neuro exam

Question 1

what does pronator drift suggest?

Answer 1

UMN leision

Question 2

what does clasp knife spasticity suggest?

Answer 2

UMN sign

Question 3

what does leadpipe and cogwheel rigidity suggest?

Answer 3

extrapyramidal leision such as parkinsons disease

Question 4

what is the difference between an intention tremor and an essential tremor?

Answer 4

• essential tremor occurs throughout the movement

- intention tremor only occurs at the end of the action

Question 5

which pathway is responsible for feeling pain and temperature?

Answer 5

• spinothalamic

Question 6

which pathway is responsible for feeling light touch, proprioception and vibration?

Answer 6

• medial lemiscus

Question 7

what nerves are you checking in the chicken stance- deltoids?

Answer 7

c5

Question 8

what nerves are you checking in the boxer stance- biceps and triceps?

Answer 8

c6/7

Question 9

what is pushing wrist up checking?

Answer 9

c7/8

Question 10

what is pushing wrist down checking?

Answer 10

c7

Question 11

what is the supinator reflex checking?

Answer 11

• the wrists

- c5/6- primarily c6

Question 12

what are you checking with the biceps tendon reflex?

Answer 12

• c5/6, but mainly 5

Question 13

what is the triceps tendon reflex testing?

Answer 13

c7

Question 14

what is reinforcement when you are eliciting the reflex?

Answer 14

• exagerates the reflex because they are distracted- e.g. clench your teeth whilst i try to elicit the reflex

Question 15

how do you test vibrational sensation in the upper limbs?

Answer 15

• start at the distal bone prominance

- if they cant feel it there then move upwards

Question 16

how to check for coordination in the upper limbs?

Answer 16

• finger to nose test

- dysdidokinesia test