Lab Final: Test G Flashcards
Mental Status: Calculation Test
3 + 3 - 2
Mental Status: Recent Memory Test
Ask patient to recall three items after five minutes.
Firetruck, pencil, shoes.
Sensory Exam: Extinction Test
Touch patient on each side individually, then same side bilaterally.
Side of no feeling = extinct.
Sensory Exam: Light Touch
“Say ‘Now’ when you feel something.”
Touch 5 points per extremity with cotton swab or brush.
Motor Exam: Passive Wrist Motion
Flexion, Extension, Ulnar/Radial Deviation
Motor Exam: Gastrocnemius Muscle Test
“Dorsiflex foot, I’m going to push your foot down, resist.”
Coordination & Gait: Heel Shin
Run heel from knee to foot on one side with opposite foot
Coordination & Gait: Tandem Gait
DUI style. stand close to support patient
Superficial Reflex: Plantar Test
lateral to medial on forefoot starting at heels… toes should curl
response: plantar flexion (curling) of toes upon stroking sole of foot
afferent: tibial
integrating: S1,2 spinal cord
efferent: tibial n
Visceral Reflex: Direct Light
Patient knife edges nose, light 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: Biceps
Point of hammer on Dr.’s thumb.
response: elbow flexion
nerve: musculocutaneous
integrating: C5 spinal cord
Pathological: Hoffman
Flick tip of index finger into extension and release
C.N. Exam: A patient presents with a complaint of difficulty turning his head to the left. He states that his right shoulder feels weak as well. When he speaks he seems to have difficulty speaking. When asked about his speaking, he states that lately he has had difficulty blowing bubbles with bubble gum and seems to bite his tongue a lot.
- STATE THE APPROPRIATE C.N.’S TO BE TESTED
- PERFORM ALL PROCEDURES FOR C.N.’S & STATE ALL SENSORY, MOTOR, & INTEGRATION CENTERS FOR ANY REFLEXES PERFORMED
(XI) Spinal Accessory & (XII) Hypoglossal
- Traps: Inspect, palpate, muscle test (Shrug shoulder, doc lowers)
- SCM: Inspect, palpate, muscle test (Ask patient to rotate head & hold, doc returns to neutral)
(XII) Hypoglossal
- Inspect tongue for: Atrophy, Fasciculation, Deviation.
- Tongue and cheek test
Nerve Root Eval: A patient presents in your office with right medial elbow tingling. By profession he is a concert pianist and has noticed that he seems weaker in his reach between keys while playing
- STATE THE APPROPRIATE NERVE ROOT & DISK LEVEL
- PERFORM THE RELATED MUSCLE TESTS (stating muscles and peripheral nerve innervations), DEEP TENDON REFLEX & SENSORY EXAM.
Nerve Root: T1
Disc Level: T1
Finger Abduction: Dorsal Interossei (Ulnar Nerve)
Finger Adduction: Palmer Interossei (Ulnar Nerve)
No reflex
C8, T1, T2: Distal - medial forearm & digits 4-5, medial elbow, & midarm to axilla
Ortho Exam: A patient has pain in posterior thigh.
- STATE & PERFORM AN APPROPRIATE ORTHO TEST TO EVALUATE PIRIFORMIS SYNDROME.
Bonnet Sign
Patient supine, Dr. strongly internally rotates and adducts leg across midline then perform SLR.
Pain in posterior thigh or leg.
Immediate pain is sciatic neuropathy from piriformis syndrome.
