Nerve Pathology Part 2

Question 1

L5-S1 disc rupture is 86% probable if what 3 S1 signs are found?

Answer 1

1. Pain Projection to S1 area
2. Pathologic Achilles Reflex
3. Sensory Defect in S1 area

Question 2

What is found with ALL lumbar disc lesions?

Answer 2

Pain Projection into S1 area

Question 3

L4-L5 disc rupture 87% probably with what 3 L5 signs?

Answer 3

1. Extensor hallucis weakness
2. Pain Projection into L5 area
3. Sensory Defect of L5

Question 4

What was 100% reliable for L4-L5 herniation?

Answer 4

Extensor Hallicus Weakness

Sensory Defect in L5 Area

Question 5

What syndromes affect the brachial plexus?

Answer 5

Stinger
Thoracic Outlet Syndrome
Parsonage-Turner Syndrome

Question 6

What disease has a sudden onset of arm pain and weakness following a lateral flexion injury of neck away from arm?

Answer 6

Burner/Stingers

Question 7

Burners/Stingers is what type of injury?

Answer 7

Brachial Plexus

Question 8

How do you evaluate Burner/Stingers?

Answer 8

1. Shoulder Abduction, External Rotation and Flexion are weak.
2. C-Spine Radiographs
3. EMG

Question 9

What is the path taken by neuromuscular structures from neck to arm?

Answer 9

Outlet

Question 10

With thoracic outlet syndrome what are the sites of compression?

Answer 10

Cervical Ribs
Costoclavicular Interval
Subcoracoid Loop

Question 11

When thoracic outlet syndrome is present it most often involves?

Answer 11

Lower Brachial Plexus (C8-T1) with medial arm complaints

Question 12

What is the specific age associated with brachial neuritis?

Answer 12

20’s-30’s

Question 13

Brachial Neuritis can be due to recent?

Answer 13

Immunization
Infection
Radiation

Question 14

Brachial Neuritis can have what type of nerve involvement?

Answer 14

Single or Multiple Peripheral N

Question 15

With brachial neuritis initially there is no?

Answer 15

Neuro signs

Question 16

Brachial Neuritis may show what sign?

Answer 16

Fever

Question 17

How do you categorize diseases?

Answer 17

H: Histology
E: Etiology
A: Anatomic
T: Time
P: Presentation

Question 18

What are some causes of neuropathy?

Answer 18

Idiopathic
Metabolic
Infectious
Vascular
Neoplastic
Drug-Induced
Toxic
Hereditary
Entrapment

Question 19

Whats an example of idiopathic neuropathy?

Answer 19

Guillain-Barre

Question 20

What is an example of metabolic neuropathy?

Answer 20

Diabetes
Uremic
Liver Disease
B12
Hypothyroidism

Question 21

What are examples of infectious neuropathy?

Answer 21

AIDS
Leprosy
Diphtheria
Sarcoidosis

Question 22

What are examples of vascular neuropathy?

Answer 22

Polyarteritis Nodosa
RA
SLE

Question 23

What are examples of neoplastic neuropathy?

Answer 23

Compression
Paraneoplastic
Paraproteinemias
Amyloidosis

Question 24

What are examples of drug induced neuropathy?

Answer 24

Alcohol

Drugs

Question 25

What are examples of toxic neuropathy?

Answer 25

Organophosphates
Heavy Metals
Tryptophan

Question 26

What are examples of hereditary neuropathy?

Answer 26

Idiopathic

Metabolic

Question 27

Polyneuropathy involves?

Answer 27

Multiple Structures in the body

Question 28

Mononeuropathy multiplex can cause what?

Answer 28

Lead Toxicity

Multifocal Motor Neuropathy