Patient Assessment & Evaluation Flashcards
7 cards from real SCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Evaluation flashcards as text
During a sideline evaluation of an athlete with a suspected ACL injury, which special test has the highest sensitivity for detecting an acute ACL rupture?
Answer: Lachman test
The Lachman test has superior sensitivity (~85%) compared to the anterior drawer test for acute ACL ruptures due to reduced hamstring guarding.
A football player reports shoulder pain after being tackled. The sulcus sign is positive. Which condition does this finding most suggest?
Answer: Inferior glenohumeral instability
A positive sulcus sign indicates inferior glenohumeral instability, seen as a depression below the acromion when traction is applied to the arm.
An athlete presents with lateral knee pain that worsens with downhill running. Noble compression test is positive. What is the most likely diagnosis?
Answer: Iliotibial band syndrome
A positive Noble compression test (pain at 30° knee flexion with pressure over the lateral epicondyle) is diagnostic of IT band syndrome.
Which grading scale is most appropriate for quantifying muscle strength during a clinical examination of an athlete?
Answer: Medical Research Council (MRC) scale
The MRC scale grades muscle strength from 0–5 and is the standard manual muscle testing tool in clinical evaluation.
A basketball player complains of anterior knee pain that worsens with stair climbing. The Clarke's sign is positive. What does this suggest?
Answer: Patellofemoral pain syndrome
Clarke's sign (crepitus or pain with resisted quadriceps contraction while pressing the patella distally) suggests patellofemoral pain syndrome.
During assessment of a wrestler's cervical spine, Spurling's test is positive. This finding is most consistent with:
Answer: Cervical nerve root compression
Spurling's test (axial compression with ipsilateral lateral flexion and rotation) reproduces radicular symptoms indicating cervical nerve root compression.
When evaluating ankle stability after an inversion sprain, which ligament is specifically assessed by the anterior drawer test of the ankle?
Answer: Anterior talofibular ligament (ATFL)
The anterior drawer test of the ankle isolates the ATFL, the most commonly injured ligament in lateral ankle sprains.
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