CMT Orthopedic Special Tests & Differential Diagnosis

Question 1

The Hawkins-Kennedy test is performed to assess which condition?

Accepted Answer

Subacromial impingement

Answer

AC joint pathology

Answer

Biceps tendon rupture

Answer

Glenohumeral instability

Question 2

A positive Phalen's test—wrist flexion held for 60 seconds reproducing paresthesia in the thumb, index, and middle fingers—most strongly indicates:

Accepted Answer

Carpal tunnel syndrome

Answer

De Quervain's tenosynovitis

Answer

Cubital tunnel syndrome

Answer

Guyon's canal syndrome

Question 3

Speed's test (resisted shoulder flexion with elbow extended and forearm supinated) is most specific for pathology of the:

Accepted Answer

Long head of the biceps tendon

Answer

Supraspinatus tendon

Answer

Acromioclavicular joint

Answer

Inferior glenohumeral ligament

Question 4

A positive Tinel's sign elicited by tapping posterior to the medial epicondyle most likely indicates:

Accepted Answer

Ulnar nerve entrapment at the cubital tunnel

Answer

Medial epicondylitis

Answer

Median nerve entrapment at the pronator teres

Answer

Radial nerve compression

Question 5

Adson's test is most appropriate for screening which condition?

Accepted Answer

Thoracic outlet syndrome

Answer

Lateral epicondylitis

Answer

Cervical radiculopathy

Answer

Wrist triangular fibrocartilage tear

Question 6

The O'Brien (Active Compression) test differentiates between which two conditions based on symptom location?

Accepted Answer

SLAP lesions and AC joint pathology

Answer

Subacromial impingement and rotator cuff tear

Answer

Biceps tendinopathy and subscapularis tear

Answer

Shoulder instability and labral tear

Question 7

A positive Finkelstein's test—pain with passive ulnar deviation of the wrist while the thumb is held in the palm—indicates:

Accepted Answer

De Quervain's tenosynovitis

Answer

Trigger thumb stenosing tenosynovitis

Answer

Carpal tunnel syndrome

Answer

Dupuytren's contracture