NEURO II HIGH YIELD

Question 1

50% of this disease is associated with familial neurologic disease?

Answer 1

pes cavus

Question 2

this neurologic is associated with:

complaints of heaviness or weakness of the foot or leg

difficulty in ambulation

burning/stinging pain or paresthesia

Answer 2

pes cavus

Question 3

this neuromuscular system is associated with

muscle volume

muscle tone

muscle strength

coordination

Answer 3

motor system

Question 4

how do we assess muscle volume and contour?

Answer 4

look for:

atrophy

fasciculations

suggestive of LMN problems

Question 5

how is muscle tone assessed?

Answer 5

residual tension

qualitatively assessed

manipulate limbs

note hyper/hypo tonia

Question 6

what are the two types of muscle tones?

Answer 6

hypertonia

hypotonia

Question 7

hypotonia can be confused with?

Answer 7

Ehlers-Danlos syndrome

Question 8

this technique can be used to assess peripheral nerve?

what are the peripheral nerves

Answer 8

percussion

saphenous 
common peroneal
superficial peroneal
deep peroneal
tibial
sural 
intermediate dorsal cutaneous

Question 9

this nerve is implicated in tarsal tunnel syndrome?

Answer 9

tibial nerve

Question 10

Mortons neuroma can be assessed with this technique?

Answer 10

mulder’s click test

Question 11

how is pain assessed?

Answer 11

test with sharp and dull object

Question 12

what is noted with the sensory system?

Answer 12

decreases with aging

Question 13

newer method of vibratory sensation testing?

what is maintained? like whaddaya hold

Answer 13

vibratory threshold

dorsal aspect of the hallux IP joint area

Question 14

sensory system more specifically position sense determines?

what happens if lost?

Answer 14

determines hallux position

loss of position sense suggests posterior column disease

Question 15

what are the major causes of peripheral neuropathy?

Answer 15

diabetes mellitus
alcoholism
nutritional
vitamin B12 deficiency

Question 16

5.97 monofilament senses?

Answer 16

its semmes Weinstein monofilament that tests for protective sensation

Question 17

this technique is more sensitive than a tuning fork?

Answer 17

biothesiometer

Question 18

use this reflex to hit between tibial tuberosity and patella

relinquish all control of limb

foot not in contact with table

what is this reflex?

Answer 18

patellar reflex

Question 19

have tendon partially stretched and hold forefoot

what is this reflex?

Answer 19

achilles reflex

Question 20

with bottom of reflex hammer, rub down bottom of foot, this indicates what reflex? is this normal? what about dorsiflexion?

Answer 20

plantar response

yes

not good, indicates babinski sign, UMN disease, unconscious states, following epileptic seizure

Question 21

this reflex is present in normal newborn infants and disappears as the CNS matures; when abnormal, what is affected?

what is the hallmark?

Answer 21

babinski reflex

*persistence of the reflex after 3 indicates dysfunction of the pyramidal tract

contraction of the EHL

Question 22

this is a reflex used to test the quadriceps

helps to facilitate reflexes by way of distraction

Answer 22

jendrassik’s maneuver

Question 23

this is seen in UMN disease and is the alternation of contractions of a set of opposing muscle groups (dorsiflexion of the patients foot elicits a rapid alternating plantarflexion/dorsiflexion response)

Answer 23

clonus