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OSCE Revision > Neuro Lower Limbs Examination > Flashcards

Neuro Lower Limbs Examination Flashcards

1
Q

Neuro Lower Limb Examination

Order of Examination

A 
Observation
Tone
Clonus
Power
Coordination
Reflexes
Sensation
Gait
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2
Q

Neuro Lower Limb Examination

Observation what to look for?

A 
Scars
Fasiculations
Involuntary Movement
Muscle Atrophy
Skeletal Deformity
Tremor
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3
Q

Name 3 Types of Involuntary Movement in Neuro

A

Dystonia, Chorea, Ticks

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4
Q

Neuro Lower Limb Examination

Tone What to look for?

A

Normal
Hypotonia
Hypertonia

Hip Rotation
Hip + Knee Flexion

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5
Q

Neuro Lower Limb Examination

Clonus what to look for?

A

Ankle

Brisk sudden movement of ankle dorsiflexion

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6
Q

Neuro Lower Limb Examination

Power what to test?

A

Hip Flexion and Extend
Knee Flex and Extend
Ankle Dorsiflex and Plantarflex
Big Toe Extension

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7
Q

Neuro Lower Limb Examination

power: How to test Hip Flexion

A

Push thigh up against my hand

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8
Q

Neuro Lower Limb Examination

power: How to test Hip extension?

A

Push thigh down against my hand

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9
Q

Neuro Lower Limb Examination

power: How to test knee flexion

A

Bend knee and pull heel towards bottom

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10
Q

Neuro lower limb examination

power: How to test knee extension

A

Straighten knee (push me away

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11
Q

Neuro lower limb examination

power: how to test ankle

A

Pull foot towards them keeping knee straight for dorsiflexion

Push foot down against my hand (plantar flexion)

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12
Q

Neuro lower limb examination

power: how to test toe

A

pull big toe towards them

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13
Q

Neuro Lower Limb examination

How to test coordination

A

heel-shin test

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14
Q

Neuro lower limb examination

Which reflexes to test?

A

Knee Reflex

Ankle Reflex

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15
Q

Neuro Lower Limb Examination

How to test knee reflex?

A

Place forearm under knee and left leg off the bed, strike patellar tendon

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16
Q

Neuro lower limb examination

How to test ankle reflex?

A

Flex knee and rotate hip. Stretch achilles tendon

17
Q

Neuro lower limb examination

How to reinforce reflexes in lower limbs?

A

Interlock fingers and try to pull them apart. Strike the tendon just after patient pulls

18
Q

Neuro lower limb examination

How to test plantar response

A

Run blunt end of neurotic near heel up and across

19
Q

Neuro lower limb examination

How to test sensation

A

Light touch

Neurotip

20
Q

Neuro lower limb examination

Where to test sensation

A

Medial and Lateral foot
Medial and lateral shin
Medial, mid and lateral thigh

21
Q

Neuro lower limb examination

Which dermatomes does this cover

A

L2-5 and S1

22
Q

Neuro Lower limb examination

Any other sensation tests

A

Vibration on large toe
Joint Position on big toe
Romberg: stand up, close eyes

23
Q

Neuro lower limb examination

How to test gait

A 
Walking
Heel to toe
Rise from sit
Tip toes
Heels

OSCE Revision (25 decks)

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