neuro tx quiz 1

Question 1

1st degree nerve damage - compression, local conduction block, no structural damage to axon or tissue distal to lesion - only motor loss is ______

Answer 1

neuropraxia

Question 2

which area of the brachial plexus is affected by Klumpke’s Paralysis

Answer 2

LOWER brachial plexus - C8-T1

presents as claw hand

Question 3

what is the secondary syndrome associated with Klumpke’s

Answer 3

Horner’s Syndrome

• constriction of pupil
• eyelid drooping
• loss of sweating to one side of the face and neck
• recession of eyeball into orbit

Question 4

what part of the brachial plexus is injured with Erb’s Palsy

Answer 4

UPPER brachial plexus C5-C6

Question 5

what presentation is typically seen with Erb’s palsy

Answer 5

“waiter’s tip”

shoulder adducted & internally rotated
elbow extended
forearm pronated
wrist & fingers flexed

Question 6

order of areas to test when doing the ULTT’s from first to last

Answer 6

1. shoulder
2. elbow
3. forearm
4. wrist
5. fingers and thumb
6. shoulder
7. cervical spine

Question 7

Froment’s sign = What nerve injury

Answer 7

ulnar nerve injury

Question 8

Claw hand, bishop’s hand is what nerve injury

Answer 8

ulnar nerve injury

Question 9

ape or oath hand = what nerve injury

Answer 9

median

Question 10

what is the prognosis for neuropraxia

Answer 10

GOOD

week-month recovery

Question 11

what is the prognosis for axonotmesis

Answer 11

GOOD

Question 12

prognosis for neurotmesis

Answer 12

POOR

Question 13

2nd degree - prolonged, severe compression causing lesion followed by degeneration of axons distal to injury

sensory, motor, autonomic losses, regeneration at end is still possible

Answer 13

axonotmesis

Question 14

complete / partial severance of nerve trunk including endoneurial tube, sensory, motor, autonomic loss

no clear pathway to orient regenerating axons

Answer 14

neurotmesis

Question 15

flaccidity =

Answer 15

motor loss

Question 16

paresis =

Answer 16

weakness

Question 17

anesthesia =

Answer 17

sensory loss

Question 18

paresthesia =

Answer 18

sensory impairment

Question 19

dysesthesia =

Answer 19

pain

Question 20

neuritis

Answer 20

inflammation of a nerve, sheath and CT are affected

Question 21

neuralgia =

Answer 21

nerve pain

Question 22

what does ULTT1 test

Answer 22

median, ant interosseous

Question 23

what does ULTT2 test

Answer 23

median, musculocutaneous, axillary

Question 24

what does ULTT3 test

Answer 24

radial

Question 25

what does ULTT4 test

Answer 25

ulnar

Question 26

the active process of degeneration that results when a nerve fiber is cut or crushed and the part of the axon distal to the injury degenerates is called ______

Answer 26

Wallerian Degeneration

Question 27

peripheral nerves can regenerate if ____

Answer 27

the cell body is intact

if the lesion site is too close to the cell body and it is destroyed, regeneration is not possible

Question 28

regeneration of a nerve occurs at ___ mm daily

Answer 28

1-2 mm daily

proximal nerve sections regenerate faster than those at increased distance from cell body