Exam 1: Deep pain/pressure and multimodal sensations

Question 1

What tract is associated with sharp pain?

Answer 1

Lateral spinothalamic

Question 2

what tract is associated with soft touch pain?

Answer 2

Anterior spinothalamic

Question 3

Would loss of pain sensation in a tissue be noted as positive or negative?

Answer 3

Positive

Question 4

What is a classic example of a dorsal column disease?

Answer 4

Tabes dorsalis

Or other possible space occupying lesions

Question 5

What is the test where you pinch the achilles tendon?

Answer 5

Abadies sign

Question 6

What is the test where you pinch the testicles?

Answer 6

Pitres’ sign

Question 7

What is the test where you strike the ulnar nerve?

Answer 7

Biernacki sign

Question 8

Deep pain can be tested by placing pressure on the eyeball. T/F

Answer 8

True

Question 9

Multimodal senstation are a combination of what?

Answer 9

Superficial and deep sensation which are then suggest to integration with higher cortical function and memory

Question 10

What are the tests for deep pain and pressure?

Answer 10

Abadies sign
Pitres sign
Beirnacki sign
Pressure on eyeball

Question 11

What are you testing when you place a common object in someone’s hand while their eyes are closed and they identify the object?

Answer 11

Stereognosis

Question 12

What are you testing when the patient assess the relative weight of similarly sized and shaped objects that have different weights?

Answer 12

Barognosis

Question 13

What are you testing when you touch the patient somewhere on the skin and have him/her touch the area just touched?

Answer 13

Topognosis

Question 14

What are you testing when you write a number or later on their chest, back, palm of hand?

Answer 14

graphognosis

Question 15

What are the measurements for two point discrimination of:

• finger tip
• dorsum of finger
• palm
• dorsum of hand

Answer 15

• 2-4mm
• 4-6 mm
• 8-12 mm
• 20-30 mm

Question 16

What is the ability for the patient to know a body part is his own?

Answer 16

Somatognosis

Question 17

What is the test where you place you arm next to the patients and ask him to touch “ your own arm with your finger?

Answer 17

somatognosis

Question 18

What is what ability for the patient to he or she is ill?

Answer 18

Nosognosis

Question 19

What type of issue could a patient have if there is overwhelming evidence that they cannot tell if they are ill?

Answer 19

Hemiplegia