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ClinEd 1 > PRELIMS: PNI & Polyneuropathies > Flashcards

PRELIMS: PNI & Polyneuropathies Flashcards

1
Q

Composition of the carpal tunnel

A

carpal bones
flexor retinaculum
FDS,FDL.FDP,FPL

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2
Q

Compression of the Median Nerve

A

CTS

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3
Q

Anatomical affectation of CTS

A

lateral 3 1/2 of the hand (lat. 2/3)

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4
Q

CTS prognosis explain each
GOOD
FAIR
POOR

A

GOOD = early treatment
FAIR = starting signs of mm weakness and/or atrophy
POOR = atrophy, permanent loss of function

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4
Q

Which is not a sign and symptom of CTS:
tingling
nocturnal pain
increase grip strength
atrophy of thenar mm

A

increase grip strength (decrease)

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5
Q

CTS PT management

A

splinting (neutral position
Icing (acute, if swollen)
Iontophoresis (US)

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5
Q

T or F a cubitus valgus deformity is a possible presentation in Tardy ulnar palsy

A

TRUE

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5
Q

CTS treatment are?

A

steroid injection
surgery
ergonomic changes
neurostimulation
acupuncture therapy

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5
Q

Which of these is not a symptom of Sciatica:
Severe unbearable pain
Leg weakness
Heavy feeling

A

Severe unbearable pain
(Radiating pain)

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6
Q

What nerve is entrapped/compressed in Retroepicondylar Palsy

A

Ulnar Nerve
(condition is also called Tardy ulnar palsy, Ulnar Nerve entrapment)

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6
Q

T or F
CTS shows a claw hand deformity

A

FALSE
CTS shows an APE hand deformity
(Claw hand deformity is present in Tardy ulnar palsy)

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7
Q

Froment’s sign is present in what condition

A

Tardy Ulnar Palsy

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7
Q

Which of these is not a mechanism of injury for Tardy ulnar palsy:
Direct trauma
fx
TBI

A

TBI

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8
Q

Which of these is not a s/sx of Tardy Ulnar palsy:
mm weakness
mm wasting
numbness
tingling
dull pain
paresthesia

A

DULL PAIN (shooting pain)

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8
Q

Prognosis for Tardy Ulnar Palsy

A

GOOD = after surgery (up to 6 mo.)
FAIR = loss of function

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9
Q

T or F: the PT management for Tardy ulnar palsy is surgery

A

FALSE
PT focuses on conservative tx specifically splinting (claw hand position)

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9
Q

PT management for Sciatica?

A

Joint mobilization
Exercise

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10
Q

T or F
Males are most likely to have morton’s neuroma than females

A

FALSE
Female>

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10
Q

Type of splinting recommended for Saturday night palsy

A

Cock up splint

10
Q

Sciatica is caused by nerve root compression due to ? and at the level of?

A

Due to herniation at the L4-L5 or L5- S1

10
Q

T or F: Steppage gait may present in pt with Sciatica

A

FALSE Antalgic gait is present (also in Morton’s neuroma)

10
Q

Nerve fibers that are unmyelinated, slow, and associated with pain sensation.

A

Type C Fibers

11
Q

Which of these is not an S/sx of Saturday night palsy
Tingling
Weak wrist extensors
Wrist drop
Paralysis
Sharp burning pain

A

None all are corect

11
Q

Compression of the Radial nerve in the arm
May lead to segmental demyelination

A

Saturday night palsy

11
Q

T or F
In Saturday night palsy the griping problem is due to the weakness of the wrist

A

FALSE weakness is not always the case, griping problems may be caused of the wrist drop

12
Q

Entrapment leads to thickening of nerve structures and demyelination

A

Morton’s Neuroma

12
Q

Wrist drop is present in what PNI condition?

A

Saturday night palsy

13
Q

Which of these is not an S/sx of Morton’s Neuroma
Burning, tingling sharp pain during walking
Difficulty sitting
Paresthesia
Difficulty in long sitting
Nocturnal pain

A

Difficulty in long sitting

13
Q

Consistent, severe unilateral Shoulder girdle pain is consistent with what PNI condition?

A

Paronage-Turner Syndrome

13
Q

A process of nerve degeneration that occurs after a nerve is cut or crushed.

A

Wallerian Degeneration

14
Q

A rare and idiopathic PNI condition
that affects the LMN of the brachial plexus or indiv ner or indiv branches

A

Parsonage-Turner Syndrome

14
Q

Common entrapment neuropathy in the forefoot,
What is the condition and in what interspace?

A

Morton’s Neuroma
3rd toe interspace

15
Q

The outermost layer of a nerve, providing tensile strength and elasticity.

A

Epineurium

15
Q

Transmits signals from the CNS to the body.

A

Peripheral Nerves

16
Q

The fibrous covering that surrounds the axon within a nerve.

A

Endoneurium

17
Q

Nerve fibers that are heavily myelinated, fast, and associated with touch sensation.

A

Type A Fibers

18
Q

A condition resulting from damage to peripheral nerves, often presenting with sensory and motor symptoms.

A

Peripheral Neuropathy

19
Q

What is Bell’s Phenomenon?

A

The inability to close the eye d/t bells palsy
so the eye rolls upwards instead

20
Q

Bell’s Palsy occurs due to the compression of what nerve

A

CV VII

20
Q

Infllamation and swelling that compress the nerve and potentially cause demyelination and axonal damage to the auditory canal

A

Bell’s Palsy

20
Q

A hereditary motor and sensory neuropathy
that is due to damage to the peripheral nerves

A

Charcot-Marie Tooth DSE

20
Q

Whoch of these is not an S/x of Charcot-Marie tooth DSE
Hypo reflexive
Strong distal mm
Foot drop
Steppage gait
loss of sensory

A

Strong distal mm (it is weak)

21
Q

Hyperglycemia-Induced Effects & vascular changes leads to nerve damage and loss of axon

A

Diabetic Neuropathy

22
Q
A
23
Q
A

ClinEd 1 (8 decks)

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