Reflex and Sensory Testing Flashcards

1
Q

what is the purpose of sensory testing?

A

determines the boundaries of a sensory legion, sensory integrity and its effects on motor output, and assures patient safety to prevent secondary complications

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2
Q

dorsal root contains:

A

afferent sensory fibers

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3
Q

ventral root contains:

A

efferent motor fibers

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4
Q

define: dermatome

A

area of skin innervated by a single nerve root

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5
Q

define: myotome

A

group of muscles innervated by a single nerve root

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6
Q

sensory deficits are detected by body comparisons of:

A

CL side and prox/dist regions of same side

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7
Q

what is the position of choice for sensory testing:

A

supine

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8
Q

Describe the test for light touch

A

Instruct patient to say yes as soon as stimulus is felt; touch cotton to skin and do not wipe; ask do you feel the pressure now (A) or now (B) test both sides and then proximal and distal to find normal areas

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9
Q

what is the score scale for light touch and pinprick?

A

0 is absent, 1 is impaired, and 2 is normal

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10
Q

what nerve roots are used in sensory testing?

A

C2-8, T1, L1-5, and S1-2

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11
Q

testing location for C2

A

behind ear

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12
Q

testing location for C3

A

anterior neck just above collar bone

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13
Q

testing location for C4

A

near acromion

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14
Q

testing location for C5

A

lateral arm near cubital fossa

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15
Q

testing location for C6

A

posterior thumb

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16
Q

testing location for C7

A

posterior middle finger

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17
Q

testing location for C8

A

posterior pinky finger

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18
Q

testing location for T1

A

medial arm near cubital fossa

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19
Q

testing location for L1

A

medial inguinal region

20
Q

testing location for L2

A

medial thigh halfway between inguinal region and knee

21
Q

testing location for L3

A

medial knee

22
Q

testing location for L4

A

medial ankle

23
Q

testing location for L5

A

medial foot

24
Q

testing location for S1

A

posterior heel

25
Q

testing location for S2

A

posterior knee

26
Q

when testing myotomes, each contraction should be held for:

A

at least 5 seconds

27
Q

MMT is meant to evaluate and assess:

A

strength

28
Q

myotome testing is meant to assess:

A

innervation

29
Q

motor evaluation of C5:

A

elbow flexors

30
Q

motor evaluation of C6:

A

wrist extensors

31
Q

motor evaluation of C7:

A

elbow extensors

32
Q

motor evaluation of C8:

A

finger flexors

33
Q

motor evaluation of T1:

A

finger abductors

34
Q

reflex testing for C5:

A

biceps

35
Q

reflex testing C6:

A

brachioradialis

36
Q

reflex testing C7:

A

triceps

37
Q

motor evaluation of L2:

A

hip flexors

38
Q

motor evaluation of L3:

A

knee extensors

39
Q

motor evaluation of L4:

A

ankle dorsiflexors

40
Q

motor evaluation of L5:

A

long toe extensors

41
Q

motor evaluation of S1:

A

ankle plantarflexors

42
Q

jenrassik maneuver

A

patient interlocks the fingers and attempts to pull them apart

43
Q

the quadriceps reflex test tests what segments:

A

L2-L4

44
Q

the quadriceps reflex test strikes the hammer where?

A

between the patella and the tibial tuberosity

45
Q

achilles reflex tests:

A

S1-S2

46
Q

achilles reflex procedure:

A

examiner places one hand under MT heads of foot bringing foot into neutral position; strikes calcaneal tendon with the head of the reflex hammer while holding the foot in position

47
Q

hyperactive reflexes are generally indicative of:

A

upper motor neuron disease