pain
-Abdominal Compression test (aka Belly-Press or Napoleon test) - --
purpose: checks subscapularis mm
-result: if pt is unable to maintain pressure on examiner's hand while
moving elbow forward, or posteriorly flexes wrist or extends shoulder,
the test is (+) for a tear of the subscapularis mm
-Jerk test - --purpose: to test recurrent posterior instability
-result: a (+) test is the production of a sudden jerk or clunk as the
humeral head slides off (subluxes) the back of the glenoid). When the
arm is returned to the original 90 degree ABD position, 2nd jerk may be
felt as the head reduces
-Sulcus Sign - --purpose: to test for inferior shoulder instability
-result: presence of a sulcus sign may indicate inferior instability or GH
laxity but should only be considered (+) for instability if the pt is
symptomatic
Test/2024/ Questions with well
Analyzed Solutions/A+ Graded
Yergason's test - --purpose: integrity of transverse ligement
-result: tendon of long head of biceps will pop out of groove
*tenderness in the bicipital groove alone w/o the dislocation may
indicate bicipital paratenonitis/tendinosis
Forearm begins in pronation and elbow flexed shoulder in neutral ...
resist pnt supination while palpating bicipital groove
-Speed's test - --purpose: ID bicipital tendinosis/tendinopathy
-result: pain in long head of biceps tendon/increased tenderness in the
bicipital groove
resisted shoulder flexion once in 90 degrees flexion with forearm
supinated
-Neer's Impingement test - --purpose: impingement of supraspinatus &
biceps tendon
-result: reproduces symptoms of pain in the shoulder region
Shoulder flexion with arm internally rotated ( as far as possible)
-Empty Can/Jobe test - --Purpose: ID tear/impingement of supraspinatus
tendon or suprascapular nerve neuropathy
-result: reproduces pain in supraspinatus tendon or weakness in empty
can position
resist empty can downward pressure ----- supraspinatus muscle
impingement
-Drop Arm test (aka Codman's test) - --purpose: ID tear/full rupture of
rotator cuff
-result: (+) test indicated if pt is unable to return arm to side slowly or
has severe pain when attempting to do so
supra and infra spinatus tear test- lift arm in abduction and take away
PT stabilization
-Posterior Internal Impingement test - --purpose: ID impingement btwn
rotator cuff & greater tuberosity or posterior glenoid & labrum
-result: reproduction of pain in posterior shoulder during test
, -Hawkins-Kennedy Impingement test - --purpose: identify sub-acromial
impingement
-result: pain indicates a (+) test for supraspinatus
paratenonitis/tendinosis or secondary impingement
-Yocum test - --modification of Hawkin's Kennedy test
-pt's hand is placed on opp shoulder & examiner elevates the elbow
-pain indicates a (+) test
-Active Compression Test of O'Brien - --purpose: detect SLAP (Type II) or
superior labral lesions
-result: if pain on the jt line or painful clicking is produced inside the
shoulder (not over the AC jt) in the 1st part of the test & eliminated or
decreased in the 2nd part, the test is (+) for labral abnormalities
-Biceps Load test - --purpose: check integrity of superior labrum
-result:
1) if apprehension decreases or pt feels more comfortable, test is (-) for
a SLAP lesion
2) if apprehension remains the same or shoulder becomes more painful,
test is (+) for SLAP lesions
-Pain Provocation (Mimori) test - --purpose: to ID slap lesion
-result: if pain is provoked only in the pronated position or more severe
in the pronated position, test considered (+) for SLAP tear
-Lateral Rotation Lag Sign (aka Infraspinatus "Spring Back" test) - --
purpose: to test teres minor & infraspinatus
-result: for a (+) test, pt can't hold the position and hand springs back
anteriorly toward midline, indicating infraspinatus & teres minor can't
hold position due to weakness/pain
-Abdominal Compression test (aka Belly-Press or Napoleon test) - --
purpose: checks subscapularis mm
-result: if pt is unable to maintain pressure on examiner's hand while
moving elbow forward, or posteriorly flexes wrist or extends shoulder,
the test is (+) for a tear of the subscapularis mm
-Jerk test - --purpose: to test recurrent posterior instability
-result: a (+) test is the production of a sudden jerk or clunk as the
humeral head slides off (subluxes) the back of the glenoid). When the
arm is returned to the original 90 degree ABD position, 2nd jerk may be
felt as the head reduces
-Sulcus Sign - --purpose: to test for inferior shoulder instability
-result: presence of a sulcus sign may indicate inferior instability or GH
laxity but should only be considered (+) for instability if the pt is
symptomatic
