Flashcards in Special Exams-PE Deck (44):
special procedure for blood pressure
Orthostatic hypotension-the "tilt" test
How to perform orthostatic hypotension test
supine-after pt is resting for 3-10 min
standing-within three minutes
what is considered positive on orthostatic hypertension?
within 3 min after standing:
drop of systolic pressure > 20 mmHg
drop in dyastolic pressure > 10 mmHg
Causes of orthostatic hypotension
moderate to severe blood loss
prolonged bed rest
and diseases of the autonomic nervous system
what is the special procedure to confirm this condition?
corneal reflections are asymetric (cross-eyed)
what is the condition where a dysconjugate gaze is deviated medially?
What is the condition where a dysconjugate gaze is deviated laterally?
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.
special procedure for the head (section)
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.
special test for suspected sinusitis?
transilluminate and percuss frontal and maxillary sinuses
special test for lesion in mouth
palpation of tongue, lips, bucccal mucosa and floor of mouth.
special test for unilateral hearing loss?
Weber and Rinne
what type of hearing loss does the Weber test determine?
differentiating sensorineural loss
type of hearing loss:
Sound is heard through bone as long as or longer than through air?
conduction hearing loss
type of hearing loss:
sound is heard longer through air than through bone.
sensorineural hearing loss
special procedure for pulmonary consolidation
transmitted voice sounds:
"ee" sounds like "A" and has a nasal bleating quality
"ninety-nine" is muffled and indistinct.
whisper "ninety-nine" or "one-two-three"
sounds normally heard faintly and indistinctly
special test if CHF suspected
jugular venous pressure and pulses
special test for arterial insufficiency in the arm or hand?
What example is given for the use of the Allen test?
assess arterial patency for blood samples
Arterial Blood Gas (ABG)
special test for acites
special test for appendicitis
(pg 485 - 486)
evaluation for cholecystits?
Supraspinatus strength test?
empty can test
supraspinatus strength (alternative to empty can test?
resisted raised shoulder abduction
Infraspinatus and teres minor strength
elbows at side and flexed 90 degrees with thumbs up
provide resistance and the pt presses the forearms outward
internally rotate shoulder to low-back region and provide resistance against your pushing against their arm.
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
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.
What is the Neer's impingement
rotator cuff tear (pg 654)
hand on scapula, raise arm ,
compresses the greater tuberosity against the coracoacromial ligament
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)
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
test to show medial or lateral meniscus tear?
McMurray test (pg 689)
what test will show ligamentous laxity and a partial tear of the medial collateral ligament?
Abduction (or Valgus) Stress Test
What test will show ligamentous laxity and a partial tear of the lateral collateral ligament?
Adduction (Varus) Stress Test
What test will show ACL tear?
Anterior drawer sign
What test will show PCL tear?
posterior drawer sign
What is the Lachman's test?
Carpal Tunnel Tests
Thumb abduction test
Test when meningitis or subarachnoid hemorrhage suspected
Bruzinski's and Kernig's signs
flexion of neck when patient is supine (pg 765)