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Physical Exam > Physical Exam > Flashcards

Physical Exam Flashcards

0
Q

How can you tell the difference be veg and encrphalopatic

A

Sleep wake cycle

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1
Q

Right eye gaze

A

Right frontal eye field

Bs.

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2
Q

What anatomical landmark differentiates decorticating and decerebrate.

A

Red nucleus

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3
Q

When you pinch arm what do you look for?

A

See if feet extend. Diff withdraw and decerebrate.

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4
Q

DTR jaw jerk

A

Five buckles hit you in jaw.

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5
Q

Scale value for clonus/hyperactive

A

4/4

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6
Q

Scale value for brisk reflexes

A

3/4

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7
Q

Inability to recognize objects/ keys

A

Stereo gnosis

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8
Q

Clock drawing tests

A

Neglect parietal.

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9
Q

In ability to recognize numbers when drawn on hand

A

Graphesthesia.

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10
Q

Steppage gait looks like

Caused by.

A

High knees
High knees over l5 and s1
Can’t lift off floor so you compensate by high stepping
Fall risk

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11
Q

Gait where you swing legs out and return in a circular fashion
-Caused by

A

Hemiparesis

Circumduction gait

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12
Q

Describe Parkinsonian gate

A

Turn en block

Fes tin stination

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13
Q

Trouble initiating steps

A

Nph

Frontal dysfx

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14
Q

Associated with cn. 3

Lesion of cn 3

A

Eyelid retraction.
Pupillary constriction
Can’t Ad duction
Can’t elevate

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15
Q

Cn3 lesion 3

A

Down and out
Fixed dilated pupil
Ptosis

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16
Q

What two exams indicate non organic paralysis.

A

Hovers and aBduction sign

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17
Q

Test for milingering involves cuppin heals.

A

Hoover test. If you don’t feel them push down. Nonorganic.

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18
Q

Test for malingering, have the pt Stand on good. Raise bad leg.

A

Mcnride test.

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19
Q

Malingering Sensory test that shoes a sharp midline split

A

Cutaneous nerves cross and overlap so a mid line split isn’t consistent.
Fp- 8%
Fn- 80 % failed to detect

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20
Q

What do you call the motor malingering test that has pt drop hands on face.

A

Arm drop test

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21
Q

Back pain malingering test that has 8 signs in 5 categories

A

Gordon Waddell

3 out 8

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22
Q

WadDELL 8 signs

A 
Pinch
Deep pain everywhere
Axial load
Abductor test
Straight leg test pos but can flex hip 90 degree to do babinski
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23
Q

Cranial 3 vs 7 blink

A

3 is tone 7 is blink

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24
Q

Special about sternoclido

A

Bilaterally innervated

Opposite of everything else

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25
Q

Sensations of pseudo seizure

A

Nonphysioolgical or nonorganic

26
Q

Split midline sensory modality specific for.

A

Pin prick. Vibratory affects the whole bone.

27
Q

What is difference between vibratory and pin prick.

A

Pin prick more local vibratory affect the whole bone.

28
Q

Describe aura?

A 
4 to 60
Typically 15 to 60
Atypical if over 1 hr
Should slowly build up
Not sudden
29
Q

Migraine with aura over time. What happens when you get old.

A

Headache goes away but aura stays.

30
Q

Herpes encephalopathy EEG signs

A

Pled.

31
Q

Tx of serious vertigo

A

Mescolin

Valium tid

32
Q

Why is it important for Neuro exam on comatose (4)

A

Diagnose
Prognosis
Establish baseline
Figure level

Pb ld

33
Q

What happens to cerebral auto regulation with stroke

A

Auto regulation resets and shifts to the right.

34
Q

Off all the people who die how many are d t stroke

A

1 in. 17

35
Q

Differential for stroke

A 
Seizure w Todd's paralysis
- stroke can cause seizure
Meds 
Li and Dilantin
-get level
Glucose
-accu

Bell’s palsy 7 flat forehead, can’t close
-eye ball rolls up when closing
Bell phenomenon
Conversion

36
Q

Bells phenomenon

A

Eye rolls up
Cranial 7
Can close eye

37
Q

Question to assess stoke onset

A

When was the last time you didn’t have symptoms

38
Q

Increase risk for Cva with afib

A

Five fold

39
Q

Valvular probl associated with high risk of stroke

A

Mitral stenosis

40
Q

Flick toe is

A

Ganda

41
Q

Risk increase for stroke w rheumatoid is….

A

25

42
Q

Disorient ion pattern

A
  1. Situation
  2. Time
  3. Place
  4. Name
43
Q

Aphasia means

A

Abnormal language ( express or comprehension)

44
Q

Tadle for table, 1 phonemic for another

A

Phonemic paraphasias

45
Q

Door for window

A

Semantic errors

46
Q

Repetition intact plus deficient fluency

A

Trams cortical aphasia

47
Q

Wernickes located

A

Posterior superior temporal

48
Q

Broca locate

A

Dorsolateral dominant frontal lobe

49
Q

Test for hemineglect

A

Bisect a line

50
Q

Can’t pantomime the mo bent

A

Idiomotpt

51
Q

Frontal release signs

A

Myersoms

52
Q

Only responds to pain

A

Stuporous

53
Q

Blood in team panic membrains

Or blood under skin of mastoid

A

Battle signs

54
Q

Neck stiffness suggests

A

Meningeal irritation

SAH or meningitis

55
Q

Petechia in coma pt suggests

A

Intra vascular coagulation

56
Q

Term for nail above eye

A

Supra orbital ridge stimuli

57
Q

Abreviations for coma score

A

GCS

58
Q

Pe finding that suggests coma

A

Non lateralizing

Non specific responses to pain

59
Q

Formula for cerebellar perfusion

A

Systolic minus intracranial pressure

60
Q

What does it mean that the brains auto regulator fx is down

A

It no longer controls pressure. It just does what ever the wants to. If bp goes up than cerebral perfusion increases

61
Q

How is Hoffman different from babinski

A

Hoffman is deep tendon reflex
Babinski is not a deep tendon reflex

Rexed lamina 9

62
Q

When is Hoffman bad sign

A

MRI w and wo

Wo if arthritic

63
Q

Pin point pupil differential

A

Pin point HOP
Horners
Opiates, opthalmic
Pontine

Physical Exam (7 decks)

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