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CD2201- Mod 6 > Intro > Flashcards

Flashcards in Intro Deck (24)
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1
Q

BBPV- symptoms, test used

A
  • Sudden sensation that you or sourondings are spinning (when head turned quickly)
  • One of the mc types of vertigo
  • Tested using dix halpoke maneuver
2
Q

Acute vestibular neuritis- exams used

A

Vestibule is inflamed

  • HINTS exam-> look for nystagmus
  • Cover/uncover test (look for nystagmus)
3
Q

Screening for stroke questions

A
Dizziness
Dysarthria
Diplopia
Dysphagia
Drop attack
Ataxia
Nausea
Nystagmus
Numbness
4
Q

What are some ddx for weakness

A
ALS
Muscular dystrophy
myasthenia gravis
vid d def
hypothyrodysim
5
Q

Tone of UMNL and LMNL + reflexes

A

UMN- Spastic, increased reflexes

LMN- Flaccid, decreased reflexes

6
Q

What does the lat corticospinal tract carry, ant spinothalmatic and post coloumn

A

lat spino-pain and temp
ant spino- crude touch/pressue
post- Proprioception, vibration, light touch

7
Q

what side would the lesion be on in a cerebellum lesion

A

same side as lesion

8
Q

What is dysmetria vs dysdiadochokinesis

A

dysmetria- pt misses target when aiming for somthing

Dysdiadochokinesis- unable to perform rapid alternating movements

9
Q

when is a resting tremor seen vs a tremor when moving

A

Cerebellar tremor seen when moving whereas basal ganglia tremor during rest

10
Q

What is radiucular loss, mononeuropathy, poluneuropathy

A

radicular- motor/sensory loss to specific dermatome

Mononeuropathy- motor/sensory loss to specific peripheral n (ex carpal tunnel)

Polyneuropathy- glove and stocking type loss (more common in diabetics/ vit def)

11
Q

When would spacisity happen and characteristics of it

A

corticospinal tract damage

-unideirectional and velocity/amplitude dependent (faster = harder to move)

12
Q

When would ragitity happen and characterisitcs of it

A
Extrapyramidal damage (basal ganglia)
-Bidirectional + not velocity/amplitude dependent
13
Q

What type of disorders result in decreased or absent reflexes

A

Disorders of sensory limb, LMN, NMJ, muscle itself

14
Q

Examples of disorders that result in decreased/absent reflexes

A
  • diabetes induced peripheral neuropathy
  • Space occupying lesion
  • myasthenia gravis
  • Polymytosis
  • Motor neuron disease
15
Q

What areas are affected in an UMN lesion

A

spinal cord injuries, diseases of motor cortex

16
Q

Cervical spinal myelopothy would cause what type of reflexes in upper and lower limb

A

upper limb- normal or hyporeflexic

lower limb- hyperreflexic

17
Q

what type of reflex is hyper and hyporeflexia associated with

A

Hyperthyroidism- hyperreflexia

Hypothyroidism- hyporeflexia

18
Q

Superficial cut. reflex- levels above and below umbilicus

A

above- T8,9,10

below- T10,11,12

19
Q

What is light touch testing (tract)

A

Tests post column

20
Q

What is parethesia, Anesthesia and dysesthesia

A

Parethesisia- altered sensation
Anethesisia- loss of sensation
Dysesthesisa- painful sensation

21
Q

What is painful touch testing (tract)

A

Lat spinothalamic tract

22
Q

what are the 5 grades to muscle strength

A
0- no contraction
1- barely detectable flicker/trace
2- Active not against gravity
3- active against gravity
4- active against gravity with some resistence
5- Actibe against full resistence
23
Q

what myotomes does grip strength and pinch grip test

A

C7,8,T1

24
Q

What myotomes does bevers sign test, normal response

A

umbilicus should not much
T7-T10- above umbilicus (abnormal= moves down)
T10-12- bellow umbilicus (abnormal=moves up)