Clinical Skills

Question 1

What are heaves?

Answer 1

Felt as a kick to the palm - associated with right ventricular hypertrophy

Question 2

What are thrills?

Answer 2

Vibrations that indicate turbulent blood flow

Question 3

What effect does inspiration have on murmurs?

Answer 3

It enhances right-sided murmurs

Question 4

What can splinter heamorrhages be a sign of?

Answer 4

infective endocarditis - vegetations break off and manifest as lesions under capillary

Question 5

Difference between Osler’s nodes and Janeway lesions?

Answer 5

osler’s nodes are on tips of fingers, janeway over palms

Question 6

Where is right horizontal fissure located?

Answer 6

horizontal line from sternum at 4th costal cartilage to oblique fissure

Question 7

What level is transtubercular plane at?

Answer 7

L5

Question 8

What level is transpyloric plane at?

Answer 8

L1 - halfway between sternal notch and pubic symphysis

Question 9

What is McBurney’s point?

Answer 9

Location of appendix - 1/3 distance from ASIS to umbilicus

Question 10

What is Rovsings sign?

Answer 10

pressure in LIF causes pain in RIF in acute appendicitis

Question 11

What is Murphy’s sign?

Answer 11

press in right costal margin and ask patient to breathe in. If there is pain then the gallbladder is inflamed

Question 12

What are Kaiser-Fleischer rings?

Answer 12

rings that occur in eyes of patients with wilson’s disease due to copper deposits in iris

Question 13

What is acropachy?

Answer 13

thickening of extremities - digital clubbing. Grave’s specific

Question 14

What is dysdiadochokinesia?

Answer 14

inability to perform rapid alternating movements, indicates cerebellar lesion

Question 15

What nerve roots does triceps reflex test for?

Answer 15

C7, C8

Question 16

What nerve root does finger adduction test?

Answer 16

T1

Question 17

What nerve roots does achilles tendon reflex test?

Answer 17

S1 S2

Question 18

What is Webber’s test?

Answer 18

placing tuning fork in middle of forehead and asking whether louder in one ear or the same

Question 19

If someone has conductive hearing loss what would be the result of Weber’s test?

Answer 19

It would be louder in the affected ear

Question 20

If someone had conductive hearing loss what would the result of Rinne’s test be?

Answer 20

Bone would be louder than air

Question 21

What is the normal carrying angle of elbow for men and women?

Answer 21

Men 5-15 degrees
Women 10-25 degrees

Question 22

What ligament prevents anterior dislocation of shoulder?

Answer 22

glenohumeral ligament

Question 23

What muscle does the first 15 degrees of abduction and then the next 15-60 degrees?

Answer 23

0-15 = supraspinatus
15-60 = deltoid
after that trapezius

Question 24

What muscle does empty can test test?

Answer 24

supraspinatus

Question 25

What muscle does lower back push test?

Answer 25

subscapularis

Question 26

What is being tested when looking for winging of scapula?

Answer 26

serratus anterior - long thoracic nerve

Question 27

What test tests for sub-acromial impingement?

Answer 27

Neer’s test

Question 28

What test tests for supraspinatus inpingement?

Answer 28

Hawkin’s test (looking at watch)

Question 29

What joint has pathology if there is pain in the scar test?

Answer 29

acromio-clavicular joint

Question 30

What is the name of the test to check for fixed flexion deformity?

Answer 30

Thomas’s test