Lab positive findings and indications Flashcards

1
Q

Pulse rate below 50bpm

A

hypothyroidism

well trained athlete

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2
Q

Pulse rate above 90bpm

A
tachycardia: 
hyperthyroidism 
caffeine
nervousness
exercise 
hypertension 
illness 
injury
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3
Q

Pulse missing on one side

A

stenosis
blocked artery
TOS

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4
Q

cause of increase arrhythmia

A
fever
exercise
hypothyroidism 
anemia 
aortic regrgitation 
arteriosclerosis
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5
Q

cause of decrease arrhythmia

A

hypervolemia
heart failure
aortic stenosis
atherosclerosis

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6
Q

Respiratory Rate less than 14 rpm

A
bradypnea: 
old age 
well trained athlete
diabeteic coma 
increase intracranial pressure 
drugs
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7
Q

Respiratory rate higher than 20 rpm

A
tachypnea: 
hyperthermia 
anxiety 
restrictive lung disease (COPD) 
elevated diaphragm
 pleurisy 
exercise
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8
Q

temp lower than 96.4F

A
hypothermia: 
cold drink
old age
slow metabolism 
nutritional deficiency 
hypothyroidism 
hypoglycemia
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9
Q

Temp higher than 99.1

A
pyrexia: 
emotion 
infection 
exercise 
hot drink
trauma 
acute immune disorder
hyperthyroidism
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10
Q

140-159 systolic , 90-99diastolic BP

A
Stage 1 hypertension:
obesity 
high viscosity 
type II diabetes 
high cholesterol 
atherosclerosis 

(same for stage 2 hypertension)

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11
Q

hypotension

A

hypothyroidism
thin/ small person
hypothermia
medication

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12
Q

Indications for confrontation test

A
CNII Optic N : blind spots
scotoma 
diminished peripheral vision 
glaucoma 
macular degeneration 
MS 
CN 2 lesion 
retinal disorder
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13
Q

Cardinal fields of gaze

A

tests: CN 3,4, 6
Nystagmus
Strabissmus

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14
Q

Accomodation Test

A

Tests: Oculomotor- Medial Rectus M
lesion in the oculomotor
medial rectus

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15
Q

Pupilary Light Reflex

A

CN2, CN3, EWN:

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16
Q

Levator Palpebrae Superioris

A

Tests: CN3, Oculomotor

Grade 1-5- weakness is a oculomotor N lesion

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17
Q

Corneal Reflex

A

Testing : Opthalmic Division, Facial (orbicularis Oculi)

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18
Q

Ophthalmoscopy

A

Inspecting: fovea , art. and retinal integrity
Neg red reflex- cataracts
av nicking- retinopathy
papilledema - incr intracranial pressure
incr cup:disc- glaucoma
macular degeneration - old age
cotton wool patches- diabetes

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19
Q

gross hearing

A

test: CN 8 cochlear

hearing loss

20
Q

Webers

A

conductive loss: (lateralize to)
wax
otitis media
tympanic membrane rupture

sensory loss: 
presbycusis 
excessive loud noise 
cochlear damage 
otitis interna
21
Q

Renee’s test

22
Q

Otoscope

A

absence of cone of light: incracranial pressure
redness: otoitis media
bony exostoses: swimmers ear
perforated tympanic membrane : sharp object in ear
amber fluid: serous effusion
large chalky white patch: tympanosclerosis

23
Q

Active infection lymph

A

soft
enlarged
warm
tender

24
Q

past infection

A

not warm
not tender
enlarged

25
Malignancy
hard fixed non tender not warm
26
lymphoma
rubbery warm non tender larger
27
`gag reflex
test: glossopharyngeal & Vagus bilateral no response- glossopharyngeal asymmetrical elevation - vagus one side no response - vagus
28
vernet rideau
Testing Vagus "aaahh" | Vagus lesion - herpes, leukopenia
29
rhinoscopy
redness - inflammation blue mm- allergies deviated septum - trauma perforated septum- drugs
30
sinus transillumination
line dim - infection warmth, tenderness, swelling- sinus infection, bact, virus, sinusitis, congestion absence of red glow- sinusitis, tumor, thickened mucosa
31
Motor to CN 5
Bite test test masseter/ ptergoid by opening jaw & resist (+) grade 1-5, cant bite down
32
sensory to CN 5
Anesthesia , CN 5 lesion | hyperesthesia
33
CN facial M
muscles of facial expression : damage to facial N bells palsy
34
Hypoglossal N
stick out tongue - lesion on side tongue deviates to | Muscle test - lesion on weak side
35
Myotome- peripheral N : C5
Bicep- musculocutaneous | Delt- axillary
36
Myotome- peripheral N : C6
brachiradialis- radial | wrist ext- radial
37
Myotome- peripheral N : C7
Tricep- radial wrist flex- median finger ext- radial
38
Myotome- peripheral N : C8
Finger flexors- median
39
Myotome- peripheral N : T1
palmer and dorsal interossei: ulnar ????
40
Myotome- peripheral N : L1/2
iliopsoas: Femoral
41
Myotome- peripheral N : L3
quads- femoral N
42
Myotome- peripheral N : L4
tib anterior- deep peroneal
43
Myotome- peripheral N : L5
ext hallicus loongus- deep peroneal ext digitorum brevis and longus - superficial peroneal glut med- superior glut
44
Myotome- peripheral N : S1
Peroneus longus and brevis - Superficial peroneal
45
___N for dorsal side of the palm, ____ N for ventral side of the palm
dorsal: radial N Ventral: median N
46
positive findings for deratome
anesthesia - hypoanesthia : hyposensntive , hypoalgesia peripheral neuropathy spinal radiculopathy unilateral: spinal radiculopathy
47
3-5 on the wexler scale will be a ___ tract lesion
corticospinal tract lesion (UMN)