American Board of Internal Medicine (ABIM) Certification Practice Exam

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Which test assesses for bicipital tendinitis?

Neer
Yergason
Empty can
Internal rotation lag

The correct answer is: Yergason

The Yergason test is specifically designed to assess bicipital tendinitis. During this test, the patient is asked to flex their elbow to 90 degrees while keeping the forearm in a pronated position. The examiner then applies resistance while the patient attempts to supinate the forearm. A positive result, indicated by pain in the bicipital groove, suggests inflammation or pathology involving the biceps tendon, which is characteristic of bicipital tendinitis. The Neer test is used primarily to evaluate for shoulder impingement and not specifically for bicipital tendinitis. The Empty Can test is used to assess for supraspinatus tears or rotator cuff pathology, while the Internal Rotation Lag test is utilized to check for subscapularis tendon tears. Therefore, these tests serve different purposes and do not focus on the biceps tendon in the manner that the Yergason test does.