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NMS Practical #2 > Practical > Flashcards

Practical Flashcards

1
Q

senory exam lateral aspect of upper arms

A

C5

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2
Q

sensory exam medial aspect of lwer arms

A

T1

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3
Q

sensory exam tip of thumb

A

C6

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4
Q

Sensory exam tip of middle finger

A

C7

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5
Q

sensory exam tip of pinky

A

C8

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6
Q

patient reports pain on tip of middle finger

A

lateral spinal thalamic tract. may indicate nerve root compression or peripheal nerve lesions

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7
Q

patient reports loss of light touch sensation on medial aspect of lower arms

A

anterior spinal thalamic tract, T1. may indicate nerve root compression of T1 or peripheal nerve lesion

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8
Q

Loss of vibration in upper extremities indicates

A

dorsal column lesion to cuneatus

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9
Q

Supraspinatus muscle test tests for:

A

C5, suprascapular nerve

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10
Q

deltoid muscle test tests for:

A

C5, axillary nerve

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11
Q

biceps muscle exam tests for:

A

musculocutaneous, C5

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12
Q

brachioradialis muscle exam tests for:

A

Radial, C5

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13
Q

Wrist extensor muscle exam tests for:

A

C6, radial

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14
Q

Triceps muscle exam tests for:

A

radial nerve, C7

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15
Q

Wrist flexion muscle exam tests for:

A

C7, median/ulnar

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16
Q

finger extension muscle exam tests for:

A

C7, Radial nerve

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17
Q

Finger flexion muscle exam tests for:

A

C8, median/ulnar

18
Q

Finger abduction/adduction exam tests for:

A

Ulnar, T1

19
Q

Muscle Stretch Reflex for C5

A

Biceps, musculocutaneous nerve

20
Q

muscle stretch reflex for C6:

A

Brachioradialis, Radial nerve

21
Q

muscle stretch reflex for C7

A

triceps, radial nerve

22
Q

muscle stretch reflex for C8

A

finger flexion, median/ulnar nerve

23
Q

The superficial gag reflex tests for

A

CN 9 and 10

24
Q

Superficial coneal blink reflex tests for

A

CN 5 and 7

25
Q

the superficial reflex test for T5-T7 is:

A

Epigastric Reflex, looking for contraction of upper ab muscles, move umbilicus upward, if lesion its a peripheal nerve of t5-t7

26
Q

superficial reflex for T7-T9:

A

upper abdominal reflex. looking for contraction of upper abs, move umbilicus up and out

27
Q

superficial reflex for T9-T11

A

middle abdominal reflex, looking for contraction of middle abs to move umbilicus laterally

28
Q

superficial reflex for T11-T12

A

lower abdominal reflex. looking for lower abs to move down and out

29
Q

superficial reflex for L4-S2

A

Plantar reflex: stroke plantar foot from heel to metatarsals to big toe, looking for plantar flexion of toes and foot. lesion would present as dosiflexion of great toe and flaring of the other toes

30
Q

pathological reflexes:

Hoffman Sign

A

segmental (lesion above C5 in corticospinal tract), sharp forcible flick of thumb against patient’s middle finger. lesion presents as flexion of fingers and adduction of thumb

31
Q

tromner’s sign

A

lesion above C5 corticospinal tract

tap the surface of middle finger. lesion presents as flexion of fingers and adduction of thumb

32
Q

rossolimo sign

A

foot: tap the balll of foot or tap the tips of toes. lesion presents as plantar flexion of toes
corticospinal tract

33
Q

babinki’s sign

A

corticospinal tract. stroke plantar foot from heel to metatarsals to big toe. normal: plantar flexion of toes and foot. abnormal: dorsiflexion of great toe and flaring of other toes. UMNL

34
Q

chaddock sign

A

stroke from lateral malleolus on heel to toe

normal: no motion, abnormal: dorsiflexion of great toe and flaring of other toes. UMNL corticospinal tract

35
Q

oppenheim sign

A

stroke anterior tibial surface from superior to inferior.
normal: no motion of toes and foot
abnormal: dorsiflexion of great toe and flaring of other toes.
UMNL, corticospinal tract

36
Q

gordon sign

A

squeeze calf. normal: no motion of the toes and foot, abnormal: dosiflexion of great toe and flaring of the other toes
corticospinal tract, UMNL

37
Q

Schaefer Sign

A

Squeeze achilles, normal: no motion of toes and foot. abnormal: dorsiflexion of great toes and flaring of other toes. UMNL, corticospinal tract

38
Q

Pupillary Light Reflex

A

afferent: CN II, efferent: CNIII

39
Q

Accomodation

A

CN III

convergence, constriction, lens thickening

40
Q

Ciliospinal reflex

A

testing cervicals sympathetics and CN V, painful stimulus to side of neck, pinching the skin, dilation of the pupil on the painful side

41
Q

hypoactive stretch reflexes indicate:

A

cerebellum lesion UMNL

42
Q

Sensory Exam posterior aspect of shoulder

A

C4

alternating pinprick and light touch on both arms

NMS Practical #2 (2 decks)

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