PT515 Midterm

Question 1

crude touch

Answer 1

anterolateral system, test with cotton swab

Question 2

discriminatory test

Answer 2

dorsal column, test with cotton swab

Question 3

pain

Answer 3

anterolateral system, test with paper clip, safety pin

Question 4

proprioception

Answer 4

dorsal column, no tools needed to test

Question 5

temperature

Answer 5

anterolateral system, test tubes or plastic cup to test

Question 6

vibration

Answer 6

dorsal column, tuning fork

Question 7

reflex

Answer 7

spinal cord, single afferent/efferent loop

test with hammer

Question 8

3 major areas that could have injury that causes loss of sensation

Answer 8

brain, spinal cord, periphery

Question 9

signs that injury is at brain level

Answer 9

one sided impairment

Question 10

signs that injury is at spinal cord

Answer 10

everything at that level and above are intact, everything below may be impaired

Question 11

periphery

Answer 11

stocking and gloves

Question 12

principles for assessing sensation (touch)

Answer 12

1. position patient comfortable
2. make sure testing areas are exposed
3. explain testing procedure and demonstrate on intact area
4. obscure vision
5. say “yes” when i touch you (crude) or tell me where i am touching you (disc)
6. Start with normal sensation, then compare to impaired

Question 13

How many touches per sensation test per side

Answer 13

10

Question 14

how to score sensation test results

Answer 14

100% correct: intact sensation
<100% correct: diminished, reported as % accurate
0 correct: absent sensation

Question 15

what does a reflex test show

Answer 15

integrity of monosynaptic reflex loop, afferent and efferent limb of that spinal segment

Question 16

hyporeflexia

Answer 16

PNS pathology (no contraction)
-can the information from the periphery get to the spinal cord

Question 17

hyperreflexia

Answer 17

CNS pathology (multiple contractions)
-can the information be interpreted and regulated correctly from the brain (inhibitory pathway)

Question 18

Biceps Reflex

Answer 18

C5, musculocutaneous nerve, sensory is proximal lateral upper arm

Question 19

Triceps Reflex

Answer 19

C7, Radial nerve, sensory is middle finger, volar, dorsal aspects

Question 20

test for suspected neuromuscular injury

Answer 20

light touch, pain, proprioception, temperature, vibration, reflex

Question 21

test for motor performance impairment

Answer 21

isometric strength testing (MMT)

Question 22

patient reported outcomes survey

Answer 22

helps quantify the impact of someone’s condition on their function
help form a hypothesis and guide intervention

Question 23

when to measure joints

Answer 23

• suspect that joint mobility is contributing to functional deficits
• determine a baseline of mobility and examine joint integrity

Question 24

what is a contraindication to measuring joint mobility

Answer 24

fracture or significant trauma or post op where joint test could further the injury

Question 25

active ROM

Answer 25

provides the examiner with info about the subject’s willingness to move, coordination, strength, some demonstration of joint mobility
** not usually measured during initial exam

Question 26

passive ROM

Answer 26

provides info about integrity of joint surfaces, extensibility of the joint capsule and supportive ligaments, fascia, muscles, etc.

Question 27

how do you reduce measurement error in joint testing

Answer 27

use the boney landmarks, use the standart testing position, use the right size goni

Question 28

joint play scale

Answer 28

0-6, 0-2 is hypomobile, 3 is normal, 4-6 is hypermobile

Question 29

normal end feel of joint

Answer 29

firm