Lab Final: Test D Flashcards
Mental Status: Object Naming Test
Patient identifies 3 objects Dr. points to.
Mental Status: Recent Memory Test
“Remember these 3 words, I will ask you what they are in 5 mins”
E.x. Firetruck, pencil, blue
Sensory Exam: Romberg Test
Patient stands feet shoulder width apart w/ eyes closed, Dr. close to support. Swaying bad.
Sensory Exam: Point Localization Test
AKA?
AKA Topognosis
Eye’s closed, point to where I touch you w/ dull end of neurotip. 5 points per extremity.
Motor Exam: Passive Knee Motion
Patient lies on their side: Knee Flexion, Extension, Internal &; External Rotation.
Motor Exam: Muscle Test Finger Flexion
Palm up, Dr. tries to extend finger, patient resists.
Coordination &; Gait: Tandem Gait
DUI style, one foot in-front of the other, Dr. walks w/ patient.
Coordination & Gait: Patting Test
AKA?
AKA Diadochokinesia
Rapid rhythmic alternating alternating patting on their own lap. As fast as possible.
Superficial Reflex: Plantar Test
Stiff stroke to sole of patients feet w/ handle of Hammer. Start at heels, lateral to medial.
response: plantar flexion (curling) of toes upon stroking sole of foot
afferent: tibial
integrating: spinal cord S1,2
efferent: tibial n
Visceral Reflex: Occulocardiac Test
NO CONTACTS. Establish pulse, use thumb to add slight pressure on closed eyes.
response: reduction in HR when examiner presses eye
afferent: trigeminal
integration: medulla
efferent: vagus
Deep Tendon Reflex: Triceps Test
Flat side of hammer to back of elbow.
response: elbow extension
N: radial
integrating: C7 spinal cord
Pathological: Ankle Clonus
Dr. dorsiflexes patients foot quickly and releases. Support back of calf w/ other hand.
Cranial Exam: A patient presents in your office with complaint of eye pain in bright light. He states that his peripheral vision seems to be decreased.
- STATE THE APPROPRIATE C.N. TO BE TESTED.
- PERFORM ALL PROCEDURES AND STATE ALL SENSORY, MOTOR, AND INTEGRATION CENTER FOR ANY REFLEX PERFORMED.
Optic nerve ( CN II )
- inspect external structures of eye
- inspect optic fundi w ophthalmoscope
- test visual acuity
- confrontation test
- direct light reflex
- indirect light reflex
- accommodation reflex
Nerve Root Eval: A patient complains of left shoulder pain. He thinks it my be related to the weakness he has been experiencing in his left arm when he does curls in the gym.
- STATE APPROPRIATE NERVE ROOT LEVEL.
- STATE APPROPRIATE DISC LEVEL.
- PERFORM RELATED MUSCLE TESTS (state muscles and innervations), DEEP TENDON REFLEX & SENSORY EXAM.
Nerve root: C5
Disc level: C4
Muscle test: Shoulder abduction: Deltoid (Axillary N.)
Forearm flexion: Biceps (Musculocutaneous N.)
Reflex: Biceps (point of hammer on Dr.’s thumb)
Sensory: C4, C5, C6: Nape of neck, lateral arm, lateral forearm and first two fingers.
Ortho Exam: A patient complains of tinging in the hands while working overhead
- STATE & PERFORM AN APPROPRIATE ORTHO TEST TO TEST THE SCALENE TRIANGLE.
Adson Test
Patient seated, elbows extended at side. Find Radial pulse, slightly abduct affected arm and past midline, patient takes deep breath; holds, rotate head towards Dr. ; elevate chin (negative rotate head to opposite side)
Pain &/or paresthesia, decreased or absent pulse, pallor.
Compression of neuromuscular bundle by scalenus anticus or cervical rib.
