Upper Neuro Exam Flashcards

1
Q

What is the primary purpose of the upper neurology exam?

A

To assess the function of the upper motor neurons and identify any neurological deficits.

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2
Q

True or False: The upper neurology exam includes assessment of both motor and sensory functions.

A

True

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3
Q

Fill in the blank: The upper motor neurons originate in the __________ and project to the spinal cord.

A

cerebral cortex

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4
Q

Which reflex is commonly tested in the upper neurology exam?

A

The biceps reflex

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5
Q

What are the key components of the upper neurology exam?

A

Inspection, motor function assessment, sensory function assessment, reflex testing, and coordination.

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6
Q

Multiple Choice: Which of the following is NOT a part of the upper neurology exam? A) Sensory testing B) Gait analysis C) Reflex testing D) Coordination assessment

A

B) Gait analysis

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7
Q

What does the presence of a positive Babinski sign indicate?

A

It indicates an upper motor neuron lesion.

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8
Q

Short Answer: What is the significance of assessing muscle tone during the upper neurology exam?

A

It helps to identify conditions such as spasticity or rigidity.

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9
Q

True or False: The upper neurology exam can help differentiate between upper and lower motor neuron lesions.

A

True

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10
Q

What is the normal response for the biceps reflex?

A

Contraction of the biceps muscle and flexion of the elbow.

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11
Q

Fill in the blank: The __________ test evaluates coordination and balance during the upper neurology exam.

A

finger-to-nose

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12
Q

Multiple Choice: Which of the following tests assesses sensory function? A) Deep tendon reflex B) Plantar reflex C) Light touch sensation D) Babinski reflex

A

C) Light touch sensation

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13
Q

What is the purpose of testing grip strength in the upper neurology exam?

A

To assess the strength of the upper extremity muscles.

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14
Q

True or False: Coordination tests are not necessary in the upper neurology exam.

A

False

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15
Q

Fill in the blank: The __________ reflex is tested by tapping the triceps tendon.

A

triceps

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16
Q

Short Answer: How can you assess upper limb proprioception during the upper neurology exam?

A

By asking the patient to identify the position of their fingers with their eyes closed.

17
Q

What type of muscle tone is characterized by increased resistance to passive movement?

A

Spasticity

18
Q

Multiple Choice: Which neurological condition is characterized by both upper and lower motor neuron signs? A) Multiple Sclerosis B) Amyotrophic Lateral Sclerosis C) Parkinson’s Disease D) Stroke

A

B) Amyotrophic Lateral Sclerosis

19
Q

True or False: The upper neurology exam should be performed in a systematic manner.

20
Q

What is considered a normal response for the plantar reflex?

A

Flexion of the toes.

21
Q

Fill in the blank: The __________ test is used to assess rapid alternating movements.

A

pronation-supination

22
Q

Short Answer: Why is it important to assess sensory modalities like pain and temperature?

A

To identify any sensory deficits that may indicate neurological damage.

23
Q

Multiple Choice: Which of the following reflexes is primarily associated with lower motor neuron function? A) Biceps reflex B) Patellar reflex C) Triceps reflex D) All of the above

A

D) All of the above

24
Q

What does a diminished reflex response indicate?

A

It may suggest a lower motor neuron lesion.

25
True or False: The upper neurology exam can help diagnose conditions such as stroke and multiple sclerosis.
True
26
Breakdown the different parts of inspection?
SWIFT pronator drift
27
breakdown the different parts of tone?
shoulder elbow wrist shake
28
breakdown the different parts of power?
1. push down on shoulders 2. lower elbows, try lift arm from elbow 3. fight stance - push and pull 4. wrist clench down and pull up, up and push down 5. straight hand psh down 6.splayed finger little 7. splayed finger index 8.palms up and push thumb down
29
reflexes of upper/
triceps biceps supinator
30
sensation of upper?
1. C4 - shoulder 2. C5 - external Bicep 3. C6 - radial 4. C7 - middle finger 5. C8 - pinky base 6. T1 - internal bicep light touch and neurotip
30
T2 is where?
upper bicep and armpit
31
proprioception of upper?
stabilise thumb base up and down eyes closed
32
coordination of upper?
finger nose hand slaps
32
vibration of upper?
thumb interphalangeal, thumb bas, wrist, elbow shoulder 128 hz
33