Lab: Exams

Question 1

Diabetic foot exam steps

Answer 1

1. Inspection
2. Palpation
3. Vascular exam: dorsalis pedis, cap refill
4. Reflexes: Achilles
5. Monofilament testing (6 sites)
6. Sensation testing: gross, vibratory, pain, or temp

Question 2

Six sites for monofilament testing on diabetic foot

Answer 2

1. Big toe, pinky toe
2. Base of: big toe, 3rd, pink
3. Heel

Question 3

Four steps to lymphatic dxing

Answer 3

1. Eval indications and risk/benefits ratio
2. Eval central myofascial path
3. Eval fluid pumps
4. Eval peripheral/regional pathways

Question 4

How to evaluate central myofascial pathways

Answer 4

Look for the compensated flow pattern (LRLR) at craniocervical, cervicothoracic, thoracolumbar, and lumbopelvic junctions

Question 5

Three fluid pumps to evaluate

Answer 5

1. Thoracic inlet
2. Thoracic diaphragm
3. Pelvic diaphragm

Question 6

How to evaluate peripheral/regional pathways in lymphatics

Answer 6

Palpate lymph nodes

Question 7

Four steps in treatment of lymphatics

Answer 7

1. Open pathways to remove restriction to flow
2. Maximize diaphgragmatic fx
3. Increase pressure differentials
4. Mobilize target tissue fluids

Question 8

First treatment every time for lymphatics

Answer 8

Thoracic inlet MFR

Question 9

Two techniques to mobilize targeted tissue fluids

Answer 9

Effleurage and petrissage

Question 10

Six steps in an abdominal exam

Answer 10

1. Drape pt
2. Inspection
3. Auscultation
4. Percussion
5. Palpation
6. Specialty tests

Question 11

Four steps in Dxing innominate SD

Answer 11

1. Palpate for TART findings
2. Lateralization testing
3. Palpate landmarks bilaterally
4. Dx SD

Question 12

Abnormal lymph node characteristics

Answer 12

Large, irregular, hard, tender, fixed

Question 13

Grey turners sign vs cullen’s sign

Answer 13

Grey turners: bruising on flanks

Cullens sign: bruising around umbilicus