AmSam general PACES Flashcards
What is the phrase to use regarding confidentiality in PACES?
With their permission we will keep you involved
What is the male hypogonadism screen?
libido
shaving frequency
morning erections
phonation
What are the basic management principles in any orthopaedic condition?
Reduce
Restrict
Rehabilitate
What should you say instead of ‘good air entry’ in finals
vesicular breath sounds
What are the main causes of fine end inspiratory crackles?
lung fibrosis and heart failure
What is the physiology behind fine end inspiratory crackles?
small airways opening
What are the main causes of coarse crackles?
secretions -> bronchitis or pneumonia
Which teams do you talk to if you find splenomegaly?
hepatology and haematology
How do you test median nerve in the hand?
thumb to the sky, ask them to resist pushing to palm
thumb and index finger (ok sign)
How do you test Ulnar nerve in the hand
finger abduction
How do you test radial nerve in the hand
cock wrists back and ask them to resist you pulling it down to neutral
What investigations do you always request after an abdominal exam
external genitalia
hernia orifices
obs + urinalysis
What do you need to assess in a cranial nerve examination?
I: sense of smell
II: VA, VF, pupils, fundoscopy
III, IV, VI: diplopia
V: sensation
VII: facial palsy
VIII: hearing
IX, X: speech
XI: sternocleidomastoids
XII: tongue movements
What are the steps in a peripheral neurological examination?
Inspection
Tone
Power
Reflexes
Coordination
Sensation
Gait (thinking time)
Back (? scars)
What is AmSams history structure for HPC?
Questions about the symptom / presentation
Questions about associated symptoms (system)
Questions about risk factors and DDx