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nms question-answer

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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NMS Question
NMS Answer
Agraphesthesia   show
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Asterognosis   show
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Baragnosis   show
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show loss of vibratory sensation felt on the skin or bone  
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Akinesthesia   show
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show Abnormal sensations on the skin. Numbness, tingling, burning or cutting pain  
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show abnormal sensations on the skin. Numbness, prickling, tingling, increased sensitvity  
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show loss of comprehension of auditory, visual or other sensations with senory spheres intact  
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show loss of ability to communicate through speech, writing or signs  
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show loss of muscle movement  
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Apraxia   show
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Tests of tetany   show
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show tapping over facial n. (TMJ) causes spasmodic facial contraction ipsi, inc Ca  
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Trousseau's   show
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Erb's   show
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show dorsiflex of big toe and fanning of other 4 toes  
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show upward plantar stroke of the foot from lat to med  
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show C shaped stroke around lat maleoulus  
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show stroke tib ant  
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show squeeze calf musculature  
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show sqeeze the achilles tendon  
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Jaw jerk sign signif   show
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Westphal's sign   show
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Homan's sign   show
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Sx of carpal tunnel   show
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show Ant lat thigh px; involves the lat fem cut n., L2-L3 n. roots  
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Horner's Syndrome sx   show
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Tic Douloureaux sx   show
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show 7th CN; unilat facial paralysis of sudden onset  
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Erb's palsy sx   show
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Klumke's palsy sx   show
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show involves 1 interneuron that synapses with input sensory n. to output LMN  
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show origination of most primary neurons of the sensory nn.  
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Sprain/strain   show
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show first sign burning px long a peripheral n. distribution  
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show Px along the course of a n.  
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Neuritis   show
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show infl of spinal n. root; dermatomal and sharp px  
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When are superficial reflexes lost?   show
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Ciliospinal reflex   show
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Corneal reflex   show
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What are the 4 palsies?   show
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What action indicates the presence of intrathecal px?   show
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Tx for 10yo female w/ mild back px after PE. Finding is 15 degree scoliosis, w/ apex at T9, T10. What is tx?   show
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show less than 20deg=monitor and adjust, 20-40deg=brace (Millwakee), greater than 40deg=surgery and Herrington rods  
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13 yo female w/constant low grade midback px, aggravated playing volleyball; shoulders becoming rounded. Dx   show
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Rule out DDX for Scheurman's finding:   show
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Sx for tendinitis   show
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Dx for dizziness w/ nausea, progressive hearing loss and ringing in the ears:   show
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show Meningitis (inf of the cerebral spinal fluid d/t presence of glucose and NO leukocytes)  
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Dx for difficulty during ambulation in dimly lit rooms   show
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Common sign of dorsal col or cerebellum   show
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show cerebellum  
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show dorsal col-proprioception problem  
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ataxia is sign of   show
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Most crucial info in case hx of pt w/ post traumatic wrist px   show
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show Osgood Schlatter  
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show waddling  
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What predisposes pt to inc thoracic kyphosis   show
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show loss of perineal sensation  
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Which n. is affected by L5 herniated disc?   show
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Dx for gradually developed elbow px in 25 yo after repetitive use of screwdriver   show
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show costochondritis  
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show Rib fx (lat chest px), hiatal hernia (epigastric px)  
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show pes planus, genu varus, coxa valgus  
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What abn gait most commonly accompanies dysdiadochokinesia, pendular reflex response and dysmetria   show
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What does anatomic R. leg deficiency of 1 cm result in?   show
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How does body compensate for weak hip flexors?   show
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show C5-6, most motion in cervical spine w/ apex of cervical lordosis  
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show weak wrist flexors (C6-7;C6 disc and C7 n.), brachioradialis (C6) and weak wrist extensors (C6)  
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Best dx if cervical flex causes bilat radiating px to all extremities   show
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show muscle spasm, relieves radicular px, subclavian steal syndrome (subclavian steals blood supply causing dizziness)  
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show Adson's test (ipsi head rotation and ext), medial scalene test (contra head rot and ext-modified Adson's), SCM (same side lat flex, oppo side rot)  
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What n. is affected w/ ant scalene based TOS?   show
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What does active hip and knee flex during passive flex of supine pt's neck indicate?   show
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show C7, no reflex for C8  
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What does px on contra side during max cervical compression test indicate?   show
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show kyphosis (secondary epiphysis of vert=endplate)  
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Heuter Volkmann law   show
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Risser Ferguson & Cobb's   show
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Wolff's Law   show
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What positive test indicates ankylosis at the costotransverse and costovertebral articulations?   show
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What is winging of scap in a standing pt usually d/t?   show
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show rib fx  
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What does hip flex during ext rot of the thigh test?   show
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What m. would be tested during hip flex w/ abduction of thigh?   show
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show quadratus lumborum syndrome, px radiating to L buttock indicates sciatic px d/t tightening of piriformis; tightening of QL will cause spasm of piriformis; L5 rot w/ sacrum problem will cause rib subluxation d/t QL  
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show L5=L4 disc  
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show tight hamstrings  
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Where is the lesion if post drawer sign demonstrates hypermobility of the tibia?   show
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Injuries most likely to impair forearm rot?   show
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What does ant drawer test performed w/ 15 degrees of ext rot of lower leg evaluate besides ant cruciate lig?   show
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What are the findings of auditory testing that indicates sensorineural deficit of CN VIII?   show
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A slipped capital femoral epiphysis causes [blank] during passive hip flexion.   show
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show sternoclavicular joint dysfunction  
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Shoulder px at first 20 degrees abd=   show
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Shoulder px at 20-120 degrees abd=   show
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Shoulder px after 120 degrees abd=   show
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show lat epicondylitis (aka tennis elbow), Mill's and Cozen tests or medial epicondylitis (aka golfer's, little leaguer's)  
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show ant talofib problem  
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What is m/c position of ankle sprain?   show
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Sinus tarsi   show
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A lesion of the sensory cortex [blanks] the distance betw two recognizable pts in 2 pt discrimination testing:   show
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show astereognosis  
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show radiations (1/4 of upper or lower quad of the visual field lost)  
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Optic radiations are d/t?   show
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DDx for pt presenting with inability to wrinkle the L forehead or close the L eye tightly. The L side of the mouth does not rise during smiling.   show
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show d/t upper cervical afferent convergence w/ fibers from the nucleus of CN V (has both sensory and motor) (CN IV and VI are motor only)  
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show lesion of abducens  
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Pt. has 20 yr history of DM. Exam indicates hair loss over dorsal aspect of the foot and mid calf of each lower ext. What is the etiology of the hair loss?   show
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What CN is involved when unable to protrude tongue?   show
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show deltoid (C5 only) (biceps have C5-6 shared innvervation)  
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show adductino and flexion issues (ext is radial n., supination is brachioradialis)  
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show muscle weakness  
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Is fasiculation UMN or LMN based?   show
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Is clonus and hyperreflexia UMN or LMN based?   show
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What is the sensory innervation for the dorsum of the foot?   show
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show pulse difference betw upper and lower ext (timing of the femoral vs radial pulse)  
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show aortic arch: upper pulse asymmetrical (R has blood supply, L doesn't)=cephalic, carotid, subclavian; MI=no pulse or pulse, symmetrical; abd aorta=lower pulse asymmetrical  
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What does dr. do to eval for low px threshold?   show
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show deltoid  
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show median  
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Diminished sensation over axilla indicates what n.?   show
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Diminished sensation over elbow indicates what n.?   show
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show pallesthesia (vibration sense)  
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show muscle spindle  
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What is stretched for touch sensation?   show
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show thalamus (brain)  
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show n. root  
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show corticospinal  
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show UMN  
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show spinothalamic and corticobulbar (ascending pathways)  
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Is plantar flex of foot and toes during plantar stimulation normal or abnormal?   show
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show trigeminal  
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What reflex is diminished by a herniated nucleus pulposus which compresses the n. root betw 3rd and 4th lumbar segment?   show
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Ulceration is common finding in which cause of peripheral edema?   show
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Orthostatic edema   show
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show d/t loss of blood flow  
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