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Part 2/3 boards > NMS 5 > Flashcards

NMS 5 Flashcards

1
Q

if there is a LMNL, what kind of paralysis can you see?

A

flaccid

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2
Q

if there is an UMNL, what kind of paralysis can you see?

A

spastic

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3
Q

if there is a LMNL, what kind of DTR can you see?

A

hypoactive/absent

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4
Q

if there is an UMNL, what kind of DTR can you see?

A

hyperactive

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5
Q

if there is a LMNL, would you see a pathological reflex?

A

no

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6
Q

if there is an UMNL, would you see a pathological relfex?

A

yes

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7
Q

if there is a LMNL, would you see clonus?

A

no

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8
Q

if there is a UMNL, would you see a clonus?

A

yes

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9
Q

if there is a LMNL, what kind of tone would you see?

A

hypotonic

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10
Q

if there is an UMNL, what kind of tone would you see?

A

hypertonic

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11
Q

if there is a LMNL, would reaction of degeneration be present?

A

yes (won’t respond properly)

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12
Q

if there is an UMNL, would reaction of degeneration present?

A

absent

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13
Q

if there is a LMNL, would atrophy be present?

A

yes

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14
Q

is there is an UMNL, would atrophy be present?

A

no

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15
Q

if there is a LMNL, would fasciculations be present?

A

yes

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16
Q

if there is an UMNL, would fasciculations be present?

A

no

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17
Q

if there is a LMNL, superficial reflexes be present?

A

no

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18
Q

if there is an UMNL, superficial reflexes be present?

A

no

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19
Q

beevor’s

A

while observin the umbilicus, the patient does a partial situp
normal: umbilicus stays midline

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20
Q

afferent/efferent nerves for beevor’s

A

upper: T7-9
lower: T10-12

21
Q

abdominal relfex

A

stroke in all 4 abdominal quadrants toward from umbilicus

normal: umbilicus movees toward side stroked

22
Q

afferent/efferent nerves for abdominal reflex

A

upper: T-79
lower: T10-12

23
Q

plantar reflex

A

stroke up sole of foot see curing of toes and pulling away from foot

24
Q

afferent/efferent nerves for plantar reflex

A

tibial

25
Q

geigel’s

A

stroke up inner female thigh

poupart’s ligament contracts

26
Q

afferent nerve for geigel’s reflex

A

femoral nerve

27
Q

efferent nerve for geigel’s reflex

A

genitofemoral nerve

28
Q

cresmasteric relfex

A

stroke inner thigh of male

ipsilateral rise in testes

29
Q

afferent nerve for cremasteric relfex

A

femoral nerve

30
Q

efferent nerve for cremasteric reflex

A

genitofemoral nerve

31
Q

pharyngeal reflex

A

touch back fo tongue with tongue blade produces gagging

32
Q

afferent nerve for pharyngeal reflex

A

CN IX

33
Q

efferent nerve for pharyngeal reflex

A

CN X

34
Q

corneal reflex

A

touch with cotton wisp produces blinking or tearing

35
Q

afferent nerve for corneal reflex

A

CN V

36
Q

efferent nerve for corneal reflex

A

CN VII

37
Q

nerve and nerve root for jaw jerk

A

trigeminal

CN V

38
Q

nerve and nerve root for bicepts

A

musculocutaneous

C5

39
Q

nerve and nerve root for brachioradialis

A

radial

C6

40
Q

nerve and nerve root for triceps

A

radial

C7

41
Q

nerve and nerve root for patellar (knee jerk)

A

femoral

L4

42
Q

nerve and nerve root for medial hamstring

A

sciatic

L5

43
Q

nerve and nerve root for achilles (ankle jerk)

A

tibial

S1

44
Q

if there is a hypoactive DTR, what lesion is that?

A

LMNL

45
Q

if there is a hyperactive DTR, what lesion is that?

A

UMNL

46
Q

westphal sign

A

absence of any DTR, especially patellar (LMNL)

47
Q

jendrassik’s maneuver (reinforcement test)

A

brings out reflex by cortical distraction

48
Q

reflexes defined and testing

A

defined: involuntary motor responses to potentially harmful stimuli
testing: all tests are done bilaterally with normal side tested first

Part 2/3 boards (16 decks)

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