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7333 Bringman > Exam 3- sensory and CN > Flashcards

Exam 3- sensory and CN Flashcards

1
Q

what are considered the 5 basic senses?

A

sight, smell, taste, touch, hearing

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2
Q

Name some senses

he said he will not test us on this, but this is just thought provoking

A 
~Touch 
~Sight
~Smell
~Taste
~Hearing
~Proprioception/ kinesthi
~Pain (visceral) 
~Hunger/ satiety (visceral)
~Bowel/Bladder
~Temperature
~Tired/ malaise
~Vibration 
~Thirst 
~Need to breath
~Nausea
~Barognosis
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3
Q

what are the 2 main tracts that carry touch back?

A

~Dorsal column

~Anterolateral of spinothalamic tract

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4
Q

dorsal column- can also be called

A

medial lemniscus

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5
Q

sensory info traveling in dorsal column

A

~Proprioception
~Vibration
~light touch
~discriminatory touch

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6
Q

spinothalamic tract

A

anterolateral

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7
Q

sensory info traveling in Anterolateral of spinothalmic tract

A

~crude touch
~temperature
~pain

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8
Q

temperature can be easily tested by

A

asking the pts if your hand are cold/hot

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9
Q

Proprioception can be easily tested by

A

~move one arm to a position with eyes closed

~have him move the other arm to the same position (the joint know the position)

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10
Q

Vibration can be easily tested by

A

test with toning forks

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11
Q

Light touch can be easily tested by

A

~cotton (up and down so that hair does not get involved)

~monofilament possibly

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12
Q

Discrimination touch can be easily tested by

A

~2 pt discrimination
~2 sharp pts
~more in hands and face, less in back and thighs

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13
Q

Cortical sensory

A

~Traced figure (graphesthesia)- ~Stereognosis

~Double simultaneous

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14
Q

How to test for Graoheselsia?

A

draw an upper case figure somewhere on the back, etc

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15
Q

How to test for Sterognosis?

A

know if you are holding something, how much you are holding

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16
Q

How to test for Double simultaneous?

A

~different sides of the body at the same time (can be light touch, sharp, etc)
~Test bilateral, eyes closed, test randomly

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17
Q

Kinesthetic- meaning and how to test

A

~feeling the change of the length of tissue
~move the joint (lengthen or shorten the muscles) and pt should be able to tell us which direction we are moving them in
~Hold on sides of limb, so the pt cannot tell which direction you are moving it based just on pressure on limb.
~Could ask where in space the limb is
~Don’t have to have limb moving at that point

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18
Q

What is Proprioception?

A

feeling joint angle or position

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19
Q

Different types of sensations (or lack of)

A 
~Anesthesia
~Hypoalgesia
~Hyperalgesia
~dysesthesia
~allodynia
~thigmesthesia
~thigmanestheia
~trichoesthesia
~pallesthesia
~pallanesthesia
~stereognosis
~asterognosis
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20
Q

Anesthesia

A

Loss of sense

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21
Q

Hypoalgesia

A

painful stimuli but mutes sensation (when you break your arm, you have a lessen pain then you should)

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22
Q

Hyperalgesia

A

heightened sensation to a painful stimuli (when you break your arm, you have an increase pain then you should)

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23
Q

dysesthesia

A

unpleasant or painful cutaneous sensory stimulus; pins and needles, etc

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24
Q

allodynia

A

~pain from non-noxious stimuli

~you sense pain from a non-noxious stimuli (when a person rests their hand on your shoulder, it is painful)

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25
Q

thigmesthesia

A

ability to feel light touch

26
Q

thigmanestheia

A

inability to feel light touch

27
Q

trichoesthesia

A

ability to feel the deflection of hair

28
Q

pallesthesia

A

ability to feel vibration

29
Q

pallanesthesia

A

inability to feel vibration

30
Q

stereognosis

A

ability to know what is in out pocket without seeing it/ just feeling; ability to identify something by touch alone

31
Q

asterognosis

A

inability to identify something by touch alone

32
Q

How to label a reflex?

A 
~0
~1+
~2+
~3+
~4+
~**5+
33
Q

Reflex Labeling- 0+

A

absent

34
Q

Reflex Labeling- 1+

A

hyporeflexive

35
Q

Reflex Labeling- 2+

A

normal

*can be normal with 1+ and 3+ if it is their normal

36
Q

Reflex Labeling- 3+

A

hyperreflexive; brisk

37
Q

Reflex Labeling- 4+

A

1-3 beats of clonus

38
Q

Reflex Labeling- ***5+

A

sustained clonus

39
Q

normal reflex spots

A 
~Biceps
~Brachioradialis
~Triceps
~Patellar
~Ankle
40
Q

what is the biceps reflex testing (spinal level)

A

C5/6

41
Q

what is the brachioradialis reflex testing (spinal level)

A

C5/6

42
Q

what is the triceps reflex testing (spinal level)

A

C7

43
Q

what is the patellar reflex testing (spinal level)

A

L3/4

44
Q

what is the ankle reflex testing (spinal level)

A

S1

45
Q

other reflexes (the not as common, but good ones)

A 
~Cremastric reflex
~Bulbocavernous
~Anal sphincter
~Abdominal reflex 
~Plantar reflex/ Babinski
46
Q

Cremastric reflex- what do you do?

A

Stroke the skin of proximal and medial aspects of thigh

47
Q

Cremastric reflex- testing levels

A

Involves L1,2

48
Q

Cremastric reflex- normal reflex

A

Normal response is elevation of testicles

49
Q

Bulbocavernous reflex- what do you do?

A

Pinching of glans penis

50
Q

Bulbocavernous reflex- testing levels

A

Involves S2-4

51
Q

Bulbocavernous reflex- what is the reaction

A

Normal response is palpable contraction of bulbospongiosus meatus at base of penis

52
Q

Anal sphincter- what do we do?

A

Scratching of perianal skin

53
Q

Anal sphincter- testing levels

A

Involves S2-4

54
Q

Anal sphincter- what is the reaction

A

Normal contraction of external anal sphincter

55
Q

Abdominal reflex- what do we do

A

Scratching of skin of anterior abdominal wall with sharp object (lateral to medial scratch in a single dermatome)

56
Q

Abdominal reflex- what is the testing level?

A

Evaluates integrity of T6-L1

57
Q

Abdominal reflex- what is the reaction

A

Normal response is deviation of umbilicus toward stimulus

58
Q

Plantar reflex/ Babinski- what do we do?

A

Stimulus of sole of foot in sweeping motion; calcaneus to distal over shat f 5th metatarsal to medial metatarsal heads

59
Q

Plantar reflex/ Babinski- what is the testing level

A

Involves L5-S2

60
Q

Plantar reflex/ Babinski- what is the reaction

A

Normal response is PF of toes

7333 Bringman (23 decks)

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