Tests (all systems) Flashcards

1
Q

Prehns Sign

A

test for testicular torsion

  • ++ pain = testicular torsion
  • no pain = epididymitis
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2
Q

liver span test?

A

scratch test - louder over the liver, can mark borders of the liver (alt. To percussion)
Liver span is normally 6-12 cm in the midclavicular line & 4-8 cm midsternal line

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3
Q

Castell’s Sign:

A

tests for enlarged spleen, area should remain resonant (negative test)

*enlarged Spleen is at risk for rupture

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4
Q

AAA

A
Aortic palpation (2.5 cm - requires US; > 5.5 cm immediate referral for sx)
diameter is key, not the intensity of the pulsation
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5
Q

-McBurney’s Point:

A

RLQ, located between the navel & the right anterior superior superior iliac spine. It is the point where the most pain is elicited by pressure

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6
Q

-Rovsing’s Sign:

A

may be elicited by palpating the LLQ, this will cause pain to be felt in the RLQ

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7
Q

psoas

A

appendicitis

straight leg

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8
Q

obturator sign

A

appendicitis

knee bent

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9
Q

-heel tap sign:

A

appendicitis
patient laying on back and examiner hits the right heel firmly.
causes increased pain from appendix but NOT if pain is musculoskeletal

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10
Q

Markle sign:

A

(heel drop test)

pain in RLQ of abd is elicited & indicates localized peritonitis due to acute appendicitis

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11
Q

Murphy’s sign:

A

examiner places hand below costal margin on the right side at the mid-clavicular line and asks the pt to inspire. Pt stops breathing and winces with a catch in breath due to the inflamed gallbladder being palpated as it descends on inspiration
-pain may radiate to shoulder

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12
Q

CVA tenderness

A

= pyelonephritis
+ CVA or flank tenderness
-high fever, malaise, WBCs & bacteria in urine, urinary symptoms (dysuria, urgency, increased frequency)

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13
Q

Painful Arc Test

A

Bring arm up out to side then internally rotate
Subacromial space 60-120 degrees
+test will cause pain

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14
Q

Lachman Test

A

20-30 degree flex knee, stabilize femur, pull tibia anteriorly and posteriorly against femur
ACL

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15
Q

Hawkins Test

A

Hold arm 90 degrees with thumb slightly internally rotate and bring elbow up and wrist down
Supraspinatus tendon shoulder
(impingement testing)

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16
Q

Straight Leg Raise

A

Flex foot & lift leg

Lower Back- muscle vs nerve

17
Q

Valgus

A

Push in for pain while holding lateral thigh and medial ankle
MCL with lateral stress

18
Q

Varus

A

Brace the collision area and push inward

Test of LCL

19
Q

Posterior Draw Test

A

Lower leg pushed down to check knee laxity

PCL

20
Q

Empty Can Test

A

90 degree shoulder flexion, internal rotation, 30 degrees horizontal adduction, downward pressure applied
Shoulder test

21
Q

Anterior Draw Test

A

Pull leg towards at 90 degrees with foot planted on table

ACL

22
Q

Neers Sign

A

Arm raised forward flexion thumb down internal rotation of humerus
Shoulder test
(impingement testing)

23
Q

Phalen Test

A

(FLAP)
Flexes wrists with elbows raised and back of hands together 1 minute
Carpal Tunnel

24
Q

Tinel Test

A

(TAP)
Tap over wrist where median nerve passes
Carpal Tunnel

25
Q

Where are LPs performed?

A

LPs are performed L3-L5 to avoid damage to spinal cord

26
Q

Achilles DTR

A

Sacral 1

27
Q

Knee DTR

A

L2-4

28
Q

Brachioradialis DTR

A

C5-6

29
Q

Bicep DTR

A

C5-6

30
Q

Tricep DTR

A

C6-7

31
Q

romberg test

A

stand with eyes closed for 20 sec,

+ = imbalance

32
Q

tests for appendicular ataxia

A

finger to nose, heel to shin, rapid alternating movements

33
Q

testing for truncal ataxia

A

stance and gait

34
Q

Babinski

A

stroking the bottom of the foot, toes should fan downward

UP = BAD