Lab positive findings and indications Flashcards Preview

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1
Q

Pulse rate below 50bpm

A

hypothyroidism

well trained athlete

2
Q

Pulse rate above 90bpm

A
tachycardia: 
hyperthyroidism 
caffeine
nervousness
exercise 
hypertension 
illness 
injury
3
Q

Pulse missing on one side

A

stenosis
blocked artery
TOS

4
Q

cause of increase arrhythmia

A
fever
exercise
hypothyroidism 
anemia 
aortic regrgitation 
arteriosclerosis
5
Q

cause of decrease arrhythmia

A

hypervolemia
heart failure
aortic stenosis
atherosclerosis

6
Q

Respiratory Rate less than 14 rpm

A
bradypnea: 
old age 
well trained athlete
diabeteic coma 
increase intracranial pressure 
drugs
7
Q

Respiratory rate higher than 20 rpm

A
tachypnea: 
hyperthermia 
anxiety 
restrictive lung disease (COPD) 
elevated diaphragm
 pleurisy 
exercise
8
Q

temp lower than 96.4F

A
hypothermia: 
cold drink
old age
slow metabolism 
nutritional deficiency 
hypothyroidism 
hypoglycemia
9
Q

Temp higher than 99.1

A
pyrexia: 
emotion 
infection 
exercise 
hot drink
trauma 
acute immune disorder
hyperthyroidism
10
Q

140-159 systolic , 90-99diastolic BP

A
Stage 1 hypertension:
obesity 
high viscosity 
type II diabetes 
high cholesterol 
atherosclerosis 

(same for stage 2 hypertension)

11
Q

hypotension

A

hypothyroidism
thin/ small person
hypothermia
medication

12
Q

Indications for confrontation test

A
CNII Optic N : blind spots
scotoma 
diminished peripheral vision 
glaucoma 
macular degeneration 
MS 
CN 2 lesion 
retinal disorder
13
Q

Cardinal fields of gaze

A

tests: CN 3,4, 6
Nystagmus
Strabissmus

14
Q

Accomodation Test

A

Tests: Oculomotor- Medial Rectus M
lesion in the oculomotor
medial rectus

15
Q

Pupilary Light Reflex

A

CN2, CN3, EWN:

16
Q

Levator Palpebrae Superioris

A

Tests: CN3, Oculomotor

Grade 1-5- weakness is a oculomotor N lesion

17
Q

Corneal Reflex

A

Testing : Opthalmic Division, Facial (orbicularis Oculi)

18
Q

Ophthalmoscopy

A

Inspecting: fovea , art. and retinal integrity
Neg red reflex- cataracts
av nicking- retinopathy
papilledema - incr intracranial pressure
incr cup:disc- glaucoma
macular degeneration - old age
cotton wool patches- diabetes

19
Q

gross hearing

A

test: CN 8 cochlear

hearing loss

20
Q

Webers

A

conductive loss: (lateralize to)
wax
otitis media
tympanic membrane rupture

sensory loss: 
presbycusis 
excessive loud noise 
cochlear damage 
otitis interna
21
Q

Renee’s test

A

?

22
Q

Otoscope

A

absence of cone of light: incracranial pressure
redness: otoitis media
bony exostoses: swimmers ear
perforated tympanic membrane : sharp object in ear
amber fluid: serous effusion
large chalky white patch: tympanosclerosis

23
Q

Active infection lymph

A

soft
enlarged
warm
tender

24
Q

past infection

A

not warm
not tender
enlarged

25
Q

Malignancy

A

hard
fixed
non tender
not warm

26
Q

lymphoma

A

rubbery
warm
non tender
larger

27
Q

`gag reflex

A

test: glossopharyngeal & Vagus
bilateral no response- glossopharyngeal
asymmetrical elevation - vagus
one side no response - vagus

28
Q

vernet rideau

A

Testing Vagus “aaahh”

Vagus lesion - herpes, leukopenia

29
Q

rhinoscopy

A

redness - inflammation
blue mm- allergies
deviated septum - trauma
perforated septum- drugs

30
Q

sinus transillumination

A

line dim - infection
warmth, tenderness, swelling- sinus infection, bact, virus, sinusitis, congestion
absence of red glow- sinusitis, tumor, thickened mucosa

31
Q

Motor to CN 5

A

Bite test
test masseter/ ptergoid by opening jaw & resist
(+) grade 1-5, cant bite down

32
Q

sensory to CN 5

A

Anesthesia , CN 5 lesion

hyperesthesia

33
Q

CN facial M

A

muscles of facial expression :
damage to facial N
bells palsy

34
Q

Hypoglossal N

A

stick out tongue - lesion on side tongue deviates to

Muscle test - lesion on weak side

35
Q

Myotome- peripheral N : C5

A

Bicep- musculocutaneous

Delt- axillary

36
Q

Myotome- peripheral N : C6

A

brachiradialis- radial

wrist ext- radial

37
Q

Myotome- peripheral N : C7

A

Tricep- radial
wrist flex- median
finger ext- radial

38
Q

Myotome- peripheral N : C8

A

Finger flexors- median

39
Q

Myotome- peripheral N : T1

A

palmer and dorsal interossei: ulnar ????

40
Q

Myotome- peripheral N : L1/2

A

iliopsoas: Femoral

41
Q

Myotome- peripheral N : L3

A

quads- femoral N

42
Q

Myotome- peripheral N : L4

A

tib anterior- deep peroneal

43
Q

Myotome- peripheral N : L5

A

ext hallicus loongus- deep peroneal
ext digitorum brevis and longus - superficial peroneal
glut med- superior glut

44
Q

Myotome- peripheral N : S1

A

Peroneus longus and brevis - Superficial peroneal

45
Q

___N for dorsal side of the palm, ____ N for ventral side of the palm

A

dorsal: radial N
Ventral: median N

46
Q

positive findings for deratome

A

anesthesia -
hypoanesthia : hyposensntive , hypoalgesia
peripheral neuropathy
spinal radiculopathy

unilateral: spinal radiculopathy

47
Q

3-5 on the wexler scale will be a ___ tract lesion

A

corticospinal tract lesion (UMN)