Neuromuscular diagnosis

Question 1

what is the responsibilities of the cerebellum?

Answer 1

Speech

Gait

Question 2

what tests would you perform to diagnose the cerebellum?

Answer 2

1) Romberg Test
2) Squatting on one foot
3) Tandem gait
4) Finger to nose
5) Finger to finger
6) Finger to nose to finger
7) Heel to shin
8) Holmes rebound phenomenon
9) Hopping on one foot
10) Ability to perform rapid alternating movements
ARTSFFFHHH

Question 3

What is charcot’s neurological triad? And what does it indicate?

Answer 3

Speech (dysarthria)
Intention tremor
Nystagmus
It indicates a major cerebellum issue

Question 4

What is the responsibility of the posterior column tracts?

Answer 4

(Sensory)
2 point discrimination
Vibration
Potion sense

Question 5

What tract is responsible for voluntary control?

Answer 5

Corticospinal

Question 6

What tract is responsible for pain and temperature?

Answer 6

Lateral spinothalamic

Question 7

What tract is responsible for protopathic (crude light touch)?

Answer 7

Anterior spinothalamic tract

Question 8

What is the vestibulo spinal tract responsible for?

Answer 8

Balance reflexes

Question 9

What tract is responsible for muscle tone synergy?

Answer 9

Rubrospinal

Question 10

Erb Duchenne’s and facioscapulohumeral are types of what neurological disease?

Answer 10

Muscular dystrophy

Question 11

What are the characteristics of Erb Duchenne’s?

Answer 11

Young boys 
Sex(gender)linked
Difficulty walking (waddling)
Albuminuria/Creatinuria
Gower's sign; fatal by 20yrs

Question 12

What are the characteristics of facioscapulohumeral?

Answer 12

Adult (slow onset)
Winging scapula
Foot drop

Question 13

Characteristics of Parkinson’s?

Answer 13

Resting tremor
Blank stare
Oily
Dependent arms
Festinating gait

Question 14

What area is affected in Parkinson’s?

Answer 14

Basal ganglia

Question 15

Pain and temperature sensation loss in a “shawl like” distribution is indicative of what neurological disease?

Answer 15

Syringomyelia

Question 16

What is syringomyelia?

Answer 16

A fluid filled cavitation that expands and puts pressure on the lateral spinothalamic tract (most often)
-usually in the cervical spine

Question 17

what is a non-progressive motor disorder that occurs at birth due to anoxia (complete loss of oxygen)?

Answer 17

cerebral palsy

Question 18

what are some signs of cerebral palsy?

Answer 18

Athetoid and Choreiform movements

Scissors Gait

Question 19

what the fuck are Athetoid movements?

Answer 19

slow, involuntary, convoluted, writhing movements of the fingers, hands, toes, and feet and in some cases, arms, legs, neck and tongue

Question 20

what in the hell are Choreiform movements?

Answer 20

Chorea is characterized by brief, semi-directed, irregular movements that are not repetitive or rhythmic, but appear to flow from one muscle to the next.