neuroscreen for final

Question 1

When do you perform a neuroscreen exam

Answer 1

burns, diabetes, MS, joint injury, SCI, TBI, CVA, cervical/lumbar involvement

Question 2

Upper motor nerve lesion

Answer 2

neurological condition from damage to corticospinal or pyramidal tract in the brain or spinal cord

Question 3

results of UMNL

Answer 3

hemiplegia, paraplegia, quadriplegia depending on the location and extent

Question 4

Lower motor neuron lesion (LMNL)

Answer 4

injury occurring in the anterior horn cells, nerve root cells or peripheral nervous system

Question 5

LMNL results in..

Answer 5

diminished reflexes, weakness or flaccid paralysis and atrophy

Question 6

Deep tendon reflex (DTR)

Answer 6

the reaction of muscle to being passively stretched by percussion on the tendon

Question 7

What does DTR measure

Answer 7

the integrity of both efferent and afferent peripheral nerves and their central inhibitory controls

Question 8

what might cause a nerve root lesion

Answer 8

herniated disc putting pressure on the nerve root

Question 9

spinothalmic system tests

Answer 9

pain, temperature and crude touch

protective sensing is the test

Question 10

dorsal column/medial lemniscal system tests

Answer 10

pressure, vibration, position sense, discriminative touch, movement sense Discriminative sensation is the test

Question 11

Mechanoreceptors

Answer 11

mechanical pain

Question 12

muscle spindle detects

Answer 12

changes of length AND rate of change

Question 13

golgi tendon organs detect

Answer 13

muscle length change

Question 14

Testing for peripheral nerve lesion/injury

Answer 14

test proximal to distal

Question 15

testing central nervous system lesion such as CVA

Answer 15

test distal to proximal

Question 16

testing a nerve root lesion/injury

Answer 16

test proximal to distal

Question 17

testing with diabetes

Answer 17

test distal to proximal

Question 18

proprioception testing

Answer 18

distal to proximal

Question 19

what is the exception for proprioception testing?

Answer 19

after a joint injury you can test the joint that was injured first but always test bilaterally

Question 20

grading of neuroscreen tests

Answer 20

intact
diminished
absent

Question 21

tests with poor inter-rater reliability

Answer 21

light touch
proprioception
2 pt discrimination

Question 22

common peripheral nerves that get injured

Answer 22

ulnar, median, radial, sciatic, femoral, lateral femoral cutaneous, common peroneal, tibial

Question 23

where do peripheral nerve lesions occur in the body

Answer 23

superficial locations
over bony prominences
where nerves branch off of one another
as they pass through tunnels

Question 24

how long do you hold a myotome test and why

Answer 24

10 secs to check for fading

Question 25

are peripheral nerve lesion myotome tests and nerve root lesion myotome tests unilateral or bilateral

Answer 25

unilaterally tested for stabilization, meaning you test one side at a time

Question 26

position for myotome test nerve root

Answer 26

position of convenience, upright sitting

Question 27

tib post nerve root

Answer 27

L4, L5

Question 28

biceps femoris nerve root

Answer 28

S1, S2

Question 29

semimembranosus nerve root

Answer 29

L5, S1

Question 30

Achilles nerve root

Answer 30

S1, S2

Question 31

Quadriceps nerve root

Answer 31

L3, L4

Question 32

Triceps nerve root

Answer 32

C7

Question 33

Brachioradialis nerve root

Answer 33

C5, C6

Question 34

Biceps nerve root

Answer 34

C5, C6

Question 35

what is a normal graded refelx

Answer 35

2+