Brainscape's Knowledge GenomeTM

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


See full index

PCM 2 Final > Neurological Exam And Testing > Flashcards

Neurological Exam And Testing Flashcards

1
Q

What gait test can be used to test for dorsiflexion?

A

Walk on heels

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

What gait test can be used to test for plantarflexion?

A

Walk on toes

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

Inability to walk on your heels indicates what?

A

CST damage

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

Inability to perform rapid alternating movements is called what?

A

Dysdiadochokinesis

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

Big toe dermatome?

Little finger?

A

L5

C8

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

Nipple dermatome?

Little toe?

A

T4

S1

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

Radial aspect forearm dermatome?

Shoulder top?

A

C6

C4

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

Babinski test is what?

A

Stroke underside of foot from heel to toe, should plantar flex

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

What indicates a positive Babinski test?

Suggestive of what?

A

Dorsiflexion of big toe and flaring of toes

UMN dysfunction

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

What characterizes clonus?

Sustained clonus is associated with what?

A

Rapidly alternating involuntary contraction and relaxation of skeletal muscle

UMN disease

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

Nuchal Rigidity is testing for what?

Inflammation in the subarachnoid space causes resistance to movements that stretch what?

A

Acute bacterial meningitis and subarachnoid hemorrhage

Spinal nerves

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

What is a positive Brudzinkski’s sign?

Stretching of what nerve?

A

Hips and knees flex as pt’s neck is flexed

Femoral n.

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

+ Kernig’s sign is what?

Stretching of what nerve?

A

Pain and increased resistance to extending the knee

Sciatic nerve

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

What is a normal score for the mini-mental state exam?

A

24-29

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

Hand grip tests what nerve roots?

A

C7, C8, T1

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

Flexion and extension of the wrist tested for with what nerve roots?

A

C6 and C7

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

Opposition of thumb is what muscle nerve roots?

A

C8, T1

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

Flexion at elbow is what nerve roots?

A

C5 and C6

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

Extension at elbow is what nerve roots?

A

C6, 7, 8

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

Plantar flexion is what nerve roots?

A

S1 - gastroc

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

Adduction is what nerve roots?

Abduction?

A

L2-4

L4, L5, S1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Dorsiflexion is what nerve roots?

A

L4, 5 - Tibialis anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Knee flexion is what nerve roots? What muscle?

Extension?

A

L4-S2 - hamstrings

L2-4 - quads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the components of the mental status exam?

A

Level of alertness
Appropriateness of response
Orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

CN 5 located at what level of brain?

A

Metencephalon (pons)

26
Q

CN 2 located what level of brain?

A

Diencephalon

27
Q

CN 6-8 located what level of brain?

A

Pontomedullary junction

28
Q

CN 3-4 located what level of brain?

A

Mesencephalon (Midbrain)

29
Q

CN 1 located what level of brain?

A

Telencephalon

30
Q

CN 9-12 located what level of brain?

A

Myelecephalon (medulla)

31
Q

Loss of sense of smell indicates what?

A

Ipsilateral lesion

32
Q

How far always should a pt stand from a Snellen eye chart for optic nerve testing?

A

20 ft

33
Q

Which nerve is vulnerable to head trauma due to its long course around the brainstem?

A

CN 4

34
Q

What CN lesion is often seen in patients with subarachnoid hemorrhage, late syphilis, and trauma?

A

CN 6

35
Q

What is the cervical root of the trapezius m.?

A

C2

36
Q

Cervical root of SCM m.?

A

C3 and C4

37
Q

Pinprick and temperature tests what?

A

Spinothalamic tract

38
Q

Proprio/2pt tests what?

A

Posterior columns

39
Q

What is the ability to ID numbers written on the palm called?

A

Graphesthesia

40
Q

What is the ability to ID shapes of objects, or recognizing objects placed in the hand called?

A

Stereognosis

41
Q

Hyperactive reflexes indicate a lesion where?

A

CNS

42
Q

Abdominal reflex tests what roots?

Tests what?

A

T10-12

All 4 quadrants

43
Q

Cremasteric reflex tests what roots?

What happens?

A

Afferent L1, efferent L2

Stroking inner thigh causes scrotum to rise on stroked side

44
Q

Anal wink reflex tests what roots?

Useful for what?

A

S4, S5

Cauda Equina lesions

45
Q

What test is done to evaluate dysmetria/dystaxia of voluntary movements?

A

Finger to nose

46
Q

What tests contralateral cerebral hemisphere through PPRF with a cerebellar component?

A

Saccades

47
Q

What is seen in frontal and cerebellar damage?

A

Rapid alternating movements mess up

48
Q

The Romberg test is a test for what?

A

Proprioception (sensory test)

49
Q

What gait is often seen in cerebral palsy or M.S. And the feet crossing over with toes dragged?

A

Scissoring

50
Q

High steppage, broad based is what kind of gait?

Seen with what?

A

Sensory ataxia

Post. Column damage and peripheral neuropathy

51
Q

What gait is seen in frontal lobe processes and hydrocephalus, with small steps feet not leaving the ground?

A

Magnetic

52
Q

What gait is all over the place as if the patient is falling but they do not fall?

What is the usual cause?

A

Astasia-abasia

Psychogenic

53
Q

A hemiplegic gait is due to what?

A

UMN such as a stroke

54
Q

What does a waddling pelvis indicate?

A

Myopathy

55
Q

foot drop is due to what?

A

UMN or LMN lesions

56
Q

usual LMN lesion due to what?

A

Peroneal neuropathy or L5 radiculopathy

57
Q

Decerebrate posturing indicates lesion where?

What does it look like?

A

Midbrain

Arms extended, legs stiff and extended

58
Q

Decorticate posturing indicates lesion where?

What does it look like?

A

Above brainstem in thalamus

Both arms flexed, legs stiff and extended

59
Q

What system is seen with dyskinesia and resting tremor?

A

Extrapyramidal

60
Q

What system is seen with hemi-dysasthesia, Hemiplegia, hemiparesis, apraxia, aphasia?

A

Cortical

61
Q

What does a resting (pill rolling) tremor indicate?

A

Basal ganglia disease (Parkinson’s)

62
Q

What are the essential components of a brief screening neurological exam (5)?

A 
Generally assessment (mental status)
CN's
Motor System
Sensory System
Reflexes

PCM 2 Final (3 decks)

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