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MN552 FINAL STUDY GUIDE QUESTIONS
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Spurling's Test - Answers - TESTING: dysfuction of cervical nerve root POSITION: sitting, head side bent to uninvolved side, apply pressure through head straight down, repeat with head bent toward involved (+) TEST: pain and/or paresthesia in dermatomal pattern 7th cranial nerve (facial nerve) - Answers - Bell's Palsey snesorineural hearing loss causes - Answers - congenital and hereditary conditions, viral infections, Meniere's disease, noise exposure, ototoxic drug exposure, and acoustic neuromas Weber test with tuning fork - Answers - In unilateral conductive hearing loss, the sound is heard in the impaired ear. In unilateral sensorineural hearing loss, the sound is heard in the good ear Rinne test with tuning fork - Answers - normal: sound is heard longer through air than bone Grading Muscle Strength - Answers - o 0: No visible muscle contraction o 1: Visible muscle contraction with no or trace movement o 2: Limb movement, but not against gravity o 3: Movement against gravity but not resistance o 4: Movement against at least some resistance supplied by the examiner o 5: Full strength corneal light reflex - Answers - also known as the Hirschberg test, assesses parallel alignment; have pt look straight ahead, shine light from 12" and look for reflection on corneas in exactly the same position in both eyes; asymmetry indicates deviation in alignment from eye muscle weakness or paralysis anklysosis - Answers - : abnormal stiffening and immobility of a joint due to fusion of bones sections of spine - Answers - Cervical (7), Thoracic (12), Lumbar (5), Sacrum (5), Coccyx (4) Vision screening: children - Answers - The USPSTF recommends vision screening at least once in all children ages 3 to 5 years to detect amblyopia or its risk factors. E Chart Synovial joints - Answers - knee, shoulder Hinge joints - Answers - interphalangeal joints of hand and foot, elbow
condyloid joint - Answers - knee, temporomandibular joint fibrous joints - Answers - skull sutures Egophony - Answers - the voice sound of "eeeeee" heard through the stethoscope Osler nodes - Answers - Painful, associated with endocarditis Bouchard nodes - Answers - PIP joint (osteoarthritis) Heberden nodes - Answers - DIP joints (osteoarthritis) How to grade mumurs - Answers - - Grade 1 Faintest sound that can be detected; often detected by cardiologists but not by general clinicians Grade 2 Soft murmur that is readily detectable Grade 3 Louder than grade 2 but not associated with a palpable thrill Grade 4 Easily detected murmur associated with a palpable thrill* Grade 5 Very loud murmur audible with the stethoscope placed lightly on the chest Grade 6 Extremely loud murmur audible with the stethoscope off of the chest Near sighted vision test - Answers - Snellen far sighted vision test - Answers - Snellen Dix-Hallpike test - Answers - A diagnostic maneuver used to identify benign paroxysmal positional vertigo (BPPV). measure peripheral vision - Answers - static finger wiggle test How to test patency of radial and ulnar arteries - Answers - Allen's Test how to discuss suicide with patients - Answers - - Establish a trusting relationship and rapport with the patient