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NMS > Quiz 3 NMS 1 > Flashcards

Quiz 3 NMS 1 Flashcards

0
Q

How do you test for vibration?

A
  • use a 128 or 256 Hz tuning fork and place on ankle with eyes closed and ask what they feel
  • if they don’t feel move up to knee, if not felt move to hip
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1
Q

Loss of vibratory perception is referred to as….

A

pallanesthesia

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2
Q

Romberg Test

A
  • patient stands looking straight ahead with eyes open
  • feet are approximated and doc stands near pt.
  • patient closes their eyes
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3
Q

Normal Romberg test

A

patient maintains posture

little or no swaying

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4
Q

abnormal Romberg

A

-patient takes a step to maintain posture or falls

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5
Q

Falls with eyes open or closed on Romberg test may indicate

A

-Cerebellar Deficit and/or vestibular mechanism deficit

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6
Q

fall with eyes closed only on romberg may indicate…

A

-dorsal column pathology

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7
Q

Hopping on one foot test

A

-pt. hops on one leg with eyes open and closed and then hops on the other leg with eyes open and closed

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8
Q

Normal hopping on foot test

A

-pt. maintains posture with eyes open and closed

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9
Q

Abnormal Hopping on foot test

A

-patient takes a step to maintain posture OR the patient falls

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10
Q

Falls with eyes open and closed on hopping on one foot test may indicate…

A

cerebellar deficit and/or vestibular mechanism deficit

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11
Q

Falls with eyes closed only in hopping on one foot test may indicate…

A

dorsal column pathology

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12
Q

Squatting on one foot test

A
  • good way to find minor weakness in lower extremities

- patient squats on one leg with eyes open and closed and then squats on the other leg with eyes open and closed

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13
Q

Normal squatting on foot test

A

-patient maintains posture with eyes open and closed

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14
Q

Abnormal squatting one foot test

A

-patient takes a step tp maintain posture or falls

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15
Q

falls with eyes open and closed on squatting test may indicate…

A

-cerebellar deficit and/or vestibular mechanism deficit

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16
Q

falls with eyes closed only on squatting test may indicate…

A

-dorsal column pathology

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17
Q

Finger to nose test

A

-patient has their arms straight out to the side and attempts to touch the tip of his or her nose with the tip of his or her finger bilaterally with eyes open and closed

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18
Q

Normal finger to nose test

A

-should see smooth and accurate movement

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19
Q

Abnormal finger to nose test

A
  • dyssynergia: uncoordinated movement

- dysmetria: inaccuracy in measuring distance

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20
Q

Finger to finger test

A

-patient has his or her arms straight out to his or her side and attempts to touch the tips of their index fingers, together, straight out in front of them with eyes open and closed

21
Q

normal finger to finger

A

-should see smooth and accurate movement

22
Q

abnormal finger to finger test

A

-dyssynergia and dysmetria

23
Q

finger to nose to finger test

A

-Dr. stands with finger about 2 ft. from the patient and has the patient alternate touching his or her finger from their nose to the doctor’s finger, with the doctor constantly changing postitions of his finger. performed with eyes open only

24
Q

Normal finger to nose to finger test

A

-should see smooth and accurate movement

25
Q

Abnormal finger to nose to finger test

A
  • dyssynergia

- CANNOT be done for dysmetria

26
Q

Heel to shin test

A

-patient attempts to run his heel from one side down the anterior shin from the knee to the ankle of the opposite leg. performed bilaterally with eyes open and closed

27
Q

abnormal heel to shin test

A

-dyssynergia and dysmetria

28
Q

testing for ability to perform rapid alternating movements

A
  • patting knees rapidly, tapping forefinger to thumb, pronation/supination of hands
  • performed with eyes open and closed
29
Q

normal rapid alternating movements

A

-diadochokinesia:performing actions properly

30
Q

abnormal rapid alternating movements

A

-dysdiadochokinesia: inability to perform actions properly indicates possible cerebellar dysfunction

31
Q

Holmes Rebound Phenomenon

A

-patient contracts flexors of the forearm against resistance by the doctor. doctor releases arm quickly. performed with eyes open and closed

32
Q

Normal holmes rebound

A

-should see a normal “check reflex”

33
Q

Abnormal holmes reflex

A

-dyssynergia and dysmetria

34
Q

Tandem gait test

A

-patient walks along a straight line on the floor by placing one heel directly in front of the oppposite toe with eyes open and then again closed

35
Q

abnormal tandem gait

A

-dyssynergia and dysmetria

36
Q

joint position test

A

-Dr. examines digit of patient’s hand or foot by stabilizing the hand and /or foot and grabbing a single digit FROM THE SIDES and flex or extend that digit without placing any pressure on the top or bottom of digit. ask patient to inform you whether you are moving toe or finger up or down. eyes should be closed

37
Q

abnormal joint position test

A

-patient cannot determine accurately whether his finger or toe is being moved up or down; would indicate possible posterior column disease (proprioception)

38
Q

deep pain and pressure sensation is mediated by….

A

-dorsal columns

39
Q

loss of pain sensation in tissue would be noted as…

A

positive

40
Q

Abadie’s sign

A

pinching the achilles tendon

41
Q

Pitres’ sign

A

-pinching testicles

42
Q

Biernacki sign

A

-pinching or striking ulnar nerve

43
Q

Deep pain can also be tested by…

A

-placing pressure on eyeball

44
Q

multimodal sensation

A

-combined both superficial and deep sensations

45
Q

stereognosis

A

-place a common object in patients hand while their eyes are closed. should be able to identify object without switching hands

46
Q

barognosis

A

-patient assesses the relative weight of similarly sized and shaped objects that have dif weights

47
Q

topognosis

A

touch pt. somewhere on skin and have them point to the area touched

48
Q

graphognosis

A

test patient by writing a letter or number on their chest, back or palm of the hand and have them identify it

49
Q

2 point discrimination

A
  • distance varies considerably in dif parts of the body
  • fingertips 2-4mm
  • dorsum of fingers 4-6mm
  • palm 8-12 mm
  • dorsum of hand 20-30mm
50
Q

somatognosis

A

-ability for patient to know a body part is his own body part. this is tested by placing your arm next to the patient’s arm and asking him to touch your own arm

51
Q

nosognosis

A

-ability for patient to knjow that he is ill. in light of obvious and overwhelming evidence of neurological disease such as hemiplegia, the patient will deny that there is a problem

NMS (1 decks)

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