Exams, Muscle Strength, Reflexes Flashcards

1
Q

when a primary sensory modality isn’t working the deficit is referred to as

A

anesthesia or analgesia

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2
Q

2 types of sensation

A

superficial and deep

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3
Q

types of superficial sensation

A

pain, temperature, light touch

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4
Q

pain, temperature, light touch carried in this tract

A

anterolateral part of cord

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5
Q

types of deep sensation

A

pain, touch, proprioception

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6
Q

pain, touch, proprioception carried in this tract

A

posterior part of cord

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7
Q

when checking the dermatomes, 2 other tests that can be performed are

A

deep tendon reflexes and muscle strength testing

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8
Q

light touch receptors

A

tactile disc of merkel

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9
Q

deep touch receptors

A

corpuscles of meissner

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10
Q

pain impulses travel along these types of fibers

A

A delta and C fibers

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11
Q

term designating areas insensitive to pain

A

analgesia

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12
Q

term designating areas having decreased sensitivity to pain

A

hypalgesia

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13
Q

term designating areas having increased sensitivity to pain

A

hyperalgesia

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14
Q

temperature of cold stimuli

A

41-50 degrees

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15
Q

temperature of hot stimuli

A

104-113 degrees

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16
Q

easiest and best way of checking motor nerve function

A

muscle testing

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17
Q

voluntary motor impulses initiated in this part of brain

A

cerebral motor cortex

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18
Q

the 3 areas of muscle integrity that are assessed

A

strength, tone, volume

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19
Q

0/5 muscle strength

A

no movement of muscle; 0% of normal movement

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20
Q

1/5 muscle strength

A

a twitch of movement; 0-10% of normal movement

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21
Q

2/5 muscle strength

A

moderate to severe paresis; 11-25% of normal movement

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22
Q

3/5 muscle strength

A

moderate paresis; 26-50% of normal movement

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23
Q

4/5 muscle strength

A

mild paresis; 51-75% of normal movement

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24
Q

5/5 muscle strength

A

normal; 76-100%

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25
Q

supraspinatus: segmental innervation and peripheral nerve

A

innervation: C4/5/6 (mostly C5)
nerve: suprascapular

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26
Q

deltoid: segmental innervation and peripheral nerve

A

innervation: C5/6 (mostly C5)
nerve: axillary

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27
Q

biceps: segmental innervation and peripheral nerve

A

innervation: C5/6
nerve: musculocutaneous

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28
Q

brachioradialis: segmental innervation and peripheral nerve

A

innervation: C5/6
nerve: radial

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29
Q

wrist extension: segmental innervation and peripheral nerve

A

innervation: C6/7/8 (mostly C6)
nerve: radial

30
Q

triceps: segmental innervation and peripheral nerve

A

innervation: C6/7/8/(T1) (mostly C7)
nerve: radial

31
Q

wrist flexion: segmental innervation and peripheral nerve

A

innervation: C6/7/8/(T1) (mostly C7)
nerve: median, ulnar

32
Q

finger extension: segmental innervation and peripheral nerve

A

innervation: C6/7/8 (mostly C7)
nerve: radial

33
Q

finger flexion: segmental innervation and peripheral nerve

A

innervation: C7/8/T1 (mostly C8)
nerve: median, ulnar

34
Q

finger abduction: segmental innervation and peripheral nerve

A

innervation: C8/T1 (mostly T1)
nerve: ulnar

35
Q

finger adduction: segmental innervation and peripheral nerve

A

innervation: C8/T1 (mostly T1)
nerve: ulnar

36
Q

hip flexion: segmental innervation and peripheral nerve

A

innervation: L1-L4
nerve: femoral

37
Q

hip extension: segmental innervation and peripheral nerve

A

innervation L5-S2

nerve: inferior gluteal

38
Q

hip abduction: segmental innervation and peripheral nerve

A

innervation: L4-S1
nerve: superior gluteal

39
Q

hip adduction: segmental innervation and peripheral nerve

A

innervation: L2-L4
nerve: obturator

40
Q

knee flexion: segmental innervation and peripheral nerve

A

innervation: L5-S2
nerve: tibial

41
Q

knee extension: segmental innervation and peripheral nerve

A

innervation: L2-L4
nerve: femoral

42
Q

plantar flexion: segmental innervation and peripheral nerve

A

innervation: S1
nerve: tibial

43
Q

dorsiflexion: segmental innervation and peripheral nerve

A

innervation: L5
nerve: deep peroneal

44
Q

ankle inversion: segmental innervation and peripheral nerve

A

innervation: L5-S1
nerve: tibial

45
Q

ankle eversion: segmental innervation and peripheral nerve

A

innervation: L4-S1
nerve: superficial peroneal

46
Q

toe extension: segmental innervation and peripheral nerve

A

innervation: L4-S1
nerve: deep peroneal

47
Q

toe flexion: segmental innervation and peripheral nerve

A

innervation: L5-S2
nerve: tibial

48
Q

increased muscle tone means this type of neuron lesion

A

UMNL

49
Q

decreased muscle tone means this type of neuron lesion

A

LMNL

50
Q

2 types of hypertonia

A

spasticity and rigidity

51
Q

increased muscular resistance felt by the examiner during quick joint movement

A

spasticity

52
Q

involuntary muscular resistance felt when moving a resting joint

A

rigidity

53
Q

all neurological signs can be divided into

A

deficit and release phenomena

54
Q

loss of normal neurological function

A

deficit phenomena

55
Q

deficit phenomena caused by these type of neuron lesions

A

LMNL

56
Q

exaggerations or perversions of normal neurological function

A

release phenomena

57
Q

biceps reflex: segmental innervation and peripheral nerve

A

innervation: C5/6 (mostly C5)
nerve: musculocutaneous

58
Q

brachioradialis reflex: segmental innervation and peripheral nerve

A

innervation: C5/6 (mostly C6)
nerve: radial

59
Q

triceps reflex: segmental innervation and peripheral nerve

A

innervation: C6/7/8/(T1) (mostly C7)
nerve: radial

60
Q

finger flexion: segmental innervation and peripheral nerve

A

innervation: C7/8/T1 (mostly C8)
nerve: median, ulnar

61
Q

patellar reflex: segmental innervation and peripheral nerve

A

innervation: L2-L4
nerve: femoral

62
Q

achilles reflex: segmental innervation and peripheral nerve

A

innervation: L5-S2
nerve: tibial

63
Q

adductor reflex: segmental innervation and peripheral nerve

A

innervation: L2-L4
nerve: obturator

64
Q

internal hamstring reflex: segmental innervation and peripheral nerve

A

innervation: L4-S2
nerve: tibial

65
Q

external hamstring reflex: segmental innervation and peripheral nerve

A

innervation: L5-S3
nerve: common peroneal

66
Q

reflex graded 0

A

absent reflex

67
Q

reflex graded +1

A

hypoactive reflex

68
Q

reflex graded +2

A

normal reflex

69
Q

reflex graded +3

A

hyperactive reflex

70
Q

reflex graded +4

A

hyperactive with clonus