Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NMS 1 Diagnosis > Exam 2 > Flashcards

Exam 2 Flashcards

0
Q

loss of vibratory perception…

A

pallenesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Birbration is bet tested by using what kind of tuning fork?

A

128 or 256 HZ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

the vibration test is an examination for what?

A

proprioceptionn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where should the doctor hold the finger on the joint position test?

A

sides of the finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does a joint position exam test for?

A

proprioception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where does the doctor perform the joint position test?

A

fingers and toes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

if a patient gets a positive result with both the finger and toes during a joint position exam, what does that tell the doctor?

A

lesion above C5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What tract does the joint position test test?

A

cunatus and gracilus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the tests for deep pain?

A

pinching the Achilles’ tendon (Abadie’s sign)
pinching the testicles (Pitres sign)
Striking the ulnar nerve (Biernacki sign)
Pressure on the eyeball

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a positive result for a deep pain test?

A

decreased pain sensation
indicative of dorsal column disease
tabesdorsalis as the classic example

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a multimodal sensation?

A

multiple sensations interpreted by the brain (cortical sensations)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How would a doctor do a stereognosis test

A

placing a common object in the patients had and it is tested bilaterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A Nervescope will swing to the hot or cold side?

A

hot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What occurs to blood vessels when the autonomic nervous system is cut?

this results in?

A

vasodilatation = increased heat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The loss of vibratory perception is known as…

A

pallenesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If the nerve that is supplying the pancreas is subluxated what could the end result for the patient?

A

diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the grades of reflex responses?

A 
0 - areflexia
1 - sluggish or diminished 
2 - normal
3 - slightly hyperactive
4 - hyperactive with transient  clonus
4 - hyperactive with sustained clonus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the four muscle stretch reflexes and what is their segmental innervation; primary nerve root, and peripheral nerve?

A

biceps; C5-C6; p. C5; musculocutaneous
brachioradialis; C5-C6; prim C6; radial nerve
triceps; C6-T1; prim C7; radial nerve
finger flexors; C7-T1; prim C8; median/ulnar nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where do you strike with the reflex hammer during a muscle reflex test?

A

tendon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the supraspinatus?

A

C (4) 5 6; prim C5; Suprascapular N

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the deltoid?

A

C5-C6; p. C5; Axillary nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Superficial reflexes are a ___________ reflex

A

polysynaptic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which reflexes have a grading scale?

a. superficial
b. deep

A

b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the biceps?

A

C5-C6; prim. C5; musculocutaneous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The abdominal reflexes test what nerves?

A

T5-T12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What do you watch for when doing a abdominal reflex?

A

the movement of the umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The cremasteric reflex tests what nerve roots and nerve?

How is the procedure done?

A

L1-L2; Ilioinguinal Nerve and Genitofemoral Nerve

downward stroking on the inner thigh, cause ipsilateral testicle to rise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The gluteal reflex tests what nerve roots and name?

A

L4-S2; inferior gluteal nerve; stimulate skin over gluteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

The plantar reflex test what segmental innervation and peripheral nerve?
procedure?
What is an abnormal finding?

A

L4-S2; Tibial Nerve
stroke plantar surface of the toe to the metatarsals
No response (lower motor lesion)
Babinski response (upper motor lesion)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Hoffman’s sign is indicative of what?

A

lesion above C5 in Corticospinal tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

muscle twitching that can be seen by the eye is known as?

A

fasciculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

muscle twitching that cannot be seen by the naked eye is known as?

A

fibrillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

T/F When doing a muscle strength test the doctor only needs to test the side that is affected?

A

false, both side must be tested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

how is power sometimes classified in a muscle strength test?

A

kinetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

the force exerted in resisting movement is known as?

A

static

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What is the scale in a muscle strength test?

A

0/5 - complete paralysis
1/5 - a twitch of movement 0-10%
2/5 - moderate to severe paresis (active movement when gravity is eliminated) 11-25%
3/5 - moderate paresis 26-50%
4/5 - mild paresis (active against gravity and resistance) 51-75%
5/5 - normal 76-100%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the brachioradialis?

A

C5-6; C5-6; Radial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the wrist extensors?

A

C6-8; C6; Radial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the triceps?

A

C6-T1; C7; Radial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the wrist flexors?

A

C6-T1; C7; Median/Ulnar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the finger extensors?

A

C6-C8; C7; Radial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the finger flexors?

A

C7-T1; C8; Median/Ulnar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the finger abductors?

A

C8-T1; T1; Ulnar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What is the segmental innervation, primary nerve root, and the peripheral nerve name for the finger adductors?

A

C8-T1;T1; Ulnar

44
Q

What are the segmental innervation, peripheral nerve(s), procedure, and the normal response for a Gag Reflex Test?

A

CN IX and X
CN IX and X
Touch posterior or back of throat
Gag and elevation of soft palate

45
Q

What are the segmental innervation, peripheral nerve(s), procedure, and the normal response for a Corneal Blink test?

A

CN V and VII
CN V and VII
Touch cornea with wisp of cotton
Blinking of both eyes

46
Q

What are the segmental innervation, peripheral nerve(s), procedure, and the normal response for the epigastric reflex?

A

T5-T7
Intercostal
Stimulate the sternum to the umbilicus
contraction of the upper abdominal ms

47
Q

What are the segmental innervation, peripheral nerve(s), procedure, and the normal response for an upper abdominal reflex?

A

T7-T9
Intercostal
Stimulate the upper abs. Down and out, out to in
Contraction of the upper abs. moving umbilicus up and out

48
Q

What are the segmental innervation, peripheral nerve(s), procedure, and the normal response for a lower abdominal reflex?

A

T11-T12
Intercostal, Iliohypogastric, Ilioinguinial
Stimulate the skin of the lower abs. from out to in
Contraction of the lower abs. moving umbilicus down and out

49
Q

muscle twitching that can be seen by the eye is known as?

A

fasciculation

50
Q

muscle twitching that cannot be seen by the naked eye is known as?

A

fibrillation

51
Q

T/F When doing a muscle strength test the doctor only needs to test the side that is affected?

A

false, both side must be tested

52
Q

how is power sometimes classified in a muscle strength test?

A

kinetic

53
Q

the force exerted in resisting movement is known as?

A

static

54
Q

What is the scale in a muscle strength test?

A

0/5 - complete paralysis
1/5 - a twitch of movement 0-10%
2/5 - moderate to severe paresis (active movement when gravity is eliminated) 11-25%
3/5 - moderate paresis 26-50%
4/5 - mild paresis (active against gravity and resistance) 51-75%
5/5 - normal 76-100%

55
Q

What is the segmental innervation, peripheral nerve, procedure to perform test and the normal response when testing the cremasteric muscle?

A

L1-L2
Ilioinguinal, genitorgemoral
Stroke inner thigh from above down direction
Ipsilateral elevation of the testicle

56
Q

What is the segmental innervation, peripheral nerve, procedure to perform test and the normal response when testing the gluteal superficial reflex?

A

L4-S2
Inferior gluteal
Stroke skin over gluteus max.
Contraction of gluteal ms.

57
Q

What is the segmental innervation, peripheral nerve, procedure to perform test and the normal response when testing the plantar superficial reflex?

A

L4-S2
Tibial
Stroke plantar surface of the foot from heel to metatarsals to the big toe
plantar flexion of toes and foot

58
Q

What is the segmental innervation, peripheral nerve, procedure to perform test and the normal response when testing the anal superficial reflex?

A

S2-S5
Inferior Hemorrhoidal Nerve
Stroke skin of perianal area
Contraction of external sphincter

59
Q

What is the segmental innervation, procedure to perform test and the positive response when testing the pathological reflex Hoffmann sign?

A

Lesion above C5 in corticospinal tract
sharpp forcible flick of dr’s thumb against the patients middle finger
Flexsion of fingers and adduction of the thumb. UMNL

60
Q

The pharyngeal gag reflex tests what CN?

A

IX and X

61
Q

The Corneal Blink reflex tests what CNs?

A

V and VII

62
Q

The uvular superficial reflex tests what CNs?

A

IX and X

63
Q

what is the segmental innervation and peripheral nerve involved when testing the superficial abdominal reflexes?

A

T5-T12

Intercostal Nerve

64
Q

what is the segmental innervation and peripheral nerve involved when testing the superficial cremasteric reflex?

A

L1-L2

Ilioinguinal and genitofemoral nerve

65
Q

what is the segmental innervation and peripheral nerve involved when testing the superficial gluteal reflex?

A

L4-S2

Inferior gluteal nerve

66
Q

what is the segmental innervation and peripheral nerve involved when testing the superficial plantar reflex?

A

L4-S2

Tibial Nerve

67
Q

what is the segmental innervation and peripheral nerve involved when testing the superficial anal reflex

A

S2-S5

Inf. Hemorrhoidal Nerve

68
Q

What are the two types of hypertonia?

A

Spasticity and Rigidity

69
Q

muscle condition characterized by an high resistance of a joint initially follow by a decrease in resistance as the joint is opened, kind of like a clasped knife

A

Spasticity

70
Q

Involuntary muscular resistance felt when moving a resting joint and persists as the joint is moved through its entire range of motion, commonly called “gooseneck”

Where is the lesion normally located??

A

Rigidity

extrapyramidal pathways UMNL

71
Q

Hypotonia is usually indicative of neurological damage at the level of the _________

What may be a cause of diffuse hypotonia?

A

reflex arch LMNL

Cerebellar disease

72
Q

A patient with a positive Tromner sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the response?

A

lesion above C5 in Corticospinal Tract
Tap the volar surface of the middle finger
Flexion of fingers and adduction of the thumb

73
Q

A patient with a positive Rossolimo sign of the foot sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the response?

A

Cotricospinal tract
Tap the ball of the foot or tap the tips of the toes
Plantar flexion of the toes UMNL

74
Q

A patient with a positive Babinski sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the positive response?

A

Corticospinal tract
Stroke the plantar foot from heel to metatarsals to big toe
Dorsiflexioin of the great toe and flaring of the others

75
Q

A patient with a positive Chaddock sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the positive response?

A

Corticospinal tract
Stroke lateral malleolus from heel to toe
dorsiflexon of great toe nd flaring of the other toes. UMNL

76
Q

A patient with a positive Oppenheim sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the positive response?

A

Corticospinal tract
Stroke anterior tibial surface from superior to inferior
dorsiflexion of great toe and flaring of the other toes UMNL

77
Q

A patient with a positive Gordon sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the positive response?

A

Corticospinal tract
Squeeze the calf
Dorsiflexion of great toe and flaring of the other toes

78
Q

A patient with a positive Schaefer sign would have a problem at what segmental innervation, how would the procedure be done, and what would be the positive response?

A

Corticospinal tract
squeeze the achilles
Dorsiflexion of great toe and flaring of the other toes

79
Q

what does the presence of dejerine sig indicate?

A

a space occupying mass at the C level

80
Q

a Dejerine sign is present when one of the following exists

A

herniated or protruding intervertebral disc
spinal cord tumor
spinal compression fracture

81
Q

What is the purpose of testing the valsalva’s maneuver??

A

test for the presence of a space occupying lesion

82
Q

What does a sharp accentuation of pain at the lever of the lesion usually indicate?

A

space occupying lesion

83
Q

what test is done when the patient is seated and then instructed to swallow?

A

swallowing test

84
Q

what does the presence of pain or difficulty swallowing indicate, and what is the test?

A

swallowing test

85
Q

What does a positive swallowing test indicate?

A

dysphagia

86
Q

What test does the doctor stand behind a seated patient and occludes the external jugular veins at the level of the clavicles for 10-15 sec

A

naffziger’s test

87
Q

a barr’elie’ou test is considered positive with the presence of what symptoms?

A

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

88
Q

While doing a vertebrobasilar artery function test compression of the subclavian and carotid on the right side indicate vertebrobasilar insufficiency on what side?

A

right side

89
Q

While doing a DeKleyn’s test the patient experience positive sign on the right side, this suggests varterobasilar insufficiency on what side?

A

right side

90
Q

What does a decrease in pain indicate while doing a distraction test?

An increase in pain?

A

intervertebral foraminal encroachment or facet capsulitis

muscle spasms

91
Q

how long does the doctor do the Distraction test??

A

30-60 sec

92
Q

During a foraminal compressioin test what does localized pain indicate?

redicular pain?

A

foraminal encroachment

indicates pressure on the nerve root

93
Q

What test is performed with downward compression and then the patient laterally bends the head?

A

jackson compression tetst

94
Q

What does pain on the side of rotation suggest while doing a Jackson Compression Test?

Opposite side?

A

facet or nerve root involvement

muscular strain

95
Q

What test do you instruct the patient to rotate his/her head to the side and then laterally bend and extend the head?

A

Maximum Cervical Compression Test

96
Q

What does pain on the concave side indicate during a Maximum Cervical Compression Test?

Convex side

A

nerve root or facet involvement

Muscular straini

97
Q

During a Maximum Cervical Compression Test what does pain on the side being tested indicate?

opposite side?

A

facet capsulitis

muscle stretch of strain

98
Q

What test does the doctor deliver a vertical blow to the uppermost portion of the cranium?

A

Spurling’s Test

99
Q

What test does the doctor passively flex the patients head?

A

Lhermitte’s test

100
Q

An electric shock like sensation radiating down the neck and spine is a sign of what?

It is also a classic sign of what disease?

A

posterior column disease

Mul

101
Q

What maneuver is used to actively move the cervical spine through range of motion, through passive range of motion, and through resisted range of motion?

A

O’Donoghue Maneuver

102
Q

The O’Donoghue maneuver is consider positive when?

A

there is muscular strain in the cervcal spine

103
Q

What does in pain during resisted range of motion or isometric contraction signify?

A

muscle strain

104
Q

What does pain during passive range of motion while doing the O’Donoghue maneuver indicate?

A

ligamentous sprain

105
Q

What is a Brudzinki sign?

What other condition is often present?

A

flexion of both knees when the doctor passively flexes the patients head in the supine position

Meningitis

106
Q

What is a positive Kernig sign?

What other condition is usually present with a positive sign?

A

doctor attempts to completely extend the leg while the patient is supine. The sign is often accompanied by involuntary flexion of the opposite knee and hip

meningitis

107
Q

A soto-hall test pulls on what ligament?

A

Ligamentum Nuchae

NMS 1 Diagnosis (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions