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NYCC Patient Assessment 1 > LE Peripheral Nerves > Flashcards

LE Peripheral Nerves Flashcards

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1
Q

You suspect your patient has carpal tunnel syndrome, if you are correct, which thumb muscle would test at 5/5?

A. Adductor pollicis
B. Opponens Pollicis
C. Flexor digitorum superficialis
D. Flexor pollicus brevis
E. Flexor digitorum profundus

A

A. Adductor pollicis

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2
Q

What test is used to test for the PRESENCE of an anterior dislocation of the shoulder?

A

Dugas

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3
Q

What muscle(s) is/are used to evaluate an L4 MRS?

A

Tibialis anterior and quadriceps

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4
Q

What muscle(s) is/are used to evaluate an L5 MRS?

A

Extensor hallicus longus and brevis
Extensor digitorum
ABductors

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5
Q

What muscle(s) is/are used to evaluate an S1 MRS?

A

Peroneus longus and brevis
Gastrocnemius
Soleus
Gluteus maximus

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6
Q

What type of pain is usually described as cramping, spasm, or aching?

A. Neurologic
B. Dermatogenous
C. Sclerotogenous
D. Myotogenous
E. Vascular

A

D. Myotogenous

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7
Q

What is neurologic pain?

A

Pain coming from or along nerves described as sharp, radiating, numbness, shooting, or shock-like pain

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8
Q

What is dermatogenous pain?

A

Neural pain following dermatomes

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9
Q

What is sclerotogenous pain?

A

Referred pain that occurs when there is a sensory irritation to a structure that shared embryological mesodermal innervation described as shooting, radiating, and causalgia

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10
Q

What is myotogenous pain?

A

Pain originating from within muscle such as with trigger point referral described as cramping, spasm, or aching

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11
Q

What is causalgia?

A

Burning pain

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12
Q

What is vascular pain?

A

Pain that is throbbing or pulsating and worsened with activity

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13
Q

What are the peripheral nerves of the lower extremity?

A

Femoral
Obturator
Superficial peroneal
Deep peroneal
Tibial
Superior gluteal nerve
Inferior gluteal nerve
Common peroneal

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14
Q

What are the spinal levels of the femoral nerve?

A

L2-L4

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15
Q

What are the spinal levels of the obturator nerve?

A

L2-L4

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16
Q

What are the spinal levels of the sciatic nerve?

A

L4-S3

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17
Q

Where is the pure patch for the femoral nerve?

A

Anterior thigh

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18
Q

Where is the pure patch for the obturator nerve?

A

Vastus medialis medially just above the knee

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19
Q

Where is the pure patch for the superficial peroneal nerve?

A

Lateral aspect of the lower leg

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20
Q

Where is the pure patch for the deep peroneal nerve?

A

Web between the 1st and 2nd metatarsals

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21
Q

Where is the pure patch for the tibial nerve?

A

Heel of the foot

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22
Q

A dorsiflexion and eversion ankle sprain can cause damage to what nerve?

A

Common peroneal nerve

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23
Q

What are the branches of the common fibular nerve?

A

Superficial fibular nerve and deep fibular nerve

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24
Q

Where is the pure patch for the common peroneal nerve?

A

Head of the fibula

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25
What is the muscle and reflex test for the common peroneal nerve?
NONE
26
What nerve wraps around the head of the fibula?
Common peroneal nerve
27
What muscle is the most commonly used and the smallest muscle tested first for a femoral nerve MRS?
Sartorius
28
What muscles are tested for a femoral nerve MRS?
Sartorius Quadriceps Iliopsoas
29
What is the longest muscle in the body?
Sartorius
30
How is a muscle test for the sartorius performed for a femoral nerve MRS?
Position patients leg in flexion, external rotation of the hip, and knee flexion. Doctors inferior hand pulls as the superior hand pushes inferiorly to straighten out the leg
31
How is a muscle test for the quadriceps performed for a femoral nerve MRS?
Patient seated with knee extended to 120 degrees. Doctor challenges to flex the knee against resistance
32
How is a muscle test for the iliopsoas performed for a femoral nerve MRS?
Patient is supine, as the doctor flexes, ABducts, and externally rotates the hip Doctor then presses the leg into ABduction and extension and stabilizes on the opposite thigh
33
What is the reflex for a femoral nerve MRS?
Patellar
34
What muscles make up the pes anserine complex and where do they attach?
Sartorius Gracilis Semitendinosus Attach to the superomedial tibia
35
When testing the iliopsoas what directions are you moving/positioning the lower extremity?
Flexion of the hip, abduction, and external rotation
36
In what direction is the doctor pressing the leg for an iliopsoas muscle test?
Press leg into ABduction and extension
37
Stabilizing on osseous prominences during muscle tests leads to _______________________________?
Weaker muscle performance
38
What is the most commonly used and smallest muscle tested first for the obturator nerve MRS?
ADductors
39
What muscle(s) are tested for an obturator nerve MRS?
ADductors
40
How is a muscle test for the ADductors performed for an obturator nerve MRS?
Patient is side-lying. Doctor supports top leg while pressing the bottom leg into ABduction
41
What is the reflex test for an obturator nerve MRS?
None
42
What are the spinal levels for the superficial peroneal nerve?
S1 (L5 also)
43
What are the spinal levels for the deep peroneal nerve?
S1 (L5 also)
44
What is the most commonly used and smallest muscle tested first for a superficial peroneal nerve MRS?
Peroneus longus and brevis
45
How is a muscle test for peroneus longus and brevis performed for a superficial peroneal nerve MRS?
Place the foot down and out while the doctor pulls up and in
46
What is the reflex test for the superficial peroneal nerve MRS?
NONE
47
What is the smallest and most commonly tested muscle first for a deep peroneal nerve MRS?
Extensor hallicus longus and brevis
48
What muscle(s) are tested for a deep peroneal nerve MRS?
Extensor hallicus longus and brevis Extensor digitorum Tibialis anterior Peroneus tertius (OPTIONAL)
49
What nerve innervates extensor hallicus longus/brevis, extensor digitorum, tibialis anterior, and peroneus tertius?
Deep peroneal nerve
50
The deep peroneal (fibular) nerve innervates what compartment of the leg?
Anterior (extensors/dorsiflexors)
51
The tibial nerve innervates what compartment of the leg?
Posterior (Flexors/plantarflexors)
52
What nerve innervates sartorius, iliopsoas, pectineus, and the quadriceps complex?
Femoral
53
The obturator nerve innervates what compartment of the leg?
Medial (ADductors)
54
The femoral nerve innervates what compartment of the leg?
Anterior (Quadriceps and hip flexors/knee extensors)
55
What is the reflex test for a deep peroneal nerve MRS?
NONE
56
What is the most commonly used and smallest muscle tested first for the tibial nerve MRS?
Tibialis posterior
57
What muscle(s) are tested for a tibial nerve MRS?
Tibialis posterior Gastrocnemius Soleus Medial hamstring
58
How is a muscle test for tibialis posterior performed for a tibial nerve MRS?
Place the foot down and in and the doctor pulls up and out
59
How is a muscle test for the medial hamstring performed?
Patient prone, knee flexed to 120 degrees with hip internally rotated Doctor challenges to extend the knee with doctor stabilizing above the iliac crest
60
What is the reflex for a tibial nerve MRS?
Achilles tendon
61
What muscles are innervated by the superior gluteal nerve?
Gluteus medius Gluteus minimus Tensor fascia lata
62
What is the action of the tensor fascia lata?
Stabilize knee and external rotation of the hip
63
What is the action of gluteus medius and minimus?
Abduction and medial rotation of the thigh
64
What muscles are tested for a superior gluteal nerve muscle test?
Tensor fascia lata Hip ABductors Gluteus medius
65
How is a muscle test for the TFL for the superior gluteal nerve performed?
Patient is supine, doctor flexes, abducts, and internally rotates the hip while the doctor presses the leg into ADduction and extension
66
How is a muscle test for the hip ABductors for the superior gluteal nerve performed?
Patient is side-lying and the doctor presses the top leg into ADduction and stabilizes above the iliac crest
67
How is a muscle test for the gluteus medius for the superior gluteal nerve performed?
Patient is sidelying with the lower extremity abducted slightly, extended, and slightly externally rotated while the doctor presses the top leg into ADduction and flexion
68
What muscle is innervated by the inferior gluteal nerve?
Gluteus maximus
69
What is the main spinal level of the superior gluteal nerve?
L5
70
The tibial branch is a branch of the _____________ nerve and innervates the medial hamstring?
Sciatic
71
What muscle is tested for an inferior gluteal nerve muscle test?
Gluteus maximus
72
What muscle is innervated by the tibial and peroneal branches of the sciatic nerve primarily from S1?
Lateral hamstring
73
How is a lateral hamstring muscle test performed?
Patient prone, knee flexed to 90 degrees with the hip externally rotated Doctor challenges to extend the knee
74
What nerve root is motor to peroneus longus and brevis?
S1
75
What nerve root is sensory to peroneus longus and brevis?
L5
76
What nerve root is motor to tibialis anterior?
L4

NYCC Patient Assessment 1 (15 decks)

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