NMR Mastery Quiz Spring 2016

Question 1

What area all the test/screenings to be covered (9)

Answer 1

Light touch 
Pain (Sharp/Dull)
Temperature 
Position Sense 
Passive Movement sense 
Cerebellar function 
Isolation of Movement 
Visual Fields 
Visual Tracking

Question 2

Light Touch

Answer 2

Using a cotton swab touch the patient on all surfaces of the skin and have them verbalize when they feel a touch. (eyes closed)

Question 3

Reason for using light touch screen

Answer 3

They are unable to sense someone tapping them to get their attention
They don’t realize when clothing has been move or abducted on their skin

Question 4

Superficial pain (sharp vs dull)

Answer 4

Break a tongue depressor using twisting torsion motion. With the patients eyes closed alternate between the dull and sharp side and have them verbalize if it is sharp or dull

Question 5

Reasons for doing the sharp/dull

Answer 5

When reaching for something they may prick themselves and not realize it until later

Question 6

Temperature touch

Answer 6

Use two test tubes of water one hot and one cold and see if they can tell the difference. Make. Sure you use the same method to apply the test tube to the skin each time

Question 7

Reason for temperature test

Answer 7

Sometimes when they are getting into the tub they can not tell how hot it is and cause some irritation or burning of the skin. Also going outside may not notice if a body part is not covered. Want to see if some modalities are appropriate for use in therapy.

Question 8

Position sense test

Answer 8

Move one joint through chosen range holding a bony landmark. Identify the different positions of end range as up or down. With eyes close work in small alternating ranges and stop to ask them what position they are in.

Question 9

Reason for position sense test

Answer 9

Sometimes when you are in your wheel chair your arm falls off the arm rest and you do not notice and you banged it against a doorway.

Question 10

Passive movement sense

Answer 10

Start with the uninvolved or less involved arm and passively move the arm through random motions. Have the patient mirror the motion of the uninvolved extremity with the involved. If they are unable to perform the movements have them verbalize.

Question 11

What’s another word for passive movement sense

Answer 11

Kinesthesia

Question 12

Why use the passive movement sense test

Answer 12

Sometimes when you are in your wheel chair your arm falls off the arm rest and you do not notice and you banged it against a doorway.

Question 13

What are the cerebellar function tests

Answer 13

Dysmetria
Diadokokinesia
Rebound

Question 14

What is dysmetria

Answer 14

Inability to judge the distance or range of a movement

Question 15

Overshooting a target

Answer 15

Hypermetria

Question 16

Undershooting a target

Answer 16

Hypometria

Question 17

Dymetria test

Answer 17

Finger to nose 
Finger to finger 
Finger to PT's finger 
Opposition of thumb to each finger 
(eyes open and eyes closed)

Question 18

What is Diadokokinesia

Answer 18

Inability to complete rapid alternative movements

Question 19

Diadokokinesia test

Answer 19

Start with nonalternating movements initially and then move to alternating movements
(Eyes open and Eyes closed)

Question 20

Upper Extremity Diadokokinesia Test Movements

Answer 20

Supination
Probation
Wrist flex/Ext
Hand open/closed

Question 21

Lower Extremity Diadokokinesia Test Movements

Answer 21

Dosiflexion
Plantar flexion
Knee flexion
Knee extension

Question 22

What is the rebound phenomenon

Answer 22

Loss of the “check” reflex function to halt forceful movement after resistance has been eliminated

Question 23

Rebound test

Answer 23

PT applies resistance to a joint in one direction and asks the pt to resist. The PT releases and observes the ability of the pt to dampen the response to the loss of resistance.

Question 24

1 joint isolation tests

Answer 24

One joint at a time. We are observing to see if they can do the pattern without any synergistic patterns. If there are two movements occurring at the same time they fail the test.

Question 25

2 joint isolation

Answer 25

Looking at two diffent joints moving at the same time. Each joint that is moving will have to be opposite of the synergy pattern of the other joint which is moving

Question 26

3 joint synergy

Answer 26

3 joints moving one in one synergy pattern and the other two in a different pattern.

Question 27

Flexion synergy of the upper extremity

Answer 27

Scapular elevation and addiction 
GH extension, ER, Abduction 
Elbow flexion 
Forearm Supination 
Wrist flexion 
Finger flexion

Question 28

Extension synergy of lower extremity

Answer 28

Hip extension, IR, adduction
Knee extension
Ankle PF and inversion

Question 29

Extension synergy of upper extremity

Answer 29

Scapular depression and abduction 
GH minor flexion, IR, adduction 
Elbow extension 
Wrist Pronation 
Wrist flex or extension 
Fingers flexed

Question 30

Flexion synergy of lower extremity

Answer 30

Hip flexion, abduction, and ER
Knee flexion
Ankle dorsiflexion
Foot inversion

Question 31

Strongest components of upper extremity flexion synergy

Answer 31

Shoulder addiction and elbow flexion

Question 32

Weakest components of upper extremity flexion synergy

Answer 32

Shoulder abduction

Shoulder ER

Question 33

Strongest component of lower extremity extension

Answer 33

Knee extension
Hip Abduction
Plantar flexion

Question 34

Weakest components of lower extremity extension

Answer 34

Hip extension

Question 35

Document superficial sensations testing

Answer 35

Any areas on the body that have decreased or absent sensation (pt was unable to identify soft touch on the anterior surface of the forearm just distal to the elbow joint line)

Question 36

Document position testing

Answer 36

Patient was unable to identify the position when the elbow was placed in the flexed position showing a lack in proprioceptive awareness in the Right upper extremity

Question 37

Document dysmetria

Answer 37

Pt demonstrated dysmetria with bilateral finger to nose w/ eyes open and closed

Question 38

Document Rebound

Answer 38

Pt demonstrated positive rebound in bilateral upper extremities when testing elbow flexors and knee extensors

Question 39

Temperature range for hot test

Answer 39

104-113

Question 40

Temperature for cold test

Answer 40

41-50