Dr. Hogan Bedside Tut#4

Question 0

how to elicit fasciculations?

Answer 0

flicking muscle with finger

Question 1

2 ways to test dysdiadochokinesia?

Answer 1

finger opposition

hand over hand

Question 2

What is visual evoked response test? when used for?

Answer 2

MS dx, measures functional integrity of visual pathyways

Question 3

What is Lhermitte’s sign? when use? when not to use?

Answer 3

radiculopathy during neck flexion
use for testing, MS, disc compression, pernicious anaemis
don’t use if suspect trauma

Question 4

what 3 things can cause ST elevation?

Answer 4

Anterior MI
Pericarditis
Prinzmetal angina

Question 5

what is Prinzmetal angina caused by?

Answer 5

vasospasm of the coronary arteries

Question 6

3 reasons why unstable angina is dx’d?

Answer 6

pain at rest
changing angina
angina that needs more medication than previously

Question 7

what is a GTN side effect? good or bad?

Answer 7

headache. good sign

shows it’s working and not expired

Question 8

GTN can relieve 2 things:

Answer 8

symptoms of Angina

Oesophageal spasm

Question 9

4 things in the blood you look for if suspect AMI?

Answer 9

troponin i
CKMB
LDH
U&E: K+

Question 10

B12 is absorbed where in the GI system?

Answer 10

terminal ileum

needs intrinsic factor