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History and Physical 1 > Special Skills Quiz > Flashcards

Special Skills Quiz Flashcards

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1
Q

What does Hawkings Impingement test for?

A

Supraspinatus impingement/ rotator cuff tendinitis

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2
Q

What is a positive sign for Hawking’s impingement?

A

Pain during the maneuver

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3
Q

How is the Hawking’s impingement test done?

A

Flex pts shoulder and elbow to 90 degrees with palm facing down, rotate arm internal with one hand on arm and one on forearm

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4
Q

What is Phalen’s sign testing for?

A

Carpal Tunnel Syndrome (CTS)

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5
Q

What is a positive Phalen’s sign?

A

Numbness and tingling in the thumb, index finger, third finger, and lateral side of the 4th finger while holding the maneuver for 60 seconds

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6
Q

How is Phalen’s sign done?

A

Ask pt to hold wrists in flexion for 60 seconds with elbows fully extended
Alternatively ask patient to press backs of both hands together to form right angles

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7
Q

Which nerve is effected in carpal tunnel syndrome?

A

Median nerve

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8
Q

What is carpal tunnel syndrome?

A

Compression of the median nerve

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9
Q

What does Finkelstein’s Test show?

A

De Quervain tenosynovitis

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10
Q

De Quervain tenosynovitis is inflammation from which two tendon and tendon sheaths?

A

Abductor pollicis longus

Extensor pollicis brevis

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11
Q

What is the function of extensor pollicis brevis?

A

Radial abduction of the wrist and thumb extension

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12
Q

What is the function of the abductor pollicis longus?

A

Wrist radial abduction and thumb abduction

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13
Q

What is De Quervains tenosynovitis?

A

Irritation or inflammation of the wrist tendons at the base of the thumb, making thumb and wrist movement painful

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14
Q

Which side should be tested first for Finkelstein’s test?

A

Unaffected side done first!

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15
Q

How is Finkelstein’s test done?

A

Ask patients to grasp thumb against the palm and move the wrist toward the midline in ulnar deviation

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16
Q

What does the Thompson test examine?

A

The integrity of the Achilles’ tendon by squeezing the calf

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17
Q

What will a positive sign show for the Thompson test?

A

Minimal planter flexion of the foot, the Achilles will be ruptured

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18
Q

How is the Thompson test done?

A

Have pt lay prone with the feet hanging off, squeeze the calf, determine if there is any planter flexion of the foot

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19
Q

What does the Lachman test examine?

A

The integrity of the anterior crucial effort ligament (ACL) of the knee

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20
Q

What is a positive sign for Lachman’s test?

A

If the tibia pulls forward

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21
Q

What should be stated when finishing the Lachman’s test if the ACL appears normal?

A

Firm endpoint if no laxity in your patients knee

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22
Q

How is the Lachman’s test done?

A

Flex patients knee 15-30 degrees, grasp distal femur on lateral side and the proximal tibia on the medial side
Simultaneously pull the tibia forward and the femur back

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23
Q

A torn ACL will suggest what during the Lachman’s test?

A

An anterior tibial translation of more than 2-3mm compared to non-affected side

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24
Q

McMurray’s test is to examine what?

A

The presence of a meniscus tear within the knee

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25
Q

What is valgus stress on the knee?

A

External rotation at the ankle joint

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26
Q

What is Vargus stress on the knee?

A

Internal rotation at the ankle joint

27
Q

The examiner applies a valgus stress to examine which meniscus?

A

Medial meniscus

28
Q

The examiner applies a varus stress to examine which meniscus?

A

Lateral meniscus

29
Q

What will a positive McMurray’s test be?

A

If the patient experiences pan or an audible click

30
Q

What does Adson’s test examine?

A

For thoracic outlet syndrome

31
Q

What is thoracic outlet syndrome?

A

Compression of the subclavian artery by a rib or tightened anterior and middle scalene muscles

32
Q

How is Adson’s test done?

A

Take patients radial pulse at wrist, abduct extend and externally rotate the arm, instruct pt to take a deep breath and turn his head toward arm being tested

33
Q

What is a positive sign for Adson’s test?

A

If there is a marked diminution or absence of radial pulse during the maneuver

34
Q

What is Gaenslen’s test examining?

A

For SI joint pathology

35
Q

How is Gaenslen’s test done?

A

Have patient lie supine, ask to draw both legs onto chest

Shift them to side of table so one buttock extends over the edge of table, allow unsupported leg to drop over the edge

36
Q

What is Yergason’s test for?

A

Biceps tendon pathology, the stability of the long head of the biceps tendon in the bicipital groove; bicipital tendinitis

37
Q

How if Yergason’s test done?

A

Instruct pt to flex elbow, grasp flexed elbow in one hand while holding the wrist with other hand, externally rotate the patients arm and as the patient resists, at the same time pull downward on elbow

38
Q

What is a positive Yergason’s sign?

A

If the bicipital tendon pops out of the groove, pt will experience pain

39
Q

What are the two elements to test for meningismus?

A

Brudzinski’s sign and Kernig’s sign

40
Q

What is a positive Kernig’s sign?

A

Pain and increased resistance to knee extensions

41
Q

What is a positive Brudzinski’s sign?

A

While lifting the head, if the hips and knees involuntarily lift up

42
Q

How is Kernig’s sign done?

A

Flex patients leg at both hip and knee, slowly extend the leg and straighten the knee

43
Q

What is a positive sign for splenic percussion sign?

A

Change in percussion note from tympani to dullness on inspiration is positive

44
Q

How is the splenic percussion sign done?

A

Percuss lowest interspace in left anterior axillary line (Traube’s space), ask patient to take a deep breath and percussion again

45
Q

What is the normal result of splenic percussion sign (no splenomegaly)?

A

Percussion not usually remains tympanic

46
Q

When should you assess for ankle clonus?

A

When reflexes seem hyperactive

47
Q

Sustained clonus points to what?

A

CNS disease

48
Q

Clonus must be present for a reflex to be graded a what?

A

4

49
Q

If ankle clonus test is positive, where is the lesion located?

A

Upper motor neuron lesion

50
Q

How do you assess for ankle clonus?

A

Support knee, with other hand, dorsiflex and plantarflex the foot a few times while encouraging patient to relax, then sharply dorsiflex and maintain it

51
Q

What is the normal result of ankle clonus assessment?

A

After sharp dorsiflexion, the ankle does not react to the stimulus

52
Q

What does pronator drift assess for?

A

Stroke

53
Q

What is a positive pronator drift sign?

A

If the arms are unequal its a stroke until proven otherwise

54
Q

How is pronator drift assessed?

A

Pt should stand for 20-30 seconds with eyes closed and both arms held straight forward with palms up, tap the arms briskly downward and they should return to horizontal position

55
Q

What does the straight leg raise test examine?

A

Designed to reproduce back and leg pain so its cause can be identified as sciatica or hamstring tightness

56
Q

How is straight leg raise test done?

A

Keep leg straight, raise it up until patient feels pain, lower leg slightly, then dorsiflex the foot to stretch the sciatic nerve and re-produce sciatic pain

57
Q

How do you do the well leg straight leg raise test?

A

Have patient lie supine, raise uninvolved leg

58
Q

If the patient complains of back and sciatic pain on the opposite side, what does that point to when doing the well leg straight leg raise test?

A

Herniated disk in the lumbar area

59
Q

Which murmur is best heard at the apex with radiation to the left axillary area?

A

Mitral regurgitation

60
Q

Which murmur is harsh and holosystolic?

A

Mitral regurgitation

61
Q

Which murmur is best heard when patient is in left lateral decubitus position?

A

Mitral Stenosis

62
Q

Which murmur is usually limited to apex with little or no radiation?

A

Mitral stenosis

63
Q

Which murmur has a decrescendo low-pitched rumble?

A

Mitral stenosis

64
Q

Which murmur is best heard with the bell of the stethoscope?

A

Mitral stenosis

History and Physical 1 (6 decks)

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