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CD2201- Mod 6 > Intro > Flashcards

Flashcards in Intro Deck (24)
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1

BBPV- symptoms, test used

-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

Acute vestibular neuritis- exams used

Vestibule is inflamed
-HINTS exam-> look for nystagmus
- Cover/uncover test (look for nystagmus)

3

Screening for stroke questions

Dizziness
Dysarthria
Diplopia
Dysphagia
Drop attack
Ataxia
Nausea
Nystagmus
Numbness

4

What are some ddx for weakness

ALS
Muscular dystrophy
myasthenia gravis
vid d def
hypothyrodysim

5

Tone of UMNL and LMNL + reflexes

UMN- Spastic, increased reflexes

LMN- Flaccid, decreased reflexes

6

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

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

7

what side would the lesion be on in a cerebellum lesion

same side as lesion

8

What is dysmetria vs dysdiadochokinesis

dysmetria- pt misses target when aiming for somthing

Dysdiadochokinesis- unable to perform rapid alternating movements

9

when is a resting tremor seen vs a tremor when moving

Cerebellar tremor seen when moving whereas basal ganglia tremor during rest

10

What is radiucular loss, mononeuropathy, poluneuropathy

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

When would spacisity happen and characteristics of it

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

12

When would ragitity happen and characterisitcs of it

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

13

What type of disorders result in decreased or absent reflexes

Disorders of sensory limb, LMN, NMJ, muscle itself

14

Examples of disorders that result in decreased/absent reflexes

-diabetes induced peripheral neuropathy
-Space occupying lesion
-myasthenia gravis
-Polymytosis
-Motor neuron disease

15

What areas are affected in an UMN lesion

spinal cord injuries, diseases of motor cortex

16

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

upper limb- normal or hyporeflexic

lower limb- hyperreflexic

17

what type of reflex is hyper and hyporeflexia associated with

Hyperthyroidism- hyperreflexia

Hypothyroidism- hyporeflexia

18

Superficial cut. reflex- levels above and below umbilicus

above- T8,9,10

below- T10,11,12

19

What is light touch testing (tract)

Tests post column

20

What is parethesia, Anesthesia and dysesthesia

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

21

What is painful touch testing (tract)

Lat spinothalamic tract

22

what are the 5 grades to muscle strength

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

what myotomes does grip strength and pinch grip test

C7,8,T1

24

What myotomes does bevers sign test, normal response

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