NBCE Cards Flashcards
What type of Lesion?
- LMNL
- Dermatogenous pain
- Lateral Flexion & Rotation
- IVF
Radiculopathy
What type of Lesion?
- LMNL
- PNE (peripheral nerve entrapment)
- Extremity
- Causalgia (burning nerve pain)
Neuropathy
What type of Lesion?
- UMNL
- Neck Flexion
- Bilateral symptoms
Myelopathy
What part of the spine has the most myelopathy?
Why?
Cervical spine
RA - Upper C1/C2 - targets synovium b/t dens and transverse ligament.
OA - Lower C5/C6 - exacerbated by cervical flexion
What CNS tract provides speech & gait MOTOR responsibility?
Cerebellum
What are the 3 items present in Charcot’s Triad associated with motor.
“SIN”
- Speech
- Int. Tremors
- Nystagmus
What are some tests to check for speech/gait motor inhibition?
- Heel to shin
- Diadochokinesia (alternating movements)
- Finger to Nose
What are some diseases that cause speech/gait motor inhibition?
- Alcoholism
- Multiple Sclerosis (MS)
- Ataxia (wandering gait)
What CNS tract provides SENSORY responsibility?
Posterior Columns
What is a “Charcot’s Joint”?
Weight bearing joint
What responsibilities does sensory have?
- 2pt discrimination
- Vibration
- Position sense
What is the first sensory receptor that geriatrics lose?
Vibration
What are some tests to check sensory inhibition?
- Rombergs (stand eyes open, then close them)
- 2 Pins
- 128 tuning fork (vibration)
- Toe placement
What are some diseases associated with sensory inhibition?
- Syphilis
- MS
- PLS (stocking & glove paresthesia)
- DM
- Ataxia (sensory)
What CNS tract provides voluntary motor responsibility?
Corticospinal Pyramidal Tracts
What are some tests to check voluntary motor?
- Muscle test
- Mensuration
- DTR
What are some diseases that might inhibit voluntary motor or the corticospinal tract?
UMNL - before anterior cell
LMNL - anterior cell to periphery