Lab Final: Test F

Question 1

Object remote memory

Answer 1

where did you go to high school

Question 2

test orientation

Answer 2

name, location, day of week

Question 3

two point discrimination

Answer 3

paperclip, tell when points are together, 3 spots per extremity

Question 4

pain sensation

Answer 4

prick with neurotip, 5 times per extremity

Question 5

passive elbow motion

Answer 5

flexion, extension, supination, pronation

Question 6

muscle test wrist flexors

Answer 6

hold while I pull hand down

Question 7

finger nose

Answer 7

touch finger to nose in all 4 quadrants

Question 8

forced gait

Answer 8

walk on heels
walk on toes
**stand close

Question 9

gag reflex

Answer 9

describe the test; press against the back of the throat with tongue depressor,
response: pt should gag upon touching the back of throat
Afferent: glossopharyngeal
Integrating center: medulla
Efferent: vagus nerve

Question 10

carotid sinus reflex

Answer 10

Response: reduction in HR when examiner presses carotid sinus
Afferent: glossopharyngeal
Integrating center: medulla
Efferent: Vagus nerve

Question 11

brachioradialis reflex

Answer 11

hit brachioradialis with flat side of hammer

• slight flexion of forearm
• afferent/efferent: radial
• integrating: C6

Question 12

babinski

Answer 12

-stroke foot positive would be big toe coming up and flaring of toes

Question 13

pt presents with complaint of double vision whenever he looks to the left. you notice larger pupil on the right, and right eye pstosis. state the cranial nerve to be tested

Answer 13

-abducens (IV) and oculomotor (III) trochlear

• direct light
• indirect light
• accomodatoin
• check for pstosis
• extraocular movts

Question 14

direct light reflex

Answer 14

pt divides eyes 
response-ipsilateral pupillary constriction when light is shined in the eye
afferent- optic nerve
integrating- midbrain
efferent- oculomotor

Question 15

indirect light reflex

Answer 15

pt divides eyes with hand, bright light in from side and look at opposite eye

• contralateral pupillary constriction when light is shined in the eye
• afferent: optic nerve
• integrating: midbrain
• oculomotor nerve

Question 16

accomodation

Answer 16

bring finger close to pts nose and back slowly

response: convergence of eyes with pupillary constriction
- afferent: optic nerve
- integrating center:- occipital cortex
- efferent: oculomotor

Question 17

pt presents with left foot pain, points to top of left foot as site, left hip seems more stable than his left 
 nerve? 
disc level?
tests?
reflex?

Answer 17

• L5
• L4
• dorsiflexion: extensor hallicus longus and extensor digitorum longus/brevis (deep peroneal n)
• big toe dorsiflexion: extensor hallicus longus (deep peronal)
• toes 234 dorsiflex: extensor digitorum longus/brevis (deep peroneal)
• hip abduction: gluteus medius and minimus
• no reflex
• dermatome L4,L5,S1

Question 18

patient has muscle weakness on finger adduction. state and perform motor test

Answer 18

• fromet paper sign
• positive: pt unable to maintain grip on paper
• indicates: ulnar paralysis

Question 19

pt complains of weakness in the hands working overhead. state and perform appropriate test for clavicle and 1st rib

Answer 19

• eden test
• find pulse, shoulder back, drop chin to chest
• pain and/or parathesia, decreased or absent pulse, pallor
• compression of neurovascular bundle between clavicle and 1st rib

Question 20

pt has low back pain. state and perform ortho test to differentiate a lumbar pain from pelvic pain

Answer 20

• belt test
• pain while supported and unsupported is a lumbar issue
• pain while unsupported but absense while supported is a pelvic issue