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Flashcards in Final skills exam Deck (52):
1

Describe direct light reflex

shine light in one eye - pupil constricts

2

Describe consensual light reflex

Shine light in one eye - other pupil constricts

3

describe rinne test

Tuning fork on mastoid
AC>BC is normal or sensorineural
BC>AC is conductive

4

How many pairs for tactile fremetus

3 anterior
4 posterior

5

Pt says what for tactile fremetus

"99" normal volume

6

Auscultate cardiac valves - placement of stethoscope

Aortic - R 2nd
Pulmonic - L2nd
Erb's - L3rd
Tricuspid - L4-5th
Mitral - L midclavicular 5th

7

Systolic murmurs

mitral regurg
Aortic stenosis
Tricuspid regurg
Pulmonary stenosis
Atrial septal defect
Ventricular septal defect
HOCM

8

how to percuss traube's space

Start at PMI in L 5th space
Percuss out to anterior axillary line

9

How to perform splenic percussion sign

Percuss in last L intercostal space along the anterior axillary line,
have pt take a deep breath and percuss again

10

resisted psoas sign

Have pt flex knee up against resistance starting at 90Degrees
PAIN in RLQ is positive

11

Passive psoas sign

Have pt passively extend rt leg
PAIN in RLQ is positve

12

CN 1 test

1. Patent nostrils
2. Pt eyes closed, one nostril occluded, smell 2 scents
3. repeat on other side

13

ROM of shoulder

have pt mimic:
Abduction
Adduction
flexion
Extension to hyperextension
Internal and external rotation

14

Lachman's

Pt flexed knee to 30 degrees,
thumb on joint line
hold tib with one hand
hold femur with other
pull tib forward
looking for laxity/ firm end point

15

What does lachman's test

ACL integrity

16

Afferent Pupillary defect (L eye)

Shine light in R eye - brisk bilateral constriction
Shine light in L eye - partial dilation in both eyes

17

Webber test

Tuning fork midline on forehead
Conductive hearing loss lateralizes to the impaired side
Sensorineural hearing loss lateralizes to the good side

18

Diaphragmatic excursion

Pt exhale and hold
Percuss from high (nipple line)
mark where resonance changes to dullness
Have pt inhale and hold
percuss down to where resonance changes to dullness again

19

normal diaphragmatic excursion

3-5.5 cm at mid clavicular line

20

Causes of abnormal diaphragmatic excursion

pleural effusion
diaphragmatic paralysis

21

Allen test positive

if palm takes >5 seconds to re-pink

22

CVA tenderness test

place palm on CVA
bang fist on back of hand

23

CVA tenderness cause

Kidney infections

24

Obturator sign

Have pt bend Right hip and knee to 90 degrees each
Internally rotate hip
Pain in RLQ is positive

25

test motor component of CN V

Chew
jaw forward and back
Jaw side to side

26

ROM of digits

Flexion
extension
Abduction
Adduction
Thumb opposition

27

Thompson test

Prone,
Knee bent
squeeze gastroc
should cause plantar flexion

28

Thompson test tests for what

Achilles tendon tear

29

EOM

H pattern
watch for nystagmus - usually lateral or upward gaze

30

Convergence

have pt watch finger come in to nose watch for eyes to go cross eyed

31

Near reaction

have pt watch finger come in to nose and watch for pupils to constrict

32

Palpate lymphnodes

preauricular
post auricular
occipital
Tonsillar
Sub Mandibular
Sub mental
Superficial cervical
Post Cervical
Deep cervical
Supraclavicular

33

test for bronchophony

listen posteriorly in symmetrical fashion
have pt say "99" in normal tone
Should be muffled
Bronchophony if loud

34

Egophony

listen posteriorly in symmetrical fashion
have pt say "E" in normal tone
Should sound like "e"
Egophony if "a"

35

Whispered pectoriloquy

listen posteriorly in symmetrical fashion
have pt Whisper "1- 2- 3"
Should be absent Pectoriloquy if loud or very clear

36

Assess for HOCM

Have pt squat
Listen over Erb's point with Diaphram
Have pt stand
listen for changes

37

Measure liver

Percuss upwards from spleen alonf mid-clavicular line
mark where dullness begins
Percuss down from nipple until dullness and mark

38

Normal liver at mid-clavicual line

6-12 cm

39

Murphy sign

Palpate under rt rib cage
Have pt breath in deeply
PAIN indicative of Acute cholecystitis

40

Test CN XI

Have pt shrug against resistant
have pt turn head against resistance

41

Rapid Upper Extremity Neuro test

Test muscle strength against resistance:
Elbow flexion - C5
Wrist extension - C6
Elbow extension - C7
Thumb opposition - C8
Small finger Abduction - T1

42

Cover/ uncover test

Shine light at nose and ask pt to look at the light
Cover good eye
watch for affected eye to correct
Uncover - watch for good eye to return to midline

43

Cover/uncover tests for what

Eso- or exo- trophia

44

Test CN X

Have pt open and say "ah"
watch for symmetric rise of uvula and soft palate at mid-line

45

Auscultate lungs

6 anterior pairs
7 posterior pairs
with diaphragm

46

Normal lung sounds

Vesicular over lung tissue
Bronchovesicular over main bronchus
tracheal over trachea

47

Auscultate for aortic insufficiency

Listen with the diaphragm over Erb's point
Have pt lean forward and exhale
Listen for High pitch diastolic murmur

48

Listen for abdominal bruits

Listen over Aorta (2Cm superior and Left of umbilicus)
renal arteries
femoral
and Iliac arteries

49

Rovsing's sign

Deep palpation in LLQ with knees flexed
causes Pain in RLQ suspect Appendicitis

50

Test CN XII

Have pt stick out tongue
- should remain midline

51

Rapid Lower Extremity neuro screen

Against resistance have pt:
Flex hip - L2
Extend knee - L3
Dorsiflex ankle - L4 and 5
Extend great toe - L5
Plantar Flex ankle - S1

52

Straight leg raise test

Test unaffected side first
Raise straight leg to discomfort
lower leg 30degrees, dorsifex foot
reproduce Pain in lower back is diagnostic for herniated disc