nms Word Scramble
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| nms question | nms answer |
| 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. |
| Inability to recognize familiar aspects of the environment such as shapes, symbols, sounds geometric forms: | agnosia |
| aphasia | difficulty articulation |
| aphagia | difficulty swallowing |
| Cause of transient structural scoliosis: | nerve root irritation-antalgic lean |
| Cause of transient scoliosis? | refers to disc herniation or n. compression |
| Gait assoc. with 60yoa female presenting with stiff posture and absence of facial expression: | propulsion (festinating, rigid) |
| Tremor with MS | intentional |
| Purpose of Jendrassik maneuver: | distract someone when doing a reflex |
| What is indicated by L iliac crest posterior to R? | anterior superior rotation of R ilium |
| What scoliosis is most apt to be problematic at the lowest degree of curvature? | thoracic-d/t pressure on heart |
| Muscles involved when neck ext with R rotation during deep inspiration causes neurovascular compression on the R | scalene muscles |
| Weakness of wrist flexion is d/t a lesion at the [blank] n. | C7 |
| What is the ds with calcification of the tibial collateral liganment along the medial condyle of the femur? | Pellegrini Steida's ds |
| Pellegrini Steida's ds shows as what on x-ray | wisp of smoke |
| Reflex most efficiently tests the C6 N. root: | brachioradialis |
| 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 |
| aka for vascular insufficiency | neurogenic claudication and vascular claudication |
| neurogenic claudication | d/t n.; px occurs at different distances, comes from the spinal cord (both legs affected)so pressure off cord causes relief |
| vascular claudication | d/t vessels-always get to the same spot when px occurs, posture does NOT help |
| Dx for pt that presents with severe HA, morning stiffness, depression, weight loss and fever: | polymyalgia rheumetica-severe stiffness and shoulder px |
| giant cell arteritis aka | temporal arteritis |
| Condition characterized by hair loss, shiny atrophic skin and cyanosis, a cool pale foot with deficient pulses: | arterial insufficiency |
| Action tremors and past pointing are signs of a lesion in: | cerebellum |
| Signs of problem with vestibular nuclei | CN8-equilibrium, vertigo |
| Problem with cerebral motor cortex | crude motion |
| What does an L5 disc herniation likely to produce weakness of hip [blank] and numbness of [blank] | extension; posterolateral aspect of leg-S1 nerve |
| Cause of 50yoa patient presenting with transient episodes of slurred speech which lasts no longer than 120 min. | Carotid artery auscultation |
| 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 |
| tzeitze syndrome | costchondritis |
| Intensified when there is a problem with the pancreas, intestine and colon as a cause of LBP | increased intra abdominal pressure |
| A pt who has the mouth closed tightly has a lesion of which cranial n. | trigeminal-muscles of mastication |
| Often accompanies an upper motor neuron lesion | increased muscle spindle activity |
| Signs of LMN lesion | increased muscle fasciculation and muscle flaccidity |
| Superficial reflex that is the test choice for cauda equina syndrome: | anal wink reflex-S2,S3 |
| Sign of cauda equina syndrome | loss of bowel and bladder |
| Sternal compression test is useful in determining the presence of: | rib fracture-px at the lateral border |
| In a pt with scoliosis, which is not changed with early bending: | structural |
| 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 |
| What reflex is modulated by the ANS? | ciliospinal-pinch neck and eyes dilate |
| Costochondritis | Px at the costosternal articulation during lateral chest cmpression |
| 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 |
| 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 |
| In a pt w/ bilateral sciatic, exacerbation of px occurs with the pt prone and heels approximated to the buttocks: | spinal stenosis |
| Px elicited during strength testing in flexion with ext leg rotation indicates: | iliopsoas strain |
| In pt w/ central lumbar stenosis px is relieved in which position: | flexion |
| A posterolateral disc herniation at which of the following levels affects the L5 n. root: | L4, L5 |
| Structures must be evaluated to verify a shoulder separation: | AC-dislocation is glenohumeral |
| 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 |
| 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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