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Clin Neuro LAB > Practical 1 > Flashcards

Practical 1 Flashcards

1
Q

Name the associated nerves during the MYOTOME examination of C5.

A

Biceps: Musculocutaneous
Deltoid: Axillary

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2
Q

Name the associated nerves during the MYOTOME examination of L4.

A

Tibialis Anterior: Deep Peroneal
Quadriceps: Femoral

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3
Q

Name the associated nerves during the MYOTOME examination of C6.

A

Extensor Carpi Radialis: Radial
Extensor Carpi Ulnaris: Radial

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4
Q

Name the associated nerves during the MYOTOME examination of L5.

A

Extensor Hallicus: Deep Peroneal
Extensor (anything of Tib. Ant.): Deep Peroneal
Gluteus Medius: Superior Gluteal Nerve

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5
Q

Name the associated nerves during the MYOTOME examination of C7.

A

Triceps: Radial Nerve
Flexor Carpi Radialis: Median Nerve
Flexor Carpi Ulnaris: Ulnar Nevre
Extensor Digitorum:
Extensor Digiti Minimi:
Extensor Indicuis Profundus:

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6
Q

Name the associated nerves during the MYOTOME examination of S1.

A

Gluteus Maximus: Inferior Gluteal Nerve
Peroneals: Peroneal Nerve
Gastrocnemius/Soleus: Tibial Nerve

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7
Q

Name the associated nerves during the MYOTOME examination of C8.

A

Flexor Digitorum Superficialis:
Flexor Digitorum Profundus:
Lumbricals:

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8
Q

Name the associated muscles during the MYOTOME examination of C5.

A

Biceps & Deltoid

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9
Q

Name the associated muscles during the MYOTOME examination of C6.

A

Extensor Carpi Radialis & Extensor Carpi Ulnaris

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10
Q

Name the associated muscles during the MYOTOME examination of C7.

A
  • Triceps
  • Flexor Carpi Radialis/Ulnaris
  • Extensor Digitorum
  • Extensor Digiti Minimi
  • Extensor Indicis Profundus
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11
Q

Name the associated muscles during the MYOTOME examination of C8.

A
  • Flexor Digitorum Superficialis
  • Flexor Digitorum Profundus
  • Lumbricals
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12
Q

Name the associated muscles during the MYOTOME examination of L4.

A
  • Tibialis Anterior
  • Quadriceps
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13
Q

Name the associated muscles during the MYOTOME examination of L5.

A
  • Extensor Hallicus
  • Tibialis Anterior
  • Gluteus Medius
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14
Q

Name the associated muscles during the MYOTOME examination of S1.

A
  • Gluteus Maximus
  • Peroneals
  • Gastrocnemius
  • Soleus
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15
Q

How do you grade a muscle test & what do the numbers on the scale mean?

A

[Graded: X/5]
0: Complete Paralysis
1: Flicker of contraction, but cannot move
2: only moves when position w/o gravity
3: can move against gravity w/o resistance
4: can move against some resistance
5: Normal Strength (full resistance)

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16
Q

Name the associated nerves during the REFLEX examination of C5.

A

Musculocutaneous

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17
Q

Name the associated nerves during the REFLEX examination of C6.

A

Radial

18
Q

Name the associated nerves during the REFLEX examination of C7.

A

Radial

19
Q

Name the associated nerves during the REFLEX examination of C8.

A

Median/Ulnar

20
Q

Name the associated nerves during the REFLEX examination of L4.

A

Femoral

21
Q

Name the associated nerves during the REFLEX examination of L5.

A

Tibial

22
Q

Name the associated nerves during the REFLEX examination of S1.

A
23
Q

How do you grade a Reflex & what do the numbers on the scale mean?

A

0: Absent
1+: Trace seen with reinforcement (Jendrassik)
2+: Normal
3+: Brisk
4+: Non-Sustained Clonus
5+: Sustained Clonus (10 or more beats)

24
Q

What is the Clinical Relevance for the Ankle Clonus test?

A

Hyperreflexia indicative of UMNL

25
Q

What is the Clinical Relevance for the Glabellar Sign?

A

Continued blinking (Myerson’s Sign) indicative of neurodegenerative movement disorders such as Parkinson’s Disease or UMNL

26
Q

What is the Clinical Relevance for the Hoffman’s Sign?

A

Patients 1st & 2nd digit approximating reflexively indicative of UMNL

27
Q

What is the Clinical Relevance for the Inverted Brachioradialis/Supinator Sign?

A

Finger flexion indicative of UMNL (Elbow flexion is normal)

28
Q

What is the Clinical Relevance for the Tromner’s Sign?

A

Patients 1st & 2nd digit approximating reflexively indicative of UMNL

29
Q

What is the Clinical Relevance for the Plantar Response looking for Babinski sign?

A

Extension of Great Toe w/ fanning of 2-5 digits indicative of UMNL

30
Q

What would be a normal finding for the Ankle Clonus Test?

A

Nothing

31
Q

What would be a normal finding for the Glabellar Sign?

A

Patient stops blinking after the first few taps

32
Q

What would be a normal finding for the Hoffman’s Sign?

A

No response when finger is flicked into flexion

33
Q

What would be a normal finding for the Inverted Brachioradialis/Supinator Sign?

A

Elbow Flexion

34
Q

What would be a normal finding for the Tromner’s Sign?

A

No response when the finger is flicked into extension

35
Q

What would be a normal finding for the Plantar Response looking for Babinski Sign?

A

Plantar Flexion of Great Toe + Toes 2-5

36
Q

What would be an Abnormal Finding for the Ankle Clonus Test?

A

Continued Involuntary Contractions

37
Q

What would be an Abnormal Finding for the Glabellar Sign?

A

Continued Blinking upon percussion

38
Q

What would be an Abnormal Finding for the Hoffman’s Sign?

A

Approximation of the 1st and 2nd digit

39
Q

What would be an Abnormal Finding for the Inverted Brachioradialis/Supinator Sign?

A

Flexion of all fingers

40
Q

What would be an Abnormal Finding for the Tromner’s Sign?

A

Approximation of the 1st & 2nd digit

41
Q

What would be an Abnormal Finding for the Plantar Response looking for Babinski Sign?

A

Dorsiflexion (extension) of great toe and fanning of toes 2-5

42
Q

If Jendrassik was used to elicit reflex…

A

State: “1+ with Jendrassik/Reinforcement”

Clin Neuro LAB (1 decks)

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