Red Flags Skill Check

Question 1

UMN tests include

Answer 1

Babinksi’s
Hoffman’s
Reverse Supinator
Clonus

Question 2

what is a positive Babinksi’s

Answer 2

toe extension / fanning of toes

Question 3

procedure of Babinksi’s

Answer 3

Stroke lateral side of palmar surface of foot starting at heel and working towards 1st pad

Question 4

positive Hoffman’s

Answer 4

flexion of thumb / index finger

Question 5

procedure of Hoffman’s test

Answer 5

“Flick” terminal phalanx of the slightly extended middle finger from dorsal to palmar side

Question 6

positive reverse supinator

Answer 6

flexion of fingers or elbow extension

Question 7

procedure of reverse supinator sign

Answer 7

test the brachioradialis reflex (C6)

Question 8

positive response to clonus

Answer 8

> 3 beats

Question 9

procedure of clonus testing

Answer 9

Perform a quick stretch to the ankle into dorsiflexion and sustained the stretch

Question 10

Lhermitte’s sign positioning

Answer 10

long sitting
passively flex patients hip and head with a straight leg

Question 11

positive lhermitte’s

Answer 11

sharp, electric pain down spine into limbs

Question 12

what does a positive lhermitte’s indicate

Answer 12

dural/meningeal irritation in spine
possible myelopathy

Question 13

which lobe of the lung cannot be posteriorly auscultated

Answer 13

middle lobe

Question 14

placement for carotid artery auscultation

Answer 14

angle of jaw
mid cervical - on top of pulse
base of the neck - on top of pulse

Question 15

explain carotid artery auscultation

Answer 15

patient in sitting
allow patient to take a breath and slowly exhale
using bell of stethoscope
– listen of a bruit

Question 16

procedure of an abdominal exam

Answer 16

R UQ –> palpate each other quadrant

Question 17

explain rebound tenderness

Answer 17

pain upon removal of pressure over a given area in the abdomen

Question 18

what is rebound tenderness also known as? what does it indicate

Answer 18

Blumberg’s sign
peritonitis via appendicitis or UC

Question 19

what is the allen test? what does it assess?

Answer 19

test of the radial and ulnar artery
- circulation of blood into the palmar aspect of hand

Question 20

explain the ulnar artery’s extension into the hand

Answer 20

contributes to superficial palmar arch just deep to palmar aponeurosis

Question 21

explain the radial artery’s extension into the hand

Answer 21

contributes to deep palmar arch just deep to long flexor tendons

Question 22

locations for Ottawa Knee Rules test palpation

Answer 22

patella
head of fibula

Question 23

location of inguinal canal

Answer 23

between ASIS / pubic symphysis

Question 24

location of superficial inguinal ring

Answer 24

above pubic tubercle

Question 25

location of deep inguinal ring

Answer 25

halfway point between ASIS and pubic tubercle

Question 26

direct vs indirect hernia

Answer 26

direct = medial of inf. epigastric a&v
indirect - lateral of inf. epigastric a&v