Final Review Flashcards
Normal Hemoglobin
12-18 g/dl
Normal hematocrit
37-52%
Normal WBC
4500-11000 uL
Normal Platelets
150,000 to 450,000
Normal blood glucose
80-120 mg/dL
normal fasting glucose
70-110 mg/dl
Facial contour of the eye/mouth is what nerve?
CN 7
Facial contour of the cheeks is what nerve
CN 5
Which cranial nerve does phonation?
10
What cranial nerve does mastication
CN 5
What cranial nerve does eye lid elevation
CN 3
What 2 CN control the gag reflex
9 and 10
How long do you hold the end range of cervical ROM?
10-30 seconds… look for dizziness dysarthria dysphasia nausea or any other sensory issues
How long do you maintain pressure for cervical compression/distraction
5-8 seconds
How do you grade a normal reflex?
2+
What do you grade non sustained clonus on a reflex test
4+
What is the correct order of movement of the upper limb tension test for MEDIAN nerve
Shoulder depression
GH abduction
Wrist/finger ext
Forearm supination
ER
Elbow extension
Contralateral side bending
What are positive findings of the upper limb tension test
Differences between elbow ROM
Reproduction of neurological symptoms w/ distant component
Different symptoms between extremities
What is considered a normal pulse?
3
What are the 4 places of axillary lymph nodes
Anterior axillary wall Posterior to pec major
Lateral axillary wall On shaft of humerus
Posterior axillary wall Anterior to teres minor and lat
Medial axillary wall
What dermatome is the arm and axilla?
T2
What dermatome is the nipple line
T5
what dermatome is the xiphoid process
t8
What dermatome is the umbilicus
T10
What dermatome is the inguinal area
L1
When using the thoracolumbar compression test
What should they feel w/ compression?
Distraction?
Compression = provocation
Distraction = relief
Note: do compression first
Where should you cue the patient when assessing thoracic ROM
at T12
T or F: T12 is at the level of where you can feel the sides of someone’s ribs
F, she said since the ribs go downward that’s actually around L2
What kind of movement do the upper ribs have? T1-T6
Pump handle
What kind of movement do the ribs at T7-T10 have?
Bucket handle
What kind of movement do the bottom 2 ribs have
Caliper
What direction do you move the stimulus for the abdominal reflex
Counterclockwise through 4 quadrant
Note: patient should have the reflex if they’re normal
When testing the abdominal reflex
The upper quadrants are what nerve levels?
Lower quadrants?
Upper: T7-T9
Lower: T10-T12
When doing the slump test, where would the patient feel dural tightness vs neural tightness
Dural tightness: in lower back
Neural tightness: in leg
What position does a patient need to be in to do abdominal palpation
Supine w/ knees flexed and muscles relaxed
How wide should the normal aortic pulse be?
2-3cm or 2 fingers in width
3cm or more is abnormal
If you (a PT) suspect signs of AAA, is this urgent or emergent?
Urgent, they can go to the doctor themselves as it likely is not going to immediately kill them
What if the patient has signs of an AAA and shows signs of a bursted aneurysm (searing pain)
Call the ambulance (emergency)
When palpating the aortic pulse, if pain is provoked what should we do
Call physician for possible inspection of AAA
What is tested with mcburney’s point, where is it?
Appendicitis
Lower right quadrant
What quadrant is stomach and spleen found in?
L UQ
What quadrant is the liver found in?
R UQ
What quadrant is the gallbladder and duodenum found in?
R UQ
What quadrant and the kidneys found in?
both upper quadrants
What quadrant are the ovaries found in?
Both lower quadrants
What quadrants are the spermatic cords found in?
Both lower quadrants
What quadrants are the colon found in?
R UQ
L UQ
R LQ
What quadrant is the cecum found in?
R LQ
What should you do if you hear absence of breath sounds on one side and the patient complains of shortness of breath
Call ambulance
Pneumothorax
When should you auscultate a patient on a thoracic scan?
If you suspect pulmonary problem only
How many points do you need to auscultate on each side of the body for a thoracic exam?
3 points on the L front
3 points on the R front
3 points on the L back
3 points on the R back
No exercise if hemoglobin is under ____
8 g/dl but ADLs are ok
Normal: 12-18
No exercise if hematocrit under…
25%
Normal is 37-52
Basic ADLs still ok
WBC under _____ = no exercise AND PT wears as mask and so does the patient
Under 1000
Normal is 4500-11000
Platelets under ______ = no exercise
ADLs still ok
Under 20,000
Normal is 150k-450k
When should you give the patient a carb snack!
When do they need an insulin dose
What level will cause HA confusion nausea and rapid pulse
70
180-200
400+
