Spinal levels and Nerves Flashcards

1
Q

In C6 injury, Triceps brachii function is lost or preserved?

A

Lost

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2
Q

Coughing in C5 ASIA A

A

Manual abdominal pressure provided by a caregiver or an external surface.

The patient does not have the motor function to independently provide manual abdominal pressure.

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3
Q

Independent community ambulation

A

L4-L5

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4
Q

Functional ambulation goal for a child with myelomeningocoele, L2, with minimal cognitive involvement

Community vs. Home ambulation?

Appropriate orthosis?

A

Home ambulation using an RGO (with Loftstrand crutches)

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5
Q

Injury to nerve root C6 results in weakness of the?

A

Elbow flexors and wrist extensors

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6
Q

Injury to nerve root C7 results in weakness of the?

A

Elbow extensors and wrist flexors

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7
Q

Injury to nerve root C8 results in weakness of the?

A

Thumb extensors

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8
Q

Injury to nerve root T1 results in weakness of the?

A

Finger abductors and adductors

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9
Q

Wheelchair rim modifications for patients with C3-C4 lesions.

A

Sip-and-puff control

Secondary to innervation of the diaphragm, face and neck muscles, and the trapezius

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10
Q

Wheelchair rim modifications for patients with C5 lesions.

A

Wheelchair with oblique hand rim projections (angled 30 degrees)

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11
Q

Wheelchair rim modifications for patients with C6 lesions.

A

Wheelchair with vertical hand rim projections

May also utilized friction hand rims

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12
Q

Wheelchair rim modifications for patients with C7 lesions.

A

Wheelchair with friction hand rims

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13
Q

Wheelchair rim modifications for patients with C8 lesions.

A

None. Standard wheelchair rims are adequate, as muscle innervations necessary for propulsion are intact.

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14
Q

Dermatome of the lateral calf

A

L5

Giles A-192

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15
Q

Dermatome of the lateral dorsum of the foot

A

S1

Giles A-192

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16
Q

Dermatome of the medial dorsum of the foot

A

L5

Giles A-192

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17
Q

Dermatome of the anterior thigh

A

L2-L3

Giles A-192

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18
Q

Dermatome of the groin

A

S3

Giles A-192

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19
Q

Dermatome of the medial thigh

A

S3

Giles A-192

20
Q

Dermatome of the genitals and perineum

A

S4

Giles A-192

21
Q

Transfer for patients with C6 level injury.

A

Highest is independent sliding board transfer.

22
Q

Roots of thenar muscles

A

C8

23
Q

Damage to C6 myotome most affects the?

A

Wrist extensors

24
Q

Appropriate orthosis for a patient with T10 spina bifida in initiating standing

A

Parapodium and parallel bars

25
Q

Superficial abdominal reflex

A

Upper: T7-T9
Lower: T10-T12

26
Q

Cremasteric reflex

A

T12-L1

27
Q

Superficial anal reflex

A

S2-S4

28
Q

Patellar DTR

A

L3-L4

29
Q

Ankle DTR

A

S1-S2

30
Q

Medial Hamstring DTR

A

L5-S1

31
Q

Lateral Hamstring DTR

A

S1-S2

32
Q

Posterior Tibial DTR

A

L4-L5

33
Q

Biceps Brachii DTR

A

C5-C6

34
Q

Brachioradialis DTR

A

C5-C6

35
Q

Pronator Teres DTR

A

C6-C7

36
Q

Triceps Brachii DTR

A

C7-C8

37
Q

Myotome testing for C4

A

Diaphragm; measure chest expansion

38
Q

Myotome testing for C5

A

Shoulder abductors and external rotators

39
Q

Myotome testing for C6

A

Elbow flexors and shoulder internal rotators

40
Q

Myotome testing for C7

A

Elbow extensors and wrist flexors

Giles B-141

41
Q

Diminished sensation in the anterior arm and the index finger

A

C6

42
Q

Paresthesia in the long and ring fingers

A

C7

43
Q

Weakness of the biceps brachii and supinator

A

C6

44
Q

Weakness of the triceps brachii

A

C7

45
Q

Diminished brachioradialis reflex

A

C6

46
Q

Diminished triceps reflex

A

C7

47
Q

Highest level where driving a van is possible?

A

C6