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PACS summer > Advanced PE > Flashcards

Advanced PE Flashcards

1
Q

McBurney’s Point

A

1/3 of the way from the ASIS to the umbilicus

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2
Q

McBurney’s sign

A

deep tenderness suggests appendicitis

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3
Q

Rebound tenderness

A

push in slowly and rapidly release. pain on rebound indicates an inflamed peritoneum

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4
Q

Rovsing’s sign

A

palpate LLQ. Pain in the RLQ suggests appendicitis

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5
Q

Obturator sign

A

hold R hip and knee at 90 degrees. internally and externally rotate hip. Pain indicates peritoneal infection, inflammation, or appendicitis

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6
Q

Psoas Sign

A
  1. RLQ pain when patient flexes hip

2. RLQ pain when patient extends hip (when laying on side)

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7
Q

Markle’s sign

A

the heel jar test. Jump off the table or hit heels to move the peritoneal cavity. RUQ pain is a positive sign

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8
Q

Murphy’s Sign

A

palpate the gallbladder/liver. Sudden pause during deep inspiration indicates gallbladder disease

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9
Q

Bronchophony

A

increased loudness or clarity in an area (while patient speaks) indicates consolidation

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10
Q

Whispered Pectoriloquy

A

increased loudness or clarity in an area (while patient whispers) indicates consolidation

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11
Q

Egophony

A

when patients say “eeeeee” if it is heard as “aaaaaa” suggests consolidation

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12
Q

Straight Leg Raise test

A

raise a straight leg to 30 degrees. pain in the leg suggests nerve root irritation or L4/L5 herniation

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13
Q

Tinel’s sign

A

tap median nerve - tingling indicates Carpal tunnel syndrome

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14
Q

Phalen’s Sign

A

hold flexed wrists together for 1 min - tingling indicates Carpal tunnel syndrome

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15
Q

Snuff Box tenderness

A

scaphoid fracture id tenderness

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16
Q

McMurray test

A

Flex knee and hip to 90 degrees, apply lateral forces and straighten feeling for clicks or pain to evaluate menisci
Foot rotates externally + valgus(medial) force - Medial M
Foot rotates internally + varis(lateral) force - Lateral M

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17
Q

Drawer test

A

Anterior mvmt of the tibia - ACL damage

Posterior mvmt of the tibia- PCL damage

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18
Q

Lachman Test

A

push thigh, pull tibia and feel for laxity for ACL damage

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19
Q

Varus and valgus stress tests

A

to evaluate the collateral ligaments
Varus(Lateral force) laxity - Medial Collateral
Varis(Medial force) laxity - Lateral Collateral

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20
Q

Floppy muscles

A

hypotonic/Flacid

21
Q

Variable increased resistance

A

spacticity

22
Q

High resistance then sudden relaxation of muscle

A

clasped knife spactisity

23
Q

Persistent resistance

A

lead pipe spasticity

24
Q

Racket-like jerkiness

A

cogwheel rigidity

25
Q

front of the neck dermatome

A

C3

26
Q

Nipple dermatome

A

T4

27
Q

Umbilicus dermatome

A

T10

28
Q

Thumb dermatome

A

C6

29
Q

Inguinal dermatome

A

L1

30
Q

Knee dermatome

A

L4

31
Q

Anterior ankle and foot dermatome

A

L5

32
Q

Shoulder dermatome

A

C4

33
Q

Inner and outer forearm dermatome

A

C6 - T1

34
Q

thumbs and little fingers dermatome

A

C6 and C8

35
Q

Front of thighs dermatome

A

L2 - L3

36
Q

Calves dermatome

A

L4 - L5

37
Q

Little Toes dermatome

A

S1

38
Q

Stereognosis

A

being able to identify an object by touch

39
Q

Graphesthesia

A

identify a number or letter drawn on the patients hand

40
Q

2 poing discrimination

A

the smallest distance a patient can differentiate should be less that 5mm

41
Q

Point Localization

A

touch a point with eyes close ad then have patient relocate the spot

42
Q

Pronator drift

A

hold arms out, palms up with eyes closed for 20-30 seconds. drifting suggests UMN damage

43
Q

Asterixis

A

dorsiflex outstretched arms. Shaking motion indicates metabolic and toxic encephalopaties

44
Q

Burdinski’s Sign

A

Pain when flexing the neck. A meningeal sign

45
Q

Kernig’s Sign

A

Patient cannot fully extend knee. A meningeal sign

46
Q

Corneal Reflex

A

to test CN V - a cotton wisp touches to the eye

47
Q

Gag Reflex

A

test CN IX and X

48
Q

Mental Status Exam

A
  1. Appearance and Behavior
  2. Cognitive Function
  3. Emotional Stability
  4. Speech and Language
49
Q

Glascow Scale

A

coma scale to assess altered consciousness

PACS summer (1 decks)

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