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*Part IV Boards > Neurological Diagnosis 2 > Flashcards

Neurological Diagnosis 2 Flashcards

1
Q

arm abduction

A

C5

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2
Q

forearm flexion

A

C5

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3
Q

wrist extension

A

C6

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4
Q

wrist flexion

A

C7

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5
Q

finger extension

A

C7

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6
Q

finger flexion

A

C8

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7
Q

finger abduction

A

T1

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8
Q

finger adduction

A

T1

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9
Q

inversion and dorsiflexion of the foot

A

L4

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10
Q

toe extension, heel walk

A

L5

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11
Q

eversion, plantar flexion

A

S1

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12
Q

hip abduction

A

L5

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13
Q

hip extension

A

S1

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14
Q

middle deltoid

A

C5

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15
Q

extensor carpi radialis/ulnaris

A

C6

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16
Q

flexor carpi radialis/ulnaris

A

C7

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17
Q

triceps

A

C7

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18
Q

flexor digitorum superficialis/profundus, lumbricals

A

C8

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19
Q

dorsal and palmar interossei

A

T1

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20
Q

tibialis anterior

A

L4

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21
Q

extensor digitorum, extensor hallucis longus

A

L5

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22
Q

gluteus medius and minimus

A

L5

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23
Q

peroneus longus/brevis

A

S1

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24
Q

gluteus maximus

A

S1

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25
Q

sensory distribution of L4

A

medial aspect of leg

26
Q

sensory distribution of L5

A

lateral aspect of the leg across dorsum of foot, lateral to big toe, and digits 2,3,4

27
Q

sensory distribution S1

A

lateral aspect of foot, little toe and plantar surface of foot

28
Q

common causes of median nerve entrapment (carpal tunnel syndrome)

A

trauma, obesity, fluid retention, pregnancy, hypothyroidism, RA

29
Q

common causes of median nerve entrapment (pronator teres syndrome)

A

hypertonicity of the muscle caused by things such as occupation (carpenters, mechanics)

30
Q

common causes of ulnar nerve entrapment

A

direct trauma or repetitive microtrauma

31
Q

common causes of radial nerve entrapment

A

trauma, lead poisoning, pressure from crutches

32
Q

common causes of lateral femoral cutaneous nerve entrapment

A

external pressure, obesity, tight jeans

33
Q

common causes of sciatic nerve entrapment

A

trauma, traction, wallet pressure, piriformis, muscle spasm

34
Q

treatment for median nerve entrapment (carpal tunnel syndrome)

A

adjust, cock up splint, diuretic, vitamin B6

35
Q

treatment for median nerve entrapment (pronator teres syndrome)

A

trigger point therapy, spray and stretch

36
Q

treatment for ulnar nerve entrapment

A

adjust, tape and support

37
Q

treatment for radial nerve entrapment

A

adjust, increase strength, stretch

38
Q

treatment for lateral femoral cutaneous nerve entrapment

A

advise with weight loss and loose clothing

39
Q

S/S for median nerve entrapment (carpal tunnel syndrome)

A

nocturnal pain, paresthesia of the hand, thenar atrophy, weak opponens pollicis (ape hand), affects the first 3 fingers

40
Q

S/S for median nerve entrapment (pronator teres syndrome

A

pain on volar aspect of the forearm, paresthesia in median distribution of the hand (first 3 fingers), pain with pronation and has thenar atrophy

41
Q

S/S for ulnar nerve entrapment

A

pain, tingling and numbness in the last 2 digits and weakness of the adductor pollicis (claw hand), hypothenar atrophy

42
Q

S/S of cubital tunnel syndrome

A

pain, tingling and numbness in the last 2 digits and weakness of the adductor pollicis (claw hand), hypothenar atrophy
weak wrist flexion on ulnar side

43
Q

S/S for radial nerve entrapment

A

wrist drop, loss of triceps reflex, decreased sensation to posterior arm

44
Q

S/S for lateral femoral cutaneous nerve entrapment

A

burning dysesthesia on anterolateral thigh (L2, L3 nerve roots)

45
Q

S/S for sciatic nerve entrapment

A

sensory pain in the posterior buttocks, thigh, leg down to floor. weak knee flexion and decreased achilles reflex

46
Q

tests for median nerve entrapment (carpal tunnel syndrome)

A

tinel’s sign, phalen’s, thumb abduction strength, grip strength, dynamometer

47
Q

tests for median nerve entrapment (pronator teres syndrome)

A

pinch grip test

48
Q

tests for ulnar nerve entrapment

A

tinel’s, froment’s

49
Q

tibial nerve entrapment causes

A

posterior traumatic ankle deformity, subluxation, arthritis, edema

50
Q

morton’s neuroma causes

A

repetitive microtrauma, RA, or foot deformities

51
Q

deep nerve entrapment causes

A

trauma (tibial fracture), repetitive loading and unloading

52
Q

tibial nerve treatments

A

adjust, orthotic support to keep foot in slight inversion

53
Q

morton’s neuroma treatments

A

surgery may be necessary

54
Q

deep peroneal nerve treatments

A

fasciotomy

55
Q

S/S of tibial nerve entrapment

A

burning paresthesia on soles of feet, aggravated by walking or standing
decreased sensation on soles of feet and weak muscles of foot

56
Q

S/S of morton’s neuroma

A

pain in toes and dorsum of foot

57
Q

S/S of deep peroneal nerve entrapment

A

can affect any and all four muscles of that compartment (tibialis anterior, extensor hallucis longus, extensor digitorum longus, peroneus tertius)
S/S similar to charcot marie tooth

58
Q

tests for tibial nerve entrapment

A

tinel’s at ankle

59
Q

tests for morton’s neuroma

A

morton’s squeeze

60
Q

tests for deep peroneal nerve entrapment

A

muscle strength

*Part IV Boards (14 decks)

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