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OPC Block 6
KYCOM Block 6
68
Medical
Graduate
03/03/2013

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Term
cartalaginous joint aka
Definition
amphiarthrosis
Term
fibrous joit aka
Definition
synarthrosis
Term
synovial joint aka
Definition
diarthrosis
Term
non articular structures
Definition
periarticular ligaments
Term
what are ligaments made of
Definition
collagen
Term
how do tendons connect muscle to bone
Definition
collagen fibers
Term
what is cartilage made of
Definition
collagen matrix over bony surfaces
Term
explain palpation of the musculoskeletal system
Definition
note tenderness, swelling, creptius, pain, spacticity
examine above and below joint
palpate hurt joint last
Term
how is muscle strength measured
Definition
0-5
Term
what isn the most sensitive test to carpal tunnel
Definition
weak abduction of thumb, abductior pullicus longus
Term
tinnel sign
Definition
numbness when tapping over median nerve.
carpal tunnel
Term
phallen test
Definition
numbness when pressing back of hands together in flexion for 1 min.
carpal tunnel
Term
thomas test
Definition
test flexion conracture of hip
Term
what do you do if palpating over patellar ligament is tender
Definition
compress patella against femur and check extension
Term
what are the bursae of the knee
Definition
suprapatellar, pes anserine, prepatellar
Term
what do you do if the bursae are swollen
Definition
palpate for bulge or baloon sign, bottlement to determine excess fluid
Term
ACL test
Definition
anterior drawer test, lackman test
Term
PCL test
Definition
posterior drawer test
Term
medial and lateral meniscus test
Definition
McMurry Test, apley test
Term
tibiotalar joint test
Definition
dorsaflexion and plantar flexion
Term
subtalar joint test
Definition
"talocalcanial"
invert and evert
Term
transverse tarsal joint test
Definition
invert and evert foot
Term
metatarsopharyngeal joint
Definition
flexion and extension of toes
Term
developmental displasia of hip
Definition
barlow ortolani manuver to detect hip location in inftant
Term
leg calf perthes disease
Definition
avascular necrosis
Term
slipped capital femoral epiphysis
Definition
disease in adolescents
Term
where is there no lymphatic tissue
Definition
placenta, CNS, eye, internal ear, epidermis, cartilage, bone
Term
what main branches connect to the right lymphatic duct than the right subclavian
Definition
right jugular, subclavian, and bronchomediastinal trunk
Term
virchow nodes
Definition
supraclavicular nodes
Term
what nodes when inflammed show abdnomial or thoracic milgancy
Definition
left supraclavicular
Term
what type of immunity are B cells
Definition
humoral
Term
what type of immunity are C cells
Definition
cellular, control humoral
Term
where are the palatine tonils located
Definition
palatine arches on each side of pharynx just below tongue, have follicles and crypts
Term
when does the immune system develop
Definition
20 wks gestation, increases a lot 6-9 yrs
Term
explain the immune changes in pregnacy
Definition
moms hormones and trophoblase create shift in cell mediated immunity to antibody production or humoral resulting in increased suspectability to certian infectous diseases and make good growth enivornment
Term
where are areas with lymph nodes
Definition
head and neck, axilla, epirochlear, inguinal, popliteal
Term
what drains into the inguinal area
Definition
penis and scrotum, vulva and lower 1/3 of vagina
Term
what areas nodes are not accessable
Definition
testis and ovaries
Term
describe the milagnant node
Definition
rapid enlargement, harder, not tender, fixed, matted, asymetric
Term
hematoshezia
Definition
blood in stool, usually from rectum
Term
melena
Definition
tarry black stool, blood from colon or higher
Term
what should you always do first in an abdominal exam
Definition
ascultation
Term
infection around kidney
Definition
plyonephritis, perinephretic, abcess
Term
traube's space
Definition
lower left anterior chest between lung resonance and costal margin, dull if spleen enlarged
Term
kidney stone aka
Definition
renal lithiasis
Term
rostiv's sign
Definition
push on left lower and see if it causes pain on right
Term
aaron sign
Definition
pain in areas of stomach when palpating mcburneysgrey turner sign
Term
grey sign
Definition
ecchymosis or flanks, blue or red flank sign of hematoperitonieum or pancrititis
Term
murrys sign
Definition
abrupt cesation of inspiration on palpation of gallbladder
Term
cullen's sign
Definition
ecchymosis around umbilicus for pancrititis or ectopic pregnacy burst
Term
diret inguinal hernia
Definition
less common, men over 40
above inguinal ligament, close to pubric tubricle near external inguinal ring
rarley into scrotum
Term
indirect inguinal hernia
Definition
most common, often in kids
above inguinal ligament in middle infernal inguinal ring often into scrotum
put finger into inguinal canal to examine
Term
what are the parts of history of present illness for mental status
Definition
disorientation and confusion, depression, anxiety
Term
what are the parts of physical exam for mental status
Definition
aperance and behavior, cognativie abilities, speech and language, emotional stability
Term
what are the parts of a mental status screening
Definition
level of conciousness, attention, memory, thought process, thought content, affect, mood, language and speech, higher cognative functions
Term
explain examination of thought content
Definition
insight (awareness of abnormal symptoms), judgement, and awareness of symptoms
Term
what is affect
Definition
observable episodic feelings expressed in tone of voice, expression, or demeanor
Term
what is the scoring process of the cognative abilities test
Definition
correct score is 0. above 10 is significant
Term
what is the cognative abilities test best for testing
Definition
mild dementia
Term
how is the mini mental status test scored
Definition
max score 30
depressed or anxious usually 25-30
below 20 is dementia, delerium, schizophernia, affective disorder
Term
what are the parts to the mini mental stats exam
Definition
orientation, registration, attention and calculation, recall, language
Term
what are the tests for a mini mental exam for language
Definition
name 2 items
repeat a statement
follow a 3 stage command
read and obay order
write a senternce
copy a design
Term
aphasia
Definition
addition, hesitation, or omission of words
Term
stupor
Definition
arousal for a short period to visual, verbal, painful stimuli
Term
glasscow coma scale purpose and sections
Definition
assesses function of cerebral cortex and brainstem by looking at verbal, eye, motor
Term
how is the glasscow coma scale scored
Definition
max 15, min 3
Term
diffuse brain diseases
Definition
drug intoxication, hyponaturia, ketoacidosis, hypoglycemia, hypercalcemia, encaphalities, meningitis, hypoxemia, strangulation
Term
psychogenic diseases
Definition
dementia
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