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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

A

UMNL

22
Q

UMNL or LMNL?

- Flaccid paralysis

A

LMNL

23
Q

UMNL or LMNL?

- Increase in DTR’s

A

UMNL

24
Q

UMNL or LMNL?

- Decrease in DTR’s

A

LMNL

25
Q

UMNL or LMNL?

- Pathologic Reflex present

A

UMNL

26
Q

UMNL or LMNL?

- Pathologic Reflex absent

A

LMNL

27
Q

UMNL or LMNL?

- Clonus present

A

UMNL

28
Q

UMNL or LMNL?

- Clonus absent

A

LMNL

29
Q

UMNL or LMNL?

- Muscle Hypertrophy

A

UMNL

30
Q

UMNL or LMNL?

- Muscle Atrophy

A

LMNL

31
Q

UMNL or LMNL?

- Fasciculations Absent

A

UMNL

32
Q

UMNL or LMNL?

- Fasciculations Present

A

LMNL

33
Q

UMNL or LMNL?

- Superficial reflex absent

A

Both - UMNL & LMNL

34
Q

Describe CNS Motor Lesion

A
  • Myelopathy
  • Bilateral
  • Pyramidal lesion
  • CVA, Tumor
35
Q

Describe PNS Motor Lesion

A
  • Radiculopathy, Neuropathy
  • Unilateral
  • Disc, PNE, IVF
36
Q

What 2 diseases are associated with both UMNL & LMNL?

A

MS & ALS

37
Q

What are the 5 Motor Only neurological diseases?

A
  1. Muscular Dystrophy (MD)
  2. Myasthenia Gravis
  3. ALS
  4. Cerebral Palsy
  5. Parkinsonism (Paralysis Agitans)
38
Q

Motor Neurological disease:

  • Young boys (sex linked)
  • Albuminuria
  • CPK-MM
  • Creatinuria
  • Weak Muscles
  • Difficulty walking (waddling)
  • Gowers sign
  • Fatal by 20yo
A

Muscular Dystrophy (MD)

39
Q

More deadly form of MD?

A

Erb Duchenne’s

40
Q

Motor Neurological disease:

  • Myoneural junction (CN muscles)
  • Descending paralysis (face & shoulders)
  • Diplopia (double vision)***
  • Trouble swallowing, fatigue, masked facies
  • Intermittent! (feels good after rest)***
A

Myasthenia Gravis

41
Q

Most neurological conditions start where?

A

Eyes

42
Q

Motor Neurological disease:

  • Older males
  • 5yrs terminal
  • Starts in Intrinsic Hand muscles***
  • UMNL & LMNL
  • Bulbar Palsy frequently (CN IX-XII)
A

ALS

43
Q

Motor Neurological disease:

  • Non-progressive motor disorder that occurs at birth due to anoxia
  • Athetoid and choreiform movement
  • Scissors gait
A

Cerebral Palsy

44
Q

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
A

Parkinsonism (Paralysis Agitans)

NMS Diagnosis (1.2) (20 decks)

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