Midterm -- Pt2

Question 1

For nervoscope findings, what do we call it when the needle deflects over MULTIPLE segmental levels/dermatomes? It this normal?

Answer 1

Heat Swing; yes, it is normal physiology and it’s the bodies natural thermal fluctuations

Question 2

For the nervoscope findings, what do we call it when the needle deflects over a SINGLE segmental level/dermatome?

Answer 2

Break

Question 3

T/F. Breaks are repeatable

Answer 3

True

Question 4

What is the ideal movement of the needle for a Break?

Answer 4

ldeal 2 increments or more

Question 5

How do you tell if a stool is the correct height for the doc?

Answer 5

docs inferior patella should be at top of stool

Question 6

Which way to the angled legs face of the stool?

Answer 6

face back

Question 7

What is proper patient preparation in order to run a scope on someone?

Answer 7

• access to spine from occiput to S2 tubercle (shirt off/gown)
• Remove: glasses, hats, chains
• ideal acclimation time to room temp = 10mins

Question 8

Cervical Glide:

1. doctor stance
2. patent placement
3. scope grip
4. Probe width

Answer 8

1. scissored; forward knee touching outside of stool
2. seated to back of stool
3. 1 hand grip
4. parallel to inward

Question 9

Cervical Glide:

1. Start at
2. Finish at
3. Marking break
4. Misc. needs

Answer 9

1. T1
2. 1/2” onto occiput (bowel level w/ occiput)
3. 1/4” below mid thermocouple on side of 1st deflection
4. hair sweep OR forehead stabilization

Question 10

Thoracolumbar Glide:

1. doctor stance
2. patent placement
3. scope grip
4. Probe width

Answer 10

1. scissored; forward knee touching inside of stool
2. seated hand widths forward from back of stool
3. dual hand grip
4. parallel to outward

Question 11

Thoracolumbar Glide:

1. Start at
2. Finish at
3. Marking break
4. Misc. needs

Answer 11

1. C7
2. S2
3. 1/2” above mid thermocouple on side of 1st deflection
4. full access to S2 before start

Question 12

Seconds per segment:

Cervical

Thoracolumbar

Answer 12

Cervical– 3 secs (~18-21 total)

Thoracolumbar– 2 secs (~35-38 total)

Question 13

For occiput - C1 where is usually the break location?

Answer 13

Suboccipital– b/w the 2 segments (upper cervical)

Question 14

For C2-T3 where will the break location typically be?

Answer 14

interspinous space below

Question 15

For T4 where will a typically break location be?

Answer 15

at its own spinous level

Question 16

For T5-T9 where will a typically break location be?

Answer 16

interspinous space above

Question 17

For T10-T12 where will a typically break location be?

Answer 17

at its own spinous level

Question 18

For L1-L5 where will a typically break be?

Answer 18

lower 25% of spinous of involved segment

Question 19

For the given segments, where can one expect to see the break?

1. Occiput - C1
2. C2-T3
3. T4
4. T5-T9
5. T10-T12
6. L1-L5

Answer 19

1. suboccipital–b/w 2 segments
2. interspinous space below
3. at its own spinous level
4. interspinous space above
5. at its own spinous level
6. lower 25% of spinous of involved segment

Question 20

For documentation of a Break, what is all needed?

Answer 20

• segmental level
• direction of break (1st deflection)
• amplitude (increments)

Ex: T8/Lt/3
or C2/Rt/2

Question 21

What components of the VSC would the Tytron fall under?

Answer 21

Neuropathology– thermoregulation

Histopathology – inflammation, edema

Question 22

What componenets of the PART system would the Tytron usuage fall under?

Answer 22

T– Tissue/tone changes

Question 23

When using the Tytron, what is the patient placement? What is the doctor stance?

Answer 23

Patient seated to back of stool, feet out, hands in lap and access from S3 to C1

No kneeling or squatting

Question 24

Using the Tytron:

1. Starting location
2. Trigger?
3. When do you start?
4. Stopping location

Answer 24

1. rollers over S3, barrels over S2
2. pull trigger and hold
3. start moving on 2nd beep
4. release trigger at C1

don’t forget hairsweep

Question 25

How many seconds per segment when using the Tytron?

Answer 25

1 second/segment

Question 26

Describe the barrel positioning when using the Tytron.

Answer 26

as close to skin but w/o touching and follow disc plane lines

Question 27

How do you do the Mastoid Fossa Scan using the Tytron?

Answer 27

- press "F" for fossa Scan - 1st Right barrel Right ear - 2nd Right barrel Left ear - hold barrow 90 degrees to fossa - hold trigger for 3 seconds

Question 28

What is considered significant for the Mastoid Fossa scan?

Answer 28

greater that 0.5 degrees Celsius

Question 29

When using the Tytron, what do you press to get the Bar graph?

Answer 29

"B"

Question 30

When usuing the Tytron what do you press to get the anatomy?

Answer 30

"A"

Question 31

T/F. A normal thermoregulation should be constant.

Answer 31

False!! It should fluctuate

Question 32

What is the Pattern analysis aspect when using the Tytron?

Answer 32

- pattern of thermal fixation - once "pattern" is noted, all future scans are compared to established "pattern" (do not want a pattern, that means body ins't adapting well)

Question 33

What would an Adaptive scan outsome look like for the Tytron?

Answer 33

- normal changes in thermoregulation that fluctuate with patient's presentation and env. - tend to be smooth gradual line presentations - DO NOT follow a pattern of consistency - NOT reproducible

Question 34

T/F. A Break is reproducible.

Answer 34

True

Question 35

What would a Stress scan outcome look like for the Tytron?

Answer 35

- abnormal changes in thermoregulation - tend to be sharp and irregular line presentations - Not reproducible - can be results of: pain, caffeine, drugs, emotional stress....

Question 36

T/F. Adaptive scans are not reproducible, and Stress can outcomes are.

Answer 36

False-- BOTH are NOT reproducible

Question 37

What would a pattern scan outcome look like for the Tytron?

Answer 37

- abnormal fixation of thermoregulation - can be smooth and sharp in line presentation - REPRODUCIBLE

Question 38

What makes a Pattern scan outcome different than an Adaptive or Stress scan outcome when using the Tytron?

Answer 38

The Pattern scan outcome is REPRODUCIBLE (the other two are NOT reproducible)

Question 39

Does the Tytron have a Neurocalometer ability?

Answer 39

Yes