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PCM Sadness > OSCE for all joints and upper respiratory > Flashcards

OSCE for all joints and upper respiratory Flashcards

(86 cards)

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1
Q

Log roll

A

+ pain

indicates central or peripheral pathology

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2
Q

C-sign

A

+patient makes a C just above the trochanter when you ask them where it hurts
indicates labral pathology (central)

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3
Q

Labral loading

A

+ pain when loading force added

indicates labral or cartilaginous pathology (central)

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4
Q

Labral distraction

A

+ pain gone when distracting force added

indicates labral or carilaginous pathology (central)

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5
Q

Scour

A

+ pain

indicates labral or articular cartilage pathology (central)

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6
Q

Apprehension FABER (1)

A

+pain apprehension

indicates labral pathology or impingement

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7
Q

Ely’s Test

A

+ipsilateral hip raises off table

indicates rectus femoris contracture (peripheral)

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8
Q

rectus femoris test

A

+knee flexion >90 degrees

indicates rectus femoris contracture (peripheral)

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9
Q

jump sign

A

+pain “jumping”

indicates trochanteric bursitis (lateral)

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10
Q

straight leg test

A

+pain past 15 degrees hip flexion
indicates IT band contracture
(pain less than 15 indicates lumbar disc etiology)

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11
Q

Ober’s test

A

+patient unable to adduct or has ratcheting while adducting hip
indicates IT band contracture (lateral)

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12
Q

piriformis test

A

+pain over posterior aspect of greater trochanter

indicates piriformis pathology (lateral)

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13
Q

trendelenburg

A

+inability to hold hips level

indicates gluteus medius weakness or superior gluteal nerve injury in leg you’re standing on (lateral)

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14
Q

Patricks FABER 2

A

+pain

indicates gluteus medius pathology (lateral)

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15
Q

Patricks FABER 3

A

+groin pain/weakness

indicates iliopsoas insufficiency (anterior)

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16
Q

psoas test

A

+pain/inability/snapping

indicates psoas contracture (anterior)

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17
Q

thomas test

A

+opposite leg raises off table, inability to fully extend

indicates hip flexor contracture (anterior)

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18
Q

Anterior drawer test (knee)

A

+anterior glide/laxity

ACL tear

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19
Q

Lachmans test

A

+anterior glide/laxity

ACL tear

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20
Q

posterior drawer/reverse lachman

A

+posterior glide/laxity

PCL tear

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21
Q

McMurrays

A

+pain/grinding

medial or lateral meniscus tear

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22
Q

Apleys grind test

A

+pain when compression force added

meniscus injury, collateral ligament injury, or both

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23
Q

Apleys Grind distraction test

A

+pain with distraction/rotation

collateral ligament damage

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24
Q

Patellar laxity/apprehension

A

+sense of apprehension/instability

previous patellar dislocation/instability

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25
Patellar compression (grind) test
+pain with compression | inflammation, chondromalacia, injury to patellofemoral articular surfaces
26
Patellar femoral grinding
+pain or crepitus | roughness of articulating surfaces like in chondromalacia
27
patellar glide test
+crepitus, pain, catching | damage to articular surface
28
Anterior drawer test (ankle)
+pain, no springing, laxity | +ATF ligament tear (lateral ankle sprain)
29
Talar tilt (inversion)
+laxity, increased ROM | Calcaneofibular ligament pathology (lateral ankle sprain)
30
eversion test
+laxity, pain | deltoid ligament pathology (medial ankle sprain
31
squeeze test
+pain | high ankle sprain
32
cross leg test
+pain | high ankle sprain
33
thompson test
+absence of plantar flexion | achilles tendon rupture
34
Homans sign
+pain with dorsal flexion | DVT
35
Moses sign
+pain with anterior compression | DVT of posteiror tibial vein
36
point tenderness over calcaneous
Plantar fasciitis (plantar aponeurosis inflammation)
37
Mortons neuroma
"like im walking on a marble"
38
Turf toe
inflammation and pain at base of 1st MTP
39
achilles tendonitis
heel pain with activity
40
apprehension test
+apprehension | GH instability
41
sulcus sign
+indentation appears beneath acromion | GH instability
42
Yergasons test
+pain or tendon subluxation | bicipital tendonitis
43
Speeds test
+pain in bicepital groove | bicepital tendonitis
44
empty can test
+pain/weakness | rotator cuff, mostly supraspinatus
45
drop arm test
+arm drops | full thickness tear of rotator cuff
46
Neer impingment
+pain | subacromial bursa or rotator cuff impingement
47
Hawkins
+pain | subacromial bursa or rotator cuff impingement
48
Lift off test
+weakness | subscapularis pathology
49
Apleys scratch test
decrease ROM | yeah
50
Valgus stress test (knee)
+laxity | MCL tear
51
Varus stress test (knee)
+laxity | LCL tear
52
Varus stress test (elbow)
+laxity | Sprained radial collateral ligament
53
Valgus stress test (elbow)
+laxity | sprained UCL
54
Tinel test (elbow)
+tingling in 4 and 5 digit | ulnar nerve entrapment
55
Golfers elbow test
+pain on medial epicondyle | medial epicondylitis
56
Tennis elbow test
+pain on lateral epicondyle | lateral epicondylitis
57
Olecranon bursitis
pain on olecranon
58
Little league elbow
most common elbow injury during childhood
59
nursemaids elbow
dislocation of radial head from annular ligament
60
"Ok sign"
+cannot make O with their fingers | anterior interosseous nerve damage
61
Tinel sign (wrist)
+pain when tapping on wrist | indicates carpal tunnel syndrome
62
Phalens sign
+pain when pressing wrists together in flexion for 60 seconds indicates carpal tunnel syndrome
63
Allen test
+hands do not reprofuse with blood after release indicates lack of dual blood supply to hand (contraindication for radial catheterization)
64
Finkelstein test
+pain with wrist adducting while holding thumb indicates dequervians tenosynovitis (adductor hallucis longus and extensor hallucis brevis
65
pain in snuffbox
scaphoid fracture
66
why is it important to diagnose and treat a scaphoid quickly
avascular necrosis can occur
67
Colles fracture
posterior displacement of radial head
68
Monteggia fracture
fracture to proximal ulna and dislocation of radial head
69
galeazzi fracture
distal radial fracture with dislocation of ulna
70
nightstick fracture
isolated fracture to midshaft of ulna from a direct blow
71
Weber test
normal=they hear tone equally on both sides | abnormal=sound lateralizes to one ear
72
Rinne test normal
AFTER Weber test check ear sound lateralized to Air conduction>bone conduction=that ear is normal indicating sensorineural loss in OPPOSITE ear
73
Rinne test abnormal
AFTER weber test check ear sound lateralized to | Bone conduction>air conduction=conductive hearing loss to that ear
74
Whisper test
normal:patient repeats sequence normally | negative indicates patient cant hear worth shit
75
What should you look for when looking into the nose with your otoscope?
``` inflamed turbinates mucosa color septal perforation foreign bodies ulcers/polyps ```
76
The turbinates are red and swollen with clear mucus, what could this be?
viral rhinitis
77
The turbinates are pale, blueish or red, what could this indicate?
allergies
78
what could septum deviation indicate?
drug use (cocaine)
79
Which sinus do you not need to worry about in someone younger than 7?
frontal sinus, not developed yet
80
Pain over the cheek bone under eyes indicates what?
maxillary sinitus
81
what are aphthous ulcers
cancer sores
82
what is chelitis
B12 or iron deficiency, red cracks in corners of mouth
83
what is gingivitis
swelling or ulceration of gums
84
What is a benign lump on the hard palate called?
torus palatinus
85
What does cobblestoning of the pharynx indicate?
sinus drainage down back of throat
86
What are the criteria for empiric antibiotic treatment of strep throat?
``` Age 1 for 3-13, 0 for 15-44, -1 for >45 Fever abscence of cough cervical adenopathy tonsillar exudate 4-5 of these do it, 2-3 do rapid strep test, 0-1 do nothing ```

PCM Sadness (2 decks)

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