Upper Extremity Practical Exam Candidate: The candidate has 10 minutes to complete this section of the exam. Give the candidate 1 condition from the list and ask them to perform a regional exam Total: /100%

Proctor: ______Date: ______Conditions Comments Shoulder Body region: □ shoulder, □ , □ wrist & hand • AC sprain • Bicipital tendinopathy History: candidate to give Hx-SSx, DDx, Tx associated with one condition of region (______/4) • Brachial neuritis • Calcific tendinopathy Define Condition: ______• Frozen shoulder □ Hx/SSx (3 items): ______• Glenohumeral instability • Glenoid labral tear □ DDx (3 items): ______• GH dislocation • Supraspinatus imping. □ Tx options (3 items): ______• Subscap. tendinopathy • Supraspinatis tendonitis Inspection: give 2 inspection/posture parameters evaluated (______/2) • Thoracic outlet syn. □ ______, ______Elbow • Toddler’s elbow • Elbow osteochondritis : palpate as done in practice & give 2 key structures (2) • Lateral epicondylitis • Medial epicondylitis □ ______• Olecranon bursitis □ ______Wrist • Carpal tunnel syndrome Motion: perform single most indicated AROM, PROM or RROM on region (______/4) • de Quervain’s • Thumb (UCL) (Introductory statement - hands on assessment, verbalize bilateral comparison, ask for a single ROM tissue list) • Wrist sprain □ AROM (intro statement): ______• Carpal instability • Scaphoid fracture □ PROM (with end play): ______• Lunate dislocation • Triangular fibrocart. tear □ RROM (correct instructions): ______• Ganglion cyst □ Tissue list: ______• Dupuytren contracture (give a list of tissue stretched/compressed,bone, ligament, muscle, nerve, blood vessel, viscera)

Special Tests Neurovascular: candidate to perform 2 parameters for evaluated (______/2) Shoulder □ Neurologic: sensation, DTRs, muscle test ______• Apley’s Scratch test • Biceps load test II □ Vascular: pulse, capillary refill, temperature of region ______• Brachial stretch test • Clunk or Crank • Drop arm test (Codman’s) Referred Pain: provide 2 areas/conditions that can refer to assessment area (______/1) • Empty can • Faegan’s test □ ______, ______• GH apprehension test • Hawkins-Kennedy Special Tests: candidate performs indicated tests, proctor gives one named test (_____/9) • Lift off test • Lippmans or Yergason’s Test Position Ability & confidence Explain/Rationale Total • Neer’s or Speed’s • O’Brien’s 0...0.5...1 0...0.5...1 0...0.5...1 • Roos’ or Wright’s Elbow • Cozen’s or Mill’s test 0...0.5...1 0...0.5...1 0...0.5...1 • Reverse Cozen’s or Mill’s

Proctor chosen test • Pronator teres test • Tinel’s at the elbow 0...0.5...1 0...0.5...1 0...0.5...1 • • Varus stress test 0 = inability to perform task; 0.5 partial ability to perform task; 1 acceptable ability to perform task Wrist & Hand • Allen test (______/3) • Cozen’s Impression: lack of prompting (1), confidence (1), professionalism (1) • Finkelstein’s test • Froment’s sign Feedback: (ask if it can be given together or they request it separately) • Load test for TFCC • Start with ‘what do you think needs improvement?’ • Phalen’s test • Reverse Phalen’s test Total: /25 x 4 = • Tinel’s sign

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Dr. Nikita Vizniak - ©2016 by Professional Health Systems Inc. All rights reserved. “Dedicated to Clinical Excellence.” - Reproduction is permitted for personal or institutional use, not for resale or redistribution. Lower Extremity Practical Exam Candidate: The candidate has 10 minutes to complete this section of the exam. Give the candidate 1 condition from the list and ask them to perform a regional exam Total: /100%

Proctor: ______Date: ______Conditions Comments Hip & thigh Body region: □ hip, □ , □ ankle foot • Femoral/Inguinal hernia • Leg length inequality History: candidate to give Hx-SSx, DDx, Tx associated with one condition of region (______/4) • Groin strain • Hamstring strain Define Condition: ______• Hip DJD □ Hx/SSx (3 items): ______• Acetabular labral tear • Legg-Calve-Perth (AVN) □ DDx (3 items): ______• Myositis ossificans • Slipped femoral epiphysis □ Tx options (3 items): ______• Snapping hip • Transient hip synovitis Inspection: give 2 inspection/posture parameters evaluated (______/2) Knee □ ______, ______• ACL or PCL Sprain • MCL or LCL Sprain • tear Palpation: palpate as done in practice & give 2 key structures (2) • Chondromalacia patellae • ITB syndrome □ ______• Osteochondritis dess. □ ______• Osgood Schlatter’s • Patella dislocation • Tibila stress fracture Motion: perform single most indicated AROM, PROM or RROM on region (______/4) Leg, Ankle & Foot (Introductory statement - hands on assessment, verbalize bilateral comparison, ask for a single ROM tissue list) • Inversion ankle sprain □ AROM (intro statement): ______• Compartment syndrome • Deep vein thrombosis □ PROM (with end play): ______• Achilles tendonitis • Morton’s neuroma □ RROM (correct instructions): ______• Metatarsal stress Fx □ Tissue list: ______• Plantar fascitis • Over pronation syndrome (give a list of tissue stretched/compressed,bone, ligament, muscle, nerve, blood vessel, viscera) Special Tests Neurovascular: candidate to perform 2 parameters for evaluated (______/2) Hip & SI • Thomas Gaenslen test □ Neurologic: sensation, DTRs, muscle test ______• Trendelenburg test □ Vascular: pulse, capillary refill, temperature of region ______• Allis/Skyline view • Ober’s test/modified • Patrick’s test (FABERE) Referred Pain: provide 2 areas/conditions that can refer to assessment area (______/1) • Noble’s compression test • Scouring test (Quadrant) □ ______, ______• Piriformis test • Hibbs (prone gapping) Special Tests: candidate performs indicated tests, proctor gives one named test (_____/9) • Yeoman’s test • Nachlas/Ely’s test Test Position Ability & confidence Explain/Rationale Total • SI joint play • SI comp. (pelvic rock) 0...0.5...1 0...0.5...1 0...0.5...1 Knee • Valgus/Varus stress test • Lachman’s test 0...0.5...1 0...0.5...1 0...0.5...1 • Anterior/posterior drawer Proctor chosen test • Apley’s comp./dist. tests • Bounce home test 0...0.5...1 0...0.5...1 0...0.5...1 • Disco/Thessaly Test • Patellar apprehension 0 = inability to perform task; 0.5 partial ability to perform task; 1 acceptable ability to perform task • Patellar grind test • Clark’s test • McMurray’s test Impression: lack of prompting (1), confidence (1), professionalism (1) (______/3) Ankle & Foot • Anterior/Posterior drawer Feedback: (ask if it can be given together or they request it separately) • Tinel’s (peroneal nerves) • Start with ‘what do you think needs improvement?’ - student self assessment • Thompson’s Squeeze • Rigid supple Pes planus Total: /25 x 4 = • Talar tilt test • Metatarsal squeeze test % • Tibial torsion test

Dr. Nikita Vizniak - ©2016 by Professional Health Systems Inc. All rights reserved. “Dedicated to Clinical Excellence.” - Reproduction is permitted for personal or institutional use, not for resale or redistribution.