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Comp Exam > Reminders! > Flashcards

Reminders! Flashcards

1
Q

sciatic nerve levels

A

L4-S3

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2
Q

femoral nerve levels

A

L2-L4

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3
Q

common peroneal nerve levels

A

L4-S1

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4
Q

deep peroneal nerve levesl

A

L4-L5

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5
Q

superficial peroneal nerve levels

A

L5-S1

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6
Q

tibial nerve levels

A

S1-S2

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7
Q

normal reflex #

A

2+

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8
Q

AA joint (cervical spine) is what motion

A

rotation (50%)

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9
Q

OA joint cervical spine motion

A

flexion/extension

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10
Q

describe hoffman’s sign

A

UMN lesion - flick distal phalanx of middle finger. positive if IP of thumb moves

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11
Q

ribs 1-6 what motion

A

pump handle

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12
Q

7-10 ribs what motion

A

bucket handle

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13
Q

8-12 ribs motion

A

calipers

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14
Q

sternal notch is at what level

A

T3

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15
Q

positive babinksi’s = what

A

big toe extension and splaying of other toes

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16
Q

convex on concave =

A

roll and glide opposite

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17
Q

concave on convex =

A

roll and glide same

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18
Q

type 1 lumbar dysfunction: in neural, rotation and SB

A

are opposite

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19
Q

type 2 lumbar in flexion or extension, rotation and SB are

A

in the same direction

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20
Q

disc herniation in the cervical spine is most common at what level

A

C6

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21
Q

which two structures pass between the anterior and middle scalenes?

A

brachial plexus and subclavian artery

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22
Q

Myotome: C1-C2

A

occipital flex/ext

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23
Q

Myotome: c2-c3

A

cervical LF/ext

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24
Q

Myotome: c3-c4

A

shoulder shrug

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25
Q

Myotome: c5

A

shoulder abduction, ER

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26
Q

Myotome: c5-c6

A

elbow flexion, shoulder IR

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27
Q

Myotome: C6

A

elbow flexion, wrist extension

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28
Q

Myotome: c7

A

elbow extension, wrist flexion

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29
Q

Myotome:c8

A

extensor pollicics longus of distal phalanx

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30
Q

Myotome: t1

A

first dorsal interossei

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31
Q

sharp-purser test (which ligament and how to perform)

A

transverse ligament, stabilize SP of C2 and glide head/C1 posteriorly.

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32
Q

deltoid is innervated by what nerve

A

axillary n C5-6

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33
Q

supraspinatus innervation

A

suprascapular n c5-6

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34
Q

infraspinatus innervation

A

suprascapular nerve

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35
Q

teres minor innervation

A

axillary n

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36
Q

teres major innervation

A

lower subscapular nerve

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37
Q

attachment to greater tubercle of humerus (2)

A

pec major and teres minor

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38
Q

attachment to lesser tublercle of humerus 2

A

teres major and subscapularis

39
Q

lat dorsi innervation

A

thoracodorsal nerve

40
Q

rhomboid innervation

A

dorsal scapular nerve

41
Q

trapezius innervation

A

spinal accessory nerve

42
Q

innervation of serratus anterior

A

long thoracic nerve C5,6,7

43
Q

ober test postition

A

knee flexed!!!

44
Q

modified ober test

A

knee extended!

45
Q

obers/modified obers tests for what

A

ITB and TFL tightness.

Modified ober’s knee extended takes out the rectus if it is tight

46
Q

tibialis anterior innervation

A

deep peroneal nerve

47
Q

peroneus longus attachmnet

A

base of the first MT and of the medial cuneiform

48
Q

peroneus longus functions

A

plantar flexion and eversion

49
Q

innervation of soleus and gastroc

A

tibial nerve

50
Q

innervation of psoas major

A

lumbar plexus

51
Q

iliacus innervation

A

femoral nerve

52
Q

TFL innervation

A

superior gluteal nerve L4-S1

53
Q

IR of hip 3

A

glut med, glut min, TFL

glut med = anterior fibers IR, while posterior fibers ER

54
Q

piriformis innervation

A

sacral plexus

55
Q

ER of the hip (6)

A

piriformis, quadratus femoris, obturator internus, obteratur externus, gemelii

56
Q

glut min MMT

A

sidelying, abduction, no rotation. pressure is into adduction and slight extnesion

57
Q

glut med MMT

A

position: sidelying, abduction with slight extension and slight ER. pressure is into adduction and slight flexion

58
Q

central cord syndrome

A

UE more invovled than LE

more motor deficits with central cord than sensory defictis

59
Q

mechanism of injury of central cord syndrome

A

cervical hyperextension

60
Q

anterior cord syndrome

A

due to hyperflexion

loss of motor, pain, temp below the lesion due to damage to coritcospinal and spinothalamaic tracts

61
Q

ASIA B - sensory incomplete what is intact

A

sensory is intact below the level of the lesion and extends through sacral segments S4-5. motor funtionbelow the lesion is not preserved

62
Q

ASIA C

A

motor incomplete. motor function is preserved below the level of the lesion but muscle grades are <3

63
Q

ASIA D

A

motor incomplete where motor function is preserved below the neuro level and mm grades are > or ewual to 3

64
Q

ASIA E

A

normal

65
Q

ASIA A

A

complete

66
Q

first thing you do with SCI

A

mobilize the C spine!

67
Q

determining motor level for ASIA scale

A

motor level for the asia scale is determined by the most caudal key muscles that have a strength of at least 3/5 with the superior segment having a normal strength or 5/5

68
Q

determining sensory level for asia scale

A

the most caudal dermatome with a normal scle of 2/2 for pinprick and light touch

69
Q

autonomic dysreflexia symptoms

A
  • high blood pressure
  • vasodilation above the level of the injury
  • sweating
  • headache
  • blurred vision
  • stuffy nose
  • goose bumps below the lesion
70
Q

autonomic dysreflexia do not put them in what position

A

do not lay them down because that will further elevate their BP!!! sit them up! common with T6 and above

71
Q

tetraplegia/quadriplegia what segment of spinal cord

A

C1-C8

72
Q

paraplegia what segments of SC

A

thoracic lumbar or sacral segments

73
Q

cauda equina is damage to what nerves

A

damage to lumbosacral nerve roots

74
Q

conus medullaris is damage to what

A

the sacral cord. often an L2 lesion

75
Q

T/F cauda equina is a medical emergency

A

true!

76
Q

what is neurogenic shock

A

severe autonomic dysfunction. interruption of the SNS

77
Q

nuerogenic shock usually does not occur with lesions below what level

A

T6

78
Q

s/s of neurogenic shock (remember the SNS is disrupted)

A

hpotension, bradycardia, peripheral vasodilation

79
Q

if a patient with a SCI below T6 is hypotensive, consider it what until proven otherwise?

A

consider hemorrhagic until proven otherwise! probably not from neurogenci shock if their lesion is below T6

80
Q

patients with injuries above T6 what happens with their baseline bp and HR

A

decreased!

81
Q

define retrograde amnesia

A

the inability toe remember events before the injury

82
Q

anterograde memory

A

the inability to create new memories

83
Q

4 components of clubfoot

A

cavus (high arch)
forefoot adductus
hindfoot varus
equinus

84
Q

erb-duchenne palsy is a lesion of what nerve roots

A

C5-6. Waiters tip. adducted, IR, wrist flexed, forearm pronated

85
Q

klumpke paralysis is a lesion of which nerve roots

A

C8-T1. lose innervation of intrinsic hand mm’s. claw hand. horner syndrome.

86
Q

median nerve levels

A

C6-T1

87
Q

ulnar nerve levels

A

C8 t1

88
Q

radial nerve levels

A

C5-8

89
Q

normal angle of inclination (hip) - through neck of femur and down shank of femur

A

normal = 125 degrees

90
Q

coxa vara

A

< 125 degrees. more shear force in neck of femur, increased fracture risk, decreased abd rom

91
Q

coxa valga

A

> 125 degrees

92
Q

normal angle of anteversion in adults

A

12-14 degrees. infants = 40 degrees

93
Q

retroversion = angle and what do the feet do

A

<12 degrees, toe out

94
Q

anteversion (large) = angle and what do feet do

A

toe in >15 degrees

Comp Exam (10 decks)

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