NMS 4 Flashcards

1
Q

gallbaldder pain referral

A

right shoulder, inferior medial scapula

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2
Q

paneas pain referral

A

spine at T10 level (epigastic)

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3
Q

heart pain referral

A

left shoulder and medial left arm, squeezing pain

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4
Q

intestines pain referral

A

periumbilical

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5
Q

appendix pain referral

A

epigastric- early

RLQ- late

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6
Q

kidney referred pain

A

flank

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7
Q

ureter referred pain

A

groin

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8
Q

bladder referred pain

A

suprapubic area

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9
Q

stomach referred pain

A

knawing

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10
Q

abdomen referred pain

A

tearing (dissecting aneurysm)

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11
Q

myofasical pain

A

trigger point

jump sign

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12
Q

sclerotogenous pain

A

poorly localized, dull, ache

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13
Q

bonce cancer pain

A

constant, deep, boring, nocturnal

progressive, unremitting

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14
Q

circulation pain

A

throbbing, pulsating

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15
Q

nerve pain

A

shooting, radiating, burning, causalgia (severe burning)

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16
Q

muscle pain

A

cramping, spasm, aching, dull

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17
Q

referred pain

A

pain along scleroderm of origination involving more tan one kind of tissue (shared pathway)

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18
Q

radicular pain

A

pain along teh course of a dermatome due to irritation of a nerve root

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19
Q

sclerotogenous pain

A

pain that areises from structures derived from embryological sclerotomes (joint pain, bone on bone)

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20
Q

myotogenous

A

pain that originates within a muscle

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21
Q

dermatogenous

A

pain along the sensory distribution of a NR

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22
Q

dermatomes

A

normal fingidngs includes ability for patient to distinguish between sharp and dull sensations with their eyes closed
abnormalities include anesthesia, hypoesthesia, and hyperesthesia

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23
Q
medial plantar nerve
motor
muscle
sensory
disorder
A

toe flexion
toe flexor muscles
NA
tarsal tunnel syndrome

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24
Q

peroneal/fibuar motor
muscle
sensory
disorder

A

foot dorsiflexion, inversion, eversion
tibialis anterior, toe extensors, peroneals
anterior leg and dorsum of foot
fibular head fracture

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25
Q
sciatic
motor
muscle
sensory
disorder
A

flexion of knee
hamstrings
ant/post leg, sole/dorsum of foot
piriformis syndrome

26
Q
femoral nerve
motor
muscle
sensory
disorder
A

hip flexion, knee extension
iliopsoas, quadricepts
anteromedial thigh/leg
impingement

27
Q
obturator
motor
muscle
sensory
disorder
A

hip adduction
hip adductor ms
medial thigh
impingement

28
Q
saphenous
motor
muscle
sensory
disorder
A

NA
NA
anteromedial knee, medial leg
NA

29
Q
lateral femoral cutaneous
motor
muscle
sensory
disorder
A

NA
NA
lateral thigh
meralgia paresthesia

30
Q
long thoracic
motor
muscle
sensory
disorder
A

protraction of scapula
serratus anterior
NA
winged scapula

31
Q
dorsal scapular
motor
muscle
sensory
disorder
A

elevation and retraction of scapula
rhomboids and levator scapula
NA
flaring of scapula

32
Q
ulnar
motor
muscle
sensory
disorder
A

abduction of 5th digit and adduction of thumb
finger ab/add and thumb add
distal ulnar hand, 5th digit, medial 1/2 of 4th digit
claw hand

33
Q
median 
motor
muscle
sensory
disorder
A

thumb pinch, opposition of thumb
wrist and thumb flexors. thumb abductors, thenar
distal radial hand, 2nd digit
carpal tunnel, pronator teres, ape hand

34
Q
musculocutaneous
motor
muscle
sensory
disorder
A

elbow flexion
biceps, brachioradialis, coracobrachialis
lateral forearm
impingement

35
Q
radial 
motor
muscle
sensory
disorder
A

wrist/finger extnesion, thumb abduction
wrist/finger extensors, triceps
dorsal web between thumb and index
wrist drop, crutch palsy, erb’s palsy

36
Q
axillary
motor
muscle
sensory
disorder
A

arm abduction
deltoid and teres minor
lateral arm
glenohumeral dislocation

37
Q
S2-4
motor
muscle
sensory
disorder
A

anal wink
levator ani/coccygeus
perianal
cauda equina syndrome

38
Q
S1
motor
muscle
sensory
disorder
A

eversion, plantar flexion, hip extension
peroneus longus/brevis, glute max
lateral aspect of foot and plantar surface of foot
NA

39
Q
L5
motor
muscle
sensory
disorder
A

toe extension, heel walk, hip abduction
extensor digitorum, extensor hallucis lonngus, glute med and min
lateral aspect of leg across dorsum of foot to big toe
foot drop

40
Q
L4
motor
muscle
sensory
disorder
A

inversion and dorsiflexion
tibialis anterior
medial aspect of leg and foot
foot drop

41
Q
L2-4
motor
muscle
sensory
disorder
A

hip flexion and adduction, knee extension
quads, adductors
NA
NA

42
Q
L1-3
motor
muscle
sensory
disorder
A

hip flexion
iliopsoas
intuinal lig, oblique below L1, oblique across knee
meralgia paresthesia

43
Q
T5-12'
motor
muscle
sensory
disorder
A

trunk flexion
rectus abdominus
T5-12
NA

44
Q
T1
motor
muscle
sensory
disorder
A

finger abduction, finger adduction
dosal interossei, palmer interossei
medial elbow
NA

45
Q
C8
motor
muscle
sensory
disorder
A

finger flexion
flexor digitorum superificalis/profundus, lumbricals
medial forearm/digits 4-5
klumpke’s paralysis

46
Q
C7
motor
muscle
sensory
disorder
A

wrist flexion, finger extension
flexor carpi ulnaris/radialis, triceps
3rd digit
wrist drop

47
Q
C6
motor
muscle
sensory
disorder
A

wrist extension
extensor carpi ulnaris/radialis, brachialis
lateral forearm/digits 1-2
erb’s palsy

48
Q
C5
motor
muscle
sensory
disorder
A

arm abudction, forearm flexion
middle deltoid, biceps brachii
lateral arm
erb’s palsy

49
Q

chaddock’s wrist

A

examiner strokes the distal ulnar side of the forearm near the wirst
lfexion of wrist with extension and fanning of fingers

50
Q

gordon’s finger

A

examiner strokes the pisiform of the patient

felxion of wrist and fingers or thumb and index finger

51
Q

tromner

A

examiner sharply taps the tips of the middle 3 fingers

flexion and adduction of the thumb and flexion of fibners

52
Q

hoffman

A

exmainer extends middle phalynx and flicks distal phalynx inferior
flexion and adduction of thumb and flexion of fingers

53
Q

rossolimo

A

tap the ball of the foot

plantar flexion of great toe with curling of the other toes

54
Q

schaefer

A

squeeze achilles tendon

babinski like response

55
Q

gordon’s calf

A

squeeze the calf below the knee

babinski like response

56
Q

oppenheim

A

stroke down the tibial crest to teh ankle

babinski like response

57
Q

chaddock

A

stroke lateral malleolus to 5th toe

babinski like response

58
Q

babinski

A

stroke up lateral aspect of foot to great toe

dorsiflexion of great toe with splaying of other toes

59
Q

absecne of visceral organic reflexes indicates?

A

UMNL, LMNL

60
Q

ciliospinal
procedure
afferent
efferent

A

pinch neck while noting dilation of eyes
sensory from neck
cervical sympathetics

61
Q

oculocardiac
procedure
afferent
efferent

A

press on eye note slowing of the heart by 10bpm
CN V
CN X

62
Q

carotid sinus
procedure
afferent
efferent

A

press on carotid sinus note slowing of heart and decreased pressure
C IX
CN X