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NPLEX 2 Orthopedic Tests Questions and Correct Answers | Latest Update

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Adam Sign -:- Vertebral column SCOLIOSIS - Pt standing, feet together knees straight, bend fwd at hips and allow arms to drop vertically. POSITIVE: Scoliosis not improved with fwd flexion MEANING: Structural scoliosis "Adam has structural scoliosis" Adson test -:- Vertebral column =...

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  • September 19, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NPLEX
  • NPLEX
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2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




NPLEX 2 Orthopedic Tests Questions and
Correct Answers | Latest Update
Adam Sign


✓ -:- Vertebral column

✓ SCOLIOSIS

✓ - Pt standing, feet together knees straight, bend fwd at hips and allow

arms to drop vertically.

✓ POSITIVE: Scoliosis not improved with fwd flexion

✓ MEANING: Structural scoliosis




"Adam has structural scoliosis"




Adson test


✓ -:- Vertebral column = TOS




- arm away fr body at 45 degree angle.


- palp radial pulses simultaneously while lat rotates/extends neck for 30 sec.




1|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



ADSON'S = ipsilateral


REVERSE ADSON'S (HALSTEAD'S) = contralateral




+ test = disappearance or weakened radial pulse


d/t tight anterior scalene or cervical rib --> TOS




"ADDing the head turn will change the pulse in TOS... damn Adson's rib/scalene"




Braggard test


✓ -:- Vertebral column = sciatica, IVD lesion




- supine, during SLR, back off point of shooting pain, dorsiflex foot




+ = pain --> sciatica


@ 0-35 --> extradural


@35-70 --> intradural, IVD lesion




2|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



"A bragging girl flexed her foot and herniated a disc and pinched her sciatic n."




Bechterew Test


✓ -:- Vertebral column = sciatica




- sitting, flex neck, extends one knee at a time, no sx --> extend both legs




+ sx elicited --> d/t tension in SCIATIC n


.


"Bech's brew got him drunk (sitting, head slumped while kicking legs) and he got sciatica."




Burns Bench Test


✓ -:- Vertebral column = malingering




- kneel on table, ask to bend and touch floor w/ fingers while holding their ankles




+ not able to perform test or refuses d/t malingering



3|P a g e | G r a d e A + | 2 0 2 0 2 5

, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




"kneeling on a burning bench makes you a malingerer!"




Cervical spine compression test


✓ -:- Vertebral column = n. root issue




- seated, press straight down on head, bend head laterally to each side then extend and lat

bend.




+ = pain d/t intervertebral foramina compressing nerve roots


- Straight down --> severe n root inflam.


- lateral flex, ipsilateral --> n root compression


- lateral flex, contralateral pain --> n root contraction




Cervical spine distraction test


✓ -:- Vertebral column = ligament/musc injury or n. impingement




- seated; distract head

4|P a g e | G r a d e A + | 2 0 2 0 2 5

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