Trigger - PN 1

Question 1

determines noth location and extent of neuropathy

Answer 1

NCS

Question 2

compressed medial nerve

Answer 2

CTS

Question 3

atrophy of thenar eminence

Answer 3

late capral tunnel syndrome

Question 4

weak thumb abduction and opposition.

Answer 4

late neurovascular findings in carpal tunnel syndrome

Question 5

MC cause is dislocation or fracture

Answer 5

tarsal tunnel

Question 6

atrophy of abductor hallicus

Answer 6

tarsal tunnel that is severe

Question 7

what two movements are tarsal tunnel syndrome worse with

Answer 7

dorsiflexion and eversion

Question 8

numbness along medial forearm and pinky

Answer 8

ulnar nerve palsy

Question 9

risk is a patient who is using crutches or a patient who wears tight fitting gloves/straps

Answer 9

radial nerve palsy

Question 10

Patient with numbness on the dorsal side of the hand over the thumb, forefinger and lateral wrist.

Answer 10

radial nerve palsy

Question 11

when is surgery incdicated in radial nerve palsy

Answer 11

referall for EMG is 2-3 weeks with no improvement

surgery is symptoms persisting 6-8 weeks from onset

Question 12

common ni women with migraines or HTN

Answer 12

trigeminal neuralgia

Question 13

dianostic study of choice for trigeminal neuralgia

Answer 13

it is a clinical diagnosis, but if you suspect its due to a underlying cause then use MRI w/ or w/o

Question 14

treated w carbamazepine

Answer 14

trigeminal neuralgia

refractory = surgery or botox

Question 15

treated with prednisone

Answer 15

bells palsy (only indicated w/i 5 days of s/s)

add on valcyclovir if lesion, lack of forehead movement or incomplete eye closure

add eye lubricant and eye patch iflack of eye closure.

Question 16

When is imaging warranted in Bell’s Palsy?

Answer 16

Symptoms > 8 weeks
Progression of symptoms after 3 weeks
You should monitor until it fully resolves

MRI of brain and face
CT w/ con or MRI w/ gadolinium