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Boards Part 2 > NMS Dx Part 1 > Flashcards

NMS Dx Part 1 Flashcards

1
Q

Anosmia

A

Lost sense of smell

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2
Q

Oarosmia

A

Distorted sense of smell

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3
Q

Motor supply of the eye

A

LR6, SO4, All other 3

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4
Q

Corneal eflex pathway

A

A: CN V E: CN VII

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5
Q

Sensation anterior 2/3 tongue

A

Trigeminal

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6
Q

Taste Anterior 2/3 tongue

A

Facial

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7
Q

Forehead does NOT wrinkle

A

Bell’s Palsy

*Ipsilateral, whole side face

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8
Q

Forehead DOES wrinkle

A

Stroke

*Contralateral side of lesion below eye

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9
Q

Meniere’s AKA

A

Endolymphatic Hydrops

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10
Q

Symptoms of Meneiere’s

A

Vertigo
Hearing loss
Tinnitus

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11
Q

Taste to back 1/3 of tongue

A

Glossopharyngeal

Bitter Back 9

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12
Q

Absence of any DTR, especially patellar

A

Westphal’s sign

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13
Q

How does the Jendrassik’s (aka Reinforcement) maneuver work?

A

Cortical Distraction

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14
Q

UMNL is a lesion of…

A

Brain and spinal cord

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15
Q

LMNL is a lesion of…

A

Anterior horn cells

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16
Q

Pain along the sensory of a nerve root

A

Dermatogenous

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17
Q

Pain along a dermatome due to irritation of a nerve root

A

Radicular

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18
Q

Heart referred pain pattern

A

Left shoulder and medial arm

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19
Q

Ureter pain referral pattern

A

Groin

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20
Q

Bladder pain referral pattern

A

Suprapubic area

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21
Q

Carpal tunnel syndrome site

A

Under flexor retinaculum

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22
Q

Supplement for Carpal Tunnel

A

B6

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23
Q

Pronator teres syndrome site

A

Between heads of pronator teres at the elbow

24
Q

Common occupations for pronator teres syndrome

A

Carpenter, Mechanic

25
Q

Tx for Pronator teres syndrome

A

Trigger point tehrapy

Spray and Stretch

26
Q

Ulnar Nerve entrapment sites

A

Tunnel of Guyon

Cubital tunnel

27
Q

Radial nerve entrapment site

A

Spiral groove

Often from pressure of crutches

28
Q

Lateral Femoral Curtaneous nerve entrapment causes what?? Where?

A

Meralgia Paresthetica
Over the pelvic brim under the inguinal ligament
L2/3 nerve roots

29
Q

Causes of Meralgia Paresthetica

A

Obesity
Tight Jeans
External pressure
Often a tool belt, policeman, truck driver

30
Q

Tx of Tarsal Tunnel

A

Adjust, Orthotic support to keep foot in slight inversion

aggravated by walkign or standing

31
Q

MC place for mortons neuroma

A

B/w 3rd and 4th mets

32
Q

Anterior COmpartment syndrome is similar to…

A

Charcot Marie tooth –> foot drop

33
Q

Flexion of DIP

A

Mallet finger

34
Q

Hyperflexion of DIP and Hyperextension of PIP

A

Swan neck

*Seen with Ra

35
Q

Hyperextension of DIP and Hyperflexion of PIP

A

Boutonniere Deformity

*Seen with RA

36
Q

Last 2 fingers curl into the palm

A

Dupuytren’s Contracture

37
Q

Popping or snapping upon straightening the finger

A

trigger finger

38
Q

Myasthenia Gravis Description and Demographic

A

Autoimmune, body makes antibodies against ACh receptors.

Females 20-40

39
Q

Test for Myasthenia Gravis

A

Tensilon Test

40
Q

Multiple Sclerosis Dx Technique

A

MRI

41
Q

ALS presents with ___ in the arms and ___ in the legs

A

LMNL

UMNL

42
Q

Fasciculations as well as spasticity and increased DTRs

A

ALS (AKA Lou Gehrig’s)

43
Q

Hemisection of the spinal cord usually caused by injury

A

Brown Sequard

44
Q

What is the manifestation of Brown Sequard?

A

Ipsilateral loss of Motor fxn and dorsal columns with contralateral loss of pain and temp.

45
Q

What is the cause of Posterolateral Sclerosis (PLS) aka COmbined systems?

A

Degeneration of teh posterior columns and corticispinal tracts as a result of B12 deficiency.
Irreversible

46
Q

What is the manifestation of PLS?

A

Glove and stocking paresthesia

47
Q

Scissor gait is seen with…

A

Cerebral Palsy (cross legs on every step)

48
Q

Description of guillan Barre

A

Ascending paralysis

Emergency if it reaches the diaphragm

49
Q

Argyll Robertson pupil description

A

Accomodates but does not repsond to direct light reflex- Seen with Tertiary Syphilis

50
Q

MC age for MD

A

Boys age 3-7

51
Q

Muscular Dystrophy manifestation

A

Proximal muscle weakness
waddling gait
hyperlordosis
Pseudohypertrophy of calves

52
Q

Lab vaues for MD

A

Increased CPK

Decreased Creatinine

53
Q

Deceleration is accomplished by the…

A

hamstrings

54
Q

Heel strike fires the…

A

Dorsiflexors –> eccentric

55
Q

Muscles of foot strike phase

A

Abductors contract to hold body up. Plantarflexors (triceps surae: Gastroc, Soleus, Plantaris) contract to push teh body ahead)

56
Q

Muscles of toe off phase

A

Quadriceps concentrically contract to help the plantarflexors push the body ahead

57
Q

Gait seen with a stroke

A

Swinging gait

Boards Part 2 (14 decks)

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