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*Part II Supplemental > Part II NBS NMS > Flashcards

Part II NBS NMS Flashcards

1
Q

What movement exacerbates radiculopathy (IVF encroachment)

A

Extension

Lateral Flexion and rotation

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2
Q

ADI instability exacerbated by

A

Flexion

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3
Q

ADI instability is associated with what condition

A

RA

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4
Q

Flexion also exacerbates …

A

OA (uncinate hypertrophy) in lower cervical –> CANAL STENOSIS

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5
Q

Disease of the spinal cord is definition of…

A

Myelopathy

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6
Q

Myelopathy mainly occur where?

A

Cervical spine

Cervical = Radiculo & Myelo

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7
Q

Lumbar spine is “married” to

A

Radiculopathy

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8
Q

Radiculopathy commonly occurs where

A

C5-T1, L4-S1

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9
Q

Dermatogenous pain is associated with

A

Radiculopathy

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10
Q

LMNL, Peripheral Nerve Entrapment (PNE), causalgia (burning nerve pain)

A

Neuropathy

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11
Q

UMNL, Bilateral symptoms, neck flexion

A

Myelopathy

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12
Q

LMNL, local pain

A

Radiculopathy, Neuropathy

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13
Q

Cerebellum is responsible for

A

MOTOR
Speech
Gait

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14
Q

Cerebellum is associated with CHARCOT’S TRIAD, which has symptoms of

A

SIN (Speech, Intention tremor, Nystagmus)

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15
Q

Cerebellum test

A

Heel to shin
DIadochokinesia
Finger to nose

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16
Q

Cerebellum disease

A

Alcoholism
MS
Motor ataxia

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17
Q

Posterior Column responsibility

A

Sensory
2 point discrimination
Position sense (conscious)
VIBRATION (MAIN)

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18
Q

THE BEST test to test vibration

A

POST COLUMN test

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19
Q

Posterior Column tests

A

ROMBERG
2 Pins
128 tuning fork
Toe placement

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20
Q

Disease associated with posterior column

A 
SYPHILIS
MS
PLS (Primary lateral Sclerosis)
DM
Sensory ataxia (SLAPPAGE GAIT)
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21
Q

Primary Lateral Sclerosis (PLS) associated with what vitamin deficiency and what condition?

A

B12

CHRONIC GASTRITIS —> pernicious anemia –> STOCKING AND GLOVE PARESTHESIA

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22
Q

Stocking and glove paresthesia is associated with …

A

PLS

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23
Q

Corticospinal tract responsibility is

A

Motor

Voluntary Motor

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24
Q

Corticospinal tract test

A

Muscle test
Mensuration
DTR

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25
Q

Corticospinal tract disease

A

UMNL - before anterior cell

LMNL - anterior cell to periphery

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26
Q

SLAPPAGE GAIT is associated with

A

= Sensory ataxia

Posterior Column Disease

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27
Q

Dorsal Column Cortex helps to discriminate. What are the tests?

A

Barognosis (weight and size), Stereognosis and Graphognosis (shape)

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28
Q

Lateral Spinothalamic tract disease

A

Syringomyelia - loss of pain and temp BILATERALLY

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29
Q

Death of muscle …

A

Fasciculation

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30
Q

Fasciculation in UNML vs LMNL

A

UMNL - absent

LMNL - present

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31
Q

Superficial reflex in UNML vs LMNL

A

ABSENT in BOTH

unilateral (LMNL), bilateral (UMNL)

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32
Q

UMNL disease

A

Pyramidal lesion (motor)
CVA
Tumor

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33
Q

LMNL disease

A

DISC
PNE
IVF

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34
Q

UNML & LMNL disease

A

MS

ALS

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35
Q

Motor Neurological Disease (5)

A 
MD (Erb's Duchenne)
Myasthenia Gravis
ALS
Cerebral Palsy
Parkinson's
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36
Q

Sex linked in young boy, fatal by 20, difficulty walking, albuminuria, creatinuria, cpk-mm weak muscles, pseudohypertropy

A

Erb Duchenne

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37
Q

Gower’s sign

A

Erb Duchenne

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38
Q

LMNL affecting the Myoneural junction (CN MUSCLES), Face, Sshoulder, DESCENDING Paralysis, DIPLOPIA, swallowing, fatigue, masked faces, intermittent (naps, sleep, etc)

A

Myasthenia Gravis

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39
Q

Face & Intermittent –> think?

A

Myasthenia

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40
Q

Bulbar palsy is frequently affected in …

A

ALS

Bulbar palsy - can’t swallow, phonate, breath, chew

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41
Q

Scissors Gait, Athetoid, Chorea

A

Cerebral palsy

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42
Q

Basal ganglia (Substantia Nigra), Dopamine, extrapyramidal tract (resting tremor), festinating gait, blank stare (masked face), oily, dependent arm

A

Parkinsons

Paralysis Agitans

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43
Q

Dopamine is precursor for

A

Epi and NE

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44
Q

Fluid filled cavitation that expands and put pressure on the lateral spinothalamic tract first (sensory) then expands onto other tracts (motor).

A

Syringomyelia

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45
Q

Syringomyelia usually occurs where?

A

Cervical spine

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46
Q

Pain ant temperature loss in shawl like distribution is associated with

A

Syringomyelia

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47
Q

Stocking and gloves paresthesia

A

PLS –> gastritis - pernicious anemia - B12 deficiency

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48
Q

Demyelination of the cord (plaque form), DIPLOPIA, speech, incontinence, UMNL&LMNL

A

MS

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49
Q

Exacerbation and Remission, Intention tremor + Charcot’s triad (Cerebellum)

50
Q

Combined System Disease AKA

51
Q

Paresthesia, weakness, pain and temp loss

52
Q

PLS test

A

Schilling’s test

53
Q

Hemisection of the spinal cold with IPSILATERAL loss of MOTOR. CONTRALATERAL loss of pain and temperature.

A

Brown Sequard

54
Q

Rapidly ascending polyneuropathy (sensory and motor)

A

Guillian Barre (post viral)

55
Q

Peroneal disease, characterized by calf weakness and sensory loss

A

Charcot Marie Tooth

56
Q

Charcot Marie Tooth gait

A

Steppage gait

57
Q

Vertiginous Disease

A

Meniere’s
Barre Lious
Labyrinthitis
BPPV

58
Q

Tinnitus, vertigo, transient deafness, episodic, unilateral, CN 8

A

Meniere’s

59
Q

Mimics Meniere’s, post trauma

A

Barre Lieou

60
Q

With Barre Lieou avoid what motion?

61
Q

Post trauma, motion dizziness

A

Labyrinthitis

62
Q

Post trauma, fatigable nystagmus, dizziness

63
Q

What condition mimics heart attack, inflammation of costal cargilages (anteromedial chest)

A

TieTze (Costochondritis)

64
Q

Cord compression

A

Myelopathy

65
Q

Cord compression causes symptoms neurologically where?

A

Upper and lower extremity

66
Q

S2-S4, Bowel and bladder control, nerve root compression

A

Cauda equina (radiculopathy)

67
Q

Conus medullaris

A

Radiculopathy

68
Q

Sympatheric interruption

A

Horner’s

69
Q

Horner’s symptoms

A

Miosis (flushing of the face and enophthalmosis - post eyeball displacement)
Ptosis - droopy lid
Anhydrosis - can’t sweat

70
Q

Causes of Horner’s

A

Whiplash (MC), TOS, birth, tumors

71
Q

C5 NR Myotome

A

arm abduction

72
Q

C5 NR Dermatome

A

Lateral arm

73
Q

C5 NR DTR

74
Q

C6 NR Myotome

A

Wrist extension

75
Q

C6 NR Dermatome

A

Lateral FA

First 2 digits

76
Q

C6 NR DTR

A

Brachioradialis

77
Q

C7 NR Myotome

A 
Wrist flexor
Wrist extensor (with c6)
78
Q

C7 NR Dermatome

A

Middle finger

79
Q

C7 DTR

80
Q

C8 Myotome, Dermatome, DTR

A

Myo = Finger Flexor
Derm = Medial FA, last 2 digits
no DTR

81
Q

T1 Myotome, Dermatome, DTR

A

Myo = interossei
Derm = Medial elbow
no DTR

82
Q

L4 Myotome, Dermatome, DTR

A 
Myo = tibialis anterior
derm = Medial Leg, ankle
DTR = Patella
83
Q

L5 Myotome, Dermatome, DTR

A 
Myo = glute medius, extensor halluci longus
Derm = lateral leg, dorsum of foot
DTR = posterior tibial, medial hamstring
84
Q

S1 Myotome, Dermatome, DTR

A

Myo - peroneus longus&brevis, gluteus maximus, gastroc, soleus
Dermatome - post leg, lat foot, planter foot
DTR = achilles

85
Q

C2 dermatome landmark

86
Q

C3 dermatome landmark

87
Q

T2 dermatome landmark

88
Q

T4 dermatome landmark

89
Q

T7 dermatome landmark

90
Q

T10 dermatome landmark

91
Q

L1 dermatome landmark

A

Inguinal ligament

Oblique upper thigh

92
Q

L2 dermatome landmark

A

Oblique middle thigh

93
Q

L3 dermatome landmark

94
Q

L4 dermatome landmark

A

Medial Leg

95
Q

L5 dermatome landmark

A

Top of foot

96
Q

S1 dermatome landmark

A

Little toe

97
Q

S2 dermatome landmark

A

posterior thigh

“Bulls eye”

98
Q

Unilateral leg involvement, Antalgia TOWARD the side of lesion, Wells leg raiser

A

Medial Lumbar disc lesion

99
Q

Unilateral leg involvement, Antalgia AWAY from the side of lesion, Lindner’s

A

Lateral Lumbar disc lesion

100
Q

Unilateral leg involvement, Antalgia FORWARD

A

Subrhizal or Pos

101
Q

Bilateral leg involvement, Antalgia forward

102
Q

Grade 4 DTR

A

Transient clonus

103
Q

Grade 5 DTR

A

Sustained clonus

104
Q

Superficial reflex: Corneal

A

CN 5 sensory

CN 7 motor

105
Q

Superficial reflex: Pharyngeal

A

CN IX sensory

CN X Motor

106
Q

Superficial reflex: cremasteric

A

Femoral/sensory

107
Q

Superficial reflex genitofemoral

A

Motor L1-L2

108
Q

Superficial reflex Abdominal

A

T7-T9
T10-T12
Umbilical deviation is normal

109
Q

Superficial reflex Anal

110
Q

Visceral Reflex CILIOSPINAL

A

Cervical sympathetic

111
Q

Visceral Reflex OCULOCARDIAC

A

Sensory V

Motor X

112
Q

Visceral Reflex: CAROTID SINUS

A

Sensory IX

Motor X

113
Q

Visceral Reflex Direct

A

Sensory II

Motor III

114
Q

Visceral Reflex Indirect

A

Sensory II

Motor III

115
Q

Pathological Reflex is what kind of lesion

116
Q

Pathological Reflex Babinski

A

stroke sole

117
Q

Pathological Reflex Chaddocks

A

Stroke around lateral malleolus make a C

118
Q

Pathological Reflex Oppenheim

A

Stroke down tibia (opens like a zipper)

119
Q

Pathological Reflex Gordons

A

Squeeze calf (G for gastroc)

120
Q

Pathological Reflex Schaefer

A

Squeeze Achilles

121
Q

Pathological Reflex Rossolimo

A

Tap ball of foot (Italian “meatball”)

122
Q

Pathological Reflex Hoffmans

A

Flick phalanx down (flexion of finger and thumb)

*Part II Supplemental (28 decks)

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