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E&M > Quiz 1c > Flashcards

Quiz 1c Flashcards

1
Q

3 main neuro components to look for

A

Cognition
Communication
Mental status

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2
Q

Memory, judgement, attention span

A

Cognition

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3
Q

Articulation deficits, receptive/expressive language disorders

A

Communication

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4
Q

Orientation, attention and state of consciousness

A

Mental status

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5
Q

MMSE

A

Mini mental state exam

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6
Q

What happens during mini-cog test?

A

Repeat 3 items, clock drawing, recall 3 items

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7
Q

MoCA

A

Montreal Cognitive Assessment

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8
Q

MCI

A

Mild cognitive impairment

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9
Q

Screening test for MCI

A

MoCA

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10
Q

MoCa has 100% sensitivity for _______________

A

Alzheimer’s

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11
Q

MMSE has 100% specificity for _________

A

Normals

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12
Q

Some ____________ are contraindicated with sensory loss. Give an example

A

Modalities

Ex: if someone doesn’t feel hot/cold don’t put a hot pack on them

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13
Q

Sensory testing assures __________________ & ______________________

A

Pt safety; prevention of secondary complications

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14
Q

3 ways to assess sensation

A

Protective, deep, cortical

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15
Q

5 types of protective assessments

A
  1. Pain via sharp/dull
  2. Light touch
  3. Deep pressure
  4. Temperature
  5. Monofilaments
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16
Q

3 examples of deep assessment of sensation

A
  1. Vibration
  2. Kinesthesia
  3. Proprioception
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17
Q

7 examples of cortical assessments of sensation

A
  1. Tactile localization
  2. Stereognosis
  3. 2 pt discrimination
  4. Double simultaneous touch
  5. Barognosis
  6. Graphesthesia
  7. Texture
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18
Q

Stereognosis

A

IDing something by touch

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19
Q

Barognosis

A

Ability to detect weight

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20
Q

Graphesthesia

A

Drawing numbers/letters on skin

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21
Q

Two sensation assessments for diabetes pts

A

Vibration and temp

22
Q

Kinesthesia

A

Awareness of joint positions

23
Q

Name of test for regrowth of peripheral nerve

A

Tinel’s sign

24
Q

How to test for regrowth of peripheral nerve

A

Tap down length of nerve to produce symptoms

25
Functional test to assess sensation
Modified Moberg's pick up test - pick up objects and move to a container
26
8 types of neurological lesions
1. Peripheral nerve 2. Nerve root 3. Spinal cord 4. Diabetic peripheral neuropathy 5. Anterior cord syndrome 6. Posterior cord syndrome 7. Brain stem 8. Cerebral cortex
27
Loss of all type of sensation in the distribution of the affected nerve
Peripheral nerve lesion
28
Loss of all types of sensation in the dermatome of the affected nerve root
Nerve root lesion
29
Produces bilateral loss of sensation
Diabetic peripheral neuropathy
30
First signs of diabetic peripheral neuropathy
Loss of vibration/temperature
31
Prolonged symptoms of diabetic peripheral neuropathy
Loss of protective sensation
32
Loss of pain/temperature; motor paralysis
Anterior cord syndrome
33
Loss of proprioception and light touch
Posterior cord syndrome
34
Sensory loss in the contralateral side of the body; except CN deficits which occur on the ipsilateral side
Brain stem lesion
35
Sensory loss in the contralateral side of the body (stroke)
Cerebral cortex
36
Atopognosia
Ability to localize stimulation site
37
Stroke's affects on the parietal lobe
Loss of discriminative sensation - stereo, graph, sensory attention
38
Two patterns of loss from nerve injury
Denervation and compression
39
Symptoms of denervation
Loss of sensibility, overlapping areas with decreased sensation
40
How many mm/day should you expect for nerve recovery?
1-2
41
__________ fibers are most susceptible to compression
Sensory
42
In a compression injury, ________________ precedes numbness
Diminished vibratory perception
43
Moderate-severe compression recovery may need __________________
Surgical intervention
44
5 general principles of neuro testing
1. Pt positioned comfortably 2. Procedure explained before exam 3. Test unaffected side first 4. Vision obscured during test 5. Distal --> proximal
45
5 variables in sensory testing
1. Environment 2. Pt cognition 3. Callus vs non callus 4. Instrument related variables 5. Method related variables
46
4 things to document in neuro testing
1. Status of sensation 2. Type of sensation 3. Location of testing 4. Sensory mapping
47
Real name for 'foam and dome'
CTSIB | Clinical test for sensory interaction for balance
48
3 systems for balance
1. Vision 2. Joint sense (somatosensory 3. Vestibular
49
The inability to process sensory info
Agnosia
50
Inability to perform particular purposive actions as a result of brain damage
Apraxia
51
4 parts of perception
1. Body scheme/image 2. Spatial relations 3. Agnosias 4. Apraxias

E&M (24 decks)

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