NPTE Neuromuscular
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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Myotatic reflex stimulus | show 🗑
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Myotatic reflex arc | show 🗑
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Myotatic reflex function | show 🗑
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Myotatic reflex testing | show 🗑
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Via an inhibitory IN the myotatic reflex inhibits the antagonist | show 🗑
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Myotatic reflex effect on synergistic muscles | show 🗑
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Inverse myotatic reflex stimulus | show 🗑
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show | Afferent Ib from GTO via inhibitory IN to muscle
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show | provides agonist inhibition, decreases force of agonist, stretch protection reflex
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show | Gamma reflex loop
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show | excite gamma MN causing muscle spindle contraction then increased stretch sensitivity and increased firing from spindle afferents then conveyed to alpha MNs
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show | cutaneous sensory stimuli
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show | cutaneous receptors via Ins to flexor muscles
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Flexor withdrawal reflex arc function | show 🗑
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show | noxious stimuli – Flexors excited with extensor inhibition, opposite on CL side
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Crossed extension reflex function | show 🗑
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show | eye opening, motor response, verbal response
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Scoring of GCS | show 🗑
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show | Coma
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Return of sleep/wake cycles, normalization of basic functions, lack of cognitive responsiveness | show 🗑
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Central language DO with speech is awkward, restricted, interrupted, produced with effort | show 🗑
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Expressive aphasia result of | show 🗑
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show | Verbal apraxia
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show | Dysarthria
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Central language DO where spontaneous speech preserved/smooth while auditory comprehension impaired | show 🗑
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show | Posterior frist temporal gyrus of L hemisphere (Wernicke’s area)
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show | Global aphasia
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show | Cheyne Stokes respiration
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show | depression of frontal lobe and diencephalic dysfunction
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show | Hyperventilation
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show | lowere midbrain and pons
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Abnormal respiration with prolonged inspiration | show 🗑
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Apneustic breathing is result of damage to | show 🗑
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Elevation of temperature may be damage to | show 🗑
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show | Kernig’s sign, Brudinski’s sign, guarding in neck flexion, photophobia, disorientation, restlessness, persistent HA that increases with head down, altered vitals, weakness
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Kernig’s sign | show 🗑
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Brudzinski’s sign | show 🗑
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show | restless, confused, decr LOC, incr BP, widening pulse P & slowed pulse, Cheyne-Stokes, elevated temp, HA, vomiting, unequal pupils, slowed PLRs, dilated pupils*, papilledema, weakness, hemiplegia, Babinski, decorticate or decerebrate rigidity, seizures
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show | test for ability to perceive joint position at rest in response to passive positioning
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Kinesthesia | show 🗑
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Pallesthesia | show 🗑
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Combined cortical sensation testing | show 🗑
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Stereognosis | show 🗑
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Two point discrimination | show 🗑
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Barognosis | show 🗑
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show | ability to ID numbers, letters or symbols traced on skin
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Homonymous hemianopsia | show 🗑
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Somatognosia | show 🗑
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Unilateral neglect | show 🗑
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show | severe neglect or denial of severity of condition
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show | spatial relations syndrome with lack of ability to pick out object
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show | pick out object from array of similar shapes but different sizes
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show | pt duplicates a pattern of 2-3 blocks
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Topographical disorientation | show 🗑
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Vertical disorientation | show 🗑
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Agnosia | show 🗑
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Apraxia | show 🗑
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Ideomotor apraxia | show 🗑
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show | cannot perform the task at all, either on command or independently
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Clasp-knife response | show 🗑
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Clonus | show 🗑
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Babinski | show 🗑
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Babinski indicates | show 🗑
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show | increased DTRs
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Lead pipe Rigidity | show 🗑
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Cogwheel rigidity | show 🗑
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show | increased tone in extension, seen in brainstem lesions between superior colliculus and vestibular nucleus
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show | UEs in flexion, LEs in extension, seen in brainstem lesions above superior colliculus
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Opisthotonos | show 🗑
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Plantar reflex | show 🗑
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show | T6-L1, lateral to medial scratching of skin to umbilicus in each of 4 quadrants should cause deviation of umbilicus to stimulus
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Cremasteric reflex | show 🗑
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Sources of fatigue | show 🗑
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CNS/Central fatigue | show 🗑
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Neural/myoneural junction fatigue | show 🗑
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Muscle contractile failure fatigue | show 🗑
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show | Tics, Chorea, athetosis, tremors, myoclonus
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show | spasmodic contractions of specific muscles
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Chorea | show 🗑
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Athetosis | show 🗑
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Tremor | show 🗑
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Myoclonus | show 🗑
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Cerebellar disorders cause | show 🗑
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show | seizures, tonic/clonic convulsive mvmts
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show | impaired ability to associate muscles together for complex mvmt
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show | impaired ability to judge distance or range of movement
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Dysdiadochokinesia | show 🗑
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