Lab Final: Test F Flashcards Preview

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Flashcards in Lab Final: Test F Deck (20)
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1
Q

Object remote memory

A

where did you go to high school

2
Q

test orientation

A

name, location, day of week

3
Q

two point discrimination

A

paperclip, tell when points are together, 3 spots per extremity

4
Q

pain sensation

A

prick with neurotip, 5 times per extremity

5
Q

passive elbow motion

A

flexion, extension, supination, pronation

6
Q

muscle test wrist flexors

A

hold while I pull hand down

7
Q

finger nose

A

touch finger to nose in all 4 quadrants

8
Q

forced gait

A

walk on heels
walk on toes
**stand close

9
Q

gag reflex

A

describe the test; press against the back of the throat with tongue depressor,
response: pt should gag upon touching the back of throat
Afferent: glossopharyngeal
Integrating center: medulla
Efferent: vagus nerve

10
Q

carotid sinus reflex

A

Response: reduction in HR when examiner presses carotid sinus
Afferent: glossopharyngeal
Integrating center: medulla
Efferent: Vagus nerve

11
Q

brachioradialis reflex

A

hit brachioradialis with flat side of hammer

  • slight flexion of forearm
  • afferent/efferent: radial
  • integrating: C6
12
Q

babinski

A

-stroke foot positive would be big toe coming up and flaring of toes

13
Q

pt presents with complaint of double vision whenever he looks to the left. you notice larger pupil on the right, and right eye pstosis. state the cranial nerve to be tested

A

-abducens (IV) and oculomotor (III) trochlear

  • direct light
  • indirect light
  • accomodatoin
  • check for pstosis
  • extraocular movts
14
Q

direct light reflex

A
pt divides eyes 
response-ipsilateral pupillary constriction when light is shined in the eye
afferent- optic nerve
integrating- midbrain
efferent- oculomotor
15
Q

indirect light reflex

A

pt divides eyes with hand, bright light in from side and look at opposite eye

  • contralateral pupillary constriction when light is shined in the eye
  • afferent: optic nerve
  • integrating: midbrain
  • oculomotor nerve
16
Q

accomodation

A

bring finger close to pts nose and back slowly

response: convergence of eyes with pupillary constriction
- afferent: optic nerve
- integrating center:- occipital cortex
- efferent: oculomotor

17
Q
pt presents with left foot pain, points to top of left foot as site, left hip seems more stable than his left 
 nerve? 
disc level?
tests?
reflex?
A
  • L5
  • L4
  • dorsiflexion: extensor hallicus longus and extensor digitorum longus/brevis (deep peroneal n)
  • big toe dorsiflexion: extensor hallicus longus (deep peronal)
  • toes 234 dorsiflex: extensor digitorum longus/brevis (deep peroneal)
  • hip abduction: gluteus medius and minimus
  • no reflex
  • dermatome L4,L5,S1
18
Q

patient has muscle weakness on finger adduction. state and perform motor test

A
  • fromet paper sign
  • positive: pt unable to maintain grip on paper
  • indicates: ulnar paralysis
19
Q

pt complains of weakness in the hands working overhead. state and perform appropriate test for clavicle and 1st rib

A
  • eden test
  • find pulse, shoulder back, drop chin to chest
  • pain and/or parathesia, decreased or absent pulse, pallor
  • compression of neurovascular bundle between clavicle and 1st rib
20
Q

pt has low back pain. state and perform ortho test to differentiate a lumbar pain from pelvic pain

A
  • belt test
  • pain while supported and unsupported is a lumbar issue
  • pain while unsupported but absense while supported is a pelvic issue