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TherapyEd > Neuromuscular Part Two > Flashcards

Neuromuscular Part Two Flashcards

1
Q

on the Rancho Los Amigos scale, what level indicates decreased response levels

A

II-III

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2
Q

the Mini-Mental State Examination is used to test

A

cognitive function

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3
Q

elevation in body temperature can be the result of damage to…

A

hypothalamus

or

brainstem

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4
Q

three superficial sensory tests

A

pain

temperature

touch

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5
Q

six corticol sensatory tests

A

stereoognosis

tactile localization

two-point discrimimation

barognosis

graphesthesia

bilateral simultaneous stimulation

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6
Q

how to interpret GCS score

A

range 3-15

severe brain injury 1-8

moderate brain injury 9-12

minor brain injury 13-15

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7
Q

what is stereognosis

A

test ability to identify familiar objects in hand by touch and manipulation

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8
Q

regarding arousal, what is coma

A

state of unconsciousness from which patient can’t be aroused

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9
Q

what is persistent vegitative state

A

state lasting over 1 year after TBI

state lasting over 3 months for anoxic brain injury

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10
Q

what is calculation

A

counting backwards by 7

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11
Q

what will meningeal irritation do to HR, RR, BP

A

increased HR

increased BP

fluctuating BP

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12
Q

pupillary changes could be are tested with what CN

A

oculomotor III

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13
Q

on the Rancho Los Amigos scale, what level indicates confused levels

A

IV-VI

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14
Q

nonfluent aphasia AKA

A

Broca’s Aphasia

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15
Q

what does Cheyne-Stoke respiration follow

A

depression of frontal lobe and diencephalon dysfunction

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16
Q

regarding arousal, what is alertness

A

patient responds appropriately

open eyes and look at examinter

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17
Q

stimulus to stretch (myotatic) reflex

A

muscle stretch

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18
Q

example of agnosia

A

patient can’t recognize clock by sight, but knows the ticking noise

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19
Q

what is kinesthesia

A

patient can duplicate movement with opposite limb or give verbal report

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20
Q

what is joint position sense

A

up or down

in or out

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21
Q

three proprioceptive sensory tests

A

joint position

kinesthesia

vibration

22
Q

on the Rancho Los Amigos scale, what level indicates no response

A

1

23
Q

two tests for meningeal irritation

A

Kernig’s Sign

Brudzinski’s Sign

24
Q

regarding arousal, what is stupor

A

can only be aroused from sleep only with painful stimuli

verbal responses slow or absent

patient returns to absent state when stimulus removed

25
Q

positive result of Brudzinski’s Sign

A

flexion of hips and knees

26
Q

what is ideomotor apraxia

A

patient cannot perform task on command

but can do it when left alone

27
Q

stretch reflex AKA

A

myotatic reflex

28
Q

regarding arousal, what is lethargy

A

appears drowsy

can open eyes and look at examiner, but falls asleep easily

29
Q

how to test memory

A

recall:

immediate - name three items said after brief interval

recent (short-term) - what did you have for breakfast

remote memory (long term) - where were you born

30
Q

vomitting could be the result of damage to what CN

A

vagus

31
Q

what is Cheyne-Stokes respiration

A

period of apnea lasting 10-60 seconds

followed by gradually increasing depth and frequency of respirations

32
Q

what is global aphasia

A

impairments in comprehension and production of language

33
Q

how to test length of attention span

A

recall seven numbers in order presented

34
Q

what is ideational apraxia

A

patient cannot ever do the task

35
Q

unresponsive vigilance AKA

A

vegetative state

36
Q

example of topographical test

A

have a patient walk within familiar environment (waiting room to PT room)

37
Q

on the Rancho Los Amigos scale, what level indicates appropriate levels

A

VII-VIII

38
Q

damage to the upper pons would lead to

A

apneustic breathing

39
Q

what is apneustic breathing

A

abnormal respiration marked by prolonged inspiration

40
Q

what is apraxia

A

inability to perform voluntary, learned movements in the absence of loss of sensation, strength, coordination, attention, or comprehension

41
Q

order of sensory tests to conduct for someone with NM disorder

A

superficial

proprioceptive

cortical

42
Q

regarding arousal, what is obtundation

A

patient can open eyes and look at examiner

responds slowly and is confused

decreased alertness and interest in envrionment

43
Q

calculation is a common way to test

A

higher-level cognitive abilities

44
Q

what is Kernig’s Sign

A

flex hip and knee to chest

extend knee

45
Q

three elements of response on the glasgow coma scale

A

eye opening

verbal response

motor response

46
Q

what is anosognosia

A

severe denial, neglect, or lack of awareness of severity of condition

47
Q

the Denis-Browne orthosis is appropriate for someone with

A

talipes equinovarus

48
Q

what is Brudzinski’s Sign

A

flex neck to chest

49
Q

dysfunction of the lower mid-brain and pons would lead to…

A

hyperventilation

50
Q

fluent aphasia AKA

A

Wernicke’s Aphasia

TherapyEd (81 decks)

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