Neuromuscular Part Two

Question 1

on the Rancho Los Amigos scale, what level indicates decreased response levels

Answer 1

II-III

Question 2

the Mini-Mental State Examination is used to test

Answer 2

cognitive function

Question 3

elevation in body temperature can be the result of damage to…

Answer 3

hypothalamus

or

brainstem

Question 4

three superficial sensory tests

Answer 4

pain

temperature

touch

Question 5

six corticol sensatory tests

Answer 5

stereoognosis

tactile localization

two-point discrimimation

barognosis

graphesthesia

bilateral simultaneous stimulation

Question 6

how to interpret GCS score

Answer 6

range 3-15

severe brain injury 1-8

moderate brain injury 9-12

minor brain injury 13-15

Question 7

what is stereognosis

Answer 7

test ability to identify familiar objects in hand by touch and manipulation

Question 8

regarding arousal, what is coma

Answer 8

state of unconsciousness from which patient can’t be aroused

Question 9

what is persistent vegitative state

Answer 9

state lasting over 1 year after TBI

state lasting over 3 months for anoxic brain injury

Question 10

what is calculation

Answer 10

counting backwards by 7

Question 11

what will meningeal irritation do to HR, RR, BP

Answer 11

increased HR

increased BP

fluctuating BP

Question 12

pupillary changes could be are tested with what CN

Answer 12

oculomotor III

Question 13

on the Rancho Los Amigos scale, what level indicates confused levels

Answer 13

IV-VI

Question 14

nonfluent aphasia AKA

Answer 14

Broca’s Aphasia

Question 15

what does Cheyne-Stoke respiration follow

Answer 15

depression of frontal lobe and diencephalon dysfunction

Question 16

regarding arousal, what is alertness

Answer 16

patient responds appropriately

open eyes and look at examinter

Question 17

stimulus to stretch (myotatic) reflex

Answer 17

muscle stretch

Question 18

example of agnosia

Answer 18

patient can’t recognize clock by sight, but knows the ticking noise

Question 19

what is kinesthesia

Answer 19

patient can duplicate movement with opposite limb or give verbal report

Question 20

what is joint position sense

Answer 20

up or down

in or out

Question 21

three proprioceptive sensory tests

Answer 21

joint position

kinesthesia

vibration

Question 22

on the Rancho Los Amigos scale, what level indicates no response

Answer 22

1

Question 23

two tests for meningeal irritation

Answer 23

Kernig’s Sign

Brudzinski’s Sign

Question 24

regarding arousal, what is stupor

Answer 24

can only be aroused from sleep only with painful stimuli

verbal responses slow or absent

patient returns to absent state when stimulus removed

Question 25

positive result of Brudzinski's Sign

Answer 25

flexion of hips and knees

Question 26

what is ideomotor apraxia

Answer 26

patient cannot perform task on command but can do it when left alone

Question 27

stretch reflex AKA

Answer 27

myotatic reflex

Question 28

regarding arousal, what is lethargy

Answer 28

appears drowsy can open eyes and look at examiner, but falls asleep easily

Question 29

how to test memory

Answer 29

recall: immediate - name three items said after brief interval recent (short-term) - what did you have for breakfast remote memory (long term) - where were you born

Question 30

vomitting could be the result of damage to what CN

Answer 30

vagus

Question 31

what is Cheyne-Stokes respiration

Answer 31

period of apnea lasting 10-60 seconds followed by gradually increasing depth and frequency of respirations

Question 32

what is global aphasia

Answer 32

impairments in comprehension and production of language

Question 33

how to test length of attention span

Answer 33

recall seven numbers in order presented

Question 34

what is ideational apraxia

Answer 34

patient cannot ever do the task

Question 35

unresponsive vigilance AKA

Answer 35

vegetative state

Question 36

example of topographical test

Answer 36

have a patient walk within familiar environment (waiting room to PT room)

Question 37

on the Rancho Los Amigos scale, what level indicates appropriate levels

Answer 37

VII-VIII

Question 38

damage to the upper pons would lead to

Answer 38

apneustic breathing

Question 39

what is apneustic breathing

Answer 39

abnormal respiration marked by prolonged inspiration

Question 40

what is apraxia

Answer 40

inability to perform voluntary, learned movements in the absence of loss of sensation, strength, coordination, attention, or comprehension

Question 41

order of sensory tests to conduct for someone with NM disorder

Answer 41

superficial proprioceptive cortical

Question 42

regarding arousal, what is obtundation

Answer 42

patient can open eyes and look at examiner responds slowly and is confused decreased alertness and interest in envrionment

Question 43

calculation is a common way to test

Answer 43

higher-level cognitive abilities

Question 44

what is Kernig's Sign

Answer 44

flex hip and knee to chest extend knee

Question 45

three elements of response on the glasgow coma scale

Answer 45

eye opening verbal response motor response

Question 46

what is anosognosia

Answer 46

severe denial, neglect, or lack of awareness of severity of condition

Question 47

the Denis-Browne orthosis is appropriate for someone with

Answer 47

talipes equinovarus

Question 48

what is Brudzinski's Sign

Answer 48

flex neck to chest

Question 49

dysfunction of the lower mid-brain and pons would lead to...

Answer 49

hyperventilation

Question 50

fluent aphasia AKA

Answer 50

Wernicke's Aphasia