Exam 1: Proprioception and Cerebellar Examination

Question 1

What is the knowledge of oneself that arises from information about movement and position of pain from receptors in the joints, bones, muscles, tendons and ligaments?

Answer 1

proprioception

Question 2

Cerebellum stabilizes motor function of extremities. T/F

Answer 2

True

Question 3

Cerebellar issues cannot cause nystagmus. T/F

Answer 3

False. They can cause nystagus

Question 4

What is an intention tremor indicative of?

Answer 4

Cerebellar disease

Question 5

What do the hemispheres of the cerebellum control?

Answer 5

apendicular coordination

Question 6

What are the clinically testable proprioception functions?

Answer 6

motion
position
vibration
pressure 
deep pain

Question 7

What area of the cerebellum function to coordinate eye movements and gross balance?

Answer 7

flocculonodular/vestibulocerebellum

Question 8

What does the vermis control?

Answer 8

gait and axial function

Question 9

Explain the pathway for proprioceptive information

Answer 9

-Stimuli is carried by first order sensory neurons that ascends the spin cord ipsilaterally in the posterior columns before it first synapses in the lower brain stem

Question 10

What are the principle receptors for proprioception?

Answer 10

• neuromuscular/neurotendinous spindles
• golgi tendon organ
• 4 varieties of joint mechanoreceptors

Question 11

Lesions that affect sensations such as position sense, vibration, pressure, texture movement, 2 point touch, weight, and ability to recognize numbers/letter written on skin possibly where?

Answer 11

• Posterior columns of spinal cord

- Anterior and lateral spinothalamic tracts

Question 12

What is the loss of vibratory perception?

Answer 12

pallanesthesia

Question 13

What result of the romberg test suggests a cerebellar deficit or vestibular mechanism deficit?

Answer 13

Falling with eyes open or closed

this is true with all cerebellar/proprioceptive tests

Question 14

What result of the romberg test suggests a dorsal column pathology?

Answer 14

Falls with eyes closed only

this is true with all cerebellar/proprioceptive tests

Question 15

What is the word for uncoordinated movement?

Answer 15

dyssynergia

Question 16

What is the word for inaccuracy in measuring distance?

Answer 16

dysmetria

Question 17

What are the tests for cerebellum and proprioception functions?

Answer 17

• Romberg
• Hopping on one foot
• Squatting on one foot
• finger-to-nose
• Finger-to-finger
• Finger-nose-finger
• Heel-to-shin
• rapid alternating movements
• Holmes rebound phenomenon
• tandem gait
• joint position tests

Question 18

What is the only cerebellar/proprioception test done with eyes open ONLY?

Answer 18

Finger to nose to finger

cannot be don’t for dysmetria

Question 19

What is the word for performing actions properly?

Answer 19

Diadochokinesia

Question 20

What is the word for the inability to perform actions properly and indicates possible cerebellar dysfunction?

Answer 20

dysdiadochokinesia

Question 21

The body will fall away from the side of the lesion during these tests. T/F

Answer 21

False. The body will fall toward the side of the lesion

Question 22

During the joint position test, if the patient cannot determine accurate whether his finger or toe is being move up or down, what does this suggest?

Answer 22

Possible posterior column disease