UE: Neurology Flashcards

1
Q

Cervical Plexus is comprised of the Anerior Rami of what?

A

Anterior Rami of C1-C4

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2
Q

What major nerve comes out of the cervical plexus?

What does it innervate?

A

Supraclavicular N. (C3 and C4)

Skin over neck and shoulder

Has: Lateral, Middle, Medial Branches

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3
Q

What Anterior Rami are associated with the Brachial Plexus?

A

Anterior Rami of C5-T1

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4
Q

What causes Erb-Duchenne Palsy or “Waiter’s Tip” position?

What part of the Brachial plexus is damaged?

How do they present?

A

Increasing the angle between the Neck and Shoulder that causes the spinal roots rupturing off the spinal cord

Upper plexus like C5 and C6

Adducted and medially rotated arm with extended elbow

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5
Q

What causes Klumpke paralysis?

What part of the brachial plexus is damaged?

How do they present?

A

Increasing the angle between the trunk and the upper limb

Inferior portion of the brachial plexus

Causes “Claw hand” when trying to make a fist

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6
Q

Prolonged periods of working with the upper arm extended over the head results in pain radiating down the arm, loss of sensation, and tingling of the arms, and weakness of the hands. This form of activity occurs due to compression of what part of the brachial plexus?

A

compression of the Cords of the brachial plexus

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7
Q

Blunt forced trauma can render the anterior brachial muscles paralyzed due to injury of what N.?

A

Musculocutaneous N.

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8
Q

Atrophy of the Deltoid M. and loss of sensation over the superolateral Arm where the superior lateral branch cutnaeous N. exists, is caused by injury to what N.?

A

Axillary N.

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9
Q

Ape’s Hand is the presentation of the Adducted Thumb and Thenar Eminance atrophy is caused by injury to what nerve?

Injury to this nerver at the elbow inhibits flexion of what 2 digits also known as Hand of Benediction?

A

Median N.

Flexion of 2nd and 3rd digits

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10
Q

What are the 4 places where the Ulnar N. can be injured?

What is the result of the injury to the Ulnar N. in these places?

A

Posterior to Medial Humeral Epicondyle

Cubital Tunnel (b/w Flexor carpi ulnaris M heads)

Wrist

Hand

Loss of sensory and motor control in the hand or forming “claw hand” when trying to make a fist

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11
Q

When pressure is applied to the Hamulus of the Hamate B. , like when riding a bike what N/ can be compressed?

Describe Handlebar Neuropathy presentation?

A

Ulnar N.

Sensory loss on the medial side of the hand

Weakness of intrinsic hand muscles

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12
Q

Impairment of elbow extension and thumb ABduction and extension is called wrist drop. Injury to what nerve causes wrist drop?

A

Radial N.

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13
Q

Roots of the brachial plexus travel between what 2 muscles?

What artery do they travel with?

A

Anterior and Middle Scalene

Subclavian A.

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14
Q

The Trunks of the brachial plexus travel anteriorly over what structure?

A

1st rib under the clavical

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15
Q

What 2 nerves comes off the Roots of the brachial plexus?

What do they supply?

A

Dorsal Scapular N: Rhomboids and Levator Scapulae M.

Long Thoracic N.: Serratus Anterior M.

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16
Q

What 2 nerves come off the Superior Trunk of the brachial plexus?

What do they supply?

A

Suprascapular N. : Supraspinatus and Infraspinatus

(travels w/ suprascapular A., but goes through subprascapular foramen while A. goes over)

Subclavian N. : Subclavius M.

17
Q

What nerve branches off the Lateral Cord?

What does it supply?

A

Lateral Pectoral N.

Pectoralis Major M

18
Q

What 3 nerves come off the Medial Cord?

What does it supply?

A

Medial Pectoral N. : Pectoralis Major & Minor M.

Medial Brachial Cutaneous N. : medial aspect of distal 2/3 of brachium

Medial Antebrachial Cutaneous N. : anterior and medial aspect of antebrachium

(travels with Ulnar N, then goes into deep fascia)

19
Q

What 3 N. come off the Posterior Cord?

What do they supply?

A

Superior Subscapular N.: Subscapularis M. (superior portion)

Thoracodorsal N.: Latissimus Dorsi M.

Inferior Subscapular N. : Subscapularis M. (inferior portion) and Teres Major M.

20
Q

The Musculocutaneous N is the terminal branch of what cord?

What does it supply?

What does it continue as distally?

A

Lateral Cord

Muscles of brachium (biceps, coracobrachialis, brachialis)

Lateral Antebrachial Cutaneous N. (lateral aspect of antebrachium)

21
Q

Axillary N. is the terminal branch of what cord?

What does it supply?

What nerve does it give off?

A

Posterior Cord

Deltoid M

Teres Minor M.

Superior Lateral Brachial Cutaneous N. (superior half of the lateral aspect of the brachium)

22
Q

The Median N. is a terminal branch of what cord?

What does it supply?

A

Medial and Lateral Cords

Most of the anterior antebrachial compartment muscles

23
Q

Go play Purpose games of Median, Radial, Ulnar N

A

Ok

24
Q

Go play Purpose games of Median, Radial, Ulnar N

A

OK

25
Q

Go play Purpose games of Median, Radial, Ulnar N

A

OK

26
Q
A