Exam Mistakes Flashcards
1
Q
What do you do after assessing gait in lower limb neuro?
A
Romberg’s test (!)
2
Q
What do you do to test tone in lower limb neuro
A
- leg roll
- leg drop
- Passively move each joint
- Ankle clonus (!)
3
Q
what actions to test power in lower limb neuro (movement of each joint)
A
- Hip: flexion, extension, abduction, adduction
- Knee: flexion, extension
- Ankle: dorsiflexion, plantar flexion, eversion (!), inversion (!)
- Big toe: plantar flexion, dorsiflexion
4
Q
Completion of lower limb neuro?
A
- Cranial nerve examination
- Upper limb neuro
5
Q
Upper limb neuro: what do you do to start?
A
ask which dominant hand (!)
6
Q
What do you do for inspection of upper limb neuro?
A
- Posture
- SWIFT
- Pronator drift (!)
7
Q
What do I keep forgetting to inspect in abdo exam?
A
- Chest wall inspection (!)
8
Q
GALS: after hand inspection, what do you do with hands?
A
- Screening movements (arms up, and behind back)
- Hand out, fingers spread
- Turn over
- Make a fist
- Grip strength
- MCP joint squeeze (!)
- Piano fingers (!)
9
Q
GALS: What actions do you do to check tone in legs?
A
- Fully flex and extend
- internally and externally rotate hip (!)
10
Q
GALS: What do you do with the feet?
A
- Inspect well (!)
- MTP joint squeeze (!)
11
Q
GALS completion?
A
- focused exam of joints with suspected pathology
- further imaging if indicated
12
Q
Completion of upper limb neuro?
A
- Cranial nerve examination
- Lower limb neuro
13
Q
Completion of GI exam?
A
- Inguinal lymph nodes
- Stool sample
- Hernial orifices
- Rectal exam
- Urine sample
- Genital (external) exam
14
Q
Knee exam: What do you do for feel?
A
- Temperature
- Palpate borders
- Palpate behind (popliteal fossa)
- Effusions (bulge + swipe)
- flex knee to (90)
- Measure and compare quadricep circumference (!)
15
Q
Completion of knee exam?
A
- Hip exam
- Ankle exam
- Neurovascular examination of both exams