Lab Final: Test C Flashcards
Mental Status: Sequencing Test
Rock paper scissors as fast as possible
Mental Status: Word Repetition Test
Patient repeats a word or sentence.
“Happier than a tick on a fat dog.”
Sensory Exam: Graphesthesia Test
Patients eyes closed, palm open, doctor draws #, shape, or letter in patients palm, tell patient which category it is and see if they can I.D. the symbol
Sensory Exam: Sharp vs. Dull
Patients eye’s closed, Dr. uses NEUROTIP to touch 5 points on each extremity alternating sharp/dull, patient identifies sensation.
Motor Exam: Passive Elbow Motion
Dr. moves elbow through: Flexion, Extension, Supination, Pronation
Motor Exam: Trapezius Muscle Test
“Shrug and hold while I push down, resist.”
Coordination & Gait: Patting Test
AKA?
AKA DIADOCHOKINESIA
Patients pats legs in alternating rhythm as fast as possible.
Coordination &; Gait: Forced Gait
Patient takes 6 steps on heels then 6 steps on toes. Stand close behind for support.
Superficial Reflex: Uvular Test
“Open wide and say ‘Ahh’” Use light to inspect uvula and a sterile wood stick if needed
response: raising of the uvula upon phonation
afferent: glossopharyngeal
integrating: medulla
efferent: vagus
Visceral Reflex: Direct Light Test
Patient covers nose w/ edge of hand, Dr. shines light into eye lateral to medial, ipsilateral pupil should constrict.
response: ipsilateral pupillary constriction when light is shined in eye
afferent: optic
integrating: midbrain
efferent: oculomotor
Deep Tendon Reflex: Patellar Test
Palpate for patella and strike w/ flat edge of hammer.
response: knee extension
nerve: femoral
integrating center: L234 spinal cord
Pathological Reflex: Glabella Test
AKA?
AKA McCarthy Test
Percuss supraorbital ridge
Normal to blink; pathological if clonus occurs.
C.N. Exam: A patient presents in your office with sharp stabbing pain on the right side of his face. He states that when he chews he feels weakness in the right side of his mouth.
- STATE APPROPRIATE C.N. TO BE TESTED.
- PERFORM ALL PROCEDURES & STATE ALL SENSORY, MOTOR AND INTEGRATION CENTERS FOR ANY REFLEX PERFORMED.
V: Trigeminal (Ophthalmic, Maxillary, & Mandibular)
- Clench teeth
- Pain discrimination
- Light touch to face
- Corneal reflex
- Light touch to ant 2/3 of tongue
- Oculocardiac Reflex
Nerve Root Eval: A patient complains of numbness on the back of the left calf and side of the left foot. He also states that when he tries to use the clutch in his car, his left foot doesn’t seem to be able to press very hard.
- STATE APPROPRIATE NERVE LEVEL
- STATE APPROPRIATE DISC LEVEL
- PERFORM RELATED MUSCLE TESTS (stating muscles & peripheral nerve innervations), DEEP TENDON REFLEX & SENSORY EXAM
Nerve Root: S1
Disc Lvl: L5
- Plantar Flexion = Gastrocnemius and Soleus (tibial n)
- Plantar flexion & Eversion = Peroneus longs and brevis (superficial peroneal n.)
- Hip Extension: Gluteus maximus (inferior gluteal n.)
- Reflex: Achilles
- Dermatome: L5,S1,S2 (Posterior aspect of leg, lateral foot, lateral aspect of little toe)
Ortho Exam: A patient complains of radiating pain down the posterior thigh and leg.
-STATE ; PERFORM AN APPROPRIATE ORTHO TEST TO EVALUATE THE PATIENT
Straight Leg Raiser
- Radiating pain &/or dull posterior thigh pain
- Pain occurring between 30 and 70 degrees = discogenic sciatic radiculopathy
- Pain beyond 70 deg = tight hamstrings
