Test I

1 – 10 – 06 Practical Exam: Name the test, Give the finding, What’s the indication Perform test from least to most aggressive Cervical Spine 1. Vertebral Basilar Artery Insufficiency a. Auscultate subclavian a. post to clavicle b. Auscultate carotid artery c. Bilaterally 4 times d. Listen for Bruey’s i. Could indicate atherosclerosis ii. Come up with a Bruey and the test is done iii. Note the Bruey and whether they were in the other 3 arteries 1. VBAI 2. Possible Bruey in L Subclavian, none in the R Subclavian, L Carotid, R Carotid 3. Indicative of possible Bruey, suggest atherosclerosis e. Maigne’s Position i. Head Rotated & Extended to the ipsilateral side ii. Give point to focus on for approximately 30 seconds iii. Ask if there is any dizziness or nausea iv. Symptoms of VBAI (5 Ds & 3 Ns) 1. Dizziness 2. Disartheria 3. Disphagia 4. Diplopia 5. Drop Attack 6. Nausea 7. Nystagmus (twitching in the same way) 8. Numbness