Fam med - testing 1, 2, 3 Flashcards
What test can be used to assess the strength of the anterior talofibular ligament?
anterior drawer test
What are the criteria fro testing for strep throat?
one point for each Fever more than 38.0 Celsius Absence of cough Tonsillar exudates Anterior cervical lymphadenopathy Age less than 15 years old if 2-3, test, treat if positive if greater, treat emprically
How do we decide if an ankle sprain patient needs x rays?
Ottawa rules
Pain in the malleolar zone AND either:
bony tenderness along the distal 6 cm of the posterior edge of either malleolus
OR inability to bear weight 4 steps immediately after the injury and in the emergency department.
foot - if tenderness at 5th metatarsal or naviucli or inability to bear weight
What is the gold standard diagnostic test for COPD?
pulmonary function testing
What are the criteria for diagnosis of depression?
5 of the following 9 criteria:
Sleep: Insomnia or hypersomnia nearly every day.
Interest (loss of): Anhedonia (loss of interest or enjoyment) in usual activities.
Guilt: Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).
Energy (decreased): Fatigue or loss of energy nearly every day.
Concentration (decreased, or crying): Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).
Appetite (increased or decreased): or significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month).
Psychomotor retardation: Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).
Suicidal ideation: Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
How can you assess the severity of suicidal ideation?
Sex (male); Age (< 19 or > 45); Depression, diagnosis of; Previous attempt(s) Ethanol or other substance abuse Rational thinking impaired (psychosis, delusions, hallucinations) Social supports lacking Organized plan for suicide No significant other Sickness (physical illness). Score of 4-6 - outpatient Score of 7 - 10, hospitalization warranted
What is the definition of PMS? Whow about PMDS?
breast soreness, weight gain, bloating etc. that sig. affect a patients life
Premenstrual dysphoric disorder is more severe
What is def. of menorrhagia?
blood loss of 80mm
What does a head thrust test indicate?
if normal, indicates that lesion is central
if nystagmus when suddenly thrust head, indicates peripheral lesion
What test can be used to treat BPPV?
epley maneuver
What test can be used to assess for syndesmotic sprains?
crossed leg test, positive ankle squeeze test - looks for high ankle sprains
What tests can be used to assess the cause of hyperthyroidism?
Thyroid peroxidase antibodies, Radioactive iodine uptake (RAIU) test and scan
What are the diagnostic tools available for carpal tunnel syndrome?
tinel’s, phalens - low sensitivity, high specificity
nerve conduction velocity study is diagnostic
What test can be used to evaluate the strength of the supraspinatus?
empty can test
What test can be used to evaluate the strength of the subscapularis?
lift off test
What test can be used to assess for patellofemoral knee syndrome?
trapping an effusion
What test can be used to assess for collateral leg pain?
varus (apply stress to medial knee) and valgus (apply stress to lateral knee) stress test
What are the criteria for diabetes diagnosis?
- A random glucose of 200 mg/dL or above, plus symptoms of hyperglycemia like polyuria or unexplained weight loss, or hyperglycemic crisis.
- A fasting plasma glucose of greater than or equal to 126 mg/dL.
- A hemoglobin A1C greater than or equal to 6.5%.
What ABI is associated with PAD?
less than 0.9
What are the components of wells criteria?
active cancer, paralysis, recently bedridden or surgery, localized tenderness, entire leg swollen, calf swelling more than 3cm, pitting edema, collateral veins
-> if over 3 points, high prob.
What does the passive leg raise test indicate?
To differentiate between tight hamstrings and a sciatic nerve problem, raise the leg to the point of pain, lower slightly, then dorsiflex the foot. If there is no pain with dorsiflexion, the patient’s hamstrings are tight.
How is metabolic syndrome defined?
3 of the following: hypertriglyceridemia low HDL elevated fasting blood glucose excessive waist circumference hypertension
What test can be used in babies to detect peripheral msk disorders?
This reflex is elicited by an abrupt change in the infant’s head position and consists of two parts:
Symmetric abduction
Extension of the arms followed by adduction of the arms, sometimes with a cry.
The reflex is present at birth and disappears by age 4 months.
What might absent red reflex indicate?
Cataracts
Glaucoma
Retinoblastoma and
Chorioretinitis.
What test can be performed to look for neuroblastoma?
VMA/HVA measures metabolites of catecholamines,
On bone marrow aspiration, what would indicate neuroblastoma?
hyperchromatic nuceli, scant cytoplasm
What can throw off a BP reading?
Positioning (C) may influence BP readings, white coat syndrome
