Neuroscreen
Clusters
SMPs
Inspection/ posture
Clinical reasoning
100

This dermatome is tested over the first dorsal web space of the hand. 

What is the C6 Dermatome?

100

Name three tests that are part of the Wainner Cervical Radiculopathy Cluster

What are:

  • Spurling's Test
  • ULTT A
  • Cervical Distraction
  • Cervical Rotation <60° to the involved side
100

SMPs was used on a patient who c/o 8/10 pain with shoulder elevation. To be significant, the patient should respond what level of pain during the application. 

What is 6/10 or lower? 
100

The level of vertebrae that is identified by T7 spinous process.

What is T8?

100

This tissue may be contributing factor with restrictions and pain with cervical rotation

What is the facet?

200

A patient demonstrates weakness with shoulder abduction. This cervical nerve root should be suspected during your neuro screen. 

You would also perform DTR and dermatome at

What is C5?

  • DTR: Biceps
  • Dermatome: Deltoid insertion
200

A patient who comes in with bilateral paresthesia in bilateral extremities, you would perform these test. 

what is cervical myelopathy cluster? 

•Hoffman test

•Inverted supinator sign

•Babinski test

•Gait disturbances

•Age greater than 45 yrs

200

A patient has low back pain during standing extension. Symptoms immediately decrease when lumbar distraction is applied. What does this suggest about treatment direction?

What is that the patient may respond favorably to lumbar unloading/distraction-based interventions?

200

This type of posture is typically found a diagnosis of cervical facet arthritis.

What is forward head posture

200

The cervical spine typically rotates and side bends to the same side.

What is the coupling pattern for the lower cervical spine?

300

A patient presents with numbness in the long finger, weakness with elbow extension but strong with wrist flexion

What is median nerve entrapment?

300

Name at least 5 components of the Wells Criteria used to assess a patient for DVT.

what are: 

  • Active cancer
  • Bedridden >3 days or recent major surgery
  • Localized tenderness along deep venous system
  • Entire leg swelling
  • Calf swelling >3 cm
  • Pitting edema
  • Collateral superficial veins
  • Previous DVT
  • Paralysis/paresis or immobilization
  • Alternative diagnosis more likely than DVT (negative point)
300

Demonstrate a SMP to the foot that will help with DF and explain what impairment you are attempting to influence.

What is a Posterior Talar Glide SMP used to improve dorsiflexion and determine if talocrural mobility contributes to symptoms?

300

A patient who suffers from a left herniated disc typically shifts to this side.

What is the right side?

300

For the thoracic spine, the restrictions/pain in each of these planes typically represents the respective structure: have to list in correctly

1. sagittal 2. Frontal 3. Transverse

What is 1. Disc 2. Rib 3. facet

400

Demonstrate how you would assess the L4 myotome and identify the corresponding dermatome and reflex. 

What is:

  • Myotome = Ankle dorsiflexion
  • Dermatome = Medial malleolus/anterior-medial lower leg
  • DTR = Patellar tendon
400

A patient comes to you for direct access for a sprained ankle and can't bear weight on that ankle. You proceed to palpate these structures to screen for ankle vs foot fracture

What are the ottawa ankle and foot rules? 

Ankle: tenderness 6m of post edge of tibia and fibula

foot: tenderness to 5th MT and navicular bone

400

Demonstrate the axial pull test with resisted ER. What diagnosis does this indicate if the pain is reduced? 

What is bursitis? 
400

This type of posture is identified by a posterior shift of the trunk

What is a sway back posture?

400

A patients comes in and presents with significant myotomal weakness and you are thinking about triaging whether to treat or not. You decide this is the best route. 

What is treat and refer? 
500

A patient reports lateral foot numbness and difficulty pushing off during gait. Perform the relevant neuro screen, identify the involved nerve root, and explain your findings. If it was a peripheral nerve entrapment, what nerve would it be and how would you test it? 

What is S1 involvement?

  • Myotome: Ankle eversion or knee flexion
  • Dermatome: Lateral border of foot
  • DTR: Achilles tendon reflex

Peripheral: Sural, SLR with DF/INV

500

Demonstrates at least this amount of test to rule in SIJ dysfunction. 

What is Laslett's cluster (3/5)?

–Distraction

–Thigh thrust

–Gaenslen’s

–Compresion

–Sacral thurst

500

Demonstrate any scapular assist technique for shoulder elevation correctly. 

Did I perform it correctly? 

Scapular Assist, Scapular Reposition, Unloading

500

These landmarks are a helper to identify T3 and T7 vertebrae

What is the spine of the scapula and inferior angle of scapula.

500

Assess/demo Cervical spine thoroughly to identify Upper vs lower segments

what is cervical AROM biasing C01, C1-2?