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

18
Q

Dermatome for thumb and index finger

19
Q

Dermatome for middle finger

20
Q

Dermatome for 4th and 5th finger

21
Q

Dermatome for medial forearm

22
Q

Dermatome for nipple line

23
Q

Dermatome for umbilicus

24
Q

Dermatome for inguinal

25
Dermatome for medial calf
L4
26
Dermatome for lateral calf
L5
27
Most common UE neuropathies
C6 or c7
28
Most common LE radiculopathy
L5 and S1
29
Routine nerve conduction studies are usually not adequate to diagnose a plexopathy: what else do we need??
Side to. Side comparisons
30
Peripheral neuropathy pattern where a single nerve is affected and there is weakness only in specific mm
Mononeuropathy
31
Peripheral neuropathy pattern with diffuse symmetrical disease involving motor sensory or both (stocking glove sensory loss) with distal weakness and hyporeflexia
Polyneuropathy
32
Peripheral neuropathy pattern with focal involvement of two or more nerves
Mononeuropathy multiplex (seen in some systemic disease- DM, vasculitis)
33
Pain upon gentle touch
Dysesthesia
34
Lowered threshold to pain
Hyperalgesia
35
Pain threshold is elevated but pain sensation is felt excessively
Hyperpathia
36
Atrophy of mm indicates a neuropathy of the ___
PNS (lower motor neurons)
37
The ring finger sensation is supplied by what two nerves
Median and ulnar
38
Median nerve can be. Compressed at the ___ and causes pain numbness and paresthesias that spread downward from the wrist
Carpal tunnel
39
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)
Pronator syndrome (compresesion at the elbow)
40
The OK sign is used to test for which mononeuropathy
Median- anterior interosseous syndrome
41
The ulnar nerve can be compressed at the axilla, Elbow, cubital tunnel, or what structure in the wrist
Guyons canal