master neuro class Flashcards

1
Q

titubation symptom - located where

A

cerebellum lesion

involuntary head nod

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2
Q

modified ashworth scale - 0

A

no increase in tone

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3
Q

modified ashworth scale - 1

A

slight increasse in mm tone manifested by a catch and release or minamal resistance at the end of the ROM when the affected part(s) is moved into flexion or extension

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4
Q

modified ashworth scale - 1+

A

slight increase in mm tone, manifested by a catch followed by minimal resistance throughout the remainder (less than half) of the ROM

no release

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5
Q

modified ashworth scale - 2

A

more marked increase in mm tone through most of the ROM, but affected part(s) easily moved

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6
Q

modified ashworth scale - 3

A

considerable increase in mm tone, PROM difficult

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7
Q

modified ashworth scale - 4

A

affected parts rigid in flexion or extension

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8
Q

how are the reflexes in a basal ganglia impairment/lesion

A

normal

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9
Q

how are the reflexes in a cerebellum impairment/lesion

A

normal or decreased

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10
Q

how is sensation in a basal ganglia impairment/lesion

A

normal

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11
Q

how is sensation in a cerebellum impairment/lesion

A

normal

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12
Q

gloscow coma scale: spontaneous eye opening score

A

4

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13
Q

gloscow coma scale: to sound eye opening score

A

3

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14
Q

gloscow coma scale: to pain eye opening score

A

2

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15
Q

gloscow coma scale: never eye opening score

A

1

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16
Q

gloscow coma scale: motor response - obeys command score

A

6

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17
Q

gloscow coma scale: motor response - localizes pain score

A

5

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18
Q

gloscow coma scale: motor response - normal flexion score

A

4

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19
Q

gloscow coma scale: motor response - abnormal flexion score

A

3

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20
Q

gloscow coma scale: motor response - extension score

A

2

21
Q

gloscow coma scale: motor response - none score

A

1

22
Q

gloscow coma scale: verbal response - oriented score

A

5

23
Q

gloscow coma scale: verbal response - confused conversation score

A

4

24
Q

gloscow coma scale: verbal response - inapproprate words score

A

3

25
Q

gloscow coma scale: verbal response - incomprehensible sounds score

A

2

26
Q

gloscow coma scale: verbal response - none score

A

1

27
Q

gloscow coma scale:
mild
mod
severe

A

mild: 13-15
mod: 9-12
severe: <9

28
Q

how can you differentiate bells palsy vs CVA

A

bells palsy affects entire half of face

CVA affects bottom half of face

29
Q

explain GBS

A

G: glove and stocking
B: bilateral
S: symmetrical

abnormal sensation
low reflex
LMN
LE>UE
distal to proximal

30
Q

what unique signs/symtoms does MS have

A

lhermittes: painful c/s flex (hair is messy)
Uthoff: heat intolerance (u hot)
charcoits triad: “SIN” scanning speech, intention tremor, nystagmus
optic neuritis: CN 5
marcus gunn pupil

31
Q

what direction of mm weakness do DMD patients experience

A

proximal to distal

32
Q

which way does someone with pushers sydnrome push

A

pushes to weaker side

33
Q

what lesion in the brain causes pushers syndrome

A

thalamus syndrome

34
Q

what lesion causes unilateral neglect

A

R parietal lobe

35
Q

propsopagnosia

A

visual agnosia, difficulty naming familiar people

caused from occipital lobe - PCA lesion

36
Q

anosognosia

A

denial of disease
lack of awareness or denial of paretic extremity

a- NO- sognsia

37
Q

what lesion causes anosognosia

A

R parietal

38
Q

somatoagnosia

A

impaired body schema, lack of awarenss of body structure and the relationship of body parts to oneself or to others

in order words, difficulty following instructions that require distinguishing body parts an may be unable to imitate movements of the therapist

39
Q

AICA

A

lateral portion
- pons
- ataxia
- lateral STT: pain and temp on opp side
- CN 5,7,8 (CN 6 is medial)

CE MI PONS MEDU

40
Q

PICA

A

lateral portion
- medulla
- ataxia
- lateral STT: pain and temp on opp side
- CN 9,10,11 (12 is medial)

41
Q

what level of injury can patients use tenodesis

A

c6

42
Q

ramp width

A

36 in

43
Q

ramp landings

A

30in

44
Q

door width

A

32 in

45
Q

BBS fall risk cut off

A

less than 45/56

46
Q

tinneti balance and gait assessment cut off

A

<19 high fall risk
19-23 mod
>= 24 low fall risk

47
Q

DGI cut off

A

<= 19/24

48
Q

FGI cut off

A

<=22/30

49
Q

TUG cut offs

A

healthy adults - 9 sec or less
frail elderly/disability - 11-20 sec
impaired functional mobility/high risk: >30