NM: Tests

Question 1

Sensory Integrity:

Pain (superficial)

Answer 1

test sharp/dull sensation in response to sharp/dull stimuli with paper clip

Question 2

Sensory Integrity:

Temperature (superficial)

Answer 2

test hot/cold sensation in response to hot/cold stimuli with test tubes filled with hot or cold water

Question 3

Sensory Integrity:

Touch (superficial)

Answer 3

test touch/nontouch in response to slight touch stimulus (cotton ball) or no touch

Question 4

Sensory Integrity:

Joint Position Sense (deep/proprioceptive)

Answer 4

test ability to perceive joint position at rest in response to your positioning the pt’s limb (up/down, in/out)

Question 5

Sensory Integrity:

Kinesthesia (deep/proprioceptive)

Answer 5

test ability to perceive movement in response to your moving the pt’s limb; pt can duplicate movement with opposite limb or give verbal report

Question 6

Sensory Integrity:
Vibration sense (deep/proprioceptive)

Answer 6

test proprioceptive pathways by applying vibrating tuning fork or pressure only (sham vibration) on bony areas

Question 7

Sensory Integrity:

Stereognosis (combined/cortical sensations)

Answer 7

test ability to identify familiar objects placed in the hand by manipulation and touch
*test a sample of these combined/cortical sensations

Question 8

Sensory Integrity:
Tactile localization (combined/cortical sensations)

Answer 8

test ability to identify location of a touch stimulus on the body by verbal report or pointing
*test a sample of these combined/cortical sensations

Question 9

Sensory Integrity:

Two-point discrimination (combined/cortical sensations)

Answer 9

test ability to recognize one or two blunt points applied to the skin simultaneously; determine minimal distance on skin where two points can still be distinguished in mm using an aesthesiometer (two tips must be applied simultaneously)
*test a sample of these combined/cortical sensations

Question 10

Sensory Integrity:

Barognosis (combined/cortical sensations)

Answer 10

test ability to identify similar size/shaped objects placed in the hand with different gradations of weight
*test a sample of these combined/cortical sensations

Question 11

Sensory Integrity:

Graphesthesia (combined/cortical sensations)

Answer 11

test ability to identify numbers, letters, or symbols traced on the skin; typically the hand
*test a sample of these combined/cortical sensations

Question 12

Sensory Integrity:

Bilateral simultaneous stimulation (combined/cortical sensations)

Answer 12

test ability to identify simultaneous touch on the two sides/segments of the body
*test a sample of these combined/cortical sensations