test 2 Flashcards
what is apraxia?
inability to turn verbal requests into motor performance
what is typically the best exam to differentiate agitated dimensia from delirium?
attention testing poor attention think delirium
what does a romberg test test for?
tests ataxia specific to posterior column function. While positioned and eyes open, balance is maintained. Closing eyes removes visual input and ataxia (falling over) occurs. Direction of the fall may indicate where the lesion is.
what is pronator drift?
Pronator drift: in same stance as for Romberg, if the arm drifts downward (and occasionally lateral) when eyes are closed it is specific for a contralateral corticospinal tract lesion/disease
what is dysmetria
Clumsy, vary in speed/force, past point, lack of coordinated movement overshoot or undershoot when grabbing things
what is DYSDIADOCHOKINESIS?
DYSDIADOCHOKINESIS: one movement cannot be abruptly stopped and followed by the opposite movement: slow, irregular and clumsy
elbow flexion and extension nerves
flex= c5 extension=c7
wrist flex and ext nerves?
flex=c7 ext=c6
finger grip nerve, and abduction?
c8, T1
hip flex ext nerve levels?
flex=L2-L4 ext= L5
knee flex/ext nerve level?
flex: S1 ext=L3
ankle dorsiflex and plantar flex nerve levels?
dorsiflex=L4 plantar flex= S1
nerve level to dorsiflex big toe?
L5
what is the measurement scale for muscle strength testing?
0= no movement 1= muscle twitch without joint movement 2= movement with gravity eliminated 3= full strength against gravity only 4= partial strength against resistance 5= full strength against resistance
what dermatome level it the nipple, umbilucus, and perianal regions?
nipple= T4 umbilicus=T10 perianal= S3-5
what are the dematomes of sole of the foot, dorsum of the foot, and medial calf?
sole of foot=S1, dorsum of the foot=L5, medial calf=L4
what is hyperalgesia?
significant pain in response to mildly painful stimulus (sharp)
what is allodynia?
non-painful stimulus perceived as painful on the skin, sometimes severe
what is steryogenisis?
ability to identify an object by feel
what levels are the various deep tendon reflexes located at? what rating is normal
Biceps- C5-6 Point end onto thumb lying over tendon Brachioradialis- C5-6 Point end into proximal muscle belly Flat end on distal tendon Triceps- C6-7 Flat or point end on triceps tendon above olecranon Patellar- L2-4 Flat end on patellar tendon below patella above tibia Achilles- S1 Flat end on achilles tendon above calcaneus 2+=normal
lateral portion of calf and foot is what dermatome?
S1
what is graphesthesia?
writing a letter or number in their hand and being able to distinguish it
is clonus and babinski sign upn or lpmn damage?
upper
what is drop foot indicitive of?
damage to deep peroneal Nerve
