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NMS Diagnosis (1.2) > NBCE Cards > Flashcards

NBCE Cards Flashcards

1
Q

What type of Lesion?

  • LMNL
  • Dermatogenous pain
  • Lateral Flexion & Rotation
  • IVF
A

Radiculopathy

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2
Q

What type of Lesion?

  • LMNL
  • PNE (peripheral nerve entrapment)
  • Extremity
  • Causalgia (burning nerve pain)
A

Neuropathy

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3
Q

What type of Lesion?

  • UMNL
  • Neck Flexion
  • Bilateral symptoms
A

Myelopathy

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4
Q

What part of the spine has the most myelopathy?

Why?

A

Cervical spine
RA - Upper C1/C2 - targets synovium b/t dens and transverse ligament.
OA - Lower C5/C6 - exacerbated by cervical flexion

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5
Q

What CNS tract provides speech & gait MOTOR responsibility?

A

Cerebellum

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6
Q

What are the 3 items present in Charcot’s Triad associated with motor.

A

“SIN”

  • Speech
  • Int. Tremors
  • Nystagmus
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7
Q

What are some tests to check for speech/gait motor inhibition?

A
  • Heel to shin
  • Diadochokinesia (alternating movements)
  • Finger to Nose
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8
Q

What are some diseases that cause speech/gait motor inhibition?

A
  • Alcoholism
  • Multiple Sclerosis (MS)
  • Ataxia (wandering gait)
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9
Q

What CNS tract provides SENSORY responsibility?

A

Posterior Columns

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10
Q

What is a “Charcot’s Joint”?

A

Weight bearing joint

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11
Q

What responsibilities does sensory have?

A
  • 2pt discrimination
  • Vibration
  • Position sense
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12
Q

What is the first sensory receptor that geriatrics lose?

A

Vibration

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13
Q

What are some tests to check sensory inhibition?

A
  • Rombergs (stand eyes open, then close them)
  • 2 Pins
  • 128 tuning fork (vibration)
  • Toe placement
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14
Q

What are some diseases associated with sensory inhibition?

A
  • Syphilis
  • MS
  • PLS (stocking & glove paresthesia)
  • DM
  • Ataxia (sensory)
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15
Q

What CNS tract provides voluntary motor responsibility?

A

Corticospinal Pyramidal Tracts

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16
Q

What are some tests to check voluntary motor?

A
  • Muscle test
  • Mensuration
  • DTR
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17
Q

What are some diseases that might inhibit voluntary motor or the corticospinal tract?

A

UMNL - before anterior cell

LMNL - anterior cell to periphery

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18
Q

What CNS tract provides responsibility for Pain & Temp Sensory information?

A

Lateral Spinothalamic

19
Q

What test checks for pain & temp sensory inhibition?

A

Hot & Cold test tubes

20
Q

What disease affects pain & temp sensory or lateral spinothalamic tract?

A

Syringomyelia

21
Q

UMNL or LMNL?

- Spastic paralysis

22
Q

UMNL or LMNL?

- Flaccid paralysis

23
Q

UMNL or LMNL?

- Increase in DTR’s

24
Q

UMNL or LMNL?

- Decrease in DTR’s

25
UMNL or LMNL? | - Pathologic Reflex present
UMNL
26
UMNL or LMNL? | - Pathologic Reflex absent
LMNL
27
UMNL or LMNL? | - Clonus present
UMNL
28
UMNL or LMNL? | - Clonus absent
LMNL
29
UMNL or LMNL? | - Muscle Hypertrophy
UMNL
30
UMNL or LMNL? | - Muscle Atrophy
LMNL
31
UMNL or LMNL? | - Fasciculations Absent
UMNL
32
UMNL or LMNL? | - Fasciculations Present
LMNL
33
UMNL or LMNL? | - Superficial reflex absent
Both - UMNL & LMNL
34
Describe CNS Motor Lesion
- Myelopathy - Bilateral - Pyramidal lesion - CVA, Tumor
35
Describe PNS Motor Lesion
- Radiculopathy, Neuropathy - Unilateral - Disc, PNE, IVF
36
What 2 diseases are associated with both UMNL & LMNL?
MS & ALS
37
What are the 5 Motor Only neurological diseases?
1. Muscular Dystrophy (MD) 2. Myasthenia Gravis 3. ALS 4. Cerebral Palsy 5. Parkinsonism (Paralysis Agitans)
38
Motor Neurological disease: - Young boys (sex linked) - Albuminuria - CPK-MM - Creatinuria - Weak Muscles - Difficulty walking (waddling) - Gowers sign - Fatal by 20yo
Muscular Dystrophy (MD)
39
More deadly form of MD?
Erb Duchenne's
40
Motor Neurological disease: - Myoneural junction (CN muscles) - Descending paralysis (face & shoulders) - Diplopia (double vision)*** - Trouble swallowing, fatigue, masked facies - Intermittent! (feels good after rest)***
Myasthenia Gravis
41
Most neurological conditions start where?
Eyes
42
Motor Neurological disease: - Older males - 5yrs terminal - Starts in Intrinsic Hand muscles*** - UMNL & LMNL - Bulbar Palsy frequently (CN IX-XII)
ALS
43
Motor Neurological disease: - Non-progressive motor disorder that occurs at birth due to anoxia - Athetoid and choreiform movement - Scissors gait
Cerebral Palsy
44
Motor Neurological disease: - Basal ganglia / Substantia Nigra lesion (dopamine) - Extrapyramidal tract = Resting Tremor (pin rolling) - Blank Stare (masked facies), oily, dependent arms, festinating gait - Trouble initiating motion & then trouble stopping motion
Parkinsonism (Paralysis Agitans)

NMS Diagnosis (1.2) (20 decks)

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