Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Examination of the Peripheral Nervous System > Upper extremities > Flashcards

Upper extremities Flashcards

1
Q

Spinal Accessory Nerve, C3, C4

A

Trapezius - shoulder shrug against resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Spinal Accessory Nerve, C3, C4

A

Trapezius - push palms of hands hard against wall, elbows fully extended - can see and feel the lower fibres of trapezius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Brachial Plexus, C5, C6, C7, C8, T1 complete lesions

A

lateral shoulder to just above the elbow, complete lower arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Brachial Plexus, C5, C6, lesions in upper roots

A

Lateral shoulder and arm including thumb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Brachial Plexus, C8, T1, lesions in lower roots

A

medial elbow down to last two fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Rhomboids (dorsal scapular nerve: C4, C5

A

Arm behind back, press palm of hand backwards against examiner’s hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Serratus anterior (Long thoracic nerve: C5, C6, C7

A

Patient pushes against a wall. If serratus anterior is paralysed, there is winging of the scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pectoralis Major: clavicular head (lateral pectoral nerve: C5, C6

A

Pectoralis Major: Clavicular Head (Lateral pectoral nerve; CS, C6)
The upper arm is above the horizontal and the patient is pushing forward against the
examiner’s hand. Arrow: the clavicular head of pectoralis major can be seen and felt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pectoralis Major: Sternocostal Head (Lateral and medial pectoral nerves; C6, C7, C8

A

The patient is adducting the upper arm against resistance.

Arrow: the sternocostal head can be seen and felt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Supraspinatus (Suprascapular nerve; C5,C6

A

The patient is abducting the upper arm against resistance.

Arrow: the muscle belly can be felt and sometimes seen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Infraspinatus (Suprascapular nerve; C5, C6

A

The patient is externally rotating the upper arm at the shoulder against resistance. The
examiner’s right hand is resisting the movement and supporting the forearm with the
elbow at a right angle; his left hand is supporting the elbow and preventing abduction of
the arm. Arrow: the muscle belly can be seen and felt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Latissimus Dorsi (Thoracodorsal nerve; C6, C7, C8)

A

The upper arm is horizontal and the patient is adducting it against resistance. Lower
arrow: the muscle belly can be seen and felt. The upper arrow points to teres major.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Latissimus Dorsi (Thoracodorsal nerve; C6, C7, C8)

A 
Latissimus Dorsi (Thoracodorsal nerve; C6, C7, CS)
The muscle bellies can be felt to contract when the patient coughs.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Teres Major (Subscapular nerve; C5, C6, C7

A

The patient is adducting the elevated upper arm against resistance.
Arrow: the muscle belly can be seen and felt.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Musculocutaneous Nerve - supplies muscles ___

A

Coracobrachialis, Biceps, Brachialis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Lesions of the musculocutaneous nerve cause sensory changes in the distribution of the lateral cutaneous nerve of the forearm.

A

affected area: Lateral forearm from elbow to wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Biceps (Musculocutaneous nerve; C5, C6)

A

The patient is flexing the supinated forearm against resistance.
Arrow: the muscle belly can be seen and felt.

18
Q

Axillary Nerve, branches to upper cutaneous nerve of the arm - supplies muscles ___

A

Deltoid, Teres Minor (below scapula)

19
Q

Deltoid (Axillary nerve; C5, C6)

A

The patient is abducting the upper arm against resistance.

Arrow: the anterior and middle fibres of the muscle can be seen and felt.

20
Q

Deltoid (Axillary nerve; C5, C6)

A

The patient is retracting the abducted upper arm against resistance.
Arrow: the posterior fibres of deltoid can be seen and felt.

21
Q

Radial Nerve - branches into posterior interosseous nerve and superficial radial nerve - supplies muscles ___

A

Supplies muscles: Triceps, long head; triceps, lateral head; triceps, medial head; brachioradialis; extensor carpi radialis longus; Extensor carpi radialis brevis, supinator; extensor carpi ulnaris; extensor digitorum; extensor dititi minimi; abductor pollicis longus; extensor pollicis longus; extensor pollicis brevis; extensor indicis

22
Q

area within which sensory changes may be found in high lesions of the radial nerve (above the origin of the posterior cutaneous nerves of the arm and
forearm). The average area is usually considerably smaller, and absence of sensory changes has been recorded.

A

medial aspect of lower half of medial upper arm, goes down lower arm down to base of thumb, index finger, and half of middle finger

23
Q

approximate area within which sensory changes may be found in lesions of the radial nerve above the elbow joint and below the origin of the posterior cutaneous nerve of the forearm. (The distribution of the superficial terminal branch of the radial
nerve.) Usual area shaded, with dark blue line; light blue lines show small and large areas.

A

picture fig.25

24
Q

Triceps (Radial nerve; C6, C7, C8)

A

The patient is extending the forearm at the elbow against resistance.
Arrows: the long and lateral heads of the muscle can be seen and felt.

25
Q

Extensor Carpi Radialis Longus (Radial nerve; C5, C6)

A

The patient is extending and abducting the hand at the wrist against resistance.
Arrows: the muscle belly and tendon can be felt and usually seen.

26
Q

Brachioradialis (Radial nerve; C5, C6)

A

The patient is flexing the forearm against resistance with the forearm midway between
pronation and supination. Arrow: the muscle belly can be seen and felt.

27
Q

Supinator (Radial nerve; C6, C7)

A

The patient is supinating the forearm against resistance with the forearm extended at the elbow.

28
Q

Extensor Carpi Ulnaris (Posterior interosseous nerve; C7, C8)

A

The patient is extending and adducting the hand at the wrist against resistance.
Arrows: the muscle belly and the tendon can be seen and felt.

29
Q

Extensor Digitorum (Posterior interosseous nerve; C7, C8)

A

The patient’s hand is firmly supported by the examiner’s right hand. Extension at the metacarpophalangeal joints is maintained against the resistance of the fingers of the
examiner’s left hand. Arrow: the muscle belly can be seen and felt.

30
Q

Abductor Pollicis Longus (Posterior interosseous nerve; C7, C8)

A

The patient is abducting the thumb at the carpo-metacarpal joint in a plane at right angles to the palm. Arrow: the tendon can be seen and felt anterior and closely adjacent to the tendon of extensor pollicis brevis (cf. Fig. 34).

31
Q

Extensor Pollicis Longus (Posterior interosseous nerve; C7, C8)

A

The patient is extending the thumb at the interphalangeal joint against resistance.
Arrow: the tendon can be seen and felt.

32
Q

Extensor Pollicis Brevis (Posterior interosseous nerve; C7, C8)

A

The patient is extending the thumb at the metacarpophalangeal joint against resistance.
Arrow: the tendon can be seen and felt (cf. Fig. 32).

33
Q

Median Nerve: branches into anterior interosseous nerve, palmar branch, and flexor retinaculum; supplies muscles _______

A

Supplies muscles: pronator teres, flexor carpi radialis, palmaris longus, flexor digitorum superficialis, flexor digitorum profundus I and II, flexor pollicis longus, pronator quadratus, abductor pollicis brevis, flexor pollicis brevis, opponens pollicis, first lumbrical, and second lumbrical

34
Q

The approximate areas within which sensory changes may be found in lesions of the median nerve in: A the forearm, B the carpal tunnel, note sparing of the palmar branch which does not go through the carpal tunnel.

A

palm of hand from midline of ring finger to thumb, including base of hand, and partial areas of thumb and first three fingers. Carpal tunnel involves midline of ring finger, middle finger, index finger, and half of distal thumb

35
Q

Pronator Teres (Median nerve; C6, C7)

A

The patient is pronating the forearm against resistance.

Arrow: the muscle belly can be felt and sometime seen.

36
Q

Flexor Carpi Radialis (Median nerve; C6, C7)

A

The patient is flexing and abducting the hand at the wrist against resistance.
Arrow: the tendon can be seen and felt.

37
Q

Flexor Digitorum Superficialis (Median nerve; C7, C8, Tl)

A

The patient is flexing the finger at the proximal interphalangeal joint against resistance
with the proximal phalanx fixed. This test does not eliminare the possibility of flexion at
the proximal interphalangeal joint being produced by flexor digitorum profundus.

38
Q

Flexor Digitorum Profundus I and II (Anterior interosseous nerve; C7, C8)

A

The patient is flexing the distal phalanx of the index finger against resistance with the
middle phalanx fixed.

39
Q

Flexor Pollicis Longus (Anterior interosseous nerve; C7, CS)

A

The patient is flexing the distal phalanx of the thumb against resistance while the proximal phalanx is fixed.

40
Q

Abductor Pollicis Brevis (Median nerve; C8, Tl)

A

The patient is abducting the thumb at right angles to the palm against resistance.
Arrow: the muscle can be seen and felt.

41
Q

Opponens Pollicis (Median nerve; es, Tl)

A

The patient is touching the base of the little finger with the thumb against resistance.

42
Q

1st Lumbricai-Interosseous Muscle (Median and ulnar nerves; es, Tl)

A

The patient is extending the finger at the proximal interphalangeal joint against resistance
with the metacarpophalangeal joint hyperextended and fixed.

Examination of the Peripheral Nervous System (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions