Foundations
The first law has two forms.
$$\mathrm{IUPAC:}\ \Delta U = q + w\ \ \ \mathrm{Clausius:}\ \Delta U = q - w$$
In the former, work done by the system is negative. In the latter, work done by the system is positive. We can safely stay with the IUPAC form and recognize that all we need to do is take the negative of any work term that we derive to obtain the Clausius expression.
Work comes in various forms, including mechanical, shaft, chemical, electrical, and magnetic among others. For a system that undergoes only mechanical work, the vector expression for (IUPAC) work is
$$w = \int\ \vec{p}_{ext} \bullet d\vec{V} $$
By convention, we take expansion as the positive direction of $d\vec{V}$. When $\vec{p}_{ext}$ points inward, expansion goes against the pressure, work is done by the system, and the result is negative $w$. Alternatively, when $\vec{p}_{ext}$ points inward, compression goes with the pressure, the system has work done on it, and $w$ is positive.
The four types of mechanical expansion/compression work are as follows:
Free expansion/compression - In this case, $p_{ext}$ is constant and $p_{ext} \equiv 0$. No work is done on or by the system.
Constant pressure (isobaric) expansion/compression - In this case, $p_{ext}$ is constant and $w = \vec{p}_{ext} \bullet \Delta\vec{V}$. By example, work is positive (done on the system) when the system is compressed by the external pressure.
Expansion/Compression under a varying pressure - In this case, $p_{ext}$ may have a time dependence or may depend on the position of $dV$.
Reversible expansion/compression - In this case, $p_{ext} = p_{int}$ at any and all steps during the process.
Application to the Problem at Hand
A syringe is pulled with a force $F$. Assume that the syringe has an end cap area $A$ and that it is also subject to an external pressure $p_a$ (i.e. from the atmosphere). The net external pressure seen by the system (the inside of the syringe) is
$$ \vec{p}_{ext} = \vec{p}_a + \frac{\vec{F}}{A} $$
Allow that $p_a$ and $F$ are constant. Realize that $\vec{F}$ points in the opposite direction to $\vec{p}_a$, and $\vec{p}_a$ points inward (opposite $d\vec{V}$). Finally, recognize that the piston expands to give $\Delta V > 0$ (positive). We can now write the IUPAC work as
$$w = \left( -p_a + \frac{F}{A} \right) \Delta V$$
Insights
When you would apply enough force to generate $F_{FE} = p_a A$, the system mimics the case of free expansion. In an adiabatic process, since $w = 0$ and $q = 0$, we find $\Delta U = 0$. When the system is an ideal gas, the end temperature will be the same as the starting temperature.
For any force less than $F_{FE}$, the system expands against a positive external pressure and does work. We find the term $w < 0$. In an adiabatic process with $q =0$, we find $\Delta U < 0$. When the system is an ideal gas, the end temperature will be lower than the starting temperature.
For any force greater than $F_{FE}$, the system expands against a net negative (outward pointing) pressure. The system has work done on it. We find the term $w > 0$. In an adiabatic process we $q = 0$, we find $\Delta U > 0$. When the system is an ideal gas, the end temperature will be higher than the starting temperature.
Other Thoughts
A classic example given in introductory thermodynamics is to propose to add a weight to push on top of a piston and to calculate the work and change in internal energy when the piston compresses. The case of pulling on a syringe is the same as inverting the piston and hanging a weight to pull on the piston rather than to put a weight on top to push on it.
All considerations above are irreversible. You cannot immediately model the example of pulling on a syringe as a reversible process. This will at first blush violate the principles that $p_{ext} \equiv p_{int}$ at all steps during a reversible process. You could attempt to force this case to a reversible example by proposing to pull on the syringe only with enough force to allow this
$$-p_a + \frac{F}{A} = p_{int} $$
at any and all stages during the expansion of the syringe. When the system contains an ideal gas and the process is adiabatic, this gives
$$p_{ext} = \left(-p_a + \frac{F}{A}\right) = p_o\left(\frac{V_o}{V}\right)^\gamma $$
where $p_o, V_o$ are the initial pressure and volume inside the syringe and $\gamma$ is the ratio of specific heat molar capacities of the gas $\bar{C}_p/\bar{C}_V$.
In those cases where the syringe has anything other than an ideal gas (for example a liquid), you are going to face terrible difficulties to find a viable mechanical equation of state for the fluid $p_{int}(V, T)$ to allow the above to be true. In other words, pretending that the process must be reversible to understand it may be far harder to justify than just analyzing the thermodynamics robustly for their own right.
You may also find this discussion interesting as well.