Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCP > Lower limb neuro exam > Flashcards

Lower limb neuro exam Flashcards

1
Q

What’s the 1st step of the LL motor exam?

A

Prepare the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does “preparing the patient” involve? (3)

A

Explaining the exam
Asking if they have pain (and telling them to inform you if they do have pain)
Ensuring the legs are exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What will your phrase for explaining the exam be?

A

“I’ve been asked to take a look at your legs - your muscle control and reflexes, as well as sensation. You’ll need to remove your pants so I can see everything properly, is this okay?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What step comes after preparing the patient?

A

HAND HYGIENE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What step comes after hand hygiene?

A

Gait inspection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What step comes after gait?

A

Inspect the lower limbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the 3 components of inspecting the lower limbs?

A

Look at them while standing
Look at the lower back
Look at them while lying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What step comes after inspection?

A

Checking tone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the components of checking tone?

A

Tone at the knee

Tone at the ankle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What instruction will you give for testing tone?

A

“I’m going to lift up your leg now, please let them just hang loosely - I’ll take their weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What step comes after tone?

A

Power

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What actions will you test the power of?

A 
Hip F & E
Hip ab' and ad'
Knee F & E
Ankle dossi & plantar flexion
Foot inversion & eversion
Great toe extension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What phrase will you use for hip flexion?

A

“Lift your leg up… now try to keep it in that position”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What phrase will you use for hip extension?

A

“I’m going to grab under your heel…. don’t let me lift it up”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What phrase will you use for hip adduction?

A

“Now try to pull your knees together”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What phrase will you use for hip abduction?

A

“And try to push them apart”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What phrase will you use for knee flexion?

A

“Bend your knee, and try to pull your heel closer in to your bottom”

18
Q

What phrase will you use for knee extension?

A

“Now try to straighten your leg out”

19
Q

What phrase will you use for ankle dorsiflexion?

A

“Try to point your toes up to your face”

20
Q

What phrase will you use for ankle plantar flexion?

A

“Now try to point your toes down to the floor”

21
Q

What phrase will you use for inversion of the foot?

A

“I’m going to turn your foot in - can you keep it there?”

22
Q

What phrase will you use for eversion of the foot?

A

“Now I’m turning your foot outwards … try to keep it there”

23
Q

What phrase will you use for great toe extension?

A

“Now try to bring just your big toe up towards your face”

24
Q

What step comes after power?

A

Reflexes

25
Q

Which 3 reflexes do we test?

A

Knee
Ankle
Plantar (babinski)

26
Q

What step comes after reflexes?

A

Coordination

27
Q

What phrase will you say for coordination?

A

“Can you bring your foot up into the air and hold it there? Great, now bring your heel down to the knee of the other foot, and run your heel along your shin”

28
Q

Which what phrase will you introduce power?

A

I’m just going to take a look at your muscle strength, so I’m going to ask you to do a few different movements.

29
Q

The sensory exam phase comes after which step?

A

Coordination

30
Q

What’s the 1st step of the sensory exam?

A

Pain

31
Q

What will you do & say to introduce the pain part of the sensory exam?

A

Prick their chest, and say “this is sharp”, can you let me know if you can feel it again?

32
Q

Where are the 1st 3 places you prick? How do you find them?

A

Make a line from the mid-clavicular level of the inguinal canal, to the medial femoral condyle.

1/4 of the way is L1
1/2 of the way is L2

33
Q

Where do you prick L4?

A

Medial malleolus

34
Q

Where do you prick L3?

A

Medial femoral condyle above the knee

35
Q

Where do you prick L5?

A

Dorsum of the foot, at the 3rd metatarsal-phalangeal joint

36
Q

Where do you prick S1?

A

On the lateral aspect of the calcaneus

37
Q

Where do you prick S2?

A

At the middle of the popliteal fossa

38
Q

What step comes after pain sensation?

A

Light touch sensation

39
Q

What step comes after light touch (for us)?

A

Vibration sensation

40
Q

What does the vibration step involve?

A

Putting a tuning fork on the inter-phalangeal joint of the big toe

41
Q

What will your instructions be for the vibration step?

A

1st toe: Can you tell me what you feel?

2nd toe: Tell me when it stops

42
Q

What step comes after vibration?

A

Proprioception testing

PCP (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions