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Flashcards in OSCE 2- tests Deck (85)
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1

Rust's sign procedure

patient spontaneously grasps the head with both hands when lying down or when rising from a recumbent position

2

Rust's sign indicates...

severe sprain
RA
fracture
severe cervical subluxation

3

Libmann's test procedure

examiner applies thumb pressure to the mastoid process and gradually increases the pressure until the patient states that it is becoming noticably uncomfortable

4

Libmann's test reporting statement

unusually low, high or normal threshold for pain in the patient, useful for interpretation of palpation findings later in the exam

5

Bakody sign procedure

patient in a seated position and will place the hand of the affected extremity on top of their head, raising the elbow to the level of the ear

6

Findings of Bakody sign

nerve root irritation
not the location of the pain; it will help to identify the etiology of the pain

7

Reverse Bakody sign findings

pain of the patient's chief complaint is exacerbated
indicates TOS from interscalene compression

8

negative Bakody sign findings

patient experiences no change in pain or there is no pain complaint in the neck and/or upper arm

9

clinical indications of negative Bakody sign

differentiate a NR encroachment from a TOS

10

Bikele's sign procedure

abduct shoulder to 90 degrees and then elbow is put into full extension

11

purpose of Bikele's sign

patient is being placed in a position that will traction the brachial plexus and its nerve roots

12

function of Bikele's sign

stressing the brachial plexus

13

findings of Bikele's sign

pain is radicular in nature and goes into the arm
note location of pain, it will help identify the etiology of the pain

14

brachial plexus tension test procedure

paitent is asked to abduct both shoulders to 90 degrees and place the hands behind head. doctor pulls elbows back

15

findings of brachial plexus tension test

pain is radicular in nature and goes into the arm
note the location of the apin; it will help to identify the etiology of the pain

16

Dejerine's sign procedure

coughing, sneezing and straining during defecation may cause aggrevation of radiculitis symptoms

17

Dejerine's sign findings

indicates herniated or protruding IVD, spinal cord tumor (SOL) or spinal compression fracture

18

Epigastric reflex segmental innervation

T5-7

19

epigastric reflex peripheral nerve

intercostal

20

epigastric reflex procedure

stimulate from sternum toward the umbilicus

21

epigastric reflex response and indications

contraction of upper abdominal muscles

22

upper abdominal reflex segmental innervation

T7-9

23

upper abdominal reflex peripheral nerve

intercostal nerve

24

upper abdominal procedure

stimulate the upper abdominal muscles by starting in the upper quadrant corners and go down toward the umbilicus

25

upper abdominal response

contraction of upper abdominals
move umbilicus up and out

26

middle abdominal segmental innervation

T9-11

27

middle abdominal peripheral nerve

intercostal

28

middle abdominal procedure

start in outer middle quadrants and go toward the umbilicus

29

middle abdominal response

contraction of teh middle abdominals
move umbilicus laterally

30

lower abdominal segmental innervation

T11-12