Tests summary Flashcards
7 Test types
General obs, Vitals, Neurological, Respiratory, CV, Abdo, Orthopaedic.
7 Essential vital signs
Height, Weight, Aural temperature, Radial pulse rate, Radial pulse regualrity and amplitude, Respiration rate, Blood pressure.
4 extra vital signs
Oral temperature, axilliary temperature, orthostatic hypotension, leg blood pressure (dorsalis pedis, popliteal).
Neurological testing - 7 sections
Cerebral, Co-ordination, Motor, Sensory, CN, DMR, Vertigo.
5 Cerebral function tests
Date and place orientation, Naming, Verbal commands, Writing, Speech
8 Co-ordination tests
Standing and walking freely. Heel and toe walking. Tandem walk. Rhomberg’s. Rebound test. Finger to nose. Rapid alternating hand. Heel down shin.
3 Motor function tests
Passive ankle and wrist flexion/extension. Clonus. Babinski sign.
7 Sensory function tests
Vibration sense. Proprioception. Limb repositioning. Touch localisation. Sensory inattention. Stereognosis. Graphaesthesia
17 CN tests - 6 CN I, ll, lll, lV, VI. 6 CN V, VII, VIII. 5 CN IX, X, XI, XII.
History of anosmia. Visual fields. Neglect. Pupillary light reactions. Pursuit. Vergence. Temporalis, masseter and pterygoid strength. Light touch and pain on V1, V2 and V3. Function of facial muscles. Screen hearing. Weber’s. Rinnes. Swallowing. Uvula. Trapezius, and sternocleidomastoid strength. Observe tongue. Tongue strength.
10 dermatomes, 10 myotome tests and 5 reflexes. 3 extra myotome tests.
C5 to T1, L2 to S1. Myotomes: Biceps. Wrist extensors. Triceps. Finger flexors. Finger adductors/abductors. Hip flexion. Knee extension. Knee flexion. Hallux extension. Heel and toe walking. Reflexes: Biceps. Brachioradialis. Triceps. Patellar. Achilles. Extra: Deltoid. Wrist flexors
2 tests for vertigo
Hallpike manouvre. Fitz-ritson test.
4 essential steps to respiratory examination
Observation. Palpation. Percussion. Auscultation.
2 tests for respiratory palpation
Rib expantion. Tactile fremitus.
3 extra respiratory tests
Bronchophany, Egophony, Whispered pectoriloquy
7 essential steps to CV exam
Observation. Heart. Carotid artery. Peripheral pulse amplitude. Capilliary refil. Vertebrobasilar artery (in ortho exam). Abdominal aorta (in abdo exam)
3 steps to heart examination
Palpation. Percussion. Auscutation.
7 extra CV tests
Auscullation in alternative positions for mitral stenosis or aortic regurgitation. Juggular venous pressure. Additional peripheral pulses. Allen’s test. Buerger’s test. Homan’s sign.
6 steps of abdominal examination
Observation, Auscultation, Percussion, Palpation, Abdominal reflexes (in neuro exam).
6 stages of abdominal palpation
Light. Deep. Liver. Spleen, Kidneys. Aorta.
5 special signs for abdominal examination
Rebound tenderness. Costovertebral angle tenderness. McBurney’s sign. Psoas sign. Murphy’s sign.
4 types of orthopaedic tests.
Cervical. Lumbar. Upper limb. Lower limb
Cervical screen - 5 tests
General observation and palpation. ROM active and passive: flexion/extension/R & L lat flexion/R & L Rotation. Valsalva’s. Distraction. Compression.
7 other cervical tests
Maignes/Dekleyns. Tuning fork. Percussion. Shoulder depression. 4 TOS tests. Kernig’s. Nerve tension tests.
4 TOS tests
Roos. Adsons/halsteads. Wrights. Costoclavicular
Lumbar screen - 5 tests
General observation. ROM active and passive: flexion/extension/R & L lat flexion/R & L Rotation. Valsalva’s. Kemp’s. SLR.
17 Other lumbar and SI tests
Tuning fork (lumbar). Percussion (lumbar). Braggards. Kernig’s sign. Sign of buttock. Goldthwaites. Gaensleins. Gap & Squish. Nachlas. Yeomans. Piriformis test. Segmental instability. Pheasant. Trendelenburg’s. Adams/supported. Gillets. Stork standing.
Upper limb - shoulder - 15 tests
Observation. ROM. Dawbarns sign. Apley scratch. Drop arm. Empty can. Lift off Speed’s. Yergason’s.Hawkins- Kennedy. Neer impingement. Dugas’. Anterior apprehension. Anterior drawer for shoulder. Posterior apprehension. Posterior drawer for shoulder.
Upper limb - elbow and arm - 8 tests
ROM. Valgus and varus elbow instability. Lateral epicondylitis (tennis elbow). Medial epicondylitis. Wartenburg’s. Elbow flexion. Pinch grip. Pronator teres syndrome.
Upper limb - wrist - 8 tests
ROM. Observation. Lunotriquetral ballotment. Watson. Finkelstein’s. Tinel’s. Phalen’s. Allens.
Lower limb - hip - 10 tests
Observation. ROM. Anvil test. Patrick Faber. Scouring. Hip telescoping. Thomas. Ely’s. Ober’s.
Lower limb - knee - 14 tests
Observation. ROM. Valgus and Varus stress. Lachman. Posterior sag sign. Drawer sign. Slocum. McMurray. Bounce home test. Apley’s.Stroke. Patellar ballotment test. Clarke’s. Wilson’s.
Lower limb - ankle and foot - 6 tests.
Observation. Anterior drawer. Posterior drawer. Thompson’s. Morton’s. Tinels sign of the ankle.