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OSPE > things to remember > Flashcards

things to remember Flashcards

1
Q

suggested percussion and auscultation areas: ANTERIOR

A
  • apex above clavicle on both sides
  • 2nd ICS MCL (just under sternal notch) on both sides
  • 4th ICS MCL (level of middle lobe on R side)
  • just below nipples at MCL (6th ICS)
  • just under axilla
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2
Q

suggested percussuion and auscultation areas: POSTERIOR

A
  • apex: around rib 1 just lateral to spine
  • T4 MCL
  • T8 MCL
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3
Q

what is the spinal level of the umbilicus?

A

L3/4

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4
Q

what is the spinal level of the crest of the ilium?

A

L4

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5
Q

what is the spinal level of the tubercle of the ilium?

A

L5

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6
Q

what is the spinal level of ASIS?

A

S2

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7
Q

what plane is at the level of the end of the 9th CC?

A

transpyloric plane

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8
Q

describe the surface marking of the liver

A
  • R 5th rib MCL –> L 5th ICS in MCL

- lower border follows costal margin

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9
Q

describe the surface marking of the gall bladder

A

where transpyloric plane meets R MCL

at tip of 9th CC

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10
Q

where is McBurney’s point? what is there?

A

APPENDIX

1/3 of distance from ASIS to umbilicus

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11
Q

where is the caecum?

A

triangular area bounded by inter tubercular line and lateral half of R inguinal ligament and inferior part of MCL

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12
Q

what should you do for an unresponsive child?

A
  • 5 rescue breaths
  • 15 chest compression
  • 2 rescue breaths
  • 15 chest compressions
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13
Q

what should you do for an adult choking?

A
  • ask to cough
  • unconscious: CPR
  • conscious: 5 back blows, 5 abdo thrusts
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14
Q

how do the thrusts change in infants?

A
  • do thrusts on chest in infant

- abdominal thrusts for child over 1

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15
Q

what are the levels of the suprasternal notch, sternal angle and xiphisternum?

A

suprasternal = T2/3
sternal angle= T4/5
xiphisternum = T9

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16
Q

where can you feel the brachial artery?

A
  • middle 1/3 of shaft of humerus in bicipital groove

- in cubital fossa

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17
Q

where can you feel the radial and ulnar pulses?

A

radial: lateral to FCR tendon
ulnar: under lateral border of FCU

18
Q

what is the location of inguinal ligament?

A

from ASIS to pubic tubercle

19
Q

what is the location of superficial inguinal ring?

A

just superior to pubic tubercle

20
Q

what is the location of the deep inguinal ring?

A

1/2 inch above midpoint of inguinal ligament

21
Q

what is the difference between a male and female pelvic girdle?

A
  • pelvic inlet: oval in females, heart in males

- subpubic angle: wide (>80 degrees) in females, narrow (50-60) in males

22
Q

where would you find the femoral pulse?

A
  • below inguinal ligament

- about midway b/ symphysis pubis and ASIS

23
Q

what is the afferent arm of accomodation reflex?

A
  1. ganglion cells
  2. optic nerve
  3. optic tracts
  4. pretectal nucleus
  5. EW nucleus
24
Q

what is the efferent arm of accomodation reflex?

A
  1. EW nuclei
  2. Parasympathetic fibres along occulomotor
  3. ciliary ganglion
  4. PNS fibres along ciliary nerves
  5. sphincter pupillae = constriction
25
Q

what is the afferent arm of the corneal reflex?

A

touch sensation impulse sent along opthalmic branch of trigeminal

26
Q

what is the efferent arm of the corneal reflex?

A

from facial motor nucleus along facial nerve to orbicularis oculi

27
Q

what movements do the proximal and radial ulnar joints allow?

A
  • pronation

- supination

28
Q

where are the dermatomes of C6, C7 and C8?

A

C6 - thumb and half of second finger
C7 - 2nd half of 2nd finger, 3rd finger and half of 4th
C8 -half of 4th finger and little finger

29
Q

how do you carry out the biceps reflex?

A

pt crosses legs and rests arms on leg
forearm facing up
pt stays fully relaxed

30
Q

what are the borders of the axilla?

A

ant: pec major, minor
post: scapularis, teres major, lat dorsi
medial: serratus anterior, thoracic wall
lateral: intertubercular sulcus

31
Q

what are the border of the anatomical snuff box?

A

medial: tendon of EPL
lateral: tendon of APL and EPB
proximal: styloid process of radius

32
Q

what is the function of iliopsoas?

A

flexion and lateral rotation of thigh

33
Q

what muscles are in the anterior compartment of leg?

A
  • tibialis anterior
  • EHL
  • EDL
  • supplied by anterior tibial artery
  • deep fibular nerve
34
Q

what is in the lateral compartment of leg? innervation?

A
  • PL
  • PB
  • fibular nerve
35
Q

what are the muscles in the posterior compartment of leg? innervation and blood supply?

A

superficial = soleus, gastrocnemius, plantaris
deep = popliteus, FHL, FDL
posterior tibial artery, posterior tibial nerve

36
Q

where can you palpate the popliteal pulse?

A

midline in inferior part of popliteal fossa while their knee is flexed to relax hamstring

37
Q

where can you palpate the dorsalis pedis pulse?

A

dorsum of foot in 1st intermetatarsal space, just lateral to EDH tendon

38
Q

where can you palpate the posterior tibial artery?

A

behind and below medial malleouls

hold ankle of pt while they are lying on bed

39
Q

what are the surface markings of the sciatic nerve?

A
  • leaves greater sciatic foramen
  • enters gluteal region midway b/ PSIS and ischial tuberosity
  • travels down halfway b/ ischial tuberosity
40
Q

what are borders of the femoral triangle?

A
  • sup: inguinal ligament
  • lateral: sartorius
  • medial: adductor longus
41
Q

what are the borders of the popliteal fossa?

A
  • superolateral: biceps femoris
  • superomedial: semimembranosus and semitendinosus
  • inferolateral: lateral border of gastrocnemius, plantarias
  • inferomedial: medial border of gastrocnemius

OSPE (8 decks)

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