Skill check #2 Flashcards

Coordination (2 UE and 2LE) *= eyes open and then can do eyes closed. most tests are sitting sensation (superficial, monofilament testing, proprioception, vibration, cortical sensations dermatomes (C5-T1 and L1-S2) and peripheral nerve innervations (radial, median, ulnar, sciatic, peroneal) cranial nerve testing

1
Q
  1. Finger to nose*
A

The shoulder is abducted to 90 degrees with the elbow extended. The patient is asked to bring the tip of the index finger to the tip of the nose. Alterations may be made in the initial starting position to assess performance from different planes of motion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. Finger to finger*
A

Both shoulders are abducted to 90 degrees with the elbows extended. The patient is asked to bring both hands toward the midline and approximate the index fingers from opposing hands.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. Finger opposition*
A

The patient touches the tip of the thumb to the tip of each finger in sequence. Speed may be gradually increased.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. Tapping (foot)*
A

The patient is asked to tap the ball of one foot on the floor without raising the knee; heel maintains contact with floor.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. Alternate heel to knee; heel to toe*
A

From a supine position the patient is asked to touch the knee and big toe alternately with the heel of the opposite extremity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. Heel on shin*
A

From a supine position, the heel of one foot is slid up and down the shin
of the opposite lower extremity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CN 1

A
  • Olfactory
  • Smell
  • tested by asking the person to identify items with very specific odors (such as soap, coffee, and cloves) placed under the nose. Each nostril is tested separately.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

CN 2 test 1

A
  • Optic nerve
  • Vision
-tested by asking the person to
read an eye chart.
- Peripheral vision is tested
by asking the person to
detect objects or movement
from the corners of the
eyes.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

CN 2 test 2 (not vision)

A

-Detection of light

-The ability to detect light is tested by shining a bright light (as from a flashlight)
into each pupil in a darkened room.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CN 3

A

Oculomotor

  • Eye movement (up, down, inward)
  • constriction and dilation of pupils in response to light
  • raises eye lids (check for drooping)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CN 4

A
  • Trochlear

- Eye movement (down and inward)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CN 5

A

Trigeminal nerve

  • Facial sensation (skin sensation and blink)
  • Chewing (clench and then open jaw against resistance)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CN 6

A
  • Abducens nerve

- eye movement (outward)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CN 7

A
  • Facial
  • facial expression, taste in the front 2/3 of the tongue, production of saliva and tears
  • ask person to smile, open mouth and show teeth, close eyes tightly.
  • tast would test using things that are sour, salty, and bitter
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CN 8

A
  • Auditory (vestibulocochlear nerve)
  • hearing (tuning fork)
  • balance (have them walk in straight line)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CN 9

A
  • Glossopharyngeal nerve
  • swallowing, gag reflex, and speech

tested with cn10. have person swallow. say ahhhhhh. use tongue blade for gag

17
Q

CN 10

A

Vagus nerve

  • swallowing, gag reflex, and speech.
  • control internal organs (including heart)
  • tested with cn9. have person swallow. say ahhhhhh. use tongue blade for gag
18
Q

CN 11

A

Accessory nerve

-neck turning and shoulder shrugging (do this against resistance)

19
Q

CN 12

A

Hypoglossal nerve

-tongue movement (have them stick out tongue and look for deviations to one side or the other)

20
Q

sensory of tibial nerve

A

bottom of foot

21
Q

sensory of common peroneal nerve

A
  • lateral leg

- dorsal foot

22
Q

sensory of ulnar nerve

A

medial hand/fingers

23
Q

sensory of median nerve

A
  • lateral fingers

- palm

24
Q

sensory of radial nerve

A

posterior hand

25
Q

c5-t1

A

i. C5: Overlying lateral upper arm
ii. C6: Lower arm, thumb, lateral index finger (6-shooter)
iii. C7: Middle hand, finger
iv. C8: Medial hand, ring/pinky fingers
v. T1: Medial side of arm

26
Q

L1-S2

A

vi. L1/2/3: Anterior upper leg
vii. L3/4: Crosses patella (kneecap)
viii. L4: Anterior, medial lower leg
ix. L5: Anterior, lateral lower leg and medial foot (big toe)
x. S1: Lateral foot, posterior lower leg
xi. S2: Posterior upper leg