Clinical Evaluation & Diagnosis Flashcards

A positive McMurray test that produces a click with pain during external rotation and extension most likely indicates injury to which structure?

Answer: Medial meniscus

External rotation during McMurray test stresses the medial meniscus, and a click with pain indicates a medial meniscal tear.

During a neurological screen, an athlete has weakness in wrist extension and elbow extension. Which nerve root level is most likely compromised?

Answer: C7

C7 is the primary nerve root for wrist extensors and triceps (elbow extension).

Which assessment tool is used to evaluate postural stability and vestibular function in athletes following concussion?

Answer: Balance Error Scoring System (BESS)

The BESS assesses postural stability on firm and foam surfaces with eyes closed, sensitive to concussion-related vestibular impairment.

An athlete presents with lateral elbow pain reproduced by resisted wrist extension. Which structure is most likely involved?

Answer: Extensor carpi radialis brevis

Lateral epicondylitis (tennis elbow) primarily involves the extensor carpi radialis brevis tendon origin.

A positive Finkelstein test indicates pathology of which structure?

Answer: Abductor pollicis longus and extensor pollicis brevis

Finkelstein test provokes pain in De Quervain tenosynovitis by stretching the first dorsal compartment tendons.

When evaluating shoulder impingement, which position during the Hawkins-Kennedy test maximally stresses the supraspinatus?

Answer: 90° forward flexion, internal rotation

The Hawkins-Kennedy test places the shoulder at 90° forward flexion and applies internal rotation to compress the supraspinatus under the coracoacromial arch.

Which observation during gait assessment suggests weak hip abductors on the stance leg?

Answer: Trendelenburg sign

The Trendelenburg sign is a contralateral pelvic drop during single-leg stance, indicating weakness of the ipsilateral hip abductors.