OSCE for all joints and upper respiratory Flashcards Preview

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Flashcards in OSCE for all joints and upper respiratory Deck (86):
1

Log roll

+ pain
indicates central or peripheral pathology

2

C-sign

+patient makes a C just above the trochanter when you ask them where it hurts
indicates labral pathology (central)

3

Labral loading

+ pain when loading force added
indicates labral or cartilaginous pathology (central)

4

Labral distraction

+ pain gone when distracting force added
indicates labral or carilaginous pathology (central)

5

Scour

+ pain
indicates labral or articular cartilage pathology (central)

6

Apprehension FABER (1)

+pain apprehension
indicates labral pathology or impingement

7

Ely's Test

+ipsilateral hip raises off table
indicates rectus femoris contracture (peripheral)

8

rectus femoris test

+knee flexion >90 degrees
indicates rectus femoris contracture (peripheral)

9

jump sign

+pain "jumping"
indicates trochanteric bursitis (lateral)

10

straight leg test

+pain past 15 degrees hip flexion
indicates IT band contracture
(pain less than 15 indicates lumbar disc etiology)

11

Ober's test

+patient unable to adduct or has ratcheting while adducting hip
indicates IT band contracture (lateral)

12

piriformis test

+pain over posterior aspect of greater trochanter
indicates piriformis pathology (lateral)

13

trendelenburg

+inability to hold hips level
indicates gluteus medius weakness or superior gluteal nerve injury in leg you're standing on (lateral)

14

Patricks FABER 2

+pain
indicates gluteus medius pathology (lateral)

15

Patricks FABER 3

+groin pain/weakness
indicates iliopsoas insufficiency (anterior)

16

psoas test

+pain/inability/snapping
indicates psoas contracture (anterior)

17

thomas test

+opposite leg raises off table, inability to fully extend
indicates hip flexor contracture (anterior)

18

Anterior drawer test (knee)

+anterior glide/laxity
ACL tear

19

Lachmans test

+anterior glide/laxity
ACL tear

20

posterior drawer/reverse lachman

+posterior glide/laxity
PCL tear

21

McMurrays

+pain/grinding
medial or lateral meniscus tear

22

Apleys grind test

+pain when compression force added
meniscus injury, collateral ligament injury, or both

23

Apleys Grind distraction test

+pain with distraction/rotation
collateral ligament damage

24

Patellar laxity/apprehension

+sense of apprehension/instability
previous patellar dislocation/instability

25

Patellar compression (grind) test

+pain with compression
inflammation, chondromalacia, injury to patellofemoral articular surfaces

26

Patellar femoral grinding

+pain or crepitus
roughness of articulating surfaces like in chondromalacia

27

patellar glide test

+crepitus, pain, catching
damage to articular surface

28

Anterior drawer test (ankle)

+pain, no springing, laxity
+ATF ligament tear (lateral ankle sprain)

29

Talar tilt (inversion)

+laxity, increased ROM
Calcaneofibular ligament pathology (lateral ankle sprain)

30

eversion test

+laxity, pain
deltoid ligament pathology (medial ankle sprain

31

squeeze test

+pain
high ankle sprain

32

cross leg test

+pain
high ankle sprain

33

thompson test

+absence of plantar flexion
achilles tendon rupture

34

Homans sign

+pain with dorsal flexion
DVT

35

Moses sign

+pain with anterior compression
DVT of posteiror tibial vein

36

point tenderness over calcaneous

Plantar fasciitis (plantar aponeurosis inflammation)

37

Mortons neuroma

"like im walking on a marble"

38

Turf toe

inflammation and pain at base of 1st MTP

39

achilles tendonitis

heel pain with activity

40

apprehension test

+apprehension
GH instability

41

sulcus sign

+indentation appears beneath acromion
GH instability

42

Yergasons test

+pain or tendon subluxation
bicipital tendonitis

43

Speeds test

+pain in bicepital groove
bicepital tendonitis

44

empty can test

+pain/weakness
rotator cuff, mostly supraspinatus

45

drop arm test

+arm drops
full thickness tear of rotator cuff

46

Neer impingment

+pain
subacromial bursa or rotator cuff impingement

47

Hawkins

+pain
subacromial bursa or rotator cuff impingement

48

Lift off test

+weakness
subscapularis pathology

49

Apleys scratch test

decrease ROM
yeah

50

Valgus stress test (knee)

+laxity
MCL tear

51

Varus stress test (knee)

+laxity
LCL tear

52

Varus stress test (elbow)

+laxity
Sprained radial collateral ligament

53

Valgus stress test (elbow)

+laxity
sprained UCL

54

Tinel test (elbow)

+tingling in 4 and 5 digit
ulnar nerve entrapment

55

Golfers elbow test

+pain on medial epicondyle
medial epicondylitis

56

Tennis elbow test

+pain on lateral epicondyle
lateral epicondylitis

57

Olecranon bursitis

pain on olecranon

58

Little league elbow

most common elbow injury during childhood

59

nursemaids elbow

dislocation of radial head from annular ligament

60

"Ok sign"

+cannot make O with their fingers
anterior interosseous nerve damage

61

Tinel sign (wrist)

+pain when tapping on wrist
indicates carpal tunnel syndrome

62

Phalens sign

+pain when pressing wrists together in flexion for 60 seconds
indicates carpal tunnel syndrome

63

Allen test

+hands do not reprofuse with blood after release
indicates lack of dual blood supply to hand
(contraindication for radial catheterization)

64

Finkelstein test

+pain with wrist adducting while holding thumb
indicates dequervians tenosynovitis
(adductor hallucis longus and extensor hallucis brevis

65

pain in snuffbox

scaphoid fracture

66

why is it important to diagnose and treat a scaphoid quickly

avascular necrosis can occur

67

Colles fracture

posterior displacement of radial head

68

Monteggia fracture

fracture to proximal ulna and dislocation of radial head

69

galeazzi fracture

distal radial fracture with dislocation of ulna

70

nightstick fracture

isolated fracture to midshaft of ulna from a direct blow

71

Weber test

normal=they hear tone equally on both sides
abnormal=sound lateralizes to one ear

72

Rinne test normal

AFTER Weber test check ear sound lateralized to
Air conduction>bone conduction=that ear is normal
indicating sensorineural loss in OPPOSITE ear

73

Rinne test abnormal

AFTER weber test check ear sound lateralized to
Bone conduction>air conduction=conductive hearing loss to that ear

74

Whisper test

normal:patient repeats sequence normally
negative indicates patient cant hear worth shit

75

What should you look for when looking into the nose with your otoscope?

inflamed turbinates
mucosa color
septal perforation
foreign bodies
ulcers/polyps

76

The turbinates are red and swollen with clear mucus, what could this be?

viral rhinitis

77

The turbinates are pale, blueish or red, what could this indicate?

allergies

78

what could septum deviation indicate?

drug use (cocaine)

79

Which sinus do you not need to worry about in someone younger than 7?

frontal sinus, not developed yet

80

Pain over the cheek bone under eyes indicates what?

maxillary sinitus

81

what are aphthous ulcers

cancer sores

82

what is chelitis

B12 or iron deficiency, red cracks in corners of mouth

83

what is gingivitis

swelling or ulceration of gums

84

What is a benign lump on the hard palate called?

torus palatinus

85

What does cobblestoning of the pharynx indicate?

sinus drainage down back of throat

86

What are the criteria for empiric antibiotic treatment of strep throat?

Age 1 for 3-13, 0 for 15-44, -1 for >45
Fever
abscence of cough
cervical adenopathy
tonsillar exudate
4-5 of these do it, 2-3 do rapid strep test, 0-1 do nothing