Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 2- MSK > Neurological assessment > Flashcards

Neurological assessment Flashcards

1
Q

Which cranial nerves control smell and hearing?

A

Olfactory
Vestibulocochlear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which cranial nerves control vision

A

Optic
Trochlear, Oculomotor and abducens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which nerves control mouth/throat and facial

A

Trigeminal
Glossopharyngeal
Vagus
Hypoglossal
Facial Nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which nerves control the neck/shoulder

A

Accessory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How to test for olfactory nerve?

A

Identify a familiar smell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How to test for vestibulocochlear (hearing and balance)

A

Ask if patient can hear fingers rubbing next to ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How to test for optic nerve

A

Test each eye with Snellen chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How to test for oculomotor (eye movements, pupil reflex)

A

Check pupils reaction to light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How to test for trochlear (eye movement)

A

H-test, observe down and in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How to test for abducens (eye movement)

A

H-test, observe down and in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How to test for Trigeminal (chewing, face/mouth sensation)

A

Test jaw strength
Check facial sensation- sharp/blunt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How to test for facial nerve

A

Ask patient to smile, raise eyebrows, puff out cheeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How to test for Glossopharyngeal (gagging, swallowing, taste)

A

Assess gag reflex.
Ask patient to swallow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How to test for Vagus (gagging, swallowing, speech)

A

Ask patient to say ‘Aaaaaaaaaaah’
Observe for symmetrical elevation of palate and uvula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How to test for hypoglossal (tongue movement)

A

Patient protrudes tongue- check for deviations
Patient pushes out cheek with tonue- check strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to test for Accessory (head/neck/shoulder movements)

A

Check resisted head rotation and shoulder elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Myotome strength testing

A

Testing strength test each myotome individually.
Do upper limb standing and lower limb sitting/lying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How would you strength test if asked to do grade 2 L2.

A

Ask patient to get into side lying.
Ask pt to bring the bottom leg to the chest (hip flexion)
This removes gravity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Mytomes: upper limb and associated muscles

A

C1= neck flexion
C2= neck extension
C3= lateral neck flexion
C4= shoulder elevation, upper traps+lavetor scap
C5= shoulder abduction, deltoids
C6= elbow flexion, biceps, brachioradialis
C7= elbow extension, triceps
C8= thumb extension, extensor pollicis
T1= finger abd/add, lumbricals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Myotomes: lower limb and associated muscles

A

L2= hip flexion, illiospoas
L3= hip extension, quads
L4= dorsifelxion, tib ant
L5= big toe extension, extensor hallucis
S1= plantar, gastroc/soleus/plantaris
S2= knee flexion, hammies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Which spinal level is associated with these reflexes?

A

Biceps= C5/6
Triceps= C7
Brachioradialis= C5/6
Patella= L3/4
Ankle= S1

22
Q

What is radicular pain?

A

Pain in dermatomal pattern WITHOUT neural deficit e.g no changes in sensation, changes in reflex, changes in strength

23
Q

What is a radiculopathy?

A

Pain in dermatomal pattern WITH neural deficit e.g changes in sensation, changes in reflex, changes in strength

24
Q

C5 dermatome

A

Lateral upper arm (around and below shoulder)

25
Q

C4 dermatome

A

Upper chest (around collar bone)

26
Q

C6 dermatome

A

Lateral lower arm into the thumb

27
Q

C7 dermatome

A

Middle finger

28
Q

C8 dermatome

A

Pinky finger and border of medial hand

29
Q

T1 dermatome

A

Medial forearm

30
Q

T2 dermatome

A

Armpit area

31
Q

L1 dermatome

A

Groin area

32
Q

L2 dermatome

A

Medial to lateral thigh. More lateral than L1

33
Q

L3 dermatome

A

Lateral to medial thigh stopping at knee laterally

34
Q

L4 dermatome

A

The length of medial calf/shin

35
Q

L5 dermatome

A

Lenght of shin bone to medial foot including big toe

36
Q

S1 dermatome

A

Outside of the foot, sole of foot and back of the calf

37
Q

S2 dermatome

A

Behind the knee

38
Q

What is the sensory distribution of the median nerve?

A

the palmar surfaces of part of the thumb, the index finger, the middle finger, and the lateral half of the ring finger

39
Q

What is the sensory distribution of the radial nerve?

A

Posterior forearm, the lateral aspect of the dorsum of the hand, and the dorsal surface of the lateral three and a half digits.

40
Q

What is the sensory distribution of the ulnar nerve?

A

Medial forearm, medial wrist, and medial one and one-half digits.

41
Q

What is the motor distribution of the ulnar nerve?

A

Two muscles of the anterior forearm
Hypothenar muscles of the hand

42
Q

What is the motor distribution of the radial nerve?

A

Triceps brachii and the extensor muscles in the forearm.

43
Q

What is the motor distribution of the median nerve?

A

Most of the flexor and pronator muscles in the anterior compartment of the forearm

44
Q

What is the sensory distribution of the tibial nerve?

A

Posterolateral leg, lateral foot and the sole of the foot.

45
Q

What is the sensory distribution of the common fibular nerve?

A

Lateral leg and the dorsum of the foot.

46
Q

What is the sensory distribution of the femoral nerve?

A

Anterior quad and medial lower leg

47
Q

What is the motor distribution of the tibial nerve?

A

Posterior compartment of leg and flexor and extensor muscles of foot

48
Q

What is the motor distribution of the common fibular nerve?

A

Biceps femoris

49
Q

What is the motor distribution of the femoral nerve?

A

Hip flexors and knee extensors

50
Q

Straight leg raise peroneal nerve bias

A

PIP - Internal rotation and plantar flexion

51
Q

Straight leg raise sural nerve bias

A

SID - Internal rotation and dorsiflexion

52
Q

Straight leg raise tibial nerve bias

A

TED - external rotation and dorsiflexion

Year 2- MSK (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions