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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
Tx for Pronator teres syndrome
Trigger point tehrapy | Spray and Stretch
26
Ulnar Nerve entrapment sites
Tunnel of Guyon | Cubital tunnel
27
Radial nerve entrapment site
Spiral groove | Often from pressure of crutches
28
Lateral Femoral Curtaneous nerve entrapment causes what?? Where?
Meralgia Paresthetica Over the pelvic brim under the inguinal ligament L2/3 nerve roots
29
Causes of Meralgia Paresthetica
Obesity Tight Jeans External pressure *Often a tool belt, policeman, truck driver*
30
Tx of Tarsal Tunnel
Adjust, Orthotic support to keep foot in slight inversion | *aggravated by walkign or standing*
31
MC place for mortons neuroma
B/w 3rd and 4th mets
32
Anterior COmpartment syndrome is similar to...
Charcot Marie tooth --> foot drop
33
Flexion of DIP
Mallet finger
34
Hyperflexion of DIP and Hyperextension of PIP
Swan neck | *Seen with Ra
35
Hyperextension of DIP and Hyperflexion of PIP
Boutonniere Deformity | *Seen with RA
36
Last 2 fingers curl into the palm
Dupuytren's Contracture
37
Popping or snapping upon straightening the finger
trigger finger
38
Myasthenia Gravis Description and Demographic
Autoimmune, body makes antibodies against ACh receptors. | Females 20-40
39
Test for Myasthenia Gravis
Tensilon Test
40
Multiple Sclerosis Dx Technique
MRI
41
ALS presents with ___ in the arms and ___ in the legs
LMNL | UMNL
42
Fasciculations as well as spasticity and increased DTRs
ALS (AKA Lou Gehrig's)
43
Hemisection of the spinal cord usually caused by injury
Brown Sequard
44
What is the manifestation of Brown Sequard?
Ipsilateral loss of Motor fxn and dorsal columns with contralateral loss of pain and temp.
45
What is the cause of Posterolateral Sclerosis (PLS) aka COmbined systems?
Degeneration of teh posterior columns and corticispinal tracts as a result of B12 deficiency. *Irreversible*
46
What is the manifestation of PLS?
Glove and stocking paresthesia
47
Scissor gait is seen with...
Cerebral Palsy (cross legs on every step)
48
Description of guillan Barre
Ascending paralysis | Emergency if it reaches the diaphragm
49
Argyll Robertson pupil description
Accomodates but does not repsond to direct light reflex- Seen with Tertiary Syphilis
50
MC age for MD
Boys age 3-7
51
Muscular Dystrophy manifestation
Proximal muscle weakness waddling gait hyperlordosis Pseudohypertrophy of calves
52
Lab vaues for MD
Increased CPK | Decreased Creatinine
53
Deceleration is accomplished by the...
hamstrings
54
Heel strike fires the...
Dorsiflexors --> eccentric
55
Muscles of foot strike phase
Abductors contract to hold body up. Plantarflexors (triceps surae: Gastroc, Soleus, Plantaris) contract to push teh body ahead)
56
Muscles of toe off phase
Quadriceps concentrically contract to help the plantarflexors push the body ahead
57
Gait seen with a stroke
Swinging gait

Boards Part 2 (14 decks)

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