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Physical Exam > Sensory > Flashcards

Sensory Flashcards

0
Q

Where are 1st sensory neurons located.

A

Dorsal root ganglion

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1
Q

Testing parietal

A

Neglect
Graphesthesia
Stere og nosis

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2
Q

Pain nerves receptors

A

Free nerve ending

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3
Q

Skin receptors that sense cold

A

Krause end bulbs cold

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4
Q

Skin receptors for heat

A

Riffing corpuscles

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5
Q

Touch skin receptor

A

Meissner (my z ner)
Merkel
Hair cells

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6
Q

The medial lemniscus contain

A

The cu ne ate and gracilus
Part after they cross in medulla
Connect sensation to anterior lateral thalamus

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7
Q

What part of thalamus involves touch

A

Ant lat touch

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8
Q

Where part the second neurons of Pain and temp located

A

Substantial gelatinosa

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9
Q

How do the spinal thalamus nerves travels

A

Cross within 2 vertebra and travel up the ant lateral portion of spinal. Like thalamus ant lateral nuclei

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10
Q

Where is cephalic pain processed

A

trigeminal nerve.

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11
Q

Where is touch on face processed

A

Mesencephalon nuclei of trigeminal nerve.

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12
Q

What are the projections from the thalamus to cortex called

A

Thalamic radation

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13
Q

Abnormal spontaneous sensation, burning, tingling pins and needles

A

Paresthesia

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14
Q

Example of paresthesia 4

A

Burning pins and needles tingling

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15
Q

Unpleasant sensation that is is painless

A

Dys esthesia

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16
Q

Term for heaviness, weakness, deadness

A

Numbness

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17
Q

Numbness means

A

Heavy
Weakness
Deadness
Or any sensory impairment

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18
Q

Ddx for limb numbness

A

Peripheral neuropathy
Cervical cord (has upper motor)
Brainstem (has cn)
Metabolic

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19
Q

What sensory distribution suggest central (CNS)

A

Entire limb

Entire side

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20
Q

The face tells you it is

A

Hemispheric

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21
Q

What makes you think sensory problem is seizure

A

Transient
Tongue biting
Repetitive

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22
Q

Intermittent sensory differential

A

Seizure
Ischemic
Metabolic

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23
Q

Root lesion is suggested by

A

Hurts when you twist

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24
Q

Features of carpal tunnel timing

A

Night time that prevent sleeping

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25
Q

Complete loss of touch term

A

Anesthesia

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26
Q

Anesthesia means

A

Complete loss of touch

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27
Q

Partial loss of touch term

A

Hypesthesia

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28
Q

Increased sensitivity term

A

Hyperesthesia

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29
Q

Allodynia means

A

Mia perception of trivial tactile sensation as pain

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30
Q

Term for no pain term for no touch

A

Analgesia or hy palgesia

Anesthesia hyp esthesia

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31
Q

Leg touch vs arm touch

A 
Gracilus ground
Cutane ate (cut you arms)
32
Q

Lateral spinothalamic tested by

A

Pin prick and temperature

33
Q

How to asses deep pressure

A

Achilles’ tendon pressure

34
Q

What frequency assessed vibration

A

128 Hz

35
Q

Abnormal 2 pt discrimination suggests

A

Diabetes
Peripheral nerve problem
Or somatosensory/ post central gurus

36
Q

Agraphesthia means

A

Can’t graph a number on hand

Deficit in counts lateral parietal lobe

37
Q

A ster e og nosia means.

A

Can’t distinguish between shapes

38
Q

Inability to distinguish between two weights

A

A bar og no sis

39
Q

Inability to distinguish between two shapes

A

A ste re og nosis

40
Q

Hemineglect means

A

In attention sensation from one side

41
Q

Hemineglect of left side means

A

Right parietal

42
Q

Compression lesions affect what type neurons

A

The largest ones which affect touch

43
Q

Mononeuropathy means

A

Single peripheral nerve

44
Q

How can you tell it mononeurooathic

A

Small there is a lot of overlap

45
Q

Term for stocking glove pattern

A

Polyneuropathy

46
Q

Ddx for stocking globe

A

Dm
Amyloidosis
Tangier dx

47
Q

What is tangier disease (tan jeer)

A

No hdl

48
Q

Roots involved in reflexes

A

Ankle is s1 2
Knee is l3 L4
Bi c5 c6
Tri c7 to c8

49
Q

If muscle weakness is radical at pain is involved it suggests

A

Both sensory and motor which means front and back of spine is involved.
Dorsal and ventral root

50
Q

Why is the back the most reliable way to test for the transverse level.

A

Because the breast and groin are sensitive

51
Q

Describe redicular pain

A

Lancinating

Worse with movement

52
Q

Differential for L5

A

Deep per o neal

53
Q

Differential for L4

A

Superficial peroneal

Check reflexes

54
Q

S1 nerve deficit ddx

A

Sural

55
Q

Where is the spinal thalamic in medulla

A

Dorsal lateral medulla and pons

56
Q

What land mark determines whether crossed signs occur

A

Spinal trigeminal nucleus

57
Q

How do crossed signs an the spinal trigeminal relate

A

If the lesion is is in the spinothalamic tract, analgesia on the opposite side. No face.

If lesion involves spinal trigeminal nuclei in dorsolateral, than you get crossed sensory deficit. - cn 9 to 12 impaired.

If lesion is above spinal trigeminal nuclei than you get a deficit that is all on the contralateral side

If lesion is above

58
Q

Where does the spinothalamic and medial lemniscus run together

A

Upper brain stem. Pons

59
Q

Spontaneous pain syndrome can occur from

A

Thalamus

Parietal white matter

60
Q

Dejerine -roussy syndrome

A

Thalamic pain syndrome. Dez er een- ru ze

61
Q

Absence of tickling

A

G.

62
Q

Pain and temperature decrease

A

Simululary

63
Q

Trickesthesia

A

Hair sensation

64
Q

Receptor for properceptions

A

Spinal cells

65
Q

When you do the phalangeal test

A

Touch on sides
Quicker is easier
Go slow and measure distance
If you

66
Q

What do you call it when you have a elevates arm

A

Proproception

67
Q

Fall in shower when they close their

A

Telling Romberg sign

68
Q

Petri sign

A

Squeeze testicles does not produce pain
Syphylis
Tabes dorsalis

69
Q

2 point discrimation test

A

Parietal

70
Q

Autoagnosia

A

Can’t recognize self

71
Q

Rt hemisphere with neglect refused to believe she had stroke. We asked here (ethics)

A

Ask if you did have a stroke would you want tpa if yes document. Give

72
Q

Peripheral is always

A

Symmetrical

73
Q

Faking facial

A

Stops at hair line

Stops at chin

74
Q

Rare for profound sensory deficit and

A

No motor problem

75
Q

Bell la difference

A

People can when they are pearly sis

76
Q

Squirt tpa with conversion then

A

Figure it out later

77
Q

How to help a conversion with stroke

A

Explain to them about how stress affects normal people and give an out

78
Q

Why do you fake a seizure in jail

A

Get bottom bunk.

Physical Exam (7 decks)

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