NEURO II HIGH YIELD Flashcards
50% of this disease is associated with familial neurologic disease?
pes cavus
this neurologic is associated with:
complaints of heaviness or weakness of the foot or leg
difficulty in ambulation
burning/stinging pain or paresthesia
pes cavus
this neuromuscular system is associated with
muscle volume
muscle tone
muscle strength
coordination
motor system
how do we assess muscle volume and contour?
look for:
atrophy
fasciculations
suggestive of LMN problems
how is muscle tone assessed?
residual tension
qualitatively assessed
manipulate limbs
note hyper/hypo tonia
what are the two types of muscle tones?
hypertonia
hypotonia
hypotonia can be confused with?
Ehlers-Danlos syndrome
this technique can be used to assess peripheral nerve?
what are the peripheral nerves
percussion
saphenous common peroneal superficial peroneal deep peroneal tibial sural intermediate dorsal cutaneous
this nerve is implicated in tarsal tunnel syndrome?
tibial nerve
Mortons neuroma can be assessed with this technique?
mulder’s click test
how is pain assessed?
test with sharp and dull object
what is noted with the sensory system?
decreases with aging
newer method of vibratory sensation testing?
what is maintained? like whaddaya hold
vibratory threshold
dorsal aspect of the hallux IP joint area
sensory system more specifically position sense determines?
what happens if lost?
determines hallux position
loss of position sense suggests posterior column disease
what are the major causes of peripheral neuropathy?
diabetes mellitus
alcoholism
nutritional
vitamin B12 deficiency
5.97 monofilament senses?
its semmes Weinstein monofilament that tests for protective sensation
this technique is more sensitive than a tuning fork?
biothesiometer
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?
patellar reflex
have tendon partially stretched and hold forefoot
what is this reflex?
achilles reflex
with bottom of reflex hammer, rub down bottom of foot, this indicates what reflex? is this normal? what about dorsiflexion?
plantar response
yes
not good, indicates babinski sign, UMN disease, unconscious states, following epileptic seizure
this reflex is present in normal newborn infants and disappears as the CNS matures; when abnormal, what is affected?
what is the hallmark?
babinski reflex
*persistence of the reflex after 3 indicates dysfunction of the pyramidal tract
contraction of the EHL
this is a reflex used to test the quadriceps
helps to facilitate reflexes by way of distraction
jendrassik’s maneuver
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)
clonus
