STATIONSPROEF 2024-2025
Bewegingsstelsel 1........................................................................................................................................ 5
Systematiek................................................................................................................................................6
1. Inspectie........................................................................................................................................... 6
2. Functieonderzoek.............................................................................................................................6
3. Palpatie............................................................................................................................................ 6
Cervicale wervelkolom............................................................................................................................... 7
1. Inspectie........................................................................................................................................... 7
2. Functieonderzoek.............................................................................................................................7
3. Palpatie............................................................................................................................................ 8
4. Specifieke functietesten................................................................................................................... 8
Lumbale wervelkolom.................................................................................................................................9
1. Inspectie........................................................................................................................................... 9
2. Functieonderzoek...........................................................................................................................10
3. Palpatie.......................................................................................................................................... 10
4. Functieonderzoek...........................................................................................................................10
5. Specifieke functietesten..................................................................................................................11
6. Palpatie...........................................................................................................................................11
7. Functieonderzoek...........................................................................................................................12
8. Palpatie.......................................................................................................................................... 12
Schouder.................................................................................................................................................. 12
1. Inspectie......................................................................................................................................... 12
2. Palpatie.......................................................................................................................................... 12
3. Functieonderzoek...........................................................................................................................12
4. Palpatie.......................................................................................................................................... 14
5. Specifieke functietest..................................................................................................................... 14
Elleboog................................................................................................................................................... 14
1. Inspectie......................................................................................................................................... 14
2. Palpatie.......................................................................................................................................... 14
3. Functieonderzoek...........................................................................................................................15
4. Palpatie.......................................................................................................................................... 16
5. Specifieke functietesten................................................................................................................. 16
Pols & hand.............................................................................................................................................. 16
1. Inspectie......................................................................................................................................... 16
2. Palpatie.......................................................................................................................................... 17
3. Functieonderzoek...........................................................................................................................17
4. Palpatie.......................................................................................................................................... 18
5. Specifieke functietesten................................................................................................................. 19
Heup.........................................................................................................................................................19
1. Inspectie......................................................................................................................................... 19
2. Palpatie.......................................................................................................................................... 19
3. Functieonderzoek...........................................................................................................................20
4. Palpatie.......................................................................................................................................... 22
5. Functieonderzoek...........................................................................................................................22
5. Palpatie.......................................................................................................................................... 23
6. Specifieke functietesten................................................................................................................. 23
1
, Knie.......................................................................................................................................................... 23
1. Inspectie......................................................................................................................................... 23
2. Palpatie.......................................................................................................................................... 24
3. Functieonderzoek...........................................................................................................................24
4. Palpatie.......................................................................................................................................... 25
5. Specifieke functietesten................................................................................................................. 25
Enkel & voet............................................................................................................................................. 27
1. Inspectie......................................................................................................................................... 27
2. Palpatie.......................................................................................................................................... 27
3. Functieonderzoek...........................................................................................................................28
4. Palpatie.......................................................................................................................................... 29
5. Specifieke functietesten................................................................................................................. 30
Neurologisch onderzoek............................................................................................................................. 31
1. Globale benadering.............................................................................................................................. 31
2. Craniale zenuwen.................................................................................................................................31
N. olfactorius (reuk)............................................................................................................................ 31
N. opticus (zicht & pupil).....................................................................................................................31
N. oculomotorius, trochlearis en abducens (oogbewegingen)........................................................... 32
N. trigeminus (sensibiliteit gezicht & kauwbewegingen).....................................................................32
N. facialis (bewegingen van aangezicht)............................................................................................32
N. acusticus (gehoor & evenwicht).....................................................................................................33
N. glossopharyngeus en n. vagus (smaak, stem, slikken, gehemelte).............................................. 33
N. accessorius (schouder & nek)....................................................................................................... 33
N. hypoglossus (tong)........................................................................................................................ 33
3. Motoriek................................................................................................................................................34
Lichaamshouding............................................................................................................................... 34
Onwillekeurige bewegingen............................................................................................................... 34
Spieren: vorm, tonus, kracht.............................................................................................................. 34
Coördinatie......................................................................................................................................... 35
4. Sensibiliteit........................................................................................................................................... 35
5. Coördinatie........................................................................................................................................... 35
Testen van “de stand”.........................................................................................................................35
Testen van “de gang”..........................................................................................................................36
Vinger-neusproef................................................................................................................................ 36
Knie-hielproef..................................................................................................................................... 36
6. Reflexen............................................................................................................................................... 36
Peesreflexen...................................................................................................................................... 36
Voetzoolreflex (teken van Babinski)................................................................................................... 37
Cremasterreflex..................................................................................................................................37
Meningeale en radiculaire prikkelingsverschijnselen............................................................................... 37
Meningeale prikkelingsverschijnselen................................................................................................ 37
Radiculaire prikkelingsverschijnselen.................................................................................................38
Gynaecologisch onderzoek (gynaeco OF zuigeling → ruim voldoende tijd)......................................... 39
1. Voorbereiding....................................................................................................................................... 39
2. Vaginaal onderzoek..............................................................................................................................39
3. Afronden...............................................................................................................................................42
Rode vlaggen........................................................................................................................................... 42
Klinisch (neurologisch) onderzoek van de zuigeling............................................................................... 43
Neonaten..................................................................................................................................................43
2
, De zuigeling in ruglig.......................................................................................................................... 43
De zuigeling in buiklig.........................................................................................................................47
Parameters.........................................................................................................................................47
Reanimatie / EHBO.......................................................................................................................................48
Basic Life Support (BLS).......................................................................................................................... 48
Hartmassage...................................................................................................................................... 48
Hartmassage + beademen................................................................................................................. 49
Gebruik van AED................................................................................................................................49
Gebruik van maskerbeademing......................................................................................................... 50
Reanimatie baby (< 1 jaar).......................................................................................................................50
Ballonbeademing................................................................................................................................52
Reanimatie kind (1-18 jaar)...................................................................................................................... 52
Ballonbeademing................................................................................................................................52
Stabiele zijligging......................................................................................................................................52
Rautek techniek........................................................................................................................................53
Verstikking................................................................................................................................................ 53
Bloedingen............................................................................................................................................... 55
Bloedneus................................................................................................................................................ 56
Beroerte....................................................................................................................................................56
Vergiftiging................................................................................................................................................56
Hechten......................................................................................................................................................... 57
1. Materiaal klaarleggen........................................................................................................................... 57
2. Inspectie & ontsmetting........................................................................................................................ 57
3. Verdoving............................................................................................................................................. 57
4. Steriel veld voorbereiden..................................................................................................................... 57
5. Steriele handschoenen........................................................................................................................ 58
6. Hechten................................................................................................................................................ 58
7. Afronden...............................................................................................................................................59
Rode vlaggen........................................................................................................................................... 59
Longen.......................................................................................................................................................... 60
Algemeen................................................................................................................................................. 60
Onderzoek van de posterior thorax.......................................................................................................... 60
Onderzoek van de anterior thorax............................................................................................................61
Hart & vaten.................................................................................................................................................. 62
Algemeen................................................................................................................................................. 62
Hart...........................................................................................................................................................62
Arteriële puls...................................................................................................................................... 62
Onderzoek van de carotiden.............................................................................................................. 62
Centraal veneuze druk....................................................................................................................... 62
Bloeddruk........................................................................................................................................... 63
Het hart...............................................................................................................................................63
Perifeer vaatstelsel...................................................................................................................................64
Bloeddruk........................................................................................................................................... 65
Onderzoek van de carotiden.............................................................................................................. 65
Benen................................................................................................................................................. 65
Armen.................................................................................................................................................67
Aandachtspunten..................................................................................................................................... 67
Abdomen.......................................................................................................................................................68
Abdomen.................................................................................................................................................. 68
3
, Instructie.............................................................................................................................................68
Inspectie............................................................................................................................................. 68
Auscultatie..........................................................................................................................................68
Percussie............................................................................................................................................69
Palpatie.............................................................................................................................................. 69
Rectaal onderzoek (PPA)......................................................................................................................... 71
Taping............................................................................................................................................................72
Materiaal...................................................................................................................................................72
Techniek................................................................................................................................................... 72
1. Noodzaak om RX te nemen........................................................................................................... 72
2. Taping.............................................................................................................................................72
3. Follow-up........................................................................................................................................73
NKO............................................................................................................................................................... 74
Rode vlaggen........................................................................................................................................... 74
Materiaal...................................................................................................................................................74
Oor & gehoor (bilateraal !!).......................................................................................................................74
Neus & reuk..............................................................................................................................................75
Mond & keel............................................................................................................................................. 75
Aangezicht en sinussen........................................................................................................................... 77
Hals.......................................................................................................................................................... 77
Oog................................................................................................................................................................ 79
1. Visuele functies testen......................................................................................................................... 79
2. Pupilreacties testen.............................................................................................................................. 79
3. Motoriek testen.....................................................................................................................................80
4. Inspectie............................................................................................................................................... 80
5. Palpatie................................................................................................................................................ 83
6. Inwendige inspectie..............................................................................................................................83
7. Therapeutische acties.......................................................................................................................... 83
Communicatie.............................................................................................................................................. 87
Intake & anamnese.................................................................................................................................. 87
1. Voorstellen......................................................................................................................................87
2. Intake..............................................................................................................................................87
3. Consultplan.................................................................................................................................... 87
4. Anamnese...................................................................................................................................... 88
5. Klinisch onderzoek......................................................................................................................... 88
Informeren................................................................................................................................................ 89
Motiveren..................................................................................................................................................90
Precontemplatiefase...........................................................................................................................91
Contemplatiefase............................................................................................................................... 93
Preparatiefase.................................................................................................................................... 93
Actiefase.............................................................................................................................................95
Consolidatiefase.................................................................................................................................96
Herval................................................................................................................................................. 97
Terminatiefase.................................................................................................................................... 98
Oefencassusen (zie ppt.)................................................................................................................... 99
4
Bewegingsstelsel 1........................................................................................................................................ 5
Systematiek................................................................................................................................................6
1. Inspectie........................................................................................................................................... 6
2. Functieonderzoek.............................................................................................................................6
3. Palpatie............................................................................................................................................ 6
Cervicale wervelkolom............................................................................................................................... 7
1. Inspectie........................................................................................................................................... 7
2. Functieonderzoek.............................................................................................................................7
3. Palpatie............................................................................................................................................ 8
4. Specifieke functietesten................................................................................................................... 8
Lumbale wervelkolom.................................................................................................................................9
1. Inspectie........................................................................................................................................... 9
2. Functieonderzoek...........................................................................................................................10
3. Palpatie.......................................................................................................................................... 10
4. Functieonderzoek...........................................................................................................................10
5. Specifieke functietesten..................................................................................................................11
6. Palpatie...........................................................................................................................................11
7. Functieonderzoek...........................................................................................................................12
8. Palpatie.......................................................................................................................................... 12
Schouder.................................................................................................................................................. 12
1. Inspectie......................................................................................................................................... 12
2. Palpatie.......................................................................................................................................... 12
3. Functieonderzoek...........................................................................................................................12
4. Palpatie.......................................................................................................................................... 14
5. Specifieke functietest..................................................................................................................... 14
Elleboog................................................................................................................................................... 14
1. Inspectie......................................................................................................................................... 14
2. Palpatie.......................................................................................................................................... 14
3. Functieonderzoek...........................................................................................................................15
4. Palpatie.......................................................................................................................................... 16
5. Specifieke functietesten................................................................................................................. 16
Pols & hand.............................................................................................................................................. 16
1. Inspectie......................................................................................................................................... 16
2. Palpatie.......................................................................................................................................... 17
3. Functieonderzoek...........................................................................................................................17
4. Palpatie.......................................................................................................................................... 18
5. Specifieke functietesten................................................................................................................. 19
Heup.........................................................................................................................................................19
1. Inspectie......................................................................................................................................... 19
2. Palpatie.......................................................................................................................................... 19
3. Functieonderzoek...........................................................................................................................20
4. Palpatie.......................................................................................................................................... 22
5. Functieonderzoek...........................................................................................................................22
5. Palpatie.......................................................................................................................................... 23
6. Specifieke functietesten................................................................................................................. 23
1
, Knie.......................................................................................................................................................... 23
1. Inspectie......................................................................................................................................... 23
2. Palpatie.......................................................................................................................................... 24
3. Functieonderzoek...........................................................................................................................24
4. Palpatie.......................................................................................................................................... 25
5. Specifieke functietesten................................................................................................................. 25
Enkel & voet............................................................................................................................................. 27
1. Inspectie......................................................................................................................................... 27
2. Palpatie.......................................................................................................................................... 27
3. Functieonderzoek...........................................................................................................................28
4. Palpatie.......................................................................................................................................... 29
5. Specifieke functietesten................................................................................................................. 30
Neurologisch onderzoek............................................................................................................................. 31
1. Globale benadering.............................................................................................................................. 31
2. Craniale zenuwen.................................................................................................................................31
N. olfactorius (reuk)............................................................................................................................ 31
N. opticus (zicht & pupil).....................................................................................................................31
N. oculomotorius, trochlearis en abducens (oogbewegingen)........................................................... 32
N. trigeminus (sensibiliteit gezicht & kauwbewegingen).....................................................................32
N. facialis (bewegingen van aangezicht)............................................................................................32
N. acusticus (gehoor & evenwicht).....................................................................................................33
N. glossopharyngeus en n. vagus (smaak, stem, slikken, gehemelte).............................................. 33
N. accessorius (schouder & nek)....................................................................................................... 33
N. hypoglossus (tong)........................................................................................................................ 33
3. Motoriek................................................................................................................................................34
Lichaamshouding............................................................................................................................... 34
Onwillekeurige bewegingen............................................................................................................... 34
Spieren: vorm, tonus, kracht.............................................................................................................. 34
Coördinatie......................................................................................................................................... 35
4. Sensibiliteit........................................................................................................................................... 35
5. Coördinatie........................................................................................................................................... 35
Testen van “de stand”.........................................................................................................................35
Testen van “de gang”..........................................................................................................................36
Vinger-neusproef................................................................................................................................ 36
Knie-hielproef..................................................................................................................................... 36
6. Reflexen............................................................................................................................................... 36
Peesreflexen...................................................................................................................................... 36
Voetzoolreflex (teken van Babinski)................................................................................................... 37
Cremasterreflex..................................................................................................................................37
Meningeale en radiculaire prikkelingsverschijnselen............................................................................... 37
Meningeale prikkelingsverschijnselen................................................................................................ 37
Radiculaire prikkelingsverschijnselen.................................................................................................38
Gynaecologisch onderzoek (gynaeco OF zuigeling → ruim voldoende tijd)......................................... 39
1. Voorbereiding....................................................................................................................................... 39
2. Vaginaal onderzoek..............................................................................................................................39
3. Afronden...............................................................................................................................................42
Rode vlaggen........................................................................................................................................... 42
Klinisch (neurologisch) onderzoek van de zuigeling............................................................................... 43
Neonaten..................................................................................................................................................43
2
, De zuigeling in ruglig.......................................................................................................................... 43
De zuigeling in buiklig.........................................................................................................................47
Parameters.........................................................................................................................................47
Reanimatie / EHBO.......................................................................................................................................48
Basic Life Support (BLS).......................................................................................................................... 48
Hartmassage...................................................................................................................................... 48
Hartmassage + beademen................................................................................................................. 49
Gebruik van AED................................................................................................................................49
Gebruik van maskerbeademing......................................................................................................... 50
Reanimatie baby (< 1 jaar).......................................................................................................................50
Ballonbeademing................................................................................................................................52
Reanimatie kind (1-18 jaar)...................................................................................................................... 52
Ballonbeademing................................................................................................................................52
Stabiele zijligging......................................................................................................................................52
Rautek techniek........................................................................................................................................53
Verstikking................................................................................................................................................ 53
Bloedingen............................................................................................................................................... 55
Bloedneus................................................................................................................................................ 56
Beroerte....................................................................................................................................................56
Vergiftiging................................................................................................................................................56
Hechten......................................................................................................................................................... 57
1. Materiaal klaarleggen........................................................................................................................... 57
2. Inspectie & ontsmetting........................................................................................................................ 57
3. Verdoving............................................................................................................................................. 57
4. Steriel veld voorbereiden..................................................................................................................... 57
5. Steriele handschoenen........................................................................................................................ 58
6. Hechten................................................................................................................................................ 58
7. Afronden...............................................................................................................................................59
Rode vlaggen........................................................................................................................................... 59
Longen.......................................................................................................................................................... 60
Algemeen................................................................................................................................................. 60
Onderzoek van de posterior thorax.......................................................................................................... 60
Onderzoek van de anterior thorax............................................................................................................61
Hart & vaten.................................................................................................................................................. 62
Algemeen................................................................................................................................................. 62
Hart...........................................................................................................................................................62
Arteriële puls...................................................................................................................................... 62
Onderzoek van de carotiden.............................................................................................................. 62
Centraal veneuze druk....................................................................................................................... 62
Bloeddruk........................................................................................................................................... 63
Het hart...............................................................................................................................................63
Perifeer vaatstelsel...................................................................................................................................64
Bloeddruk........................................................................................................................................... 65
Onderzoek van de carotiden.............................................................................................................. 65
Benen................................................................................................................................................. 65
Armen.................................................................................................................................................67
Aandachtspunten..................................................................................................................................... 67
Abdomen.......................................................................................................................................................68
Abdomen.................................................................................................................................................. 68
3
, Instructie.............................................................................................................................................68
Inspectie............................................................................................................................................. 68
Auscultatie..........................................................................................................................................68
Percussie............................................................................................................................................69
Palpatie.............................................................................................................................................. 69
Rectaal onderzoek (PPA)......................................................................................................................... 71
Taping............................................................................................................................................................72
Materiaal...................................................................................................................................................72
Techniek................................................................................................................................................... 72
1. Noodzaak om RX te nemen........................................................................................................... 72
2. Taping.............................................................................................................................................72
3. Follow-up........................................................................................................................................73
NKO............................................................................................................................................................... 74
Rode vlaggen........................................................................................................................................... 74
Materiaal...................................................................................................................................................74
Oor & gehoor (bilateraal !!).......................................................................................................................74
Neus & reuk..............................................................................................................................................75
Mond & keel............................................................................................................................................. 75
Aangezicht en sinussen........................................................................................................................... 77
Hals.......................................................................................................................................................... 77
Oog................................................................................................................................................................ 79
1. Visuele functies testen......................................................................................................................... 79
2. Pupilreacties testen.............................................................................................................................. 79
3. Motoriek testen.....................................................................................................................................80
4. Inspectie............................................................................................................................................... 80
5. Palpatie................................................................................................................................................ 83
6. Inwendige inspectie..............................................................................................................................83
7. Therapeutische acties.......................................................................................................................... 83
Communicatie.............................................................................................................................................. 87
Intake & anamnese.................................................................................................................................. 87
1. Voorstellen......................................................................................................................................87
2. Intake..............................................................................................................................................87
3. Consultplan.................................................................................................................................... 87
4. Anamnese...................................................................................................................................... 88
5. Klinisch onderzoek......................................................................................................................... 88
Informeren................................................................................................................................................ 89
Motiveren..................................................................................................................................................90
Precontemplatiefase...........................................................................................................................91
Contemplatiefase............................................................................................................................... 93
Preparatiefase.................................................................................................................................... 93
Actiefase.............................................................................................................................................95
Consolidatiefase.................................................................................................................................96
Herval................................................................................................................................................. 97
Terminatiefase.................................................................................................................................... 98
Oefencassusen (zie ppt.)................................................................................................................... 99
4
