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NMS II OSCE weeks > NMS I cervicals > Flashcards

NMS I cervicals Flashcards

1
Q

rust’s sign positive

A

pt holds neck up

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2
Q

rust’s sign meaning

A

instability

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3
Q

perform libman’s

A

push on mastoids

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4
Q

Libman’s positive

A

low threshold

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5
Q

Libman’s meaning

A

interpreting pain threshold

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6
Q

perform bakody’s

A

pt puts hand on head

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7
Q

bakody’s positive

A

pain disappears

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8
Q

bakody’s meaning

A

cervical NR compression

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9
Q

perform reverse bakody’s

A

pt puts hand on head

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10
Q

reverse bakody’s positive

A

pain

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11
Q

reverse bakody’s meaning

A

interscalene compression

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12
Q

perform bikele’s

A

abduct arm, extend arm posteriorly, extend elbow

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13
Q

bikele’s positive

A

pain

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14
Q

bikele’s meaning

A

meningitis

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15
Q

perform dejerine’s

A

pt coughs, sneezes, bears down

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16
Q

dejerine’s positive

A

pain

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17
Q

dejerine’s meaning

A

SOL

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18
Q

perform swallowing test

A

pt swallows water

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19
Q

swallowing test positive

A

pain or difficulty

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20
Q

swallowing test meaning

A

SOL

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21
Q

perform naffziger’s

A

put pressure on jugular veins for 30-40 seconds

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22
Q

naffziger’s positive

A

pain

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23
Q

naffziger’s meaning

A

NR compression, strain, sprain

24
Q

perform distraction test

A

pull up on head

25
Q

distraction test positive

A

relief of pain

26
Q

distraction test meaning

A

IVF encroachment, NR compression, facet

27
Q

perform foraminal compression

A

push on head when rotated

28
Q

foraminal compression positive

A

pain

29
Q

foraminal compression meaning

A

localized: foraminal encroachment
radiating: NR compression

30
Q

perform barre-lieou

A

pt rotates head side to side

31
Q

barre-lieou positive

A

dizziness, nauseam nystagmus, blurred vision, faintness, syncope

32
Q

barre-lieou meaning

A

VBAI

33
Q

perform vertebrobasilar functional maneuver

A

listen for bruits in carotid and subclavian arteries, then palpate if none

34
Q

vertebrobasiliar functional maneuver positive

A

bruit present

35
Q

vertebrobasiliar functional maneuver meaning

A

murmur

36
Q

perform dekleyn’s

A

head off table, rotate and hold on each side

37
Q

dekleyn’s positive

A

dizziness, nausea, nystagmus, blurred vision, faintness

38
Q

dekleyn’s meaning

A

VBAI

39
Q

perform lhermitte’s

A

flex head

40
Q

lhermitte’s positive

A

radiating sharp pain

41
Q

lhermitte’s meaning

A

cervical myelopathy

42
Q

perform o’donahue’s

A

active cervical ROM then resisted cervical ROM

43
Q

o’donahue’s positive

A

pain

44
Q

o’donahue’s meaning

A

active: strain
passive: sprain

45
Q

perform kernig

A

flex leg, extend leg

46
Q

kernig positive

A

pain, knee buckles

47
Q

kernig meaning

A

meningitis

48
Q

perform brudzinski

A

pt is laying down, flex head

49
Q

brudzinski positive

A

knees flex

50
Q

brudzinski meaning

A

meningitis

51
Q

perform shoulder depressor

A

laterally flex head and push down on shoulder

52
Q

shoulder depressor positive

A

pain

53
Q

shoulder depressor meaning

A

brachial plexitis, NR

54
Q

perform soto hall

A

hand on sternum and active flexion of head, then passive flexion of head

55
Q

soto hall positive

A

pain

56
Q

soto hall meaning

A

fx, subluxation, disc, sprain, strain

NMS II OSCE weeks (12 decks)

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