PCM Stuff Flashcards

1
Q

Patellar Reflex tests nerve root

A

L4

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2
Q

achilles reflex tests nerve root

A

S1

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3
Q

Biceps reflex tests nerve root

A

C5

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4
Q

brachioradialis reflex tests nerve root

A

C6

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5
Q

triceps reflex tests nerve root

A

C7

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6
Q

0+ reflex

A

absent reflex

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7
Q

1+ reflex

A

somewhat diminished, low normal

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8
Q

2+ reflex

A

average, noraml

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9
Q

3+ reflex

A

brisker than average, possibly disease, not necessarily

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10
Q

4+ reflex

A

very brisk, hyperactive, with clonus

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11
Q

0/5 strength

A

no muscle contraction

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12
Q

1/5 strength

A

barely detectable contraction

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13
Q

2/5 strength

A

active movement with gravity eliminated

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14
Q

3/5 strenght

A

active movement against gravity

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15
Q

4/5 strength

A

avtive movement against gravity and some resistance

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16
Q

5/5 strenght

A

active movement against full resistance without evidence of fatigue (normal)

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17
Q

top of shoulder

A

C4

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18
Q

radial aspect of forearm

A

C6

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19
Q

fifth digit

A

C8

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20
Q

nipple line

A

T4

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21
Q

Ubilicus

A

T10

G

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22
Q

Great Toe

A

L5

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23
Q

Posterolateral calf, little toe

A

S1

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24
Q

capillary refill is normal when blood returns in

A

2-3 seconds or less

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25
Q

0 pulses

A

absent, not palpable

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26
Q

+1 pulses

A

diminished, barely palpable

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27
Q

+2 pulses

A

average, normal

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28
Q

+3 pulses

A

strong, increased

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29
Q

+4 pulses

A

bounding

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30
Q

examine for edema by pressing for 5 seconds over

A

dorsum of foot
anterior tibia
behind medial maleolus

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31
Q

0 edema

A

absent

32
Q

1+ edema

A

barely detectable, 2mm pitting

33
Q

2+ edema

A

slight, 4mm pitting for 10-15s

34
Q

3+ edema

A

deeper, 6mm for >1min

35
Q

4+ edema

A

very deep, 8mm for 2-5 min

36
Q

aprehension test

A

+test is apprehensive of dislocation

indicates glenohumeral dislocation

elbow flexed, shoulder externally rotated, linkage blocked and shoulder pushed posteriorly. “apprehension” is noted when pt is like, Ah no my arm!

37
Q

empty can test

A

+ test: pain or weakness

indicates rotator cuff path (specially supraspinatus)

arms are held to the side and a bit infront with hands positioned liked they are empyting cans and then doc presses down will pt resists with forearms

38
Q

painful arc test

A

+ test with pain between 60-120’ of shoulder abduction

indicates subacromial impinfement and/or rotator cuff injury

39
Q

neer impigement

A

+ test: pain

indicates subacromial bursa or rotator cuff impingement

40
Q

hawkins test

A

+ test: pain

indicates: rotator cuff or subacromial bursa impingement

41
Q

cross arm test

A

+ test: pain in AC joing with end range adduction

indicates AC joint path

42
Q

valgus stress test

A

+ test: pain with palpation, increased laxity in MCL

indicates sprained MCL

43
Q

Varus stress test

A

+ test: pain with palpation, laxity in LCL

indicates sprained LCL

44
Q

Tinel Test for Ulnar Nerve Intrapement

A

+ test: tingling down arm along ulnar distribution

indication: ulnar nerve entrapment/cubital tunnel syndrome

45
Q

Golfer’s Elbow Test

A

+ test: pain/tenderness ariond medial epicondyle

indicates: medial epicondylitis

pain with resisting flexion at wrist

46
Q

Tennis Elbow Test

A

+ test: pain around laterla epicondyle with resisted extension at the wrist

indicates: lateral epicondylitis

47
Q

Tinel’s sign for Carpal Tunnel

A

+ test: numbness/tingling with radiation to the thumb when wrist between hypothenar and thenar eminence is struck

indicates: carpal tunnel syndrome

48
Q

phalen’s sign

A

+ test: reproduction of sx of parasthesia of median nerve

indicates: carpal tunnel syndrome

49
Q

DeQuervians Tenosynovitis

A

graps thumb and ulnar deviate wrist
+ test: increased pain in first dorsal compartment
indicates: DeQuervians Tenosynovitis

50
Q

labral loading

A

+ test: pain

indicates: labral or cartilaginous path

51
Q

labral distraction

A

+ test: improvement of pain

indicates: labral or cartilaginous pathology

52
Q

scour

A

+ test: pain

indicates: labral or articular cartilage path

53
Q

apprehensino Faber 1

A

+ test: anterior subluxation of hip or apprehension/pain

indicates: labral path

54
Q

rectus femoris test

A

+test: knee flexion less than 90’

indicates: recuts femoris contraction

55
Q

PACE/FAIR test

A

+test: pain or reproduced sx

indicates: piriformis path

56
Q

Jump sign

A

+ test: pt jumps with pressure

indicates: trochanteric bursitis

57
Q

straight leg raise test

A

+ test: pain over lateral leg, especially greater than 15’

indicates: IT band contracture

58
Q

piriformis test

A

+ test: pain over posterior aspect of greater trochater

indicates: piriformis spasm or pathology

59
Q

Patricks Faber 2

A

+ test: pain or weakness

indicates: gluteus medius path

60
Q

patrick faber 3

A

+ test: anterior or medial groin pain/wekannes

indicates: iliopsoas insuffiecieny or path

61
Q

thomas test:

A

+test: inability to fully extend

indicates: hip flexor contraction

62
Q

drop arm test

A

+ test: arm will drop or gentle tap will cause arm to drop

indicates: full thickness tear of supraspinatus

pt abducts arm to 90’ then slowly drops it.

63
Q

Valgus test (knee)

A

+ test: increased laxity, soft or absent end point, pain

indicates: medial collateral ligament disruption

if + at 0’ with knee fully extended, indicates joint capsule injury

64
Q

Varus test (knee)

A

+ test: increased laxity, pain

indicates: lateral collateral ligament disruption

65
Q

anterior drawer test (knee)

A

+ testL excessive translation anteriorly

indicates: ACL insufficiency

66
Q

Lachmand’s test

A

+ test: increased laxity anteriorly, soft or absent end point

indicates: ACL insufficiency

67
Q

Posteiror Drawer test

A

+ test: excessive translation posteriorly

indicates: PCL insuffiency, posterior capsular injury

68
Q

McMurray’s Test

A

+ Test: pain or click during extension

indicates: possible medial or laterally meniscus tear

lateral meniscus: rotates tibia into internal rotation and applies varus stress then continues into extension

medial meniscus: rotates tibia into external rotation and applies valgus stress, then continues into leg extension

69
Q

apley’s grind compression test

A

+test: pain with rotation and or compresion

indicates: possible meniscal injury, collateral ligament injury or both

70
Q

apley’s grind distraction test

A

+ test: pain with distraction and rotation

indicates: possible collateral ligament damage

+ test: relief of pain with distraction and rotation

indicates: possible meniscal injury

71
Q

patella-femoral grinding test

A

+ test: crepitus or pain

indicates: rroughness of artciualting surfaces (chondromalacia)

72
Q

anterior drawer test (ankle)

A

+ test: pain, no springing, excessive motion/laxity

indicates: ATF ligament path (lateral ankle sprain)

73
Q

talar tilt test

A

+ test: laxity, increased ROM or pain

indicates: calcaneofibular ligmanet path, some ATF (lateral ankle sprain)

74
Q

eversion test

A

+ test: laxity, increased ROM or pain

indicates: deltoid ligament path

75
Q

squeeze test

A

+ test: pain at syndesomosis

indicates: achilles tendon rupture

76
Q

Homan’s sign

A

+ tst: pain with dorsiflexion

indicates: DVT/thrombophlebitis