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lab exam 3
Dermatome
Roll up sleeves. Close eyes. Top of bicep, above elbow, radial on hand, middle hand, ulnar, back up
Semmes-Weinstein
Supine position. Poke sole of foot below 1st, 3rd, and 5th metatarsals and on big toe
CN I
Close nostril and eyes, hold bag of coffee grounds below open nostril
CN II
Face nose to nose and wiggle fingers behind head towards front, ask when they can see fingers
Snellen eye chart
CN III, IV, VI
H test
Converge finger in face
Pen light
CN V
Light touch on forehead, cheeks, and jaw
Clench jaw and palpate right and left cheeks
CN VII
Make funny faces
CN VIII
Cover one eye, stand behind and whisper three simple words and have them repeat
CN IX, X
Say AH
CN XI
Shrug shoulders and apply resistance. Rotate head side to side into hand
CN XII
Stick out tongue and move side to side
Patellar
Between tib tuberosity and patella, hit with the long edge of the hammer
Achilles
Take sock off. Hold bottom of the foot near toes. Hit Achilles with long edge of hammer
Triceps tendon
Hold arm away from the body bent at 90. Hold the full weight of the arm and hit triceps (just above elbow) with long side of the hammer.
Lachmans
Supine with knee at 30. Hand on posterior proximal tibia and distal femur. Push into the tibia
Posterior drawer
Supine with knee at 90. Both hands over proximal anterior tibia. Push into the tibia
Valgus stress
Supine with knee slightly flexed. Lower medial shin and lateral knee. Push the knee slightly inward
Varus stress
Supine with knee slightly flexed. Medial knee and lateral shin. Push the knee slightly outward
Anterior drawer
Supine with neutral ankle. Bottom of the heel and over the whole ankle. Push the calcaneus up
