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NPTE Exam > Musculoskeletal System Screening: Reflex Testing, Dermatome Testing, Resistive Testing > Flashcards

Musculoskeletal System Screening: Reflex Testing, Dermatome Testing, Resistive Testing Flashcards

1
Q

Resistive Test: Cervical Rotation is at Innervation Level

A

C1

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2
Q

Resistive Test: Shoulder Elevation is at Innervation Level

A

C2- C4

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3
Q

Resistive Test: Shoulder Abduction is at Innervation Level

A

C5

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4
Q

Resistive Test: Elbow Flexion is at Innervation Level

A

C5- C6

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5
Q

Resistive Test: Wrist Extension is at Innervation Level

A

C6

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6
Q

Resistive Test: Elbow Extension is at Innervation Level

A

C7

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7
Q

Resistive Test: Wrist Flexion is at Innervation Level

A

C7

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8
Q

Resistive Test: Thumb Extension is at Innervation Level

A

C8

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9
Q

Resistive Test: Finger Abduction is at Innervation Level

A

T1

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10
Q

Reflex Test: Biceps is at Innervation Level

A

C5

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11
Q

Reflex Test: Brachioradialis is at Innervation Level

A

C6

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12
Q

Reflex Test: Triceps is at Innervation Level

A

C7

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13
Q

Dermatome Testing- Area of Skin: POSTERIOR HEAD is at the Innervation Level

A

C2

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14
Q

Dermatome Testing- Area of Skin: Posterior- Lateral Neck is at the Innervation Level

A

C3

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15
Q

Dermatome Testing- Area of Skin: Acromioclavicular Joint is at the Innervation Level

A

C4

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16
Q

Dermatome Testing- Area of Skin: Lateral Arm is at the Innervation Level

A

C5

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17
Q

Dermatome Testing- Area of Skin: Lateral forearm and thumb is at the Innervation Level

A

C6

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18
Q

Dermatome Testing- Area of Skin: Palmar distal phalanx- middle fingeris at the Innervation Level

A

C7

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19
Q

Dermatome Testing- Area of Skin: Little finger and Ulnar border of the hand is at the Innervation Level

A

C8

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20
Q

Dermatome Testing- Area of Skin: Medial Forearm is at the Innervation Level

A

T1

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21
Q

Functional test for Heel Walking is the innervation level of:

A

L4- L5

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22
Q

Functional test for Toe Walking is the innervation level of:

A

S1

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23
Q

Functional test for Straight Leg Raise is the innervation level of:

A

L4- S1

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24
Q

Resistive test for Hip Flexion is the innervation level of:

A

L1- L2

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25
Q

Resistive test for Knee Extension is the innervation level of:

A

L3- L4

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26
Q

Resistive test for Ankle DF is the innervation level of:

A

L4-L5

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27
Q

Resistive test for Great Toe Extension is the innervation level of:

A

L5

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28
Q

Resistive test for Ankle PF is the innervation level of:

A

S1

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29
Q

Reflex test for Patella is the innervation level of:

A

L4

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30
Q

Reflex test for Achilles is the innervation level of:

A

S1

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31
Q

Dermatome Testing- Area of Skin: Anterior thigh is at the Innervation Level

A

L2

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32
Q

Dermatome Testing- Area of Skin: middle Third of anterior thigh is at the Innervation Level

A

L3

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33
Q

Dermatome Testing- Area of Skin: Patella and medial malleolus is at the Innervation Level

A

L4

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34
Q

Dermatome Testing- Area of Skin: fibular head and dorsum of the foot is at the Innervation Level

A

L5

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35
Q

Dermatome Testing- Area of Skin: lateral and plantar aspect of foot is at the Innervation Level

A

S1

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36
Q

Dermatome Testing- Area of Skin: medial aspect of posterior thigh is at the Innervation Level

A

S2

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37
Q

Dermatome Testing- Area of Skin: perianal area is at the Innervation Level

A

S3-S5

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38
Q

Dermatome for Nerve Root L1

A

Back
over trochanter and groin

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39
Q

Dermatome for Nerve Root L2

A

Back
front of thigh to knee

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40
Q

Dermatome for Nerve Root L3

A

Back
upper buttock
anterior thigh and knee
medial lower leg

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41
Q

Dermatome for Nerve Root L4

A

Medial buttock
lateral thigh
medial leg
dorsum of foot
big toe

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42
Q

Dermatome for Nerve Root L5

A

Buttock
Posterior and lateral thigh
Lateral aspect of leg
Dorsum of foot
Medial half of sole
First, Second and third toes

43
Q

Dermatome for Nerve Root S1

A

Lateral and plantar aspect of foot

44
Q

Dermatome for Nerve Root S2

A

Buttock
Thigh
Posterior leg

45
Q

Dermatome for Nerve Root S3

A

Groin
Posteromedial thigh to knee

46
Q

Dermatome for Nerve Root S4

A

Perineum
Genitals
Lower sacrum

47
Q

Muscle Weakness (Myotome) for Nerve Root L1

A

None

48
Q

Muscle Weakness (Myotome) for Nerve Root L2

A

Psoas
Hip ADDuctors

49
Q

Muscle Weakness (Myotome) for Nerve Root L3

A

Psoas, Quadriceps

50
Q

Muscle Weakness (Myotome) for Nerve Root L4

A

Tibialis anterior
Extensor hallucis

51
Q

Muscle Weakness (Myotome) for Nerve Root L5

A

Extensor Hallucis
Peroneals
Gluteus Medius
DF
Hamstrings
PF

52
Q

Muscle Weakness (Myotome) for Nerve Root S1

A

Hamstrings
Gluteals
Peroneals
PF

53
Q

Muscle Weakness (Myotome) for Nerve Root S2

A

Same as S1 except Peroneals

Hamstring
Gluteals
PF

54
Q

Muscle Weakness (Myotome) for Nerve Root S3

A

None

55
Q

Muscle Weakness (Myotome) for Nerve Root S4

A

Bladder
Rerctum

56
Q

Reflexes Affected for Nerve Root L1

A

None

57
Q

Reflexes Affected for Nerve Root L2

A

None

58
Q

Reflexes Affected for Nerve Root L3

A

Knee jerk sluggish
Prone Knee Bending positive
Pain on full SLR

59
Q

Reflexes Affected for Nerve Root L4

A

SLR Limited
Neck Flexion pain
weak or absent knee jerk
Side flexion limited

60
Q

Reflexes Affected for Nerve Root L5

A

SLR limited one side
Neck flexion painful
Ankle decreased
Crossed- leg raising pain

61
Q

Reflexes Affected for Nerve Root S1

A

SLR limited
Achilles reflex weak or absent

62
Q

Reflexes Affected for Nerve Root S2

A

Same as S1

SLR limited
Achilles reflex weak or absent

63
Q

Reflexes Affected for Nerve Root S3

A

None

64
Q

Reflexes Affected for Nerve Root S4

A

None

65
Q

Paresthesias for Nerve Root L1

A

Groin;
After holding posture which causes pain

66
Q

Paresthesias for Nerve Root L2

A

Occasionally anterior thigh

67
Q

Paresthesias for Nerve Root L3

A

Medial knee
Anterior lower leg

68
Q

Paresthesias for Nerve Root L4

A

Medial aspect of calf and ankle

69
Q

Paresthesias for Nerve Root L5

A

Lateral aspect of leg
Medial three toes

70
Q

Paresthesias for Nerve Root S1

A

Lateral two toes
Lateral foot
Lateral leg to knee
Plantar aspect of foot

71
Q

Paresthesias for Nerve Root S2

A

lateral leg, knee and heel

72
Q

Paresthesias for Nerve Root S3

A

Non

73
Q

Paresthesias for Nerve Root S4

A

Saddle area
Genitals
Anus
Impotence
Massive posterior herniation

74
Q

Dermatome for Nerve Root C1

A

Vertex of skull

75
Q

Dermatome for Nerve Root C2

A

Temple
Forehead
Occiput

76
Q

Dermatome for Nerve Root C3

A

Entire neck
Posterior cheek
Temporal area
Prolongation forward under mandible

77
Q

Dermatome for Nerve Root C4

A

Shoulder area
Clavicular area
Upper scapular area

78
Q

Dermatome for Nerve Root C5

A

Deltoid area
Anterior aspect of entire arm to base of thumb

79
Q

Dermatome for Nerve Root C6

A

Anterior arm
Radial side of hand to thumb and index finger

80
Q

Dermatome for Nerve Root C7

A

Lateral arm
Forearm to index, long, and ring fingers

81
Q

Dermatome for Nerve Root C8

A

Medial arm and forearm to long, ring, and little fingers

82
Q

Dermatome for Nerve Root T1

A

Medial side of forearm to base of little finger

83
Q

Dermatome for Nerve Root T2

A

Medial side of upper arm to medial elbow, pectoral and midscapular areas

84
Q

Dermatome for Nerve Root T3- T12

A

T3- T6 upper thorax
T5- T7 costal margin
T8- T12 abdomen and lumbar region

85
Q

Muscle Weakness (Myotome) for Nerve Root C1

A

None

86
Q

Muscle Weakness (Myotome) for Nerve Root C2

A

longus colli
Sternocleidomastoid
Rectus capitis

87
Q

Muscle Weakness (Myotome) for Nerve Root C3

A

trapezius
Splenius Capitis

88
Q

Muscle Weakness (Myotome) for Nerve Root C4

A

Trapezius
Levator Scapulae

89
Q

Muscle Weakness (Myotome) for Nerve Root C5

A

Supraspinatus
Infraspinatus
Deltoid
Biceps

90
Q

Muscle Weakness (Myotome) for Nerve Root C6

A

Biceps
Supinator
Wrist Extensors

91
Q

Muscle Weakness (Myotome) for Nerve Root C7

A

Triceps
Wrist flexors

92
Q

Muscle Weakness (Myotome) for Nerve Root C8

A

Ulnar deviators
Thumb extensors
Finger flexors

93
Q

Muscle Weakness (Myotome) for Nerve Root T1- T2

A

Disk lesions at upper thoracic levels do not appear to give rise to root weakness.

Weakness of intrinsic muscles of the hand is due to other pathology;
Thoracic outlet pressure
Neoplasm of lung
Ulnar nerve lesion

94
Q

Muscle Weakness (Myotome) for Nerve Root T3- T12

A

Articular and dura signs and root pain are common

Root signs (cutaneous analgesia) are rare and have such indefinite area that they have little localizing value.

Weakness is not detectable.

95
Q

Which upper nerve roots does NOT have reflexes affected?

A

C1- C4
C8- T12

96
Q

Reflexes Affected for Nerve Root C5

A

Biceps
Brachioradialis

97
Q

Reflexes Affected for Nerve Root C6

A

Biceps
Brachioradialis

98
Q

Reflexes Affected for Nerve Root C7

A

Triceps

99
Q

Paresthesias to the area of the cheek and side of the neck affects which nerve root?

A

C3

100
Q

Paresthesias to horizontal band along the clavicle and upper scapula affects which nerve root?

A

C4

101
Q

Nerve Root C5 Paresthesias is:

A

NONE

102
Q

Paresthesias to the thumb and index finger affects to the nerve root:

A

C6

103
Q

Paresthesias to the index, long, and ring finger affects which nerve root?

A

C7

104
Q

Paresthesias to the little inner alone or with two adjacent fingers; not ring or long fingers, alone or together affects which nerve root?

A

C8

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