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NMS Diagnosis > Exam 1- MRS, ROM, Vascular Exam > Flashcards

Exam 1- MRS, ROM, Vascular Exam Flashcards

1
Q

Muscle testing for C5

A

Shoulder Abduction test- Deltoid

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2
Q

muscle test for C6

A

Wrist extension

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3
Q

Muscle test for C7

A

Wrist flexion

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4
Q

muscle test for C8

A

Finger flexion

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5
Q

Muscle test for T1

A

Finger adduction

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6
Q

What are you checking for with muscle testing

A

Strength

Speed of contraction

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7
Q

DTR (Deep tendon reflex) for C5

A

Biceps

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8
Q

DTR for C6

A

Brachioradialis

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9
Q

DTR for C7

A

Triceps

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10
Q

DTR for C8

A

Trick question. None

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11
Q

DTR for T1

A

Pectoralis

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12
Q

Sensory screening for c5

A

Lateral half of the humerus, shoulder to elbow

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13
Q

Sensory screening for C6

A

Lateral half of forearm, A & P digits 1 and 2

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14
Q

Sensory screening for C7

A

A and P digit 3 and hand

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15
Q

Sensory screening for C8

A

Medial half of forearm,

A and P digits 4 and 5

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16
Q

Sensory screening for T1

A

Medial half of the humerus

Elbow to axilla

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17
Q

What is the purpose of MS screening tests

A

To locate the tissue causing the pts complaint

Ask if this procedure causes or reproduces your symptoms?

Localize and characterize

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18
Q

Purpose of active ROM

A

To determine if the pt has limitations to motion due to their symptoms. Pt performs this procedure

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19
Q

Purpose of passive ROM

A

Check ligaments

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20
Q

Purpose of resistive ROM

A

Checks muscles and tendons

If symptoms are not recreated in a neural position, the process may be repeated w/ the muscle in a position of stretch

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21
Q

How many degrees in the cervical spine for:

Flexion:

Extension

Lateral flexion:

Rotation:

A

Flexion- 45 degrees

Extension: 55 degrees

Lateral flexion: 40 degrees

Rotation: 70-90 degrees

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22
Q

Compression is on the -____ side of bending and rotation of the spine, while stretching is on the _____ side.

A

Ipsilateral

Contralateral

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23
Q

how many degrees in the lumbar spine for:

Flexion:

Extension:

Lateral flexion:

Rotation:

A

Flexion: 90-105 degrees

Extension: 20 degrees

Lateral flexion: 25 degrees

Rotation: 30 degrees

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24
Q

lumbar flexion is initiated by what muscles

A

psoas muscle

rectus abdominus muscle

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25
Q

the psoas muscle is innervated by what

A

L1-L3 branches of the anterior rami of the spinal nerves

26
Q

rectus abdominus is innervated by what

A

upper rectus- T7-T10

Lower rectus- T11-L1

27
Q

Lubar extension is performed by what muscles

A

erector spinae and QL

28
Q

what innervates the erector spinae

A

post rami of the spinal nerve roots

29
Q

Lumbar lateral flexion is performed by what

A

ipsilaterally by the erector spinae and external oblique muscles working together, as well as QL

30
Q

Primary rotation of the spine is done by what

A

Rotatores spinae

Multifidus spinae

these only work when the pt is standing

31
Q

all spinal muscles are innervated by what

A

posterior rami of the spinal nerves

32
Q

How is resistive lumbar ROM performed?

A

seated

33
Q

Muscle test for L4

A

Foot inversion

34
Q

Muscle test for L5

A

Toe dorsi-flexion
Great toe extension
hip abduction

35
Q

Muscle test for S1

A

Foot eversion

36
Q

DTR for L4

A

Patellar tendon

37
Q

DTR for L5

A

Medial hamstring tendon

38
Q

DTR for S1

A

Achilles tendon

39
Q

Dermatomal test for L1

A

From spinal origin, over upper buttock and around to upper 1/3 of ant thigh to medial thigh

40
Q

Dermatomal test for L2

A

from spinal origin, over medial buttock and around to the middle third or ant thigh to the medial thigh

41
Q

Dermatomal test for L3

A

from spinal origin, over lower buttock and around to the lower part of ant thigh to the medial thigh

42
Q

Dermatomal test for L4

A

medial knee and down the anteromedial lower leg to the medial foot

43
Q

Dermatomal test for L5

A

anterolateral knee and down the anterolateral leg onto the top of the foot

44
Q

Dermatomal test for S1

A

from posterolateral knee down the posterolateral leg to the lateral foot

45
Q

What is the purpose of checking peripheral pulses?

A

to rule out vascular problems

arterial probs to the lower extremeties can cause intermittent claudication in older adults (due to fatty deposits/atherosclerosis)

46
Q

How to check femoral artery pulse

A

pt is supine

artery is located inf and medial to the inguinal ligament, midway between the ASIS and pubic tubercle

47
Q

How to check popliteal artery

A

Pt is prone with knee slightly flexed

palpate firmly in popliteal fossa

48
Q

how to check dorsal pedis artery

A

pt is supine

on dorsum of the foot halfway between the ankle and toes

generally between digits 1 and 2. fairly easy to palpate w/ light pressure

49
Q

How to check post tibial artery

A

post and slightly inf to the medial malleolus of the ankle

50
Q

when doing a vascular screening, you should auscultate for:

A

Bruits (swishing sound)

should also palpate to assess for pulse amplitude

51
Q

read slides 44 and 45 for pulse locations

A

don’t feel like typing fight me

52
Q

vertebrobasilar circulation signs/tests test for what?

A

occlusion of the vascular supply to the circle of willis.

do not do if you have a bruit

53
Q

What test is this:

Pt is seated. Instruct pt to rotate head all the way in one direction, then all the way in the other, then back to neutral

A

Barre-Lieou sign

54
Q

pathomechanics of barre-leou sign

A

when in rotation, the contralateral vertebral artery is compressed and occluded in the transverse foramen of c1. Therefore, the other arteries supplying the circle of willis are being tested for CV dz

AKA, You are testing the side you are turning!

55
Q

Indications of Barre-Lieou sign

A

lightheadedness, nausea, vertigo, hearing and visual disturbances indicate occlusion of the vertebreal and internal carotid arteries

56
Q

Which test is this?

Pt is supine, so head is off the end of the table. Pt hyperextends neck and rotates to one side, hold 15-45 seconds, while keeping eyes open and fixed on a point

A

Dekleyn’s Test

57
Q

Pathomechanics of Dekleyn’s test

A

Same as Barre-Lieu….. if turning to the rt, testing rt side. If turning to the left, testing the left side.

58
Q

Indications of dekleyn’s test

A

Same as barre-lieou

59
Q

Which test is this:

Pt is seated. Pt hyperextends the head and rotates.

A

Maigne’s test

60
Q

Pathomechanics and indications for Maigne’s test

A

Same as Dekleyn’s.

NMS Diagnosis (3 decks)

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