Abuse vs neglect - Answer -abuse are violent acts that could result in injury or pain, impairment or
disease;
neglect is failure to provide basic needs and/ or services (not associated with lack of funds or means)
Apley's test
Indication
Movement
Positive - Answer -Rotator cuff tendonitis
REach overhead, reach behind as far as possible
Apprehension test
Indication
Movement
Positive - Answer -Arm at 90 degrees, shoulder at 90 degrees, abducted.
Externally rotate patient's arm, look for slipping, apprehension, resistance
Anterior joint instability
Barlow-Ortolani maneuver - Answer -*Purpose.*
Congenital hip dysplasia.
*Positive Test.*
click/clunk
, *Technique.*
Barlow: Flex hips to 90 degrees and place index and middle finger over the greater trochanter. Next,
place the thumb medially at the inner thigh inguinal crease and gently adduct the hip while applying
downward force.
Ortolani: Flex the hips and knees of infant to 90 degrees, then with examiner's index fingers placing
anterior pressure on the greater trochanters, abducting the infant's legs using the examiner's thumbs.
Breast changes in pregnancy - Answer -Increased sensitivity, tenderness, size, colostrum
production
Brudzinski - Answer -Hips and knees flex in response to the neck being flexed; sign of meningitis
Bulge sign - Answer -confirms fluid in the knee
upward strokes on medial aspect of knee while applying lateral pressure
presence of bulge/fluid = +
Carpal tunnel RFs - Answer -pregnant women, people who do repetitive work like factory workers,
knitters
CN 5 test - Answer -Muscles of mastecation, facial sensation
CN1 test: - Answer -smell
cn2 test - Answer -snellen chart, rosenbaum
visual acuity, visual fields, fundoscopic exam
CN7 test - Answer -facial expressions!
puff out cheeks, smile, etc
CN8 tests - Answer -hearing tests
balance
CNIX and X tests - Answer -palate rising
if palate deviation iwth no sign of tonsillar abscess, probably palsy of these
say AHHH
CNXI test - Answer -shrug shoulders against resistance, rotate head
SCM weakness?
CNXII test - Answer -assess for tongue when stuck out if midline or not
vesiculations could indicate ALS and require referral
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