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Unit 2: Spinal Cord Syndromes Flashcards

1
Q

L1: ______ bladder: injury of parasympathetic and lower motor neurons

A

Flaccid

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2
Q

L1: ______ bladder: injury to descending pathway in bladder micturition system, with UMN signs

A

Spastic

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3
Q

L1: Conus medullaris or Cauda Equina Syndrome? Early bladder dysfunction

A

Conus Medullaris

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4
Q

L1: Conus medullaris or Cauda Equina Syndrome? Early bowel and sexual dysfunction

A

Conus Medullaris

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5
Q

L1: Conus medullaris or Cauda Equina Syndrome? Early pain radiating to the legs

A

Cauda Equina

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6
Q

L1: Conus medullaris or Cauda Equina Syndrome? Late bladder dysfunction

A

Cauda Equina

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7
Q

L1: Conus medullaris or Cauda Equina Syndrome? Late bowel and sexual dysfunction

A

Cauda Equina

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8
Q

L1: Conus medullaris or Cauda Equina Syndrome? Late pain in thighs/buttocks

A

Conus Medullaris

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9
Q

L1: Conus medullaris or Cauda Equina Syndrome? Leg weakness and reduced deep tendon reflexes

A

Cauda Equina

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10
Q

L1: Conus medullaris or Cauda Equina Syndrome? Patchy, asymmetric saddle numbness

A

Cauda Equina

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11
Q

L1: Conus medullaris or Cauda Equina Syndrome? Pelvic Floor muscle weakness

A

Conus Medullaris

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12
Q

L1: Conus medullaris or Cauda Equina Syndrome? Symmetric saddle anesthesia, numbness

A

Conus Medullaris

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13
Q

L1: What motor function grade? Movement possible against gravity but not against resistance

A

3/5/2015

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14
Q

L1: What motor function grade? Movement possible against some resistance

A

4/5/2015

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15
Q

L1: What motor function grade? Movement possible, but no against gravity

A

2/5/2015

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16
Q

L1: What motor function grade? Muscle flicker, but no movement

A

1/5/2015

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17
Q

L1: What motor function grade? Normal movement

A

5

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18
Q

L1: What reflex grade? Brisk

A

3+

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19
Q

L1: What reflex grade? Nonsustained clonus

A

4+

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20
Q

L1: What reflex grade? Normal

A

2+

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21
Q

L1: What reflex grade? Sustained clonus

A

5+

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22
Q

L1: What reflex grade? Trace

A

1+

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23
Q

L2: The C3 vertebra overlies the ___ spinal cord segment.

A

C3

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24
Q

L2: The C6 vertebra overlies the ___ spinal cord segment.

A

C7

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25
Q

L2: The T10 vertebra overlies the ___ spinal cord segment.

26
Q

L2: The T3 vertebra overlies the ___ spinal cord segment.

27
Q

L2: What dermatome level corresponds to the region containing the nipple?

28
Q

L2: What dermatome level corresponds to the region containing the umibilicus?

29
Q

L2: What dermatome level corresponds to the region containing the xyphoid process?

30
Q

L2: What is the reflex associated with spinal nerve C5?

31
Q

L2: What is the reflex associated with spinal nerve C6?

A

Brachioradialis

32
Q

L2: What is the reflex associated with spinal nerve C7?

33
Q

L2: What is the reflex associated with spinal nerve L4?

34
Q

L2: What is the reflex associated with spinal nerve S1?

35
Q

L2: What sign? neck flexion results in electric shock sensation down the back and/or into the arms

A

Lhermitte’s

36
Q

L2: Which spinal cord syndrome? Bilateral loss of pain, strength, and temperature sensation

A

Anterior Spinal Artery Occlusion

37
Q

L2: Which spinal cord syndrome? Bilateral loss of strength, LMN syndrome

A

Anterior Horn Cell Syndrome

38
Q

L2: Which spinal cord syndrome? Bilateral loss of vibration, prioprioception, strength

A

Posterolateral Column Syndrome

39
Q

L2: Which spinal cord syndrome? Bilateral loss of vibration/proprioception

A

Posterior Cord Syndrome

40
Q

L2: Which spinal cord syndrome? Bilateral UMN signs and possible bladder dysfunction

A

Myelopathy with radiculopathy

41
Q

L2: Which spinal cord syndrome? Bilateral weakness with UMN signs

A

Pyrimidal Tract Syndrome

42
Q

L2: Which spinal cord syndrome? Caused by herniated discs, tumor, or extramedullary abscess

A

Brown-Sequard Syndrome

43
Q

L2: Which spinal cord syndrome? Caused by synringomelia, ependymoma, or cord contusion

A

Central Lesion

44
Q

L2: Which spinal cord syndrome? Caused by tabes dorsalis (neurosyphilis)

A

Posterior Cord Syndrome

45
Q

L2: Which spinal cord syndrome? Caused by Vitamin B Deficiency

A

Posterolateral Column Syndrome

46
Q

L2: Which spinal cord syndrome? Deficits in cape-like distribution

A

Central Lesion

47
Q

L2: Which spinal cord syndrome? Loss of strength bilaterally, fasciculations, atrophy, increases or decreases in tendon reflexes

A

Anterior Horn Cell-Pyrimidal Tract Syndrome

48
Q

L2: Which spinal cord syndrome? Pain/temperature sensation loss at level of lesion, sparing positive sensation

A

Central Lesion

49
Q

L2: Which spinal cord syndrome? Sensory and motor levels below lesion; spinal shock followed by UMN syndrome

A

Complete cord Transection

50
Q

L3: What are causes of central lesions? (3)

A

Syringomelia, ependymoma, cord contusion

51
Q

L3: What is the motor distribution for spinal nerve C5?

A

Deltoid, infraspinatus, biceps

52
Q

L3: What is the motor distribution for spinal nerve C6?

A

Biceps, wrist extensors

53
Q

L3: What is the motor distribution for spinal nerve C7?

54
Q

L3: What is the motor distribution for spinal nerve L4?

A

Psoas, Quadriceps

55
Q

L3: What is the motor distribution for spinal nerve L5?

A

Foot dorsiflexion, big toe extension, foot eversion and inversion

56
Q

L3: What is the motor distribution for spinal nerve S1?

A

Plantarflexion

57
Q

L3: What is the sensory distribution for spinal nerve C5?

A

Shoulder, upper lat, arm

58
Q

L3: What is the sensory distribution for spinal nerve C6?

A

1st and 2nd digits of hand

59
Q

L3: What is the sensory distribution for spinal nerve C7?

A

3rd digit of hand

60
Q

L3: What is the sensory distribution for spinal nerve L4?

A

Knee, medial leg

61
Q

L3: What is the sensory distribution for spinal nerve L5?

A

Dorsum of foot, great toe

62
Q

L3: What is the sensory distribution for spinal nerve S1?

A

Lateral foot, small toe, sole of foot

Neuro (40 decks)

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