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NPTE Neuromuscular

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Question
Answer
Ventriculography   XR of skull after inj of air into lateral ventricles, to localize tumors or check for ICP  
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Myelography   Spine XR after air/dye injection into subarachnoid space.  
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Cerebral angiography   XR of skull after inj of dye into carotids/vert arteries.  
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Computed Tomography CT   narrow XR beens transmitted to get cross sections of brain that are visualized in 3D. tumor, calcifications, changes in tissue density such as bleeding  
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MRI   magnetic field that produces 3D imaging. Soft tissue and blood flow, bone poorely imaged  
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PET   radioisotopes inhaled/injected. Physiologic mapping for cerebral blood flow, metabolism  
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Electroencephalography (EEG)   electrical activity of brain. Structural disease, seizures, localization of lesions.  
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Evoked potentials/Evoked responses   external stimuli used to evoke potentials in brain. Conduction times  
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Echoencephalogram   reflected US waves recorded – imaging of carotid, flow, detection of plaques, midline shifts  
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Lumbar Puncture   CSF analysis, below L1-L2  
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EMG   detects electrical activity in muscles  
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Fibrillation   spontaneous contractions of individual muscle fibers on EMG. Denervation for 1-3wk after losing nerve  
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Fasciculations   spontaneous contractions of all or most of the fibers in a motor unit, visible muscle twitch. Present with LMN disorders and denervation  
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Complete LMN lesions show on EMG   only fibrillation  
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Partial LMN lesions show on EMG   fibrillation and fasciculations  
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Nerve conduction Velocity NCV   stimulation of peripheral nerves to determine NCV  
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Decreased NCV seen in   peripheral neuropathies with demyelination –GBS, chronic demyelinating polyneuropathy, CMT  
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