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NMS practical > OSCE 2- tests > Flashcards

OSCE 2- tests Flashcards

1
Q

Rust’s sign procedure

A

patient spontaneously grasps the head with both hands when lying down or when rising from a recumbent position

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2
Q

Rust’s sign indicates…

A

severe sprain
RA
fracture
severe cervical subluxation

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3
Q

Libmann’s test procedure

A

examiner applies thumb pressure to the mastoid process and gradually increases the pressure until the patient states that it is becoming noticably uncomfortable

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4
Q

Libmann’s test reporting statement

A

unusually low, high or normal threshold for pain in the patient, useful for interpretation of palpation findings later in the exam

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5
Q

Bakody sign procedure

A

patient in a seated position and will place the hand of the affected extremity on top of their head, raising the elbow to the level of the ear

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6
Q

Findings of Bakody sign

A

nerve root irritation

not the location of the pain; it will help to identify the etiology of the pain

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7
Q

Reverse Bakody sign findings

A

pain of the patient’s chief complaint is exacerbated

indicates TOS from interscalene compression

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8
Q

negative Bakody sign findings

A

patient experiences no change in pain or there is no pain complaint in the neck and/or upper arm

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9
Q

clinical indications of negative Bakody sign

A

differentiate a NR encroachment from a TOS

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10
Q

Bikele’s sign procedure

A

abduct shoulder to 90 degrees and then elbow is put into full extension

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11
Q

purpose of Bikele’s sign

A

patient is being placed in a position that will traction the brachial plexus and its nerve roots

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12
Q

function of Bikele’s sign

A

stressing the brachial plexus

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13
Q

findings of Bikele’s sign

A

pain is radicular in nature and goes into the arm

note location of pain, it will help identify the etiology of the pain

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14
Q

brachial plexus tension test procedure

A

paitent is asked to abduct both shoulders to 90 degrees and place the hands behind head. doctor pulls elbows back

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15
Q

findings of brachial plexus tension test

A

pain is radicular in nature and goes into the arm

note the location of the apin; it will help to identify the etiology of the pain

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16
Q

Dejerine’s sign procedure

A

coughing, sneezing and straining during defecation may cause aggrevation of radiculitis symptoms

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17
Q

Dejerine’s sign findings

A

indicates herniated or protruding IVD, spinal cord tumor (SOL) or spinal compression fracture

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18
Q

Epigastric reflex segmental innervation

A

T5-7

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19
Q

epigastric reflex peripheral nerve

A

intercostal

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20
Q

epigastric reflex procedure

A

stimulate from sternum toward the umbilicus

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21
Q

epigastric reflex response and indications

A

contraction of upper abdominal muscles

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22
Q

upper abdominal reflex segmental innervation

A

T7-9

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23
Q

upper abdominal reflex peripheral nerve

A

intercostal nerve

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24
Q

upper abdominal procedure

A

stimulate the upper abdominal muscles by starting in the upper quadrant corners and go down toward the umbilicus

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25
Q

upper abdominal response

A

contraction of upper abdominals

move umbilicus up and out

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26
Q

middle abdominal segmental innervation

A

T9-11

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27
Q

middle abdominal peripheral nerve

A

intercostal

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28
Q

middle abdominal procedure

A

start in outer middle quadrants and go toward the umbilicus

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29
Q

middle abdominal response

A

contraction of teh middle abdominals

move umbilicus laterally

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30
Q

lower abdominal segmental innervation

A

T11-12

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31
Q

lower abdominal peripheral nerve

A

intercostal
iliohypogastric
ilioinguinal

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32
Q

lower abdominal procedure

A

start in outer lower quadrant and go up toward umbilicus

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33
Q

lower abdominal response

A

contraction of lower abdominals

move umbilicus down and out

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34
Q

cremasteric segmental innervation

A

L1-2

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35
Q

cremasteric peripheral nerve

A

ilioinguinal

genitofemoral

36
Q

cremasteric procedure

A

stroke inner thigh from above down direction

37
Q

cremasteric sign

A

ipsilateral elevation of the testicle

may be absent in lederly or hydrocele and varicocele

38
Q

gluteal segmental innervation

A

L4-S2

39
Q

gluteal peripheral innervation

A

ingerior gluteal

40
Q

gluteal procedure

A

stroke skin over gluteus maximus

41
Q

gluteal response

A

contraction of gluteal muscle

42
Q

plantar segmental innervation

A

L4-S2

43
Q

plantal peripheral nerve innervation

A

tibial

44
Q

plantar procedure

A

stroke plantar surface of the food from the heel to metatarsals to the big toe

45
Q

plantar response

A 
normal= plantal flexion of toes and feet
abnormal= dorsiflexion of great toe and flaring of other toes
46
Q

anal segmental innervation

A

S2-5

47
Q

anal peripheral nerve innervation

A

inferior hemorrhoid

48
Q

anal procedure

A

stroke skin of perianal area

49
Q

anal response

A

contraction of external sphincter

50
Q

hoffmann sign segmental level

A

lesion above C5 in corticospinal tract

51
Q

hoffmann sign procedure

A

sharp forcible flick of doctor’s thumb against the patient’s middle finger

52
Q

hoffmann sign response

A

flexion of fingers and adduction of the thumb UMNL

53
Q

Tromner sign segmental level

A

lesion above C5 in corticospinal tract

54
Q

rossolimo sign segmental level

A

corticospinal tract

55
Q

rossolimo sign procedure

A

tap the ball fo teh foot or tap the tips of the toes

56
Q

rossolimo sign response

A

plantar flexion of toes UMNL

ONLY ONE THAT PLANTAR FLEXES

57
Q

babinski sign segmental level

A

corticospinal tract

58
Q

babinski sign procedure

A

stroke plantar foot from heel to metatarrsal to big toe

59
Q

babinski sign response

A 
normal= plantar flexion
abnormal= dorsiflexion of great toe and flaring of the other toes UMNL
60
Q

tromner sign procedure

A

tap volar surface of the middle finger

61
Q

tromner sign response

A

flexion of fingers and adduction of the humb UMNL

62
Q

chaddock sign segmental level

A

corticospinal tract

63
Q

chaddock sign procedure

A

stroke lateral malleolus from heel to toe

64
Q

chaddock sign response

A 
normal= no motion
abnormal= dorsiflexion of great toe and flaring of the other toes UMNL
65
Q

oppenheim sign segmental level

A

corticospinal tract

66
Q

oppenheim sign procedure

A

stroke anterior tibial surface from superior to inferior

67
Q

oppenheim response

A

normal- no motion

abnromal- dorsiflexion of great toe and flaring of the other toes

68
Q

gordon sign segmentla level

A

corticospinal tract

69
Q

gordon sign procedure

A

squeeze the calf

gastrocnemius

70
Q

gordon sign response

A

normal- no motion

abnormal- dorsiflexion fo great toe and flaring of the other toes UMNL

71
Q

schafer sign segmental level

A

corticospinal tract

72
Q

schafer sign procedure

A

squeeze achilles

73
Q

schafer sign response

A

normal-no motion

abnormal- dorsiflexion of great toe and flaring of the other toes UMNL

74
Q

ciliospinal reflex segmental level

A

afferent: cervicals and CN V
efferent: cervical sympathetics

75
Q

ciliospinal reflex procedure

A

painful stimulation to the skin of the neck

76
Q

ciliospinal reflex response and indications

A

dilation of the pupil on the painful side of stimulation. if absent, may be lesion of the cervical sympathetics

77
Q

oculocardiac reflex segmental level

A

afferent: CN V
efferent: CN X

78
Q

oculocardiac relfex procedure

A

thumb pressure on eyeballs

79
Q

oculocardiac reflex response

A

decrease in heart rate and fall in blood pressure

80
Q

carotid sinus relfex segmental level

A

afferent: CN V
efferent: CN X

81
Q

carotid sinus reflex procedure

A

pressure on carotid sinus (unilateral or bilateral)

82
Q

carotid sinus reflex response

A

decrease in heart rate and a fall in blood pressure

83
Q

bulbocavernosus reflex segmental level

A

S3-4

84
Q

bulbocavernosus relfex procedure

A

stroke, prick, pinch the dorsum of the glans of the penis

85
Q

bulbocavernosus reflex response

A

contraction of the bulbocevernosus muscle and urethral constriction
contraction of external anal sphincter

NMS practical (18 decks)

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