Upper Limb Neuro Exam

Question 1

What does the acronym SWIFT stand for in terms of inspection of the upper limbs at the start of the examination?

Answer 1

Scars
Wasting
Involuntary movements
Fasciculations
Tremor

Question 2

If pronator dirft is present, what type of pathology is this most likely a sign of?

Answer 2

UMN pathology

Question 3

What type of lesion is spasticity associated with?

Answer 3

UMN lesion

Question 4

What does rigidity indicate?

Answer 4

Extrapyramidal lesion

Question 5

What spinal cord tracts does light touch test for?

Answer 5

Dorsal/posterior columns and spinothalamic tracts

Question 6

What spinal cord tracts does pin-prick test for?

Answer 6

Spinothalamic tracts

Question 7

What spinal cord tracts does vibration test for?

Answer 7

Dorsal/posterior columns

Question 8

What spinal cord tracts does proprioception test for?

Answer 8

Dorsal/posterior columns

Question 9

What could difficulties with coordination indicate?

Answer 9

Cerebellar pathology

Question 10

Is wasting and fasciculation more in keeping with an UMN or LMN lesion?

Answer 10

LMN

Question 11

In UMN lesions, how would the tone be affected?

Answer 11

Increased (spasticity)

Question 12

In LMN lesions, how would the tone be affected?

Answer 12

Decreased or normal

Question 13

In UMN lesions, how would the power be affected?

Answer 13

Classically pyramidal pattern of weakness (extensors weaker than flexors in arms and vice versa in legs)

Question 14

In LMN lesions, how would the power be affected?

Answer 14

Different patterns depending on cause

Question 15

In UMN lesions, how would the reflexes be affected?

Answer 15

Exaggerated or brisk

Question 16

In LMN lesions, how would the reflexes be affected?

Answer 16

Reduced or absent

Question 17

Which named nerve covers the sensation of the regimental badge over the deltoid muscle?

Answer 17

Axillary

Question 18

Which named nerve covers the sensation of the lateral aspect of the forearm?

Answer 18

Musculocutaneous

Question 19

Which named nerve covers the sensation of the radial fossa?

Answer 19

Radial

Question 20

Which named nerve covers the sensation of the palmar aspect of the medial side of hand, little finger and medial border of ring finger?

Answer 20

Ulnar

Question 21

Which named nerve covers the sensation of the palmar aspect of the lateral side of hand, thumb, index finger, middle finger and lateral border of ring finger?

Answer 21

Median

Question 22

Which nerve root(s) are responsible for shoulder abduction?

Answer 22

C5

Question 23

Which nerve root(s) are responsible for shoulder adduction?

Answer 23

C6/7

Question 24

Which nerve root(s) are responsible for elbow flexion?

Answer 24

C5/6

Question 25

Which nerve root(s) are responsible for elbow extension?

Answer 25

C7

Question 26

Which nerve root(s) are responsible for wrist flexion?

Answer 26

C6

Question 27

Which nerve root(s) are responsible for wrist extension?

Answer 27

C6/7

Question 28

Which nerve root(s) are responsible for finger extension?

Answer 28

C7

Question 29

Which nerve root(s) are responsible for finger abduction?

Answer 29

T1

Question 30

Which nerve root(s) are responsible for thumb abduction?

Answer 30

C8/T1

Question 31

Which nerve root(s) are responsible for the biceps reflex?

Answer 31

C5/6

Question 32

Which nerve root(s) are responsible for the triceps reflex?

Answer 32

C7

Question 33

Which nerve root(s) are responsible for the supinator reflex?

Answer 33

C6