nms question-answer
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| 49 yoa female presents with an acute complaint of paresthesia over palmar aspect of her R thumb and first 2 fingers. Dx? | Pronator teres syndrome or carpal tunnel-median n.
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| Inability to recognize familiar aspects of the environment such as shapes, symbols, sounds geometric forms: | agnosia
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| aphasia | difficulty articulation
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| aphagia | difficulty swallowing
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| Cause of transient structural scoliosis: | nerve root irritation-antalgic lean
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| Cause of transient scoliosis? | refers to disc herniation or n. compression
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| Gait assoc. with 60yoa female presenting with stiff posture and absence of facial expression: | propulsion (festinating, rigid)
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| Tremor with MS | intentional
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| Purpose of Jendrassik maneuver: | distract someone when doing a reflex
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| What is indicated by L iliac crest posterior to R? | anterior superior rotation of R ilium
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| What scoliosis is most apt to be problematic at the lowest degree of curvature? | thoracic-d/t pressure on heart
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| Muscles involved when neck ext with R rotation during deep inspiration causes neurovascular compression on the R | scalene muscles
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| Weakness of wrist flexion is d/t a lesion at the [blank] n. | C7
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| What is the ds with calcification of the tibial collateral liganment along the medial condyle of the femur? | Pellegrini Steida's ds
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| Pellegrini Steida's ds shows as what on x-ray | wisp of smoke
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| Reflex most efficiently tests the C6 N. root: | brachioradialis
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| A pt experiences episodic px in the lower ext which increases with walking, relieved by a few minutes of rest and not influenced by a stooped posture: | vascular insufficiency
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| aka for vascular insufficiency | neurogenic claudication and vascular claudication
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| neurogenic claudication | d/t n.; px occurs at different distances, comes from the spinal cord (both legs affected)so pressure off cord causes relief
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| vascular claudication | d/t vessels-always get to the same spot when px occurs, posture does NOT help
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| Dx for pt that presents with severe HA, morning stiffness, depression, weight loss and fever: | polymyalgia rheumetica-severe stiffness and shoulder px
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| giant cell arteritis aka | temporal arteritis
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| Condition characterized by hair loss, shiny atrophic skin and cyanosis, a cool pale foot with deficient pulses: | arterial insufficiency
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| Action tremors and past pointing are signs of a lesion in: | cerebellum
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| Signs of problem with vestibular nuclei | CN8-equilibrium, vertigo
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| Problem with cerebral motor cortex | crude motion
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| What does an L5 disc herniation likely to produce weakness of hip [blank] and numbness of [blank] | extension; posterolateral aspect of leg-S1 nerve
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| Cause of 50yoa patient presenting with transient episodes of slurred speech which lasts no longer than 120 min. | Carotid artery auscultation
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| Dx for local tenderness with referral from sclerotomal px elicited by digital pressure on the upper border of the posterior shoulder: | infraspinatus tendinitis-insertion at upper border of the posterior shoulder
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| tzeitze syndrome | costchondritis
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| Intensified when there is a problem with the pancreas, intestine and colon as a cause of LBP | increased intra abdominal pressure
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| A pt who has the mouth closed tightly has a lesion of which cranial n. | trigeminal-muscles of mastication
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| Often accompanies an upper motor neuron lesion | increased muscle spindle activity
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| Signs of LMN lesion | increased muscle fasciculation and muscle flaccidity
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| Superficial reflex that is the test choice for cauda equina syndrome: | anal wink reflex-S2,S3
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| Sign of cauda equina syndrome | loss of bowel and bladder
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| Sternal compression test is useful in determining the presence of: | rib fracture-px at the lateral border
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| In a pt with scoliosis, which is not changed with early bending: | structural
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| Pt presents with a recent hx of decreased abdominal m. tone; examination reveals that the umbilicus migrates to the left and down, when the pt performs a sit-up. Which level is denervated? | T6 to T10 on the R-Beevor's sign; umbilicus migrates to the strong side
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| What reflex is modulated by the ANS? | ciliospinal-pinch neck and eyes dilate
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| Costochondritis | Px at the costosternal articulation during lateral chest cmpression
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| With pt prone the knee is flexed and the hip passively extended. If px is intensifed by this mvmt, where is the lesion? | SI-Yeoman's test
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| Weakness of which of the following mm. is noted if the pt. lifts the R foot and the ipsilateral buttock drops: | L glut medius-Trendelenburg test
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| In a pt w/ bilateral sciatic, exacerbation of px occurs with the pt prone and heels approximated to the buttocks: | spinal stenosis
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| Px elicited during strength testing in flexion with ext leg rotation indicates: | iliopsoas strain
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| In pt w/ central lumbar stenosis px is relieved in which position: | flexion
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| A posterolateral disc herniation at which of the following levels affects the L5 n. root: | L4, L5
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| Structures must be evaluated to verify a shoulder separation: | AC-dislocation is glenohumeral
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| The direct pupillary light reflex tests the integrity of the afferent fibers of the [blank] cranial n. and efferent fibers of the [blank] cranial n. | II and ipsilateral III
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| A pt presentws with a recent hx of episodes of severe vertigo, nausea, vomiting, hearing loss and tinnitus provoked by fatigue, the attacks last two hours: | Meniere's ds-vertigo, tinnitus, hearing loss (deafness) aka endolymphatic hydrops
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