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OS III Midterm > Compression Neuropathy > Flashcards

Compression Neuropathy Flashcards

1
Q

What are 3 systemic causes of compression neuropathy?

A

diabetes
pregnancy
hypothyroidism

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2
Q

What are some biomechanical cuases of compression neuropathy?

A

space occupying lesions
degenerative cuases
post traumatic causes
mechanical

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3
Q

Nerve injury that involves FOCAL damage of myelin fibers around the zone and connnective tissue sheath remains intact?

a. neuropraxia
b. axonotmesis
c. neurotmesis

A

A. neuropraxia (limited course days to weeks)

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4
Q

Nerve injury that involves some injury to the nerve itself and myelin sheath stays intact?

a. neuropraxia
b. axonotmesis
c. neurotmesis

A

b.axonotmesis

regeneration is possible months

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5
Q

Disruption of axon + endoneurium ?

1st degree
2nd degree
3rd degree
4th degree
5th degree
A

3rd degree

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6
Q

Disruption of axon + endoneurium + pernerium with large area of scarring?

1st degree
2nd degree
3rd degree
4th degree
5th degree
A

4th degree

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7
Q

Disruptionof axon + endoneurium + pernerium+ epineurium with hemorrhage and scarring?

1st degree
2nd degree
3rd degree
4th degree
5th degree
A

5th degree

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8
Q

Name the motor motion / sensation/ reflex associated with C5?

A
  1. deltoids + biceps
  2. lateral arm
  3. biceps reflex
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9
Q

Name the muscles / sensation/ reflex associated with C6?

A
  1. wrist ext, elbow flex
  2. radial forearm, thumb/index finger
  3. brachioradialis
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10
Q

Name the muscles / sensation/ reflex associated with C7?

A
  1. wrist flex, elbow ext.. finger ext.
  2. middle finger
  3. triceps reflex
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11
Q

What dermatome is assoicated with finger flexion and sensation of ulnar forearm and pinky?

A

C8

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12
Q

What dermatome is assoicated with finger abduction and sensation of medial arm?

A

T1

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13
Q

In cervical nerve root compression the disc commonly ruptures in what direction?

A

posterior-laterally

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14
Q

What specialty test is used to Dx cervical radiculopathy (herniated disc)?

A

spurling test

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15
Q

What specialty test is used to Dx thoracic outlet syndrome?

A

adson test

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16
Q

What specialty test is used to Dx cervical myelopathy?

A

Hoffman test

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17
Q

What specialty test is elicited by extension and rotation the neck toward the SYMPTOMATIC side?

A

Spurling test

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18
Q

What test is elicited by grasping the middle finger and quickly snapping/ flipping the dorsal surface and looking for FLEXION of both thumb and index finger?

A

HOffman test

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19
Q

If patient has sensation changes over the posterolateral hand where is the nerve injury?

a. high on the humerus
b. radial tunnel
c. at the wrist
d. ulnar nerve
e. median nerve

A

C.

radial nerve damage at the wrist causes changes in skin sensation of posterolateral hand

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20
Q

If pt is experiencing weakness with elbow flexion , diminished triceps reflex and wrist drop. Where is the lesion?

a. high on the humerus
b. radial tunnel
c. at the wrist
d. ulnar nerve
e. median nerve

A

A.

radial nerve high on the humerus

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21
Q

Pt that does alot of rowing (repetitive rotatory movements) will have pain do due what nerve?

A

radial N.

due to entrapment in the RADIAL tunnel

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22
Q

What nerve is associated with wartenbergs syndrome or “hancuff neuropathy’?

A

Radial N

23
Q

Pronator syndrom and anterior osseous syndrome all involve ____ nerve intrapment?

A

Median N.

24
Q

Pianist complains of achy pain in mid forearm made worse when playing, and is found to have pain with resisted forearm pronation. What is the dx and nerve involved?

A

Median N. (Pronator Syndrome)

25
Q

Pt with a cast for about 2 weeks is unable to hold an OK sign. What is dx and nerve involved?

A

Anterior Interosseous Syndrome / Median N.

26
Q

Are there any sensory deficits associated with anterior interosseous syndrome?

A

NO

27
Q

Phalens and Tinels are used to test for ?

A

Carpal tunnel

28
Q

EMG is diagnostic for ____?

A

Median N. entraptment (carpal tunnel)

29
Q

Thenar atrophy would be seen in what condition?

A

carpal tunnel

30
Q

What nerve can be compressed by medial epicondyle/ olecranon?

A

Ulnar N.

31
Q

Paresthesia of 4/5th digit and inability to turn a key in a door is ?

a. anterior interosseous syndrome
b. radial n. entrapment at the wrist
c. cubital tunnel
d. carpal tunnel

A

C. involving Ulnar N.

32
Q

Positive froment sign indicates?

A

Ulnar nerve entrapment

33
Q

Thoracic outlet syndrome can involve comrpession of what 2 structures?

A
  1. brachial plexus

2. subclavian vessels

34
Q

Wrights hyperabduction test, east test, adsons test are all for ?

A

Thoracic outlet syndrome

35
Q

What nerve roots are for hip flexion?

A

L1/L2

36
Q

What nerve roots for knee extension?

A

L2, L3

37
Q

What nerve root for ankle dorsiflexion?

A

L4 ( patellar reflex)

38
Q

What nerve root for ankle plantarflexion?

A

S1 ( achilles reflex)

39
Q

what nerve root to extensor hallucis longus?

A

L5

40
Q

What nerve can be compressed under the inguinal ligament at the inguinal anal?

A

Lateral femoral cutaneous nerve

41
Q

Strawberry picker palsy is associated with what nerve??

A

common fibular N.

42
Q

What nerve can be compresssed by fibular neck ?

A

common fibular N.

43
Q

what nerve runs INFERIOR to EXTENSOR retinaculum?

A

deep fibular N.

44
Q

What nerve can be compressed from shoes, soccer players, prolonged plantar flexion?

A

deep fibular n.

45
Q

Ankle sprains and trauma can cause compression of what nerve?

A

common fibular N.

46
Q

What nerve can be compressed behind the medial malleolus and INFERIOR to FLEXOR retinaculum?

A

Posterior tibial N.

47
Q

Things like RA, diabetes and space occcupying lesions can all cause compression of ?

A

Posterior tibial N.

48
Q

What compression neuropathy causes foot drop?

A

common fibular N.

49
Q

What is the main cause of sciatica?

A

Sacroiliac ligament weakness

50
Q

HIss whip for navicular/ cuneiforms can treat?

A

Anterior Tarsal tunnel (deep fibular N.)

51
Q

POsterior fibular head OMT can treat?

A

Common fibular N. compression

52
Q

Tinels sign can be performed for which LE nerve compression?

A

Lateral femoral cutaneous n.

53
Q

Myofascial release of extensor retinaculum will relieve what compression?

A

anterior tarsal tunnel (deep fibularN)

54
Q

Dysfunction of what nerve prevents ability to tip toe?

A

posterior tibial N.

OS III Midterm (6 decks)

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