Shared Flashcard Set

Details

Clinical Skills Test II
Clinical skills musculoskeletal geriatrics and pediatrics
28
Medical
Professional
10/30/2011

Additional Medical Flashcards

 


 

Cards

Term
What type of joint is the temporomandibular joint?
Definition
A diarthrosis/synovial hinge joint
Term
What are common spine disorders?
Definition
Herniated disc
Osteoarthritis
Scoliosis
Term
A herniate disc at L4 can be diagnosed by what characteristis?
Definition
-Pain along L4-middle of knee and then along front of shin
-Numbness in medial lower portion of thigh
-Motor weakness of quadriceps
-Screen iwth squat and rise
-Knee jerk is diminished
Term
If a patient presents with an inability or weakness in dorsiflexion of great toe and foot what disc has herniated? What is the screening test for this? What reflex will be diminished?
Definition
-L5
-Heel walking
-No reliable reflex
Term
If a disc is herniated at S1 where will pain be felt?
Definition
Along lateral aspect of the leg and the plantar surface of the foot.
Term
Weakness in plantar flexion of the great toe and foot indicates a herniated disc at what level? What is a screening test for this?
Definition
-S1
-Walk on toes
Term
What reflex is diminished with a herniated disc at S1?
Definition
Ankle jerk test.
Term
How is the Spurling test carried out? What does a positive test indicate?
Definition
Compression, extension of the spine, axial rotation, and lateral side bending toward the symtomatic side.
Positive test elicits pain and indicates nerve root impingement
Term
A positive distraction test for cervical nerve root impingement is indicated how?
Definition
Pain diminishes on distraction
Term
Valsalva?
Definition
Term
What is the quickest way to test for range of motion in the shoulder?
Definition
Apley scratch test.
Term
What does the drop arm test look at? What is considered a positive test?
Definition
Tests for rotator cuff tear
A positive test is if the patient cannot lower their arm smoothly or if their arm drops when it is tested.
Term
What shoulder test involves bringing the patients arm above their shoulder and then pronating it?
Definition
Neer test
Term
What tests are available to evaluate the shoulder? What do they each test?
Definition
Empty can (lower orm of Neer)-impindgement of supraspinatus
Neer test-impingement of supraspinatus
Drop Arm test-Rotator cuff tear
Hawkins test-tendonitis or bursitis
Term
How does one test for bursitis or tendonitis in the shoulder? What is this test called?
Definition
Flex the elbow to 90 degrees then bend the shoulder to 90 degrees and then internally rotate the arm.
Hawkins test-positive if painful.
Term
The cross body test is used to evaluate the shoulder for what disorder?
Definition
Arthritis
Term
What tests can be used to test for dislocation of the shoulder?
Definition
Apprehension test-anterior
Jerk test-posterior
Sulcus sign-inferior-determine if there is increase in the size of the sulcus
Term
What is a positive test for the jerk test?
Definition
Sublexation or dislocation of the shoulder.
Test by putting arm in 90 degrees of flexion and then elbow in 90 degrees of flexion and then push on elbow.
Term
How is the sulcus test performed?
Definition
Palpate the sulcus between the humerus and the acromion process. Pull down on the arm and not if there is a widening--if yes then the test is positive for shoulder dislocation
Term
What two injuries does the yergason's test look at? How is this test carried out?
Definition
-Tendonitis- put patients elbow in 90 degrees of flexion. Grasp patients forarm and then have the patient supinate against resistance.
-Stability of biceps brachii tendon- palpate tendon in bicepital groove and then have patient externally rotate their arm against resistance
Term
The radius and the humerus make up what type of joint?
Definition
Ball and socket
Term
What type of joints make up the elbow?
Definition
-The elbow is a sinle synovial joint but the radius and the humerus make up a ball and socket joint while the humerus and the ulna make up a hinge joint.
Term
How many degrees should a person exhibit for a carrying angle?
Definition
5-15 degrees
Term
How many degrees should a person be able to flex their elbow?
Definition
160 degrees
Term
Pain over the lateral epicondyle region is positive for what test? How is this test performed? What is the lay name for this?
Definition
Lateral Epicondylitis
Flex elbow to 90 degrees. Have patient make a fist and extend their wrist. Have them resist you as you try to pull their wrist out of extension.
Tennis elbow
Term
How do you test for entrapment of the ulnar nerve in the elbow?
Definition
Tinels test of the elbow
Flex patients arm to 90 degrees and tap on the space medial to the olecranon process.
Term
How is ligamentous stability tested in the elbow?
Definition
With the ligamentous stability test of course!
Flex patients elbow to 90 degrees then grasp their elbow feeling the lateral and medial epicondyles apply valgus and varus stress while feeling for abnormal gapping.
Term
What does the allen test look for? How is it performed?
Definition
Ulnar artery insuficiency
Performed by applying pressure to both the ulnar and radial artery and then having the patient clench their fist until it blanches. The release the ulnar artery to make sure their hand recolors.
Supporting users have an ad free experience!