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neuromuscular disorders evaluation and management > neurological assessment > Flashcards

neurological assessment Flashcards

1
Q

the icf is divided into what and what

A

functioining nd disability
contextual factors

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2
Q

whats the difference between a sign and symptom

A

a symptom is a subjective experience of disease observed by the patient

a sign ia an objective evidence of a disease than can be observed by others

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3
Q

factors to look after under subjective assessment

A

demographic data
chief compaint
past medical history
history of present condition
personal history
family history
socioeconomic history

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4
Q

seven areas of mental status needed for neurological assessment

A

level of awareness
attentiveness
orientation
speech and language
memory
higher intelectual function
mood and affect

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5
Q

two scales used in the neurological assesesment

A

glasgow coma scale…consiouness
mini mental state examination

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6
Q

glasgow coma scale consist of what

A

eye opening response
verbal response
motor response

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7
Q

lack of coordination or movements or rythm in dysdiadokenesia is caused by what

A

cerebellar lesions

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8
Q

what is the finger nose test used to diagnose

A

ataxia and tremor

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9
Q

in the finger nose test when is intention tremor present

A

when the patients finger shows a tremor on approaching the target finger

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10
Q

in the finger nose test when is dysmetria present

A

when thw patient overshoots the target

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11
Q

neurological assessments for cordination are

A

finger nose test
heel shin test
dysdiadochokinesia

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12
Q

what are we to check for in muscle size testing

A

atrophy
hypertrophy
psuedohypertrophy
growth asymetry

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13
Q

differences between spasticity and rigidity

A

SPACISTICITY
caused by lesions in the pyramidal tract i.e the corticospinal tract
it is velocity dependent
theres weakness
more resistance in one direction
more tone in the initial part of movementt

RIGIDITY
seen in extrapyrmidal tract i.e rubobrospinal or vestibulospinal tract
not velocity related
same resistance in all direction

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14
Q

two types of rigidity

A

leadpipe… constant resistance throuout the range of motion
cowheel… resistance is stopped and started throughout the rom motion

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15
Q

what is tremor and fasciculation

A

tremor…involuntary rythmic muscle contraction and relaxation involving movements of one or whole body

fasciculation…spontaneous discharge from whole or partial motor unit

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16
Q

features of the deep tendon reflex results

A

ammount of hammer force
velocity of contraction
strength of contraction
duration of contraction
duration of relaxation phase
response of other muscles that werent tested

17
Q

in jaw jerk reflex whats the peripheric nerve
segmental innervation
pathology

A

trigeminus
pons
increase in lesions above the pyramidal tract

18
Q

in biceps reflex whats the peripheric nerve and the segmental innervation

A

musculocutaneous
c5-c6

19
Q

peripheric nerve and segmental innervation for the tricpeps reflex

A

radialis
c7-c8

20
Q

superficial reflexes includes what

A

abdominal reflex
anal reflex
cremasterical reflex

21
Q

pathological reflexes includes

A

babinski
chaddock
oppenheim
schaefer reflex

22
Q

sensory assessment includes

A

superficial sensation
deep sensation
cortical sensation

23
Q

the semmes weinstein monofilament test is used to test what sensation

A

touch

24
Q

in the vibration perception the tuning fork should be at what frequency

A

128hz

25
Q

what is sterognosis perception

A

obeject recognition

26
Q

for speech impaired patients we used what instead of steregnosis perception

A

snesory testing shield

27
Q

what test is ued to check the ability to localize touch sensation on the skin

A

tactile localization

28
Q

what device is used to carry out the two point discrimination test

A

aesthesiometer or circular two point discriminator

29
Q

what is used to test for simultaneous

A

dss… double simultaneous stimulation

30
Q

differences btw upper motor neuron lession and lower motot neuron lession

A

in umnl there is
hyperreflexia
hypertonia
pathological reflexes
spasctic paralysis

in lmnl there are
hyporeflexiaa
hypotonia
fasciculations
atrophy
flaccid paralysis

neuromuscular disorders evaluation and management (6 decks)

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