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Clinical Skills / TESTS > Second Year > Flashcards

Second Year Flashcards

1
Q

What the intracranial nerves (12)
OOOTTAFVGVAH
and how to test

A

O- OFACTORY = ask about smell
O- OPTIC = read something, pheriphay vision
O- OCCUMOTER- pearl + accomodation
T- TRIGEMINAL - close eyes feel tongue on face
T- TROCHEAL - up and down
A- ABDUCENCE- side 2side
F- FACIAL fast
V- Vestibular - hearing
G- GHLOSPHARYGEAL - swallow
V - VAGUS - aaahhhh
A- ACCESSORY - neck arms
H- HYPIGLOSSAL - tongue wiggle

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2
Q

What are the test for appendicitis and how to conduct

A

Rosvnghs - rebound tenderness
Muphys - 1/3 rd up
Posowas - right leg raise
Obtorators sign - 90° internal rotation
Cough
Jumping - kids

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3
Q

What is the TST algorithm ( major incident)

A

Waking - yes (p3)
Cat hem - yes (P1)
Talking then check
Penetrating torso - (yes P1)or (no = P2)
Not talking - breathing ( yes p1) no = dead

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4
Q

What is IO - what is the basic landmark for IO in WMAS

A

Intraosiois access - drilling into bone marrow -non collapsible vein.
2) humerous head, proximal tibia and distal femur ( Peds only)

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5
Q

What is the indication for IO

A

Emergency access - 2× failed IV or Impossible to IV

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6
Q

What are the conta indicator for Io

A

Bone disease
Infection - limb - cellulitis
Insertion in same site within 48h
Prosthetics

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7
Q

What is the procedure of location and insertion of proximal humorous io

A

1) location - internal rotation of arm so thumb point down or palm out or 2) arm across abdomen
2) find the greater tomberocity - side of hand in armpit grove other on end or arm bone - feel arm where your thumbs meet - lumpy bit is tumberocity
3) site is 1cm up and 3 cm towards chest
4) insert @45 degree angle

5) rotate - arms thumbs 1cm 3 cm 45 degrees

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8
Q

How do you find and insert a proximal tibia IO and angle

A

Find knee cap
4cm down - 2cm towards inner
90 degrees

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9
Q

What size io needed for different sites in the body

A

Red - max 40kg
Blue - 3kg + (kid and majority of adults)
Yellow - 40kg + ( large adult + p

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10
Q

How does a clinican confirm placement of an Io

A

Aspirating bone marrow - 5ml
Flush with saline - 10-20ml ( shouldn’t tissue

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11
Q

What is the procedure of IO insertion and prep

A

1) gather equipment
2) prime 3 way tap
3) select correct needle
4) locate correct placement
4)insert till bones felt
5) 5mm ( black line) visable - correct sizing
5) drill - till pop/ give felt
6) confirm placement - aspirate + flush

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12
Q

What are the contraindications or IV

A

Infection
Fractures
Previous iv sites

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13
Q

What are the different site availability for IV

A

Hand
Forearm - houseman / Celicac
ACF

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14
Q

What are the different IV sites ( based on colours

A

20 - pink
18 - green
16- gray
14 - oranges

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15
Q

How does a clinician do an IV

A

1) apply tourniquet
2) find vein - bouncy - not on joint, spliter or an artery (check pulse)
3) clean
4) put bleed sheet underneath - white up
5)prep cannula
6) insert max 30 degree angle
7) observe primary flashback
8) push 2mm further
9) retract needle - observe secondary flashback
10) advance
11) hold vein above cannula and cap off
11) flush for patiently

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16
Q

How do you test for temporal arthritis

A

Scalp tenderness

17
Q

On the hand to neck assesment - hand = what to look 4 and what it means

A

Clubbing
Warmth
CBR
Splinter hemorrhage
Leiconchia - smooth nail
Tabacco staining
Skin togure

18
Q

What is the advance assesment for respiratory

A

Bronchophony - 99 ( increased - tissue destityor decrease -fluid or air outside lung

Ephonly - say e will sound like A if consolidation present

Whispered pectoriy - whisper something in consolidate this will sound loud and clear

Tactile frepitus - 99 put hand ulner in-between ribs - consolidation present = feel vibration
Axaisis - flapping tremor

19
Q

What are the advance assessment for cardiac and to conduct them and what do they mean

A

Collapsing pulses - feel radial and brachial at same.time ( aerotic regurgitation)
Apex beat ( ventricular hypertrophy)
Heave( hypertrophy)
thrills over heart valves
Ascultation of the valves ( aerobic stenosis)

20
Q

What is are the test for an appendicitis - 5 signs

A

Rosvibgs sign - left side causes right pain
McBurney point - 2/3rd up
Psoas sign - lift leg against resistance
Obturator sign - flex knee internal rotation
Blumbergs ( deep plapation and release = pain increase on release )

21
Q

What is are the test for an appendicitis -
4 signs

A

Rosvibgs sign - left side causes right pain
McBurney point - 2/3rd up
Psoas sign - lift leg against resistance
Obturator sign - flex knee internal rotation

22
Q

If you hear stridor on auscultation what does it mean and what should you do

A

Inspiratory noice - airway obstruction
Adjunct, repositioning and clear airway

23
Q

Crackles and wheezing on inspiration is indicative of

A

Crackles - a body of substance is on. The lungs
Wheeze is - bronchoconstriction

? Aspiration pneumonia ( blood or vomit or fluid)

24
Q

What are DDANISH symptoms ( neurological )

A

Signs for cerebella legions

Dysdiadochokinsea( Incontrol flipping slap hand test)
Dysmetria ( finger to nose test)
Axtaxia (no coordination - unsteady gait)
Nystagmus
Intensional tremor - worsen on movement
speech ( slurred inappropriate or slow)
Hypertonia ( muscle weakness)

25
Q

What are the 6Fs of abdomen swelling

A

Fat
Feces
Flatus
Fluid
Fetus
Full grown tumour

26
Q

What is rombergs test

A

Tests for balance

Conducted by : standing up feet together, eyes closed see if there is any swaying

27
Q

What is rebound phenomenon ( neuro)

A

Eyes closed tell PT to put arms up
Unilaterally press on each are in turn to see if they if there arms go *“above** the start point then we are positive. ( Testes ataxia in upper limbs )

28
Q

What is tandem gait test ( neuro)

A

Get pt to walk one foot Infront of each other
To say if they can walk in strait line ( testing ataxia )

29
Q

How to you complet a needle cricothyroidomy
When is it indicated

A

1) indicated if you can’t ventilate by any other means

2) locate placement - thyroid cartilage ( divit)
- 14 gage canulla + 10ml syringe
- insert 45 degree angle towards feet
- stop once you hear/ feel pop or give
- aspirate needle
- remove cannula
- apply 3 way tap
- oxygen + auscultate
- 1 second vent / 3 second stop

30
Q

In which patient can’t you complete a needle cricothyroidtomy

A

Those under 12YRS old

31
Q

What are your placements for a needle decompression + what angle

A

2nd intercostal space next to 3rd rib mid clavicular @ 90 degrees

5th intercostal space next to 6th rib mix axilla @ 90 degree

32
Q

How do you complete a needle decompression
1) what are the indicators for a needle decompress

A

1) indicated in PT with air in the pleral space

2) - access placement
- clean site
- 14 gage + 10ml syringe ( remove flashback chamber )
- inset @ 90 degree
- aspirate needle
- remove needle
Secure
- reassess
-

Clinical Skills / TESTS (4 decks)

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