NMS Dx Questions Flashcards
28 yo female wakes up no complaints, fatigue and weakness as day progresses cannot keep eyes open
Myasthenia gravis
Weakness following exercise, hyperreflexia, low ext, 32 yo female
LMNL
MS
Pharyngeal afferent/efferent?
IX
X
67 yo male smoker dropping eye, constrict pupil no sweat on L face
Horner’s syndrome
Shock like along face several times a day few seconds
Trigeminal neuralgia
Efferent accomodation
3
Direct and indirect light nerves
Afferent - 2
Efferent - 3
Unilateral facial paralysis cannot wrinkle eyebrow
Bells palsy
If can wrinkle forehead = stroke
Hoarseness, motor funciton to larynx
CN IX
LMNL sign
Fasciculations
Epiglottis and laryngeal sensory
Vagus nerve
Wakes up neck pain head tilt to right can’t straighten c-spine
Torticollis
Stick out tongue, deviates to L
Hypoglossal nerve lesion
DTR hyperactivity with intermittent clonus
4+
Babinski shows
Dorsiflexion large toe and splaying of remaining toes
Foot drop lesion where
L4, 5 (first is disc, second is nerve)
Intercostal neuralgia ortho to confirm
Schepelmann’s test
Hypesthesia lateral forearm, brachioradialis weak, what nerve root is compressed
C6
Triceps nerve and nerve root
Radial
C7
Plantar reflex grade and testing what
2
L4
UMNL or LMNL superficial reflexes will
Be absent
UMNL finding present
Clonus
Yergason evaluates
Shoulder
UMNL type of paralysis, LMNL type
UMNL = spastic LMNL = flaccid
Full ROM against gravity, full resistance muscle grade
5/5
Weak dorsiflexion 1st toe lesion what nerve root
L5 (L4 disc)
Wrist lfexion weak, inability to touch thumb to forefinger
Median nerve
T1 nerve root test location
Medial portion of the arm
Decreased sensation 5th digit inability to adduct thumb
Ulnar nerve
Dorsal and palmar interossei which nerve root
T1
