master neuro class

Question 1

titubation symptom - located where

Answer 1

cerebellum lesion

involuntary head nod

Question 2

modified ashworth scale - 0

Answer 2

no increase in tone

Question 3

modified ashworth scale - 1

Answer 3

slight increasse in mm tone manifested by a catch and release or minamal resistance at the end of the ROM when the affected part(s) is moved into flexion or extension

Question 4

modified ashworth scale - 1+

Answer 4

slight increase in mm tone, manifested by a catch followed by minimal resistance throughout the remainder (less than half) of the ROM

no release

Question 5

modified ashworth scale - 2

Answer 5

more marked increase in mm tone through most of the ROM, but affected part(s) easily moved

Question 6

modified ashworth scale - 3

Answer 6

considerable increase in mm tone, PROM difficult

Question 7

modified ashworth scale - 4

Answer 7

affected parts rigid in flexion or extension

Question 8

how are the reflexes in a basal ganglia impairment/lesion

Answer 8

normal

Question 9

how are the reflexes in a cerebellum impairment/lesion

Answer 9

normal or decreased

Question 10

how is sensation in a basal ganglia impairment/lesion

Answer 10

normal

Question 11

how is sensation in a cerebellum impairment/lesion

Answer 11

normal

Question 12

gloscow coma scale: spontaneous eye opening score

Answer 12

4

Question 13

gloscow coma scale: to sound eye opening score

Answer 13

3

Question 14

gloscow coma scale: to pain eye opening score

Answer 14

2

Question 15

gloscow coma scale: never eye opening score

Answer 15

1

Question 16

gloscow coma scale: motor response - obeys command score

Answer 16

6

Question 17

gloscow coma scale: motor response - localizes pain score

Answer 17

5

Question 18

gloscow coma scale: motor response - normal flexion score

Answer 18

4

Question 19

gloscow coma scale: motor response - abnormal flexion score

Answer 19

3

Question 20

gloscow coma scale: motor response - extension score

Answer 20

2

Question 21

gloscow coma scale: motor response - none score

Answer 21

1

Question 22

gloscow coma scale: verbal response - oriented score

Answer 22

5

Question 23

gloscow coma scale: verbal response - confused conversation score

Answer 23

4

Question 24

gloscow coma scale: verbal response - inapproprate words score

Answer 24

3

Question 25

gloscow coma scale: verbal response - incomprehensible sounds score

Answer 25

2

Question 26

gloscow coma scale: verbal response - none score

Answer 26

1

Question 27

gloscow coma scale: mild mod severe

Answer 27

mild: 13-15 mod: 9-12 severe: <9

Question 28

how can you differentiate bells palsy vs CVA

Answer 28

bells palsy affects entire half of face CVA affects bottom half of face

Question 29

explain GBS

Answer 29

G: glove and stocking B: bilateral S: symmetrical abnormal sensation low reflex LMN LE>UE distal to proximal

Question 30

what unique signs/symtoms does MS have

Answer 30

lhermittes: painful c/s flex (hair is messy) Uthoff: heat intolerance (u hot) charcoits triad: "SIN" scanning speech, intention tremor, nystagmus optic neuritis: CN 5 marcus gunn pupil

Question 31

what direction of mm weakness do DMD patients experience

Answer 31

proximal to distal

Question 32

which way does someone with pushers sydnrome push

Answer 32

pushes to weaker side

Question 33

what lesion in the brain causes pushers syndrome

Answer 33

thalamus syndrome

Question 34

what lesion causes unilateral neglect

Answer 34

R parietal lobe

Question 35

propsopagnosia

Answer 35

visual agnosia, difficulty naming familiar people caused from occipital lobe - PCA lesion

Question 36

anosognosia

Answer 36

denial of disease lack of awareness or denial of paretic extremity | a- NO- sognsia

Question 37

what lesion causes anosognosia

Answer 37

R parietal

Question 38

somatoagnosia

Answer 38

impaired body schema, lack of awarenss of body structure and the relationship of body parts to oneself or to others in order words, difficulty following instructions that require distinguishing body parts an may be unable to imitate movements of the therapist

Question 39

AICA

Answer 39

lateral portion - pons - ataxia - lateral STT: pain and temp on opp side - CN 5,7,8 (CN 6 is medial) ## Footnote CE MI PONS MEDU

Question 40

PICA

Answer 40

lateral portion - medulla - ataxia - lateral STT: pain and temp on opp side - CN 9,10,11 (12 is medial)

Question 41

what level of injury can patients use tenodesis

Answer 41

c6

Question 42

ramp width

Answer 42

36 in

Question 43

ramp landings

Answer 43

30in

Question 44

door width

Answer 44

32 in

Question 45

BBS fall risk cut off

Answer 45

less than 45/56

Question 46

tinneti balance and gait assessment cut off

Answer 46

<19 high fall risk 19-23 mod >= 24 low fall risk

Question 47

DGI cut off

Answer 47

<= 19/24

Question 48

FGI cut off

Answer 48

<=22/30

Question 49

TUG cut offs

Answer 49

healthy adults - 9 sec or less frail elderly/disability - 11-20 sec impaired functional mobility/high risk: >30