Peripheral Nerve Entrapments/CNS diseases

Question 1

What nerve in entrapped in pronator teres syndrome

Answer 1

anterior interosseous nerve

Question 2

Good orthopedic to determine pronator teres syndrome

Answer 2

Pinch Grip test

Question 3

Claw hand deformity involves what nerve

Answer 3

Ulnar nerve

Question 4

Kluympke’s paralysis involves what nerves

Answer 4

C8-T1
Can occur from childbirth
Creates a claw hand deformity

Question 5

Wrist drop is associated with what nerve

Answer 5

radial nerve

Question 6

Erb’s palsy is aka

Answer 6

waiters tip deformity from radial nerve entrapment

Question 7

Crutch palsy is from entrapment of

Answer 7

radial nerve

Question 8

If a patient has a radial nerve entrapment it can result in loss of what reflex

Answer 8

tricep

Question 9

Tarsal tunnel syndrome results from

Answer 9

entrapment of the Tibial nerve, burning paresthesia on soles of feet

Question 10

Swan neck deformity is

Answer 10

hyperflexion of the DIP

Hyper Extension of PIP

Question 11

Boutnonniere Deformity is

Answer 11

Hyper Extension of DIP

Hyper Flexion of PIP

Question 12

Dupuytren’s Contracture is

Answer 12

last two fingers curl into the palm, and sometimes in advanced cases the middle finger

Question 13

De Quervain’s Tenosynovitis is

Answer 13

Extensor pollicis brevis and abductor pollicis longus are inflamed at base of the thumb

Question 14

Orthopedic to determine De Quervain’s tenosynovitis

Answer 14

Finkelstein’s Test

Question 15

MS affects what part of nervous system first

Answer 15

Posterior columns

Question 16

Corticospinal tract does

Answer 16

voluntary motor, flexors of the hands and feet, UMNL

Question 17

Lateral spinothalamic is responsible for

Answer 17

pain and temperature

Question 18

Syringomyelia affects what tract

Answer 18

Lateral spinothalamic

Question 19

Anterior Spinothalamic is

Answer 19

crude light touch

Question 20

Benign positional vertigo is a result of what tract being distrubed

Answer 20

Vestibulospinal

Question 21

Rubrospinal tract is

Answer 21

muscle tone and synergy to the FLEXORS of the extremities

Question 22

Reticulospinal tract is

Answer 22

muscle tone and synergy to the EXTENSORS muscles

Question 23

Lateral Corticospinal is

Answer 23

crosses at medullary pyramids and travels to the FLEXORS of the extremities

Question 24

Ventral Cortico spinal does

Answer 24

cross at the segmental level and then to the FLEXORS of the trunk UMNL

Question 25

What is Syringomyelia

Answer 25

Longitudinal cyst of the central canal of the spinal cord resulting in loss of sense of pain and temp over the shoulders and back in a CAPE like distribution

Question 26

Multiple Sclerosis is

Answer 26

Demyelination of the CNS MC in females 20-40. Gets worse when moving from COLD to WARM clients

Question 27

Good orthopedic for findings MS

Answer 27

Lhermitte’s test

Question 28

Myasthenia Gravis is

Answer 28

autoimmune attacking acetylcholine receptors, muscle weakness is worse at the end of the day

Question 29

Amyotrophic Lateral Sclerosis aka

Answer 29

Lou Gehrig’s Disease starts in the hands and feet

Question 30

Posterolateral Sclerosis (PLS) aka

Answer 30

Combined system’s disease is a result of B12 deficiency (pernicious anemia) neurological symptoms are irreversible. +Schilling test

Question 31

Brown Sequard is

Answer 31

hemi section spinal cord usually caused by injury resulting in Ipsilateral loss of motor function and dorsal columns and Contralateral loss of pain and temp

Question 32

Scissor Gait is a hallmark of what disease

Answer 32

Cerebral Palsy

Question 33

Parkinson’s is a result of

Answer 33

loss of dopamine in the substantia nigra

Question 34

Guillain-Barre Syndrome is

Answer 34

Inflammatory process of the PNS, ASCENDING paralysis

medical emergency if reaches diaphragm

Question 35

Tabes Dorsalis is

Answer 35

tertiary syphilis wasting away the posterior columns

Argyll Robertson’s pupil is present- accommodates but no respone to direct light