Electrodiagnostic Examination Flashcards

1
Q

What are the primary concerns of clinical neurophysiology studies?

A

Assessment of functional state of PNS

Assessment of cerebral cortical function

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2
Q

The functional state of the PNS entails the use of what by stimulation of selected peripheral nerves while recording the waveforms of their responses?

A

Nerve Conduction Studies

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3
Q

What records the waveforms generated by selected muscles during voluntary contraction?

A

Electromygraphy

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4
Q

What are the used for electrodiagnostic examination?

A

Nerve Conduction Studies (NCS)

Electromyography (EMG)

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5
Q

An NCS is routinely done as part of the clinical examination of suspected disorders of the?

A

PNS

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6
Q

What is recorded in the nerve conduction study?

A

Muscle Fiber Depolarization

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7
Q

A NCS determines whether the disorder involves what?

A
Nerve
NMJ
Muscle
Focal 
Diffuse
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8
Q

If the disorder involves the diffuse it affects?

A

Sensory and/or Motor Neurons

Myelin or Axon

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9
Q

What is the ideal role model for detection in the upper limb with NCS?

A

Median N (mixed sensory and motor)

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10
Q

What are the advantages of doing electrophysiological studies on the median N?

A

Readily Accessible

Abductor pollicis brevis is readily available for surface or needle EMG.

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11
Q

What is ideal for recording AP traveling antidromically following stimulation?

A

Sensory NCS of the skin of the index finger

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12
Q

What are the choices for motor nerve conduction in the lower limb?

A

Extensor Digitorum Brevis
Tibialis Anterior
Adductor Hallicus

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13
Q

Nerve conduction in the lower limb can test what?

A

Peroneal N Injury

Sural N Testing

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14
Q

What is a technique in which an electrode incorporated into a fine needle is inserted into a muscle in order to sample the depolarization waveforms produced by voluntary contraction?

A

Electromyography (EMG)

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15
Q

What is denervation of a muscle?

A

Acute physical injury to the N supply

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16
Q

When the medial N is lacerated what happens?

A

Chronic Pressure on it’s N supply
Depth of alpha motor neurons in anterior gray horn or cranial motor nuclei
Involvment of motor nerves in the course of an acute or chronic polyneuropathy

17
Q

What are the clinical applications for an EMG reading?

A

Normal

Myotonic