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NMS I: Findings > + Findings > Flashcards

+ Findings Flashcards

0
Q

Rhomberg Test:

Pt falls with eyes open and with eyes closed to the right

A

Cerebellar Deficit
and/or
Vestibular Mechanism Deficit
(to the right)

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1
Q

Vibration: Pt does not feel vibration in ankle

A

Palanesthesia

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2
Q

Rhomberg Test:

Pt falls with eyes closed only to the right

A

Dorsal Column Pathology (to the right)

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3
Q

Hopping on one foot:

Pt falls with eyes open and closed to the left

A

Cerebellar Deficit
and/or
Vestibular Mechanism Deficit (to the left)

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4
Q

Hopping on one foot:

Pt falls with eyes closed only to the left

A

Dorsal Column Pathology (to the left)

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5
Q

Squatting on one foot:

Pt falls with eyes open and closed

A

Cerebellar Deficit
and/or
Vestibular Mechanism Deficit

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6
Q

Squatting on one foot:

Pt falls with eyes closed only

A

Dorsal Column Pathology

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7
Q

Finger-to-Nose test:
Pt has uncoordinated movement when attempting to touch the tip of his/her nose with the tip of finger with eyes open and closed

A

Dyssynergia

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8
Q

Finger-to-Nose Test:
Pt is inaccurate at measuring the distance when attempting to touch the tip of his/her nose to the tip of their finger with eyes open and closed

A

Dysmetria

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9
Q

Finger-to Finger:
Pt is uncoordinated when attempting to touch the tips of their index fingers together, straight out in front of them. Eyes open and eyes closed

A

Dyssynergia

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10
Q

Finger to finger:
Pt is inaccurate at measuring the distance between the tips of their index fingers when trying to touch them together. Eyes both open and closed

A

Dysmetria

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11
Q

Finger-to-Nose-to-Finger:
Pt is uncoordinated when trying to touch their nose followed by touching the doctors finger as it moves throughout space in front of them.

A

Dyssynergia

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12
Q

Heel to Shin:
Pt is uncoordinated when attempting to run their heel down their opposite shin from knee to ankle. Done bilaterally with eyes open and closed.

A

Dyssynergia

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13
Q

Heel to shin:

Pt is inaccurate in measuring the distance between their heel and the shin of their opposite leg.

A

Dysmetria

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14
Q

Testing for the ability to perform rapid alternating movements: Pt is unable to pat knees rapidly, and pronate/supinate the hands with eyes open and closed.

A

Dysdiadochokinesia

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15
Q

Holmes Rebound Phenomenon:
Pt is uncoordinated when contracting flexors in forearm against resistance by the doctor when eyes are both open and closed.

A

Dyssynergia

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16
Q

Holmes Rebound Phenomenon:
Pt is inaccurate at measuring the distance when resisting force from doctor against flexed forearm, and likely hits him/herself in the face when eyes are both open/closed

A

Dysmetria

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17
Q

Tandem Gait:
Pt uncoordinatedly walks in a line, heel to toe, while looking directly in front of them when eyes are open, and also when eyes are closed

A

Dyssynergia

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18
Q

Tandem Gait:
Pt is inaccurate at measuring the distance between their heel to toe when walking in a straight line with eyes both open and closed

A

Dysmetria

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19
Q

Joint Position Test:
Doctor holds pt finger from the sides and points the tip either up or down. Pt is unable to determine which direction the finger is pointing

A

unable to distinguish whether finger is pointing up or down:
possible posterior column disease (proprioception)

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20
Q

Abadie’s Sign:

Pt feels no discomfort when pinching the achilles tendon

A

dorsal column disease

ie: tabesdorsalis

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21
Q

Pitre’s Sign:

Pt feels no discomfort when doctor pinches pt testicles

A

Dorsal column disease

ie: tabesdorsalis

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22
Q

Biernacki Sign:

Pt feels no discomfort when pinching or striking the ulnar nerve

A

Dorsal column disease

ie: tabesdorsalis

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23
Q

Stereognosis:
With eyes closed, pt is unable to identify the object in their hand within a few seconds without switching hands. Both hands are checked

A

loss of higher cortical functions and memory

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24
Q

Barognosis: Pt is unable to assess the relative weight of similarly sized and shaped objects that have different weight.

A

loss of higher cortical functions and memory

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25
Q

Topognosis: When touching the pt somewhere on the skin, they are unable to point to the area that had been touched when eyes are closed

A

loss of higher cortical functions and memory

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26
Q

Graphognosis:

Pt is unable to identify a letter or number written on their palm when their eyes are closed

A

loss of higher cortical functions and memory

27
Q

2 point discrimination:

Pt is unable to determine the distance between two separate points

A

loss of higher cortical functions and memory

28
Q

May be the greatest cause of headaches. Account for cervical pain influence on head pain

A

cervicogenic pain

29
Q

Cervicogenic Pain is associated with which CN

A

CN V3

30
Q

Greatest cause of dizziness

A

cervicogenic vertigo

31
Q

Cerebellopontine angle lesion is a lesion in which CN’s

A

Unilateral CN V, VII, VIII

5, 7, 8

32
Q

Cavernous sinus lesion deals with lesion in which CN’s

A

CN III, IV, V, VI

3, 4, 5, 6

33
Q

Jugular Foramen Syndrome deals with lesion in which CN

A

Combined unilateral CN IX, X, XI

9, 10, 11

34
Q

Bulbar Palsy deals with lesion in which CN’s

A

LMN combined bilateral CN X, XI, XII

10, 11, 12

35
Q

Pseudobulbar Palsy deals with lesion of which CN’s

A

Combined bilateral UMN of CN X, XI, XII

10, 11, 12

36
Q

MC cause of intrinsic brainstem lesion of younger pt

A

MS

37
Q

MC cause of intrinsic brain stem lesion in older pt

A

Vascular disease

38
Q

Complete loss of smell

A

Anosmia (CN I)

39
Q

Decreased sense of smell

A

Hyposmia

40
Q

Increased sense of smell

A

Hyperosmia

41
Q

Pervision of smell

A

Parosmia

42
Q

Abnormally disagreeable smell

A

Cacosmia

43
Q

Meningiomas and Frontal Lobe Tumors may suppress a tract that results in issues with which cranial nerve

A

CN I

compresses olfactory tract

44
Q

Causes of anosmia (4)

A

blocked nasal passage
common cold
trauma
age

45
Q

Involves the optic nerve or tract, and the MC cause is multiple sclerosis

A

Retrobulbar Neuritis

46
Q

Includes various forms of retinitis

A

Optic or Bulbar neuritis

47
Q

commonly seen symptom of increased intracranial pressure due to brain tumors, abscesses, hemorrhage, hypertension, and other causes.

A

Papilledema (aka Choked disc)

48
Q

Associated with decreased visual acuity and a change in the color of the optic disc to light pink, white, or gray

A

Optic atrophy

49
Q

caused by processes that involve the optic nerve and do not produce papilledema

A

primary optic atrophy

50
Q

A sequel of papilledema

A

secondary optic atrophy

51
Q

characterized by ipsilateral blindness, anosmia and contralateral papilledema

A

Foster Kennedy Syndrome

52
Q

Cerebromacular degeneration with severe mental deficiency occurring in jewish families and is associated with blindness, optic atrophy, and a dark cherry red spot in place of the macula

A

Tay-Sachs disease

53
Q

Pupil reacts only to accommodation. it has neither a direct or indirect reaction to light. May be because of a diabetic complication

A

Argyll Robertson Pupil

54
Q

Eyelid Ptosis deals with primarily which CN

A

Disease of CN III

55
Q

The pupil reacts to light very slowly, remains constricted longer, then dilates slowly. Most often in young women and considered benign

A

Holmes- Adie Syndrome

56
Q

Ptosis, pupilloconstriction, lack of sweating, red or flushed look and palpable increase in skin temp

A

Horner’s syndrome

57
Q

blurred nerve fibers and cup, engorged veins, obliteration of physiological cup, and disc elevation and edema

A

papilledema

58
Q

Inflammation behind the portion of the optic disc that can be visualized during fundiscopic exam

A

acute retrobulbar neuritis

in this case, fundus looks normal but pt has vision loss

59
Q

central causes of facial paralysis should always be considered what

A

Trigeminal neuralgia

60
Q

idiopathic syndrome or recurrent, usually sharp, painful facial sensation in the clear distribution of the opthalamic, maxillary, or mandibular divisions of CN V

A

Trigeminal neuralgia

61
Q

Peripheral facial paralysis

A

Prosopoplegia

CN VII disorder

62
Q

flaccid paralysis involving all ipsilateral facial muscles distal to lesion site

A

Bells Palsy (CN VII)

63
Q

The forehead is spared, the eyes are only partially involved, and the mouth and neck are fully involved in facial paralysis

A

Stroke (CN VII)

64
Q

Common etiologies for conductive hearing loss (4)

A

Auditory canal obstruction
direct/indirect trauma to tympanic membrane
trauma to ossicles
accumulation of fluid in the middle ear

65
Q

Difficulty in act of swallowing would be associated with which CN

A

IX, X

66
Q

Loss of vibratory sensation

A

Pallanesthesia

NMS I: Findings (1 decks)

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