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NMS I- KMH > Exam 1: Random in class handouts > Flashcards

Exam 1: Random in class handouts Flashcards

1
Q

What is the test called where is the patient rotates the head back and fourth as fast a they can?

A

Barr’e-Lie’ou test

-If patient experience symptoms at anytime, the test is considered positive

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2
Q

What is the purpose of the Barr’e-Lie’ou test?

A

To rule out vascular insufficiency, cervicogenic vertigo, and possible vestibular apparatus abnormality

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3
Q

What are signs of a positive Barr’e-Lie’ou test?

A

vertigo, dizziness, visual disturbances, nausea, syncope, nystagmus

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4
Q

Explain the vertebrobasilar artery functional maneuver.

A
  • auscultates and palpates carotid and subclavian arteries for possible bruits
  • if none, patient rotates and extends head and counts backward from 20
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5
Q

What is the purpose of the vertebrobasilar artery functional maneuver?

A

to rule out vascular insuffiecy

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6
Q

Explain the DeKleyn’s test.

A

Patient lays supine and rotates and hyperextends neck and counts down from 20

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7
Q

what is the purpose of DeKleyn’s test?

A

to rule out vascular insufficiency

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8
Q

How do you fix benign paroxysmal positional vertigo?

A

exercises to reposition debris in the canals (eply maneuver)

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9
Q

What is an acoustic neuroma?

A

Hearing loss with dizziness, hearing loss, vertigo, and tints
-Benign schwanoma of CNVIII

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10
Q

What does is mean when there is pain before the end range of motion?

A

actue

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11
Q

What does it mean when there is pain as end range approaches?

A

subacute

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12
Q

What does is mean when there is pain after end range?

A

chronic

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13
Q

What tract is light touch?

A

anterior spinothalamic

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14
Q

What tract is sharp pain and temperature?

A

lateral spinothalamic

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15
Q

What tract is deep sensation, deep pain, and proprioception?

A

dorsal columns

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16
Q

What is the highest level of sensation?

A

multimodal or association cortex sensations

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17
Q

Can pain occur without DIRECT nerve compression by a disc protrusion?

A

YES

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18
Q

What is the clinical neuorpathway for a patient to experience pain from a clerical disc bulge/herniation?

A

The recurrent nerve of luschka, sinuvertebral nerve is considered to convert sensory fibers to PLL, dura, and outer border of the annulus

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19
Q

Nerve roots receive stimuli in what type of pattern? peripheral nerves?

A

NR: dermatomal pattern
PN: peripheral nerve pattern

20
Q

What is cauda equine syndrome?

A
  • bilateral leg pain
  • bowel and bladder incontinence
  • Sensory exam for S3-5 is decreased of absent
  • Medical emergency
21
Q

What is sacral sparing syndrome?

A
  • bilateral leg pain
  • normal bowel and bladder function
  • Sensory exam fine
  • only need to monitor this issue
22
Q

What sensation is lost first?

A

Autonomic, light touch

23
Q

What sensation is lost second?

A

pain and temperature

24
Q

What sensation is lost last?

A

vibration and position sense

25
Q

What is altered sensation called?

A

paresthesia

26
Q

Is hyperesthesia indicative of nerve compression or irritation? hypoesthesia and anesthesia?

A

Hyper: irritation
Hypo: compression
An: compression

27
Q

Where will instrumentation go with nerve compression?

A

to the same side of compression

28
Q

Where will instrumentation of with nerve irritation?

A

to the opposite side of irritation

29
Q

What is nerve irritation?

A
  • numbness down extremity

- sensory, motor and deep tendon reflex exam are same

30
Q

What is nerve compression?

A
  • numbness down extremity

- decreased findings in sensory, motor, and reflex exam

31
Q

If the patient does not feel the vibratory sensation equal from side to side assume there is a deficit where?

A

posterior columns

32
Q

If the patient does not feel the vibratory sensation at all, what should you assume?

A

possible neuropathy

33
Q

What are the aspects of an UMNL?

A

spasticity, hypertonia, hyperreflexia, pathological reflexes

34
Q

What are the aspects of LMNL?

A

Flaccid, hypotonia, hyporeflexia

35
Q

Extra pyramidal syndromes can decrease kinetic power while static remain normal. T/F

A

True

36
Q

What is wrist drop?

A

“Saturday night palsy”

  • radial nerve involved
  • shoulder dislocation, crutches, humeral fracture
37
Q

What is claw hand?

A

distal lesion of ulnar nerve

38
Q

Nerve root compression=?

Peripheral nerve compression=?

A

NRC: radiculopathy
PNRC: neuropathy

39
Q

What is bishop’s or benediction hand?

A

proximal lesion of ulnar nerve

40
Q

What is simian hand (ape hand/monkey paw)?

A

median nerve issue

41
Q

What is era duchenne syndrome?

A
  • upper plexus
  • C5/6 roots
  • loss abduction and should and elbow flexion, but hand is functional on its own
42
Q

What is Klumpke paralysis?

A
  • lower plexus
  • C8-T1
  • During falls and grabbing onto something
  • Hand is not functioning correctly
43
Q

What type of lesion does a subluxation with nerve compression represent?

A

LMNL

44
Q

What is called when a muscle with normal innervation is passively stretched, its fibers actively resist the stretching and enter into a state of increased and sustained tension?

A

The stretch reflex

45
Q

What is continued involuntary rapid flexion and extension of a muscle while a joint is under sustained resistance?

A

Clonus

46
Q

What is clonus due to?

A

Rapid-fire elicitation of the muscle stretch relfexes

NMS I- KMH (7 decks)

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