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Stanford PCAP 2010

Neuro Testing

QuestionAnswer
Are any of the below tests used for Cervical neuro exam testing? 1. Valsalva? YES or NO 2. Spurlings? YES or NO 3. Hoover? YES or NO 1, Yes, valsalva is also low back/lumbar 2. Yes, Spurling's Compression Test 3. No, Hoover is for low back pain
Are any of the below tests used for Reality Check/Waddell Testing test? 1. Low back pain with axial loading? 2. Discrepancy SLR sitting vs. supine? 3. Pelvic rock? 1. axial loading/compression? YES 2. discrepancy SLR test? YES 3. pelvic rock? NO
Are any of the below tests used for Lumbar neuro exam testing? 1. Sciatic notch gait? YES or NO 2. Trendelenberg? YES or NO 3. Brudzinski/Kernig? YES or NO sciatic notch gait? NO; palpation/obsvn Trendelenberg? YES Brudzinski/Kernig? YES
If I say PELVIC ROCK you say Lumbar
If I say DISTRACTION TEST you say Cervical
If I say VALSALVA test you say Lumbar and Cervical
If I say PATRICK/FABERE test you say Lumbar
If I say SLR (straight leg raise) seated you say Lumbar
If I say SPURLINGs you say Cervical
If I say BRUDZINSKI you say Lumbar
If I say SLR supine you say Lumbar
I asked the patient to shrug her shoulders (ag resistance) because I wanted to test her strength associated with C____. C4
I asked the patient to raise his arms in front, then out to the sides and finally behind himself (ag resistance) because I want to test his strength associated with C___. C5
I asked the patient to flex his arms at the elbows because I wanted to check the strength against resistance associated with C ___ and/or C___. C5-6
I asked the patient extend her wrists against resistance because I wanted to check the integrity of C___. C6
I asked the patient to extend her elbow, flex her wrist, extend her fingers because these are associated with C___. C7
I asked the patient to flex his fingers and extend his thumb because these are associated with C___. C8
You are watching a fellow PA student who asks the patient to extend their neck, rotate their head and then the PA student gently pulled up on the patient's head. What did the PA student do incorrectly for this probable Spurling's test? Should actually press down on top of the patient's head.
The sign that it is a positive test would be relief or reduction in radicular symptoms...in what test? Shoulder Abduction Relief Sign
When evaluating the patient's gait you ask her to perform HEEL Walking then TOE Walking. What nerve roots are you testing? L5 (heel walking) and S1 (toe walking)
To cover L1, L2, L3 (strength ag resistance) you ask the patient to _______ his Knee? Ankle? Hip? Flex his Hip (iliopsoas muscle)
To cover L2, L3, L4 (strength ag resistance) you ask the patient to ______ his Knee? Ankle? Hip? Extend his Knee (quadriceps muscles)
In order to cover L4 you ask the patient to _______flex her 1. Knee? 2. Ankle? 3. Hip? DORSIflex 2. Ankle
In order to cover L5 you ask the patient to walk on her _______ and later you ask her to ______her hip. walk on her heels and to abduct her hip
In order to cover S1 you ask the patient to ______ her hip which would cause her to use her gluteus maximus. extend
To check the sensation of T1 you would touch the medial aspect of: elbow
To check the sensation of T2 you would touch the medial aspect of: axilla
To check the sensation of L4 you would touch the medial aspect of: leg and foot
To check the sensation of L5 you would touch the lateral aspect of the: leg (and also dorsum of foot)
To check the sensation of S1 you would touch the lateral aspect of the: foot
Created by: rcdanks