EBP- An Examination of Special Tests for the Shoulder …€¦ · · 2015-11-02EBP- An Examination of Special Tests for the Shoulder . Module 4 – Questions 51-100 . ... An Examination

EBP- An Examination of Special Tests for the Shoulder

Module 4 – Questions 51-100

Question 51 The Active Compression test using pain or a click as a positive test indicator provides a more

accurate diagnosis than using pain alone as the positive test indicator when assessing glenoid

labral lesions of some type in the general population.

☐ True

☐ False

Question 52 Which positive test indicator for the supine Crank test displayed better specificity when

assessing the glenoid labral lesions of some type in the general population?

☐ Pain

☐ Pain or a click

☐ Apprehension

☐ Weakness

Question 53 The Active Compression test will correctly diagnose a glenoid labral lesion of some type in the

general population __________% of the time.

☐ 44

☐ 57

☐ 71

☐ 63

Question 54 The Active Compression test will correctly rule out a glenoid labral lesion of some type in the

general population__________% of the time.

☐ 44

☐ 57

☐ 71

☐ 63

Page 1 of 12 Module 4 Exam 3 EBP - An Examination of Special Tests for the Shoulder

Question 55 Comparing the diagnostic values of the 13 physical examination tests used in assessing the

glenoid labral lesions of some type in the general population, which five tests had diagnostic

accuracy data available?

☐ Anterior Slide Test, Crank Test, Gerber Lift Off Test, Hawkins & Kennedy Impingement Test, Speed Test

☐ Active Compression, Biceps Long Head Test, Gerber Lift Off Test, Jobe Test, Relocation Test

☐ Apprehension Test, Crank Test, Gilcreest Test, Speed Test, Yergason Test

☐ Gerber Lift-Off Test, Gilcreest Test, Hawkins & Kennedy Impingement Test, Jobe Test, Relocation Test

Question 56 Comparing the diagnostic values of the 13 physical examination tests when assessing the

glenoid labral lesions of some type in the general population, which diagnostic test has the

lowest specificity?

☐ Yergason Test

☐ Jobe Test

☐ Speed Test

☐ Biceps Long Head Tendon Palpation Test

Question 57 When assessing glenoid labral lesions of some type in the general population, which test had

the greatest positive likelihood ratio?

☐ Release Test

☐ Jobe Test

☐ Gerber Lift-Off Test

☐ Apprehension Test

Question 58 When assessing glenoid labral lesions of some type in the general population, which test

proved to be the most sensitive test and had the lowest negative likelihood ratio?

☐ Anterior Slide Test

☐ Speed Test

☐ Gilcreest Test

☐ Yergason Test


Question 59 Which two tests can be used in combination with a Gilcreest test to provide the most

appropriate approach to diagnosing a glenoid labral lesion of some type in the general

population?

☐ Release Test and Jobe Test

☐ Apprehension Test and Anterior Slide Test

☐ Gerber Lift Off Test and Release Test

☐ Apprehension Test and Release Test

Question 60 SLAP lesion stands for “superior labral from anterior to prone” lesion .

☐ True

☐ False

Question 61 A Type III SLAP lesion is when “the superior labrum has a vertical tear analogous to a bucket-

handle tear in the meniscus of the knee. The remaining rim of labral tissue is well anchored to

the glenoid, and the biceps tendon anchor is intact.”

☐ True

☐ False

Question 62 Which test has the greatest sensitivity in the comparison of 6 physical examination tests used

in the diagnosis of any SLAP lesion in the general population?

☐ Active Compression Test


☐ Gilcreest Test

☐ Hawkins & Kennedy Impingement Test

☐ Jobe Test

☐ Relocation Test

Question 63 Which test has the greatest specificity in the comparison of 6 physical examination tests used in

the diagnosis of any SLAP lesion in the general population?



☐ Gilcreest Test


☐ Jobe Test

☐ Relocation Test


Question 64 Which test has the greatest diagnostic accuracy in the comparison of 6 physical examination

tests used in the diagnosis of any SLAP lesion in the general population?



☐ Gilcreest Test


☐ Jobe Test

☐ Relocation Test

Question 65 Which test has the most desirable positive likelihood ratio in the comparison of 6 physical

examination tests used in the diagnosis of any SLAP lesion in the general population?



☐ Gilcreest Test


☐ Jobe Test

☐ Relocation Test

Question 66 Which test has the least desirable negative likelihood ratio in the comparison of 6 physical

examination tests used in the diagnosis of any SLAP lesion in the general population?



☐ Gilcreest Test


☐ Jobe Test

☐ Relocation Test

Question 67 Although test itself is not very effective, which test using pain as a positive test indicator is the

most appropriate test for diagnosing a SLAP lesion of some type in the general population

according to the data?



☐ Gilcreest Test


☐ Jobe Test

☐ Relocation Test


Question 68 Out of the 9 tests compared for their ability to diagnose Type I or II SLAP lesions in the general

population, which test has the greatest sensitivity?




☐ Pain Provocation Test

☐ Relocation Test (Anterior, Supine, Held in 90˚, 110˚ and 120˚ of Shoulder Abduction)

☐ Yergason Test


population, which test has the greatest specificity?






☐ Yergason Test


population which test has the greatest positive likelihood ratio?






☐ Yergason Test


population, which test has the second lowest negative likelihood ratio?






☐ Yergason Test



population, which test shows the least specificity?






☐ Yergason Test

Question 73 An active compression test using pain as a positive test indicator can be used in combination

with which two tests to diagnose Type I or II SLAP lesions in the general population?

☐ Hawkins and Kennedy Impingement Test and Relocation Test (Anterior, Supine, Held in 90˚, 110˚ and 120˚ of Shoulder Abduction)

☐ Anterior Slide Test and Pain Provocation Test

☐ Relocation Test (Anterior, Supine, Held in 90˚, 110˚ and 120˚ of Shoulder Abduction) and Yergason Test

☐ Pain Provocation Test and Yergason Test

Question 74 Considering specificity, the Active Compression test accurately rules out the presence of a Type

I or II SLAP lesion only 50% of the time.

☐ True

☐ False

Question 75 The typical Anterior Relocation Test version and the shoulder held at 90°, 110° and 120° of

versions compared for the diagnosis of Type II SLAP lesions both have positive likelihood

ratios below 1 and negative likelihood ratios above 1 indicating that both tests can be relied

upon.

☐ True

☐ False

Question 76 Comparing 14 tests, the Biceps Tension test with pain as a positive test indicator, has proven to

be the most appropriate test for diagnosing a Type II SLAP lesion in the general population.

Which test is the demonstrated the second greatest sensitivity?

☐ Hawkins & Kennedy Impingement

☐ Whipple Test


☐ Apprehension Test (Anterior, Supine)


Question 77 Comparing 14 tests, the Biceps Tension test did not demonstrate greatest specificity when

diagnosing a Type II SLAP lesion in the general population. Which two tests are the most

specific?

☐ Anterior Slide Test and Biceps Load Test

☐ Crank Test (Upright, Held in 160˚ of Shoulder Flexion) and Pain Provocation Test

☐ Anterior Slide Test and Yergason Test

☐ Pain Provocation and Yergason Test

☐ All of the above

Question 78 Which test has the greatest sensitivity for diagnosing Type II, III or IV SLAP lesions in the

general population?

☐ Biceps Long Head Tendon Palpation

☐ Crank Test (Supine)


☐ Speed Test

☐ Yergason Test (with Biceps Palpation)

Question 79 Which test has the greatest specificity for the diagnosis of Type II, III or IV SLAP lesions in the

general population?





☐ Speed Test

Question 80 Which test has the greatest positive likelihood for its ability to diagnose Type II, III or IV SLAP

lesions in the general population?




☐ Speed Test


Question 81 The Yergason test proved to have low sensitivity; therefore it provides a good indication that

the patient does not have a Type II, III or IV SLAP lesion.

☐ True

☐ False


Question 82 Based on the values at hand, it appears that no test is appropriate for diagnosing a Type II, III or

IV SLAP lesion in the general population. However, a Yergason with biceps palpation and pain

as a positive test indicator is appropriate for ruling out a SLAP lesion of this type.

☐ True

☐ False

Question 83 The Relocation test with apprehension can accurately diagnose a Bankart Lesion.

☐ True

☐ False

Question 84 Both Bankart and Hill-Sachs lesions involve the posterior labrum.

☐ True

☐ False

Question 85 Using pain as the positive test indicator, the Crank test, according to Liu, Henry and Nuccion

(1996), is performed in which position when diagnosing a glenoid labral lesion of some type in

a patient population under the age of 40?

☐ Crank Test in an upright position with the shoulder held in 90° of abduction

☐ Crank Test in supine with the shoulder held in 90° of abduction

☐ Crank Test in an upright position with the shoulder held in 160°of abduction

☐ Crank Test in supine with the shoulder held in 160° of abduction

Question 86 According to the findings of Liu, Henry and Nuccion (1996), the Crank Test performed on a

glenoid lesion of some type in a patient population under the age of 40, showed low sensitivity

and specificity. This results in a “poor” and “inconclusive” positive and negative likelihood.

☐ True

☐ False

Question 87 Which test had perfect specificity but the lowest sensitivity, only correctly diagnosed a Type II

SLAP lesion in the midst of a concomitant injury 18% of the time in a younger population

(<40years of age)?

☐ Speed Test

☐ Yergason Test

☐ Compression Rotation Test

☐ Biceps Load II Test



Question 88 Which test with pain or clicking as a positive test indicator was the most sensitive test, had one

of the higher positive likelihood ratios, and had the lowest negative likelihood ratio, but was

not one of the more specific tests when diagnosing a Type II SLAP lesion with a concomitant

injury present in a younger population (<40years of age) population?

☐ Speed Test

☐ Yergason Test

☐ Compression Rotation Test

☐ Biceps Load II Test


Question 89 A supine or upright Crank test was found to have a negative likelihood ratio of 2 in a younger

(<40years of age) population indicating that a patient with a negative test is 2 times more likely

to have a Type II, III or IV SLAP lesion than one who tests positive.

☐ True

☐ False

Question 90 The Active Compression test performed with the shoulder held in 160˚ of abduction and using

pain as a positive test indicator had a better specificity, positive and negative likelihood ratio

than the Crank Test. However, it only correctly diagnoses a Type II, III or IV SLAP lesion 35% of

the time in a younger population (<40years of age) population.

☐ True

☐ False

Question 91 Comparing the diagnostic values found for the evaluation of physical examination tests used to

assess Type II, III or IV SLAP lesions in a younger (<40years of age) test population, it appears

that no test is appropriate for diagnosing a Type II, III or IV SLAP lesion in a younger

population.

☐ True

☐ False


Question 92 Kim et al. (2005) provided some data for the diagnosis of a posteroinferior labral lesion with a

Jerk test in a younger (<40 years of age) population. They reported the Jerk test using pain as

the positive test indicator had a __________.

☐ a. 73% sensitivity and 98% specificity

☐ b. 98% sensitivity and 73% specificity

☐ c. 36.5 positive likelihood ratio and 0.28 negative likelihood ratio

☐ d. 28. 3 positive likelihood ratio and 0.36 negative likelihood ratio

☐ e. A & C

☐ f. B & C

☐ g. A & D

☐ h. B & D

Question 93 Considering the diagnostic values available for the evaluation of physical examination tests, it

appears that a Jerk Test using pain as the positive test indicator is an appropriate test for

diagnosing posteroinferior labral lesions in a younger (<40 years of age) population.

☐ True

☐ False

Question 94 The Crank test performed in an upright position with the shoulder held in 160˚ of abduction

and using a click as the positive test indicator can properly diagnose superior labral lesions in a

younger (<40 years of age) population 87% of time.

☐ True

☐ False

Question 95 Comparing the diagnostic values found for the evaluation physical examination tests, which

test is appropriate for diagnosing a Type II, III or IV SLAP lesion in a younger (<40 years of age)

athletic population that participates in sports with overhead activities?

☐ Crank Test (Supine, Held in 160° of Shoulder Abduction)

☐ Jerk Test

☐ Speed Test



☐ None of the above


Question 96 Comparing the diagnostic values found for the evaluation physical examination tests using pain

as a positive indicator, which test can be helpful for ruling out a Type II, III or IV SLAP lesion in

a younger (<40 years of age) athletic population that participates in sports with overhead

activities.

☐ Crank Test (Supine, Held in 160° of abduction)

☐ Jerk Test

☐ Speed Test




Question 97 Comparing the diagnostic values found for the evaluation of physical examination tests, which

test is appropriate for diagnosing posteroinferior labral lesions in a younger (<40 years of age)

athletic population that participates in sports with overhead activities.

☐ Crank Test (supine held in 160° of abduction)

☐ Jerk Test

☐ Speed Test




Question 98 Comparing the diagnostic values found for the evaluation physical examination tests using a

click as a positive test indicator, which test is appropriate for diagnosing superior labral

lesions in a younger (<40 years of age) athletic population that participates in sports with

overhead activities.

☐ Crank Test (supine held in 160° of abduction)

☐ Jerk Test

☐ Speed Test




Question 99 When considering Type II SLAP lesions, the Biceps Tension test had better sensitivities, positive

likelihood and negative likelihood ratios than the Compression Rotation Test in an older

population. It also outperformed the Active Compression Test on all these diagnostic measures

in that same older population.

☐ True

☐ False


Question 100 When considering the diagnosis of any glenoid labral lesion in the general population, which

test is the most reliable?

☐ Active Compression test

☐ Crank test (Supine)

☐ Yergason test (with Biceps Palpation)

☐ Anterior Slide test


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EBP- An Examination of Special Tests for the Shoulder …€¦ · · 2015-11-02EBP- An Examination of Special Tests for the Shoulder . Module 4 – Questions 51-100 . ... An Examination