OSCE 2- tests (3)

Question 1

allen’s test procedure

Answer 1

patient is in a seated position with forearms resting on thighs, palms up. patient opens and closes the hands 5 times and maintaining a tight fist after 5. doctor occludes radial and ulnar artery just proximal to the wrist, patient opens up hand, then doctor lets one artery go at a time. watch color come back to hands

Question 2

allen’s test purpose

Answer 2

test patency of the upper extremity arterial system

Question 3

function of allen’s test

Answer 3

occlude vascular flow to the hand in order to observe the filling time required by each vessel

Question 4

findings of allen’s test

Answer 4

delayed color return indicates partial blockage

no color return= complete blockage of artery

Question 5

adson’s test procedure

Answer 5

patient seated
doctor palpates radial pulse. maintain palpation while slightly abducting and externally rotating the patient’s arm
patient rotates head to side being tested
extend the neck as far as possible
take a deep breath and hold for 10 seconds

Question 6

purpose of adson’s test

Answer 6

test for neurovascular compression of subclavian artery and/or brachial plexus

Question 7

function of adson’s test

Answer 7

hypertrophy of scalenus anticus or a cervical rib

Question 8

findings of adson’s test

Answer 8

positive if there is paresthesia or a decrease in amplitude of the radial pulse

Question 9

modified adson’s test

Answer 9

doctor palpates the radial pulse, doctor slightly abducts and externally rotates patient’s arm
patient turns head away from tested area, extend back and hold breath for 10 seconds

Question 10

purpose of modified adson’s

Answer 10

test for neurovascular compression of subclavian artery or brachial plexus

Question 11

function of modified adson’s

Answer 11

test for hypertrophy of scalenus medius or cervical rib

Question 12

findings of modified adson’s

Answer 12

positive if there is paresthesia or a decrease in amplitude of the radial pulse

Question 13

halstead’s test procedure

Answer 13

patient seated, arms at side doctor palpates radial pulse
maintain palpation while pulling downward on affe ted arm while patient hyperextends the neck
hold breath for 10 seconds

Question 14

purpose of halstead’s test

Answer 14

neurovascular compression of subclavian artery and brachial plexus

Question 15

function of halstead’s test

Answer 15

scalenus medius muscle hypertrophy or cervical rib

Question 16

findings of halstead’s test

Answer 16

positive if paresthesia or decrease in amplitude of radial pulse

Question 17

allen’s maneuver procedure

Answer 17

doctor abducts shoulder 90 degrees and flexes patient’s elbow for 90 degrees then shoulder is externally rotated
palpate radial pulse

Question 18

clinical indication of allen’s maneuver

Answer 18

disappearance of pulse indicates a positive test result for TOS

Question 19

roo’s test/hands up test/hostage test procedure

Answer 19

patient’s arms are elevated 90 degrees and elbows are flexes 90 degrees, shoulders externally rotated
patient closes fists for 3 minutes

Question 20

roo’s test/hands up test/hostage test

Answer 20

stresses TOS

Question 21

findings of roo’s/hands up/hostage test

Answer 21

tingling or paresthesia in forearm and hand

Question 22

wright’s test/hyperabduction test procedure

Answer 22

patient seated with arms at side. doctor stands to side or behind favoring the side being tested. doctor palpates radial pulse, arm is abducted 180 degrees passively, note how long it takes for radial pulse to disappear. do both sides

Question 23

function of wright’s test/hyperabduction test

Answer 23

compresses axillary artery under pectoralis muscle

Question 24

findings of wright’s/hyperabduction test

Answer 24

if one arm’s pulse goes away faster than the other, then it is positive

Question 25

costoclavicular/eden’s test procedure

Answer 25

patient in seated position with arms resting on thighs and palms facing up
palpate radial pulse, patient actively draws shoulders down and back, chin to ches and hold breath for 10 seconds

Question 26

purpose of costoclavicular/eden’s test

Answer 26

narrow space bewteen the clavicae and the first rib, thus compressing the neurovascular tissues of the sublclavian artery, vein and brachial plexus

Question 27

function of costoclavicular/eden’s test

Answer 27

narrowing could be caused by...
poor posture
cervical rib
bone tumor
poorly united fracture of the clavicle

Question 28

findings of costoclavicular/eden’s test

Answer 28

positive=
cessation or dampening of radial pulse
ischemic color changes
paresthesia
radicular pain in upper limb