Exam Mistakes Flashcards

1
Q

What do you do after assessing gait in lower limb neuro?

A

Romberg’s test (!)

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2
Q

What do you do to test tone in lower limb neuro

A
  • leg roll
  • leg drop
  • Passively move each joint
    - Ankle clonus (!)
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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
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4
Q

Completion of lower limb neuro?

A
  • Cranial nerve examination
  • Upper limb neuro
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5
Q

Upper limb neuro: what do you do to start?

A

ask which dominant hand (!)

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6
Q

What do you do for inspection of upper limb neuro?

A
  • Posture
  • SWIFT
  • Pronator drift (!)
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7
Q

What do I keep forgetting to inspect in abdo exam?

A
  • Chest wall inspection (!)
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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 (!)
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9
Q

GALS: What actions do you do to check tone in legs?

A
  • Fully flex and extend
  • internally and externally rotate hip (!)
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10
Q

GALS: What do you do with the feet?

A
  • Inspect well (!)
  • MTP joint squeeze (!)
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11
Q

GALS completion?

A
  • focused exam of joints with suspected pathology
  • further imaging if indicated
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12
Q

Completion of upper limb neuro?

A
  • Cranial nerve examination
  • Lower limb neuro
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13
Q

Completion of GI exam?

A
  • Inguinal lymph nodes
  • Stool sample
  • Hernial orifices
  • Rectal exam
  • Urine sample
  • Genital (external) exam
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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 (!)
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15
Q

Completion of knee exam?

A
  • Hip exam
  • Ankle exam
  • Neurovascular examination of both exams
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16
Q

Spine exam: what do you do after inspecting the person standing?

A

Assess gait

17
Q

Spine exam: Where do you feel on palpation?

A
  • Whole length of spine
  • Paraspina muscles
  • Supraclavicular fossa (!)
  • Sacroilliac joints (!)
18
Q

What movements do you do for lower spine exam?

A
  • Lumbar: flexion, extension (!), lateral flexion
  • Thoracic: Rotation
19
Q

Spinal exam completion

A
  • Full neurological exam
20
Q

Hip exam: What do you do for feel?

A
  • Temp
  • Palpate joint
  • Apparent vs actual leg length (!)
21
Q

Thyroid exam: what do you look for on hand inspection?

A
  • Just look: sweating, palmar erythema…
  • Clubbing (!)
  • Fine tremor
22
Q

Thyroid exam completion?

A
  • Thyroid function test
  • ECG (!)
23
Q

What do test CN VIII ?

A
  • Has your hearing changed?
  • Clicking in ears
  • Rinne’s + weber’s (!)
24
Q

What do you do on completion of Cerebellar exam?

A
  • Full neurological exam including CN and upper + lower limbs
  • Any appropriate neuroimaging
  • Formal hearing assessment
25
Q

Diabetic foot exam: what do you palpate

A
  • Palpate bones and joints (while watching patients face)
26
Q

What pulses for diabetic foot exam?

A
  • Posterior tibial
  • Dorsalis pedis
  • (popliteal of foot pulses absent)
27
Q

Diabetic foot: what do you do for neuro bit?

A
  • Reflexes: ankle jerk (!)
  • Sensation: light, pin-prick, proprioception, vibration
28
Q

Cardiac completion?

A
  • BP: both arms (!), lying and standing (!)
  • Ophthalmoscopy (!)
  • 12-lead ECG
29
Q

What do you do while pulses in resp?

A

RR (!)

30
Q

Resp exam completion?

A
  • Sputum sample
  • Assess peak flow
  • BP
31
Q

Shoulder exam: what things to I keep forgetting for move?

A
  • Screening movement (!)
  • Question: do you have any problems dressing yourslef/washing hair (!)
32
Q

Completion of shoulder exam?

A
  • Examine cervical spine and elbow
  • Assess neurological and vascular status of the limb
33
Q

Varicose vein: what do you do for further assessment of lower limb?

A
  • Pulses: lower limb 4 (!)
  • Pitting oedema (!)
34
Q

Varicose vein (chronic venous insufficiency exam) completion?

A
  • Doppler ultrasound
  • Venous duplex scanning
  • ABPI
  • Peripheral arterial exam (!)
  • Abdominal examination (!)
35
Q

Peripheral vasc exam: what do you do fo feel (leg)?

A
  • Temp (!)
  • Cap refill (!)
  • Pulses: all 4
  • Sensation: light touch
36
Q

What special tests for peripheral vasc exam?

A

Buergers test

37
Q

Peripheral vasc exam completion?

A
  • BP
  • ABPI
  • Upper and lower limb neurological examination