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

OSCE for all joints and upper respiratory Flashcards

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
Q

Patellar compression (grind) test

A

+pain with compression

inflammation, chondromalacia, injury to patellofemoral articular surfaces

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26
Q

Patellar femoral grinding

A

+pain or crepitus

roughness of articulating surfaces like in chondromalacia

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27
Q

patellar glide test

A

+crepitus, pain, catching

damage to articular surface

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28
Q

Anterior drawer test (ankle)

A

+pain, no springing, laxity

+ATF ligament tear (lateral ankle sprain)

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29
Q

Talar tilt (inversion)

A

+laxity, increased ROM

Calcaneofibular ligament pathology (lateral ankle sprain)

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30
Q

eversion test

A

+laxity, pain

deltoid ligament pathology (medial ankle sprain

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31
Q

squeeze test

A

+pain

high ankle sprain

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32
Q

cross leg test

A

+pain

high ankle sprain

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33
Q

thompson test

A

+absence of plantar flexion

achilles tendon rupture

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34
Q

Homans sign

A

+pain with dorsal flexion

DVT

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35
Q

Moses sign

A

+pain with anterior compression

DVT of posteiror tibial vein

36
Q

point tenderness over calcaneous

A

Plantar fasciitis (plantar aponeurosis inflammation)

37
Q

Mortons neuroma

A

“like im walking on a marble”

38
Q

Turf toe

A

inflammation and pain at base of 1st MTP

39
Q

achilles tendonitis

A

heel pain with activity

40
Q

apprehension test

A

+apprehension

GH instability

41
Q

sulcus sign

A

+indentation appears beneath acromion

GH instability

42
Q

Yergasons test

A

+pain or tendon subluxation

bicipital tendonitis

43
Q

Speeds test

A

+pain in bicepital groove

bicepital tendonitis

44
Q

empty can test

A

+pain/weakness

rotator cuff, mostly supraspinatus

45
Q

drop arm test

A

+arm drops

full thickness tear of rotator cuff

46
Q

Neer impingment

A

+pain

subacromial bursa or rotator cuff impingement

47
Q

Hawkins

A

+pain

subacromial bursa or rotator cuff impingement

48
Q

Lift off test

A

+weakness

subscapularis pathology

49
Q

Apleys scratch test

A

decrease ROM

yeah

50
Q

Valgus stress test (knee)

A

+laxity

MCL tear

51
Q

Varus stress test (knee)

A

+laxity

LCL tear

52
Q

Varus stress test (elbow)

A

+laxity

Sprained radial collateral ligament

53
Q

Valgus stress test (elbow)

A

+laxity

sprained UCL

54
Q

Tinel test (elbow)

A

+tingling in 4 and 5 digit

ulnar nerve entrapment

55
Q

Golfers elbow test

A

+pain on medial epicondyle

medial epicondylitis

56
Q

Tennis elbow test

A

+pain on lateral epicondyle

lateral epicondylitis

57
Q

Olecranon bursitis

A

pain on olecranon

58
Q

Little league elbow

A

most common elbow injury during childhood

59
Q

nursemaids elbow

A

dislocation of radial head from annular ligament

60
Q

“Ok sign”

A

+cannot make O with their fingers

anterior interosseous nerve damage

61
Q

Tinel sign (wrist)

A

+pain when tapping on wrist

indicates carpal tunnel syndrome

62
Q

Phalens sign

A

+pain when pressing wrists together in flexion for 60 seconds
indicates carpal tunnel syndrome

63
Q

Allen test

A

+hands do not reprofuse with blood after release
indicates lack of dual blood supply to hand
(contraindication for radial catheterization)

64
Q

Finkelstein test

A

+pain with wrist adducting while holding thumb
indicates dequervians tenosynovitis
(adductor hallucis longus and extensor hallucis brevis

65
Q

pain in snuffbox

A

scaphoid fracture

66
Q

why is it important to diagnose and treat a scaphoid quickly

A

avascular necrosis can occur

67
Q

Colles fracture

A

posterior displacement of radial head

68
Q

Monteggia fracture

A

fracture to proximal ulna and dislocation of radial head

69
Q

galeazzi fracture

A

distal radial fracture with dislocation of ulna

70
Q

nightstick fracture

A

isolated fracture to midshaft of ulna from a direct blow

71
Q

Weber test

A

normal=they hear tone equally on both sides

abnormal=sound lateralizes to one ear

72
Q

Rinne test normal

A

AFTER Weber test check ear sound lateralized to
Air conduction>bone conduction=that ear is normal
indicating sensorineural loss in OPPOSITE ear

73
Q

Rinne test abnormal

A

AFTER weber test check ear sound lateralized to

Bone conduction>air conduction=conductive hearing loss to that ear

74
Q

Whisper test

A

normal:patient repeats sequence normally

negative indicates patient cant hear worth shit

75
Q

What should you look for when looking into the nose with your otoscope?

A 
inflamed turbinates
mucosa color
septal perforation 
foreign bodies
ulcers/polyps
76
Q

The turbinates are red and swollen with clear mucus, what could this be?

A

viral rhinitis

77
Q

The turbinates are pale, blueish or red, what could this indicate?

A

allergies

78
Q

what could septum deviation indicate?

A

drug use (cocaine)

79
Q

Which sinus do you not need to worry about in someone younger than 7?

A

frontal sinus, not developed yet

80
Q

Pain over the cheek bone under eyes indicates what?

A

maxillary sinitus

81
Q

what are aphthous ulcers

A

cancer sores

82
Q

what is chelitis

A

B12 or iron deficiency, red cracks in corners of mouth

83
Q

what is gingivitis

A

swelling or ulceration of gums

84
Q

What is a benign lump on the hard palate called?

A

torus palatinus

85
Q

What does cobblestoning of the pharynx indicate?

A

sinus drainage down back of throat

86
Q

What are the criteria for empiric antibiotic treatment of strep throat?

A 
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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