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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
Q

Functional test to assess sensation

A

Modified Moberg’s pick up test - pick up objects and move to a container

26
Q

8 types of neurological lesions

A
  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
Q

Loss of all type of sensation in the distribution of the affected nerve

A

Peripheral nerve lesion

28
Q

Loss of all types of sensation in the dermatome of the affected nerve root

A

Nerve root lesion

29
Q

Produces bilateral loss of sensation

A

Diabetic peripheral neuropathy

30
Q

First signs of diabetic peripheral neuropathy

A

Loss of vibration/temperature

31
Q

Prolonged symptoms of diabetic peripheral neuropathy

A

Loss of protective sensation

32
Q

Loss of pain/temperature; motor paralysis

A

Anterior cord syndrome

33
Q

Loss of proprioception and light touch

A

Posterior cord syndrome

34
Q

Sensory loss in the contralateral side of the body; except CN deficits which occur on the ipsilateral side

A

Brain stem lesion

35
Q

Sensory loss in the contralateral side of the body (stroke)

A

Cerebral cortex

36
Q

Atopognosia

A

Ability to localize stimulation site

37
Q

Stroke’s affects on the parietal lobe

A

Loss of discriminative sensation - stereo, graph, sensory attention

38
Q

Two patterns of loss from nerve injury

A

Denervation and compression

39
Q

Symptoms of denervation

A

Loss of sensibility, overlapping areas with decreased sensation

40
Q

How many mm/day should you expect for nerve recovery?

A

1-2

41
Q

__________ fibers are most susceptible to compression

A

Sensory

42
Q

In a compression injury, ________________ precedes numbness

A

Diminished vibratory perception

43
Q

Moderate-severe compression recovery may need __________________

A

Surgical intervention

44
Q

5 general principles of neuro testing

A
  1. Pt positioned comfortably
  2. Procedure explained before exam
  3. Test unaffected side first
  4. Vision obscured during test
  5. Distal –> proximal
45
Q

5 variables in sensory testing

A
  1. Environment
  2. Pt cognition
  3. Callus vs non callus
  4. Instrument related variables
  5. Method related variables
46
Q

4 things to document in neuro testing

A
  1. Status of sensation
  2. Type of sensation
  3. Location of testing
  4. Sensory mapping
47
Q

Real name for ‘foam and dome’

A

CTSIB

Clinical test for sensory interaction for balance

48
Q

3 systems for balance

A
  1. Vision
  2. Joint sense (somatosensory
  3. Vestibular
49
Q

The inability to process sensory info

A

Agnosia

50
Q

Inability to perform particular purposive actions as a result of brain damage

A

Apraxia

51
Q

4 parts of perception

A
  1. Body scheme/image
  2. Spatial relations
  3. Agnosias
  4. Apraxias

E&M (24 decks)

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