Lab Final: Test D Flashcards Preview

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Flashcards in Lab Final: Test D Deck (22)
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1
Q

Mental Status: Object Naming Test

A

Patient identifies 3 objects Dr. points to.

2
Q

Mental Status: Recent Memory Test

A

“Remember these 3 words, I will ask you what they are in 5 mins”

E.x. Firetruck, pencil, blue

3
Q

Sensory Exam: Romberg Test

A

Patient stands feet shoulder width apart w/ eyes closed, Dr. close to support. Swaying bad.

4
Q

Sensory Exam: Point Localization Test

AKA?

A

AKA Topognosis

Eye’s closed, point to where I touch you w/ dull end of neurotip. 5 points per extremity.

5
Q

Motor Exam: Passive Knee Motion

A

Patient lies on their side: Knee Flexion, Extension, Internal &; External Rotation.

6
Q

Motor Exam: Muscle Test Finger Flexion

A

Palm up, Dr. tries to extend finger, patient resists.

7
Q

Coordination &; Gait: Tandem Gait

A

DUI style, one foot in-front of the other, Dr. walks w/ patient.

8
Q

Coordination & Gait: Patting Test

AKA?

A

AKA Diadochokinesia

Rapid rhythmic alternating alternating patting on their own lap. As fast as possible.

9
Q

Superficial Reflex: Plantar Test

A

Stiff stroke to sole of patients feet w/ handle of Hammer. Start at heels, lateral to medial.

response: plantar flexion (curling) of toes upon stroking sole of foot
afferent: tibial
integrating: spinal cord S1,2
efferent: tibial n

10
Q

Visceral Reflex: Occulocardiac Test

A

NO CONTACTS. Establish pulse, use thumb to add slight pressure on closed eyes.

response: reduction in HR when examiner presses eye
afferent: trigeminal
integration: medulla
efferent: vagus

11
Q

Deep Tendon Reflex: Triceps Test

A

Flat side of hammer to back of elbow.
response: elbow extension
N: radial
integrating: C7 spinal cord

12
Q

Pathological: Ankle Clonus

A

Dr. dorsiflexes patients foot quickly and releases. Support back of calf w/ other hand.

13
Q

Cranial Exam: A patient presents in your office with complaint of eye pain in bright light. He states that his peripheral vision seems to be decreased.

  • STATE THE APPROPRIATE C.N. TO BE TESTED.
  • PERFORM ALL PROCEDURES AND STATE ALL SENSORY, MOTOR, AND INTEGRATION CENTER FOR ANY REFLEX PERFORMED.
A

Optic nerve ( CN II )

  • inspect external structures of eye
  • inspect optic fundi w ophthalmoscope
  • test visual acuity
  • confrontation test
  • direct light reflex
  • indirect light reflex
  • accommodation reflex
14
Q

Nerve Root Eval: A patient complains of left shoulder pain. He thinks it my be related to the weakness he has been experiencing in his left arm when he does curls in the gym.

  • STATE APPROPRIATE NERVE ROOT LEVEL.
  • STATE APPROPRIATE DISC LEVEL.
  • PERFORM RELATED MUSCLE TESTS (state muscles and innervations), DEEP TENDON REFLEX & SENSORY EXAM.
A

Nerve root: C5
Disc level: C4
Muscle test: Shoulder abduction: Deltoid (Axillary N.)
Forearm flexion: Biceps (Musculocutaneous N.)
Reflex: Biceps (point of hammer on Dr.’s thumb)
Sensory: C4, C5, C6: Nape of neck, lateral arm, lateral forearm and first two fingers.

15
Q

Ortho Exam: A patient complains of tinging in the hands while working overhead
- STATE & PERFORM AN APPROPRIATE ORTHO TEST TO TEST THE SCALENE TRIANGLE.

A

Adson Test
Patient seated, elbows extended at side. Find Radial pulse, slightly abduct affected arm and past midline, patient takes deep breath; holds, rotate head towards Dr. ; elevate chin (negative rotate head to opposite side)

Pain &/or paresthesia, decreased or absent pulse, pallor.

Compression of neuromuscular bundle by scalenus anticus or cervical rib.

16
Q

Ortho Exam: A patient complains of weak abdominal muscles during crunches…
- STATE & PERFORM AN APPROPRIATE ORTHO TEST TO EVALUATE THIS PATIENT.

A

Milgrams Test - Shoes off
Patient supine, Dr. raises both pegs 2-3 inches, tells patient to hold for 30 secs.

Inability to perform test &/or LBP

Weak abdominal muscles or Space Occupying Lesion.

17
Q

Ortho Exam: A patient complains of pain at the medial malleolus going into the medial foot.
- STATE & PERFORM AN APPROPRIATE ORTHO TEST TO EVALUATE THIS PATIENT.

A

Tinel Foot Sign
Dr. uses point of hammer to tap posterior to medial malleolus (medial plantar nerve) w/ knee @ 90*

Paresthesia radiating into the foot

Tarsal Tunnel Syndrome.

18
Q

visual acuity test

A

screen by reading print

screen by shapes/colors

19
Q

confrontation test

aka?

A

aka wiggling test

-pt covers 1 eye, bring object into view from 8 diff directions, wiggling or straight

20
Q

direct light reflex

A

response-ipsilateral pupillary constriction when light is shined in eye
afferent- optic
integrating-midbrain
efferent- oculomotor

21
Q

indirect light reflex

A

response: contralateral pupillary constriction when light is shined in the eye
afferent: optic
integrating: midbrain
efferent: oculomotor

22
Q

accomodation test

A

response: convergence of the eyes with pupillary constriction
afferent: optic
integrating: occipital cortex
efferent: oculomotor