ClnMed Flashcards

1
Q

Layer that covers the whole nerve

A

Epineurium

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2
Q

Layer that covers each nerve fascicle

A

Perineurium

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3
Q

Layer that covers each individual fiber

A

Endoneurium

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4
Q

This type of nerve is myelinated, largest, and fastest conducting- it provides information on proprioception and somatic motor function

A

Alpha motor neuron

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5
Q

This type of nerve is myelinated and senses touch and pressure

A

Beta fiber

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6
Q

This type of nerve provides motor to muscle spindles

A

Gamma (myelinated)

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7
Q

This type of nerve fiber is small and senses pain cold and touch

A

Delta (myelinated)

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8
Q

A nerve that has been transected in the distal segment of a nerve

A

Wallerian degeneration

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9
Q

What type of pathological nerve process occurs in guianne barre

A

Segmental demyelination

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10
Q

Area of bone supplied by one nerve

A

Sclerotome

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11
Q

Which nerve has radiculopathy? Scapula or shoulder pain, lateral arm loss of sensory, weakness in shoulder abduction, loss of biceps DTR

A

C5

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12
Q

Which nerve has radiculopathy? Scapula or shoulder pain, loss of sensory to 1st and 2nd digit, weakness with elbow flexion and shoulder abduction, loss of biceps DTR

A

C6

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13
Q

Which nerve has radiculopathy? Pain in scapula or elbow or forearm, sensory loss to 3rd digit, weakness to elbow and wrist extension, loss of triceps DTR

A

C7

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14
Q

Which nerve has radiculopathy? Pain to scapula or medial forearm, loss of sensation to 4th and 5th digit, weakness of finger abduction

A

C8

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15
Q

Which nerve has radiculopathy? Pain in anterior lateral thigh, knee, medial calf, sensation loss to medial calf, weakness to hip flexion or knee extension, loss of patella DTR

A

L4

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16
Q

Which nerve has radiculopathy? Pain in dorsal thigh and lateral calf, sensory loss to lateral calf and foot dorsum, weak hamstrings, dorsiflexion, inversion and eversion

A

L5

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17
Q

Which nerve has radiculopathy? Posterior thigh and calf pain, loss of sensation to posterior lateral calf and lateral foot, weak hamstrings, plantarflexion, loss of achilles DTR

A

S1

18
Q

Dermatome for thumb and index finger

A

C6

19
Q

Dermatome for middle finger

A

C7

20
Q

Dermatome for 4th and 5th finger

A

C8

21
Q

Dermatome for medial forearm

A

T1

22
Q

Dermatome for nipple line

A

T4

23
Q

Dermatome for umbilicus

A

T10

24
Q

Dermatome for inguinal

A

L1

25
Q

Dermatome for medial calf

A

L4

26
Q

Dermatome for lateral calf

A

L5

27
Q

Most common UE neuropathies

A

C6 or c7

28
Q

Most common LE radiculopathy

A

L5 and S1

29
Q

Routine nerve conduction studies are usually not adequate to diagnose a plexopathy: what else do we need??

A

Side to. Side comparisons

30
Q

Peripheral neuropathy pattern where a single nerve is affected and there is weakness only in specific mm

A

Mononeuropathy

31
Q

Peripheral neuropathy pattern with diffuse symmetrical disease involving motor sensory or both (stocking glove sensory loss) with distal weakness and hyporeflexia

A

Polyneuropathy

32
Q

Peripheral neuropathy pattern with focal involvement of two or more nerves

A

Mononeuropathy multiplex (seen in some systemic disease- DM, vasculitis)

33
Q

Pain upon gentle touch

A

Dysesthesia

34
Q

Lowered threshold to pain

A

Hyperalgesia

35
Q

Pain threshold is elevated but pain sensation is felt excessively

A

Hyperpathia

36
Q

Atrophy of mm indicates a neuropathy of the ___

A

PNS (lower motor neurons)

37
Q

The ring finger sensation is supplied by what two nerves

A

Median and ulnar

38
Q

Median nerve can be. Compressed at the ___ and causes pain numbness and paresthesias that spread downward from the wrist

A

Carpal tunnel

39
Q

This median nerve mononeuropathy leads to a diffuse dull ache in the proximal forarm and those mm have easy fatigue (no nocturnal awakening with this one)

A

Pronator syndrome (compresesion at the elbow)

40
Q

The OK sign is used to test for which mononeuropathy

A

Median- anterior interosseous syndrome

41
Q

The ulnar nerve can be compressed at the axilla, Elbow, cubital tunnel, or what structure in the wrist

A

Guyons canal