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TherapyEd > Neuromuscular Part Four > Flashcards

Neuromuscular Part Four Flashcards

1
Q

is peripheral neuropathy present with AIDS

A

yes - hypersensitivity, sensory loss, pain

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2
Q

what is cerebral hemorrhage

A

abnormal bleeding as a result of rupture of ablood vessel

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3
Q

with LMN injury, what happens to motor unit potentials

A

decreased (denervated muscles)

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4
Q

purpose of PET scan for brain

A

images cerebral blood flow

brain metabolism

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5
Q

muscle fasciculations are common with

A

LMN injuries

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6
Q

electromyography is good at diagnosing

A

LMN disease

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7
Q

what is encephalitis

A

severe infection and inflammation of the brain

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8
Q

acute bleeding in the brain is indicative of

A

hemorrhage in developing stroke

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9
Q

increased protein in the CSF may indicate

A

tumors or inflammation

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10
Q

normal protein CSF adult

A

15-45 mg/dl

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11
Q

normal CSF child

A

60-100 mL

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12
Q

when is insertional activity increased

A

in denervated muscle and muscle diseases

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13
Q

when is cerebral edema seen following stroke

A

3 days post-stroke

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14
Q

complications of lumbar puncture

A

severe headache (relieved by lying down)

infection

epidural hematoma

uncal herniation

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15
Q

normal appearance of CSF

A

crystal clear/colorless

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16
Q

normal protein CSF neonates

A

15-100 mg/dL

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17
Q

what is cerebral anoxia

A

lack of oxygen supply to the brain

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18
Q

when is TPA most effective

A

3-4.5 hours post-stroke

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19
Q

1/3 of patients with AIDS present with

A

CNS or PNS deficits

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20
Q

what is an echoencephalogram used for

A

lumen of carotid artery and analyzing flow and detection of plaques in carotid arteries

21
Q

MRI contraindications

A

metal implants

pacemakers

22
Q

normal CSF pressure child

A

10-100 mmH20

23
Q

normal CSF pressure adult

A

90-180 mm H20

24
Q

purpose of lumbar puncture

A

withdraws CSF to see protein, glucose, immunoglobulin content, cell count

25
Q

when does irreversible anoxic damage to the brain occur

A

4-6 minutes

26
Q

intracranial pressure is measured via

A

lumbar puncture

27
Q

PT role for meningitis

A

bed positioning

PROM

skin care

28
Q

for blood flow, is PET or MRI better

A

MRI

29
Q

what is cerebral thrombosis

A

formation or development of a blood clot within the cerebral arteries or branches

30
Q

what is a transient ischemic attack

A

brief warning episodes of dysfunction (less than 24 hours)

31
Q

brain MRI is best used for

A

blood flow within medium and larger arteries

tumors

demyelination

32
Q

what type of stroke is TPA most effective for

A

thrombolitic stroke

33
Q

normal CSF adult

A

90-150 mL

34
Q

what is cerebral infarction (pathophysio)

A

irreversible cellular damage

35
Q

when is cerebral infarction seen post-stroke

A

3-5 days

36
Q

what is a precursor to stroke for 1/3 of patients

A

transient ischemic attack (TIA)

37
Q

what are fasciculations

A

spontanous contractions of all or most of the fibers in a motor unit

muscle twitches that can be observed or palpated

38
Q

what is the clot busting drug for stroke

A

TPA

39
Q

what spinal level is lumbar puncture performed

A

L1-L2

40
Q

complete LMN only display…

A

fibrillation potentials

41
Q

best diagnostic imaging for acute stroke

A

MRI

42
Q

what does ADC stand for and what is it

A

AIDS dementia complex

confusion, memory loss, disorientation

43
Q

what motor loss is present with AIDS

A

ataxia

weakness

tremor

loss of fine motor control

44
Q

when is fibrillation evident after losing a nerve

A

1-3 weeks

45
Q

what are fibrilations

A

spontaneous independent contractions of individual muscle fibers

46
Q

what is insertional activity and when is it seen

A

burst of action potentials when EMG needle is inserted into normal muscle

47
Q

risk factors for CVA

A

atherosclerosis

HTN

cardiac disease

diabetes/metabolic syndrome

48
Q

seizures are best visualized with what diagnostic test

A

electroenchalography

49
Q

what is cerebral embolism

A

traveling bits of matter that produces occlusion and infarction in the cerebral arteries

TherapyEd (81 decks)

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