exam 1 - NMS
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Crawling pain | Myofacial
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| Throbbing pain | Vascular
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| Localized pain | Peripheral
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| Difuse pain | Central
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| Sharp pain on motion | Joint
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| Constant pain | Joint or nerve
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| Burning, hot, sharp pain not on motion | Nerve
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| Stabbing, lightening like pain | Nerve
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| Dull, cramp, know | Muscle
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| Deep burning, dull | Ligament
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| Pinpoint pain | Myofacial triggerpoint
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| Minimal pain = | Annoyance but no impairment
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| Slight pain = | Tolerated but some impairement with activity
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| Moderate pain = | Marked imparement with activity
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| Marked pain = | Signs and symptoms preclude any activity
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| What are the time divisions for pain | Intermittent, Occational, Frequent, Constant
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| Cacosmia | Abnormally disagreable smell
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| Parosmia | Perversion of smell
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| Foster Kennedy syndrome | Tumor at the base of the frontal lobe, Ipsi blindness + anosmia
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| Exotropia | OUtward + Lateral
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| Esotropia | Inward
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| Function of MLF | Coordinate eye mouvement
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| Cavernous sinus lesion | CN 3,4, 5,6
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| Cormiosis | Pupilloconstriction
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| Horner's | Ptosis, Cormiosis, Ipsi facial anhydrosis, Enophthalmos, P-A and Lat films
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| Accomodation is what CN? | 3
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| Swinging flash-light test is for what CN? | 2
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| Marcus Gunn phenomenon | is a medical sign observed during the swinging-flashlight test[1] whereupon the patient's pupils constrict less (therefore appearing to dilate) when a bright light is swung from the unaffected eye to the affected eye.
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| Why would the red reflex be absent? | Cateracts, corneal scar, vitreous floaters
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| For pallenesthisia, what is the tunning fork used? | 128Hz
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| What tract? Light touch. Sharp pain and Temp. Vibratory of upper extremity. Vibratory of lower extremity. | 1. Anterior spinothelamic 2. Lateral spinothalamic 3. Cunetus 4. Gracilis
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| Carpal tunnel = what nerve? | Meidan!
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| Tarsal Tunnel = what nerve? | Tibial!
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| Pronator teres syndrome = what nerve? | Median
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| Pain and pressure: Achille's, Testicles, Ulnar | 1. Abadie's 2. Pitre's 3. Biernacki's
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| Stereognosis | Able to ID an object by touching it
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| Topognosis | The ability to recognize tacticle stimulation
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| Somatognosis | Able to ID where your arm is...
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| Nosognosis | Patient deny's that they are in fact sick (hemipeligia)
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| Knife clasp syndrome | Increased rigidity on initial mouvement
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| Hypotonia | Damage to reflex arc... LMNL
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| Deficit phenomena | LMNL, decrease tone, stretch reflex, strenght and volume
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| Release phenomena | Exageration of normal neurologic function due to loss of cortical inhibition
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| patholigical clonus | continued, involuntary rapid flexion and extension of a muscle while a joint is under sustained resistance
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| Reflex: Biceps | C5
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| Reflex: Brachio | C6
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| Reflex: Triceps | C7
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| Reflex: Finger flexion | C8
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| Pattelar | L2-L4
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| Muscle innnervation: Deltoid | C5 - Axillary
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| Muscle innnervation: Supraspinatus | C5 - Suprascapular
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| Muscle innnervation: Biceps | C5 - Musculocutaneous
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| Muscle innnervation: Wrist ext | C6 - Radial
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| Muscle innnervation: Wrist Flexion | C7 - Median, ulnar
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| Muscle innnervation: Triceps | C7 - Radial
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| Muscle innnervation: Finger ext | C7 - Radial
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| Muscle innnervation: finger add+abd | T1 - Ulnar
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| Nerve level: Iliohypogastric | T12-L1
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| Nerve level: Ilioinguinal | T12-L1
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| Nerve level: Genitofemoral | L1-L2
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| Nerve level: Lateral Femoral cutnaeous | L2-L3
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| Nerve level: Lesser sciatic | S1-S3
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| Nerve level: Common fib | L4-S2
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| Nerve level: Tibial | L4-S3
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| Nerve level: Great Sciatic | L4-S3
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| Superficial Reflex : Gag | CN 9+10
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| Superficial Reflex : Corneal Blink | CN 5+7
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| Superficial Reflex : Epigastric | T5-T9, Intercostal nerves
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| Superficial Reflex : Upper abs | T7-T9, Intercostal nerves
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| Superficial Reflex : Middle abs | T9-T11, Intercostal nerves
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| Superficial Reflex : Lower abs | T11-T12, Intercostal, Ilihypogastric, Iliinguinal
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| Superficial Reflex : Cremasteric | L1-L2, ilioinguinal, genitofemoral
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| Superficial Reflex : Gluteal | L4-S2, inferior gluteal - stroke glue max
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| Superficial Reflex : Plantar | L4-S2, Tibial
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| Superficial Reflex : Anal | S2-S5, inferior hemorrhoidal
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| Positive rossolimo is what? | Tap the ball of the foot and the toes flex... oposite babinski
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| What do you stroke for Oppenheim? | Anterior tibial surface
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| Visceral reflex: Pupillary Light | CN 2, 3 AFFERENT IS ALWAYS THE LOWEST
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| Visceral reflex: Accomodation | CN 3
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| Visceral reflex: Ciliospinal | Aff = C8-T2 + CN5 Eff = cervical sympathetics
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| Visceral reflex: Oculocardiac | CN 5 + 10
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| Visceral reflex: Carotid Sinus | CN 9 + 10
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| Visceral reflex: Bulbocavernosus | S3-S4
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| Emotional tremor | Low aplitude, gets worse with intentional movement
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| Familiar tremor | Hands and head
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| Senile | Similar to familiar but with aging
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| Parkinsonian | Pill rolling, disapears or dampens with intentional movement: Basal ganglion lesion
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| Intension tremor | Get worse with intensional movement : Cerebellar pathology
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| Postural tremor | Standing still = tremor Mouvement = no tremor
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| Nontremorous hyperkinesias or chorea | Random, quick, jerky
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| Athetosis | Slow, writhing... fingers + extremities
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| Dystonia | Slow, alternating mvts, contraction-relaxation of agonists and antagonists... one mvt dominates for a long time: fixed joints
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| Involuntary tremor = | Basal ganglia
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| voluntary tremor = | Cerebellar lesion
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| Intension tremor + ataxia = | Cerebellar lesion
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| Akathisia | Always shifting posture and movements (parkinsons)
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| Tabetic/Ataxic | Loss of proprioception in extremities... wide base, watch feet which slap on the ground
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| Hemiplegic | Affected leg is rigid and swung in semi-circle
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| Scissors | Knees scrape together... parapelegia
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| Waddling/Clumbsy | Weakness of trunk and pelvic muscles
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| Steppage | Foot drop, L5, early stage = drag toe (2nd MC)
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| Cerebellar/Ataia | Wide base but looks straight ahead
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| Propulsion | AKA festination : parkinson's
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| Hysterical | Complete use of limbs in emergency situations
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| Astasia-Abasia | Can perform all mouvements in bed
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| Limping | MC, short step on affected limb
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| Muscle inervation: Hip flexion | L1-L4, Femoral
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| Muscle inervation: Hip extension | L5-S2, Inferior gluteal
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| Muscle inervation: Hip ABD | L4-S1, superior gluteal
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| Muscle inervation: Hip ADD | L2-L4, Obturator
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| Muscle inervation: Knee flexion | L5, Tibial
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| Muscle inervation: Knee extension | L4, Femoral
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| Muscle inervation: Plantar flexion | S1, Tibial
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| Muscle inervation: Dorsiflexion | L4, L5, Deep peroneal
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| Muscle inervation: Ankle inverstion | L4, Tibial
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| Muscle inervation: Ankle eversion | S1, superficial peroneal
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| Muscle inervation: Toe extension | L5, deep peroneal
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| Muscle inervation: Toe flexion | Si, Tibial
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| Dermatome: nipple line | T4
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| Dermatome: xiphoid | T7
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| Dermatome: umbilical | T10
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| Dermatome: groin | T12
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| Dermatome: L1 | Lateral, anterior, proximal thigh to groin
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| Dermatome: L2 | Anterior thigh proximal to medial thigh
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| Dermatome: L3 | Lateral proximal thigh-anterior thigh to meidial knee
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| Dermatome: L4 | lateral proximal thigh - anterior thigh to top of knee-anterior tibial - medial foot
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| Dermatome: L5 | lateral proximal thigh - lateral calf - top of foot - lateral heel
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| Dermatome: S1 | Lateral proximal thigh - posterior buttock - posterior calf - lateral foot
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| Dermatome: S2 | Posteiror buttock - posterior medial thigh - posteiorr medial calf - medial heal
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| Anesthesia | Loss of sensation
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| Paraesthesia | Altered sensation... tingling etc
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| Alganesthisia | The loss of sensation of pain
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| Thigmesthesia | Sensibility to touch
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| Topesthesia | The ability to localize tactile stimulation
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| ROM for cervicals | F=50 E=60 LAT F=45 ROT=80
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| ROM for Thoracics | F=50 E=50 ROT=30
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| ROM for lumbars | F=60 E=25 LAT F=25
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| Neuropraxia | Injury to a nerve resulting in paralysis but without degeneration
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| Axonotmesis | Damage to the axon but not the structural framwork of the nerve
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