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Flashcards in Special Exams-PE Deck (44):
1

special procedure for blood pressure

Orthostatic hypotension-the "tilt" test
pg 131

2

How to perform orthostatic hypotension test

two positions:
supine-after pt is resting for 3-10 min
standing-within three minutes

3

what is considered positive on orthostatic hypertension?

within 3 min after standing:

drop of systolic pressure > 20 mmHg
OR
drop in dyastolic pressure > 10 mmHg

4

Causes of orthostatic hypotension

drugs
moderate to severe blood loss
prolonged bed rest
and diseases of the autonomic nervous system

5

Define strabismus

what is the special procedure to confirm this condition?

corneal reflections are asymetric (cross-eyed)

cover-uncover test
(pg 278)

6

what is the condition where a dysconjugate gaze is deviated medially?

Estropia

7

What is the condition where a dysconjugate gaze is deviated laterally?

Extropia

8

what happens to the estropic eye when the normal gazed eye is covered in the cover-uncover eye?

what happens to the covered eye?

moved outward to fix on the light

moves inward to same degree

eyes will return to normal (for patient) when uncovered.

9

special procedure for the head (section)

HEENT

Head-none
eyes-cover-uncover
ears-Webber and Rinne
nose-transilluminate and percuss frontal and maxillary sinuses
throat (and mouth)-palpation of tongue, lips buccal mucosa and floor of mouth.

10

special test for suspected sinusitis?

transilluminate and percuss frontal and maxillary sinuses

11

special test for lesion in mouth

palpation of tongue, lips, bucccal mucosa and floor of mouth.
(pg 256)

12

special test for unilateral hearing loss?

Weber and Rinne

bates 247-248

13

what type of hearing loss does the Weber test determine?

differentiating sensorineural loss
or
conductive loss

14

type of hearing loss:

Sound is heard through bone as long as or longer than through air?

conduction hearing loss

15

type of hearing loss:

sound is heard longer through air than through bone.

sensorineural hearing loss

16

special procedure for pulmonary consolidation

transmitted voice sounds:
egophony
bronchophony
pectoriloquy
(pg 326-27)

17

egophony

"ee" sounds like "A" and has a nasal bleating quality

18

broncophony

"ninety-nine" is muffled and indistinct.

19

pectoriloquy

whisper "ninety-nine" or "one-two-three"
sounds normally heard faintly and indistinctly

20

special test if CHF suspected

jugular venous pressure and pulses
(pg 374-77)

Hepato-jugular reflux

21

special test for arterial insufficiency in the arm or hand?

Allen test

22

What example is given for the use of the Allen test?

assess arterial patency for blood samples

Arterial Blood Gas (ABG)

23

special test for acites

fluid wave
shifting dullness

(pg 484-485)

24

special test for appendicitis

McBurney
Rovsing
Psoas
Obtorator


(pg 485 - 486)

25

evaluation for cholecystits?

Murphy's sign

26

Supraspinatus strength test?

empty can test

27

supraspinatus strength (alternative to empty can test?

resisted raised shoulder abduction

28

Infraspinatus and teres minor strength

elbows at side and flexed 90 degrees with thumbs up
provide resistance and the pt presses the forearms outward

29

subscapularis test

internally rotate shoulder to low-back region and provide resistance against your pushing against their arm.

30

test for inflammation of the long head of biceps tendon and possible rotator cuff tear

Forearm supination test:
flex forearm to 90 degrees
pronante patients wrist
provide resistance when pt supinates

31

What is the drop arm sign?

rotator cuff tear:
abduct arms to 90 degrees and lower it slowly... if it drops=possible inflammation or rotator cuff tear.

32

What is the Neer's impingement

rotator cuff tear (pg 654)
hand on scapula, raise arm ,

compresses the greater tuberosity against the coracoacromial ligament

33

What is the Hawkin's impingement

flex shoulder and elbow to 90 degrees with palms facing down.
one hand on the forearm and one on the arm. rotate arm internally. (pg 654)

34

apley scratch test

pt to touch opposite scapula
superior motion= abducition and external rotation
Inferior motion- tests adduction and internal rotation

rotator cuff or adhesive capsulities

35

test to show medial or lateral meniscus tear?

McMurray test (pg 689)

36

what test will show ligamentous laxity and a partial tear of the medial collateral ligament?

Abduction (or Valgus) Stress Test

37

What test will show ligamentous laxity and a partial tear of the lateral collateral ligament?

Adduction (Varus) Stress Test

38

What test will show ACL tear?

Anterior drawer sign

39

What test will show PCL tear?

posterior drawer sign

40

What is the Lachman's test?

ACL tear

41

Carpal Tunnel Tests

Thumb abduction test
Tinel's sign
Phalen's sign
Thenar atropy

42

Test when meningitis or subarachnoid hemorrhage suspected

Bruzinski's and Kernig's signs

43

Bruzinki's sign

flexion of neck when patient is supine (pg 765)

44

Kernig sign

patient supine , slowly extend leg up and straighten knee (pg 765)