Neuro

Question 1

DTR

Answer 1

Bicep= C5
Brachioradialis= C6
Tricpes= C7
Patella= L4
Achilles= S1

Question 2

DTR grading

Answer 2

0= absent
1= hyporeflexia
2= normal
3= hyperreflexia
4= clonus

Question 3

Tone

Answer 3

Wrist- flx/ext
Elbow- flex/ext
Shoulder- and/add
Hip- leg roll
Knee- flex

Question 4

Tone grading

Answer 4

Similar to DTR

Question 5

Upper myotomes

Answer 5

C1- chin tuck
C2- head back
C3- Csp SB
C4- shoulder shrug
C5- shoulder abd (chicken wings)
C6- elbow flexion
C7- elbow extensionm
C8- thumb extension
T1- finger adduction

Question 6

Lower myotomes

Answer 6

L2- hip flexion
L3- knee extension
L4- DF and have Pt return to normal
L5- resist big toe extension
S1- resist PF
S2- heel to bum

Question 7

Myotome grading

Answer 7

0- no contraction
1- flicker
2- active movement with gravity eliminated
3- active against gravity
4- active against gravity and resistance, but weak
5- normal power

Question 8

Dermatome scoring

Answer 8

0- absent
1- altered
2- normal

Question 9

Vibration sense

Answer 9

128 Hz

Question 10

Lower limb areas for vibration

Answer 10

Tip of big toe
Medial malleolus
Tibial tuberosity
ASIS

Question 11

Upper limb areas for vibration

Answer 11

Tip of forefinger
Styloid
Olecranon
Acromion

Question 12

UMNL

Answer 12

Disuse atrophy
Hyperreflexia
Hypertonia
+ve Babinksis
Superficial reflexes absent

Question 13

LMNL

Answer 13

Severe atrophy
Hyporeflexia
Hypotonia
-ve Babinski
Fasciculations

Question 14

UMNL Examples

Answer 14

MS
Primary lateral sclerosis

Question 15

LMNL Examples

Answer 15

Poliomyeltitis (anteiror horn of spinal cord)
Spinal muscular atrophy