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NMS practical > OSCE I- problems > Flashcards

OSCE I- problems Flashcards

1
Q

What are the possible problems if you find something wrong when you observe the nose?

A

trauma or disease

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2
Q

What are the possible problems if you find something wrong when you test smell on both sides?

A 
cortical lesion (decreased smell)
viral infection, allergic rhinitis, tumor, etc.
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3
Q

What are the possible problems if you find something wrong when you observe the internal nose?

A

trauma or disease

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4
Q

What are the possible problems if you find something wrong when you test visual acuity?

A

Foster Kennedy syndrome
Tay Sachs
Optic Atrophy
Primary optic atrophy

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5
Q

What are the possible problems if you find something wrong when you observe the eyes

A

trauma
sty
lack of sleep
lazy eye

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6
Q

What are the possible problems if you find something wrong when you do confrontation?

A

tunnel vision

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7
Q

What are the possible problems if you find something wrong when you test pupillary light reflex?

A

Holmes-Adie syndrome
Argyll Robertson pupil
optic nerve damage

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8
Q

What are the possible problems if you find something wrong when you do an opthalmoscopic exam?

A

tay sachs

papilledema

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9
Q

What are the possible problems if you find something wrong when you perform the 6 cardinal fields of gaze?

A

medial longitudinal fasciculus lesion
nystagmus
disease of CN III, IV, VI

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10
Q

What are the possible problems if you find something wrong when you perform the corneal light reflex

A

medial longitudinal fasciculus lesion

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11
Q

What are the possible problems if you find something wrong when you perform accommodation?

A

medial longitudinal fasciculus lesion

CN III lesion

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12
Q

What are the possible problems if you find something wrong when you inspect muscle volume and strength associated with CN V?

A

LMN lesion

corticobulbar lesion

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13
Q

What are the possible problems if you find something wrong when you perform the corneal blink reflex?

A

neuroparalytic keratitis

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14
Q

What are the possible problems if you find something wrong when you perform a sensory exam of the face?

A

trigeminal neuralgia

TMJ syndrome

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15
Q

What are the possible problems if you find something wrong when you perform jaw jerk reflex

A

TMJ syndrome

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16
Q

What are the possible problems if you find something wrong when you check musculature of the face?

A

corticobulbar lesion

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17
Q

What are the possible problems if you find something wrong when you check taste of anterior 2/3 of the tongue?

A

corticobulbar lesion

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18
Q

What are the possible problems if you find something wrong when you observe the external ears?

A

trauma, cancerous lesion

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19
Q

What are the possible problems if you find something wrong when you perform Weber test?

A

auditory canal obstruction
tympanic membrane trauma
ossicle trauma
accumulation of fluid in the middle ear

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20
Q

What are the possible problems if you find something wrong when you perform Rinne test?

A 
auditory canal obstruction
tympanic membrane trauma
ossicle trauma
accumulation of fluid in the middle ear
air conduction/sensorineural problem
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21
Q

If Weber lateralized to the right and Rinne was 10/10 on right and 10/20 on the left?

A

air conduction problem on the right

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22
Q

What are the possible problems if you find something wrong when you perform an otoscope exam?

A

auditory canal obstruction
tympanic membrane trauma
ossicle trauma
accumulation of fluid in middle ear

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23
Q

What are the possible problems if you find something wrong when you rotate the head for dizziness?

A

vestibular disease

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24
Q

What are the possible problems if you find something wrong when you perform caloric irrigation?

A

nystagmus

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25
Q

What are the possible problems if you find something wrong when you perform swivel chair test?

A

cervicogenic dizziness

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26
Q

What are the possible problems if you find something wrong when you have the patient say ahh?

A

paralysis of CN X unilaterally

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27
Q

What are the possible problems if you find something wrong when you perform the gag reflex?

A

paralysis of CN X unilaterally

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28
Q

What are the possible problems if you find something wrong when you check phonation?

A

paralysis of CN X unilaterally

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29
Q

What are the possible problems if you find something wrong when you check taste of posterior tongue?

A

paralysis of CN X unilaterally

30
Q

What are the possible problems if you find something wrong when you perform shoulder elevation?

A

unilateral UMN lesion

31
Q

What are the possible problems if you find something wrong when you check muscle strength of SCM and trapezius?

A

unilateral UMN lesion

32
Q

What are the possible problems if you find something wrong when you stick out tongue?

A

bilateral cerebral lesions

33
Q

What are the possible problems if you find something wrong when you do tongue in cheek test?

A

bilateral cerebral lesion

34
Q

What are the possible problems if you find something wrong when you perform the Romberg test?

A

open and closed: cerebellar or vestibular mechanism lesion

closed: dorsal column pathology

35
Q

What are the possible problems if you find something wrong when you can’t hop on one foot?

A

open and closed: cerebellar or vestibular mechanism lesion

closed: dorsal column pathology

36
Q

What are the possible problems if you find something wrong when you can’t squat on one foot?

A

open and closed: cerebellar or vestibular mechanism lesion

closed: dorsal column pathology

37
Q

What are the possible problems if you find something wrong when you can’t do finger to nose?

A

dyssynergia

dysmetria

38
Q

What are the possible problems if you find something wrong when you can’t do finger to finger?

A

dyssynergia

dysmetria

39
Q

What are the possible problems if you find something wrong when you can’t do finger to nose to finger?

A

dyssynergia

dysmetria

40
Q

What are the possible problems if you find something wrong when you can’t do heel to shin?

A

dyssynergia

dysmetria

41
Q

What are the possible problems if you find something wrong when you have trouble with diadokinesia?

A

dysdiadokinesia

cerebellar dysfunction

42
Q

What are the possible problems if you find something wrong when you can’t do Holmes Rebound Phenomenon?

A

dyssynergia

dysmetria

43
Q

What are the possible problems if you find something wrong when you can’t do tandem gait?

A

dyssynergia

dysmetria

44
Q

What are the possible problems if you find something wrong when you can’t tell where your joint is?

A

posterior column disease

45
Q

What are the possible problems if you find something wrong when you can’t feel Abadie’s sign?

A

dorsal column lesion

46
Q

What are the possible problems if you find something wrong when you can’t feel Pitre’s sign?

A

dorsal column lesion

47
Q

What are the possible problems if you find something wrong when you can’t feel Biernacki’s sign?

A

dorsal column lesion

48
Q

What are the possible problems if you find something wrong when you can’t feel 2 point discrimination?

A

posterior column medial lemniscal pathway lesion

49
Q

What are the possible problems if you find something wrong when you can’t do sterognosis?

A

association cortex problem

opposite parietal lobe

50
Q

What are the possible problems if you find something wrong when you can’t do barognosis?

A

association cortex problem

opposite parietal lobe

51
Q

What are the possible problems if you find something wrong when you can’t do topognosis?

A

association cortex problem

opposite parietal lobe

52
Q

What are the possible problems if you find something wrong when you can’t do graphognosis?

A

association cortex problem

opposite parietal lobe

53
Q

What are the possible problems if you find something wrong when you can’t feel light touch?

A

anterior spinothalamic lesion

54
Q

What are the possible problems if you find something wrong when you can’t feel vibration?

A

anterior spinothalamic lesion

55
Q

What are the possible problems if you find something wrong when you can’t feel pain?

A

lateral spinothalamic lesion

56
Q

What are the possible problems if you find something wrong when you can’t feel temperature?

A

lateral spinothalamic lesion

57
Q

What are the possible problems if you find something wrong when supraspinatus is weak?

A

nerve compresson at C5 NR

58
Q

What are the possible problems if you find something wrong when deltoid is weak?

A

nerve compression at C5 NR

59
Q

What are the possible problems if you find something wrong when biceps are weak?

A

nerve compression at C5/6 NR

60
Q

What are the possible problems if you find something wrong when brachioradialis is weak?

A

nerve compression at C5,6 NR

61
Q

What are the possible problems if you find something wrong when triceps are weak?

A

nerve compression at C7 NR

62
Q

What are the possible problems if you find something wrong when wrist extension is weak?

A

nerve compression at C6 NR

63
Q

What are the possible problems if you find something wrong when finger extension is weak?

A

nerve compression at C7 NR

64
Q

What are the possible problems if you find something wrong when finger flexion is weak?

A

nerve compression at C8 NR

65
Q

What are the possible problems if you find something wrong when finger abduction is weak?

A

nerve compression at T1 NR

66
Q

What are the possible problems if you find something wrong when finger adduction is weak?

A

nerve compression at T1 NR

67
Q

What are the possible problems if you find something wrong when biceps reflex is diminished?

A

nerve compression at C5 NR

68
Q

What are the possible problems if you find something wrong when brachioradialis reflex is diminished?

A

nerve compression at C6

69
Q

What are the possible problems if you find something wrong when triceps reflex is diminished?

A

nerve compression at C7

70
Q

What are the possible problems if you find something wrong when finger flexion reflex is diminished?

A

nerve compression at C8

NMS practical (18 decks)

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