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(9th) > Etc. > Flashcards

Etc. Flashcards

1
Q

Soft Tissue Palpation of the Knee

A 
quads:
rectus femoris
v. intermedius (deep to r. fem)
v. medialis
v. lateralis

prepatellar bursa
infrapatellar tendon
superficial infrapatellar bursa

mcl
lcl

medial meniscus
lateral meniscus

pes anserine (A-P: SGT)
sartorius
gracilis
semitendinosus

gastrocnemius

popliteal fossa

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2
Q

Bony Palpation of the Knee

A

patella
tibial tubercle

medial femoral condyle (ext rot.)
medial tibial plateau

lateral femoral condyle (int rot.)
lateral tibial plateau

fibular head

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3
Q

Muscle Test

Tibialis Anterior

A

dorsiflexion and inversion

tibialis anterior, deep peroneal nerve

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4
Q

Brachioradialis Reflex

A

slight forearm flexion

A/E: radial nerve
IC: C6 spinal cord

mild stretch, strike, test bilaterally

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5
Q

Biceps Reflex

A

elbow flexion

A/E: musculocutaneous nerve
IC: C5 spinal cord

mild stretch, strike, test bilaterally

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6
Q

Triceps Reflex

A

elbow extension

A/E: radial nerve
IC: C7 spinal cord

mild stretch, strike, test bilaterally

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7
Q

Patellar

A

knee extension

A/E: femoral nerve
IC: L2,3,4 spinal cord

mild stretch, strike, test bilaterally

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8
Q

Achilles

A

foot plantarflexion

A/E: tibial nerve
IC: S 1,2 spinal cord

mild stretch, strike, test bilaterally

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9
Q

C5 Muscle Test

A

Deltoid: shoulder abduction (axillary)

Biceps: forearm flexion (musculocutaneous)

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10
Q

Lymph Nodes of Head and Neck

A

“checking for size, consistency, mobility and condition”

occipital

preauricular
postauricular

tonsilar
submandibular
submental

facial

anterior chain
posterior chain

supraclavicular

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11
Q

Aortic Maneuver

A

seated
aortic/erb’s
deep breath, exhale while leaning forward

diaphragm - high pitched murmurs

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12
Q

Mitral Maneuver

A

supine
mitral area (apical impulse)
bell - low pitched murmurs
left lateral recumbent

deep breath and hold

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13
Q

Cardinal Fields

A

observing for parallel mvmt, noting any nystagmus

Trochlear = down and in (4)
Abducens = lateral (6)
Oculomotor all others (3)

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14
Q

Tactile Fremitus

A

decrease = air
(COPD, emphysema)

increase = fluid/mass
(consolidation, tumor)

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15
Q

Valsalva

A

( + ) radiating pain from the site of lesion (usually reproducing cervical or lumbar complaint)

( i ) SOL, possible disc pathology

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16
Q

Swallowing Test

A

( + ) difficulty swallowing

( i ) SOL at anterior portion of cx spine, possible esophageal/pharyngeal injury, anterior disc defect, mm spasm or osteophpytes

17
Q

L’Hermitte Sign

A

supine/seated, passive neck flexion

( + ) electric shock-like sensations down the spine and/or through extremities

( i ) dural irritation, severe spinal cord injury or degeneration

18
Q

Auscultate Major Abdominal Arteries

A

Aorta, Renals, Common Iliacs

bell
bruits
turbulent bloodflow

19
Q

Uvular/palateal

A

glossopharyngeal

medulla

vagus

20
Q

Abdominal Reflex

A

umbilicus deviation to stroked side
absence only normal if bilateral

upper T7-10 spinal nerves
lower T11-12 spinal nerves

spinal cord T7-T12

upper T7-10 spinal nerves
lower T11-12 spinal nerves

21
Q

Interscapular

A

T2-7 spinal nerves

T2-7 spinal cord

dorsal scapular nerve

22
Q

Plantar Reflex

A

curling of toes

tibial nerve
spinal cord S1-2
tibial nerve

23
Q

Gaenslen

A

KNEE TO CHEST

( + ) pain on affected SI jt stressed into extension

( i ) Generalized SIjt lesion
Anterior SI ligament sprain
Inflammation of SI jt

24
Q

Palpate spleen

A

stand on left

inferior hand under costovertebral angle,
PA pull

deep breath and hold

feel edge of spleen as it pushes downwards towards your fingers

25
Q

Lower Extremity auscultate arteries

A

femoral (inferior and medial to inguinal lig)

popliteal (pop fossa)

dorsalis pedis ( medial dorsum of foot)

posterior tibialis (post to med. malleolus)

26
Q

Weber

A

Place the handle of the vibrating tuning fork on the midline of the skull and ask
the patient to compare the intensity of the sound in the two ears.

Normal: sound is equal in both ears.

(+) Conductive deafness: sound lateralizes to the bad ear.

(+) Sensorineural deafness: sound lateralizes to the good ear.

(9th) (10 decks)

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