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3101 manuals > Neuro manual > Flashcards

Neuro manual Flashcards

1
Q

describe group 1 on the texas risk classification?

A

peripheral neuropathy

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2
Q

describe group 2 on the texas risk classification?

A

PAD

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3
Q

Describe group 0 of the texas foot risk classification?

A

No peripheral neuropathy, no PAD

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4
Q

Describe group 3 of the texas foot risk classificaiton?

A

History of ulceration

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5
Q

Describe group 4 of the texas foot risk classification?

A

History of amputation

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6
Q

what is the 10 g monofilament used to test?

A

patients perception of pressure, A-beta fibers, presence of peripheral sensori-motor neuropathy

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7
Q

what is the MINIMUM neurological assessment performed on people with diabetes?

A

10g monofilament adn one other neurological test.

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8
Q

how long do you hold the monofilament on each site?

A

1-2 seconds

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9
Q

What is normal result for the 10g monofilament?

A

7-10sites detected

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10
Q

What are the problems in performing this test on older people?

A

Tactile sensitivity decreases with age due to a reduction in the number of mechanoreceptors

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11
Q

what is vibration perception testing?

A

pacinian corpuscles which lie deep within the skin.

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12
Q

what are pacinian corpuscles responsible for?

A

alterations to pressures and vibrations

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13
Q

what fibres are being tested in the tuning fork?

A

A-beta fibres

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14
Q

what sites should you test with the vibration perception?

A

apex of the hallux, medial 1st MPJ, medial mal, tibial tuberosity (continue until you get a normal result)

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15
Q

what is the neurothesiometer?

A

a semi quantitative way to test a patients vibration perception threshold

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16
Q

what is a normal result for the neurothesiometer?

A

1-25v

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17
Q

What is the two point discrimination test?

A

tests the density of the touch receptor field, A-beta fibres

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18
Q

what is normal result for the two point discrimination test?

A

2cm

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19
Q

what are we testing when assessing a patients proprioception?

A

Ability of a patient to know where their foot is in space. A-alpha fibres.

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20
Q

how many times is appropriate to test proprioception?

A

repeat the test 3 times

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21
Q

What are we testing when introducing sharp pain testing?

A

establish the integrity of the pain pathway. A-delta and C-fibres. predominatly faster myelinated A-delta fibres.

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22
Q

Which fibres respond to pain faster?

A

myelinated A-delta fibres

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23
Q

What fibres are involved in detecting a change to temperature receptors?

A

A-delta and C

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24
Q

What are messiner corpuscles involved in?

A

Light touch

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25
Q

Describe the Jendrassik’s manoeuvre

A

as the pt to clasp hands in front of chest and pull away from eachother

26
Q

what nerve root is being tested in the patella reflex test?

A

L3-L4

27
Q

What nerve root is being tested in the Achilles reflex test?

A

S1-S2

28
Q

what is the main action of the gastroc?

A

plantar flex while knee is extended.

29
Q

what is the main action of the soleus

A

plantar flexes foot while knee is flexed

30
Q

what is the main action of the peroneus brevis

A

everts foot (slightly plantar flexes)

31
Q

what is the main action of the peroneus longus?

A

everts and plantar flexes first ray

32
Q

What is main action of the Tibialis posterior?

A

inverts and plantar flexes the foot

33
Q

What is the main action of the tibialis anterior?

A

Dorsiflexes and inverts the foot

34
Q

what nerve innervates the gastroc?

A

Tibial nerve S1, S2

35
Q

what nerve innervates the Soleus?

A

Tibial Nerve, S1, S2

36
Q

what nerve innervates the Tib Post?

A

Tibial nerve, L4, L5

37
Q

What nerve innervates the FDL?

A

Tibial Nerve, S2, S3

38
Q

What nerve innervates the FHL?

A

Tibial Nerve, S2, S3

39
Q

What nerve innervates the Peroneals?

A

superficial peroneal nerve, L5, S1, S2

40
Q

What nerve innervates the Tibialis Anterior?

A

Deep peroneal nerve, L4, L5

41
Q

What nerve root innervates the EDL?

A

Deep peroneal nerve, L5, S1

42
Q

What nerve innervates the EHL?

A

Deep peroneal nerve, L5, S1

43
Q

What nerve innervates the FHB?

A

Medial plantar nerve, S2, S3

44
Q

What nerve innervate the FDB?

A

Medial plantar nerve, S2, S3

45
Q

What nerve innervates the EHB?

A

Deep peroneal nerve S1, S2

46
Q

What nerve innervates the EDB?

A

Deep peroneal nerve S1, S2

47
Q

describe a good result on the kendall grading system

A

+++ can overcome slight resistance and gravity

48
Q

Describe a fair result on kendall grading system?

A

++ can raise the part against gravity and has full range of motion

49
Q

Describe a poor result on kendall?

A

+ partial ROM against gravity

50
Q

Describe Myotonia

A

slow relaxation following actions

51
Q

Describe Dystonia

A

sustained, involuntary, concurrent contraction of agoinst and antagonist muscles

52
Q

Describe muscle atrophy

A

muscle is smaller than expected

53
Q

Describe muscle hypertrophy

A

muscle is larger than expected

54
Q

Describe cramping

A

involuntary, painful and self-limiting concentric contraction of skeletal muscle

55
Q

what nerve root might you suspect if there was weakness of knee extension and foot Dorsiflexion, loss of patella reflex, sensory loss at medial tibia

A

L4

56
Q

What nerve root might you suspect if there was weakness of foot dofsiflexion, inversion and eversion, hallux extension and hip abduction, sensory loss at lateral tibia and dorsal foot?

A

L5

57
Q

What nerve root might you suspect if there was weakness of foot plantar flexion and eversion, loss of achilles reflex and sensory loss of the lateral and plantar foot?

A

S1

58
Q

Describe allodynia?

A

Pain due to stimulus which does not normally provoke pain

59
Q

Describe Analgesia?

A

absence of pain in response to stimulation which would normally be painful

60
Q

Describe hypoalgesia

A

diminished pain in response to a normally painful stimulus

61
Q

Describe neuropathy?

A

a disturbance of function or pathological change in a nerve

62
Q

Describe parethesia

A

An abnormal sensation, whether spontaneous or evoked.

3101 manuals (2 decks)

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