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NMS I > Quiz Motor DTR > Flashcards

Quiz Motor DTR Flashcards

1
Q

three areas of muscle integrity that are assessed for th epurposes of neurologic evaluation

A
  • strength
  • tone
  • volume
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2
Q

process of muscle strength exam

A
  • area must be disrobed

- patient should be in a standing neutral posture

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3
Q

what should be looked for during a muscle strength exam

A
  • unusual posture
  • muscle volume asymmetry
  • muscle fasciculation
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4
Q

fasciculations are due to what

A

denervated muscle fibers

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5
Q

if the fasciculations can not be seen by the naked eye but can be demonstrated electromyographically then they are called

A

fibrillations

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6
Q

the doctor must always compare the right side to the left during muscle strength testing

A

TRUE

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7
Q

the force exerted in changing position

A

kinetic

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8
Q

the force exerted in resisting movement

A

static

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9
Q

power is sometimes classified as

A

kinetic

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10
Q

muscles that hold the body in the quadruped position

A

antigravity muscles

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11
Q

antigravity muscles are stronger than their antagonists

A

TRUE

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12
Q

complete paralysis, no evidence of contration

A

0

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13
Q

evidence of slight contraction but no joint motion (0-10% of normal movement)

A

1

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14
Q

complete range of motion with gravity eliminated (11-25% of normal movement)

A

2

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15
Q

(26-50% of normal movement)

A

3

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16
Q

complete range of motion against gravity with some resistance (51-75% of normal movement)

A

4

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17
Q

complete range of motion against gravity with full resistance (76-100% of normal movement)

A

5

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18
Q

segmental innervation and peripheral nerve for: supraspinatus

A

C5, suprascapular

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19
Q

segmental innervation and peripheral nerve for: deltoid

A

C5, axillary

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20
Q

segmental innervation and peripheral nerve for: biceps

A

C5, musculocutaneous

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21
Q

segmental innervation and peripheral nerve for: brachioradialis

A

C5, radial

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22
Q

segmental innervation and peripheral nerve for: wrist extension

A

C6, radial

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23
Q

segmental innervation and peripheral nerve for: triceps

A

C7, radial

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24
Q

segmental innervation and peripheral nerve for: wrist flexion

A

C7, median and ulnar

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25
Q

segmental innervation and peripheral nerve for: finger extension

A

C7, radial

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26
Q

segmental innervation and peripheral nerve for: finger flexion

A

C8, median and ulnar

27
Q

segmental innervation and peripheral nerve for: finger abduction

A

T1, ulnar

28
Q

segmental innervation and peripheral nerve for: finger adduction

A

T1, ulnar

29
Q

characteristics of muscle tone assessment can be one of three things

A
  • normal
  • decreased
  • increased
30
Q

if the muscle tone assessment shows muscle tone to be increased in tone what does that indicate

A

UMNL

31
Q

if the muscle tone assessment shows muscle tone to be decreased what does that indicate

A

LMNL

32
Q

two types of increased muscle tone

A
  • spasticity

- rigidity

33
Q

increased muscular resistance felt by the examiner during quick joint movement

A

spasticity

34
Q

what is the term for when spasticity is present but then is quickly fades away

A

clasped knife

35
Q

spasticity is associated with a lesion in which pathway

A

cortical or pyramidal (UMNL)

36
Q

an involuntary muscular resistance felt when moving a resting joint and persists as the joint is moved through its entire ROM

A

rigidity

37
Q

gooseneck

A

rigidity

38
Q

rigidity is associated with a lesion in which pathway

A

extrapyramidal (UMNL)

39
Q

could be related to muscle spindle mechanism interference from diseased extrapyramidal structures

A

rigidity

40
Q

causes or indications of hypotonia

A
  • neurological damage at level of reflex arc (LMNL)

- cerebellar disease causing diffuse hypotonia

41
Q

may occur following acute, severe upper motor neuron damage in either the brain or the spinal cord

A

neural shock

42
Q

neural shock is a phenomenon that is related to vascular shock

A

FALSE

43
Q

what is the initial examination finding for neural shock

A

peripheral neurological findings

44
Q

loss of neurologic function

A

deficit phenomena

45
Q

exagerations or perversions of normal neurological function and are due to a loss of cortical inhibition

A

release phenomena

46
Q

hyper-reflexia, hypertonia, and pathological reflexes are examples of what

A

release phenomena

47
Q

all neurological signs can be divided into what

A
  • deficit phenomena

- release phenomena

48
Q

LMNL can produce both deficit and release phenomena

A

FALSE; only deficit phenomena

49
Q

when a muscle is passively stretched and its fibers actively resist the stretching and enter into an entire state of increased and sustained tension

A

the stretch reflex

50
Q

biceps

A

C5, musculocutaneous

51
Q

brachioradialis

A

C6, radial

52
Q

triceps

A

C7, radial

53
Q

finger flexion

A

C8, median, ulnar

54
Q

what is the wexler scale

A

grading system for reflexes (0, +1, +2, +3, +4)

55
Q

reflex grading system: absent with reinforcement

A

0

56
Q

reflex grading system: hypoactive with reinforcement

A

1

57
Q

reflex grading system: normal

A

2

58
Q

reflex grading system: hyperactive

A

3

59
Q

reflex grading system: hyperactive with transient clonus

A

4

60
Q

reflex grading system: hyperactive with sustained clonus

A

4

61
Q

the proper way to perform the muscle tendon reflex if it does not work when striking the tendon is to strike the muscle belly

A

FALSE; never strike the muscle belly

62
Q

reinforcement may be carried out according to which method

A

jendrassik

63
Q

give an example of a jendrassik method

A

when testing the patellar reflex the patient is asked to hook their fingers and try to pull them apart at the time the reflex is being tested; as a distraction

NMS I (5 decks)

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