NMS 4

Question 1

gallbaldder pain referral

Answer 1

right shoulder, inferior medial scapula

Question 2

paneas pain referral

Answer 2

spine at T10 level (epigastic)

Question 3

heart pain referral

Answer 3

left shoulder and medial left arm, squeezing pain

Question 4

intestines pain referral

Answer 4

periumbilical

Question 5

appendix pain referral

Answer 5

epigastric- early

RLQ- late

Question 6

kidney referred pain

Answer 6

flank

Question 7

ureter referred pain

Answer 7

groin

Question 8

bladder referred pain

Answer 8

suprapubic area

Question 9

stomach referred pain

Answer 9

knawing

Question 10

abdomen referred pain

Answer 10

tearing (dissecting aneurysm)

Question 11

myofasical pain

Answer 11

trigger point

jump sign

Question 12

sclerotogenous pain

Answer 12

poorly localized, dull, ache

Question 13

bonce cancer pain

Answer 13

constant, deep, boring, nocturnal

progressive, unremitting

Question 14

circulation pain

Answer 14

throbbing, pulsating

Question 15

nerve pain

Answer 15

shooting, radiating, burning, causalgia (severe burning)

Question 16

muscle pain

Answer 16

cramping, spasm, aching, dull

Question 17

referred pain

Answer 17

pain along scleroderm of origination involving more tan one kind of tissue (shared pathway)

Question 18

radicular pain

Answer 18

pain along teh course of a dermatome due to irritation of a nerve root

Question 19

sclerotogenous pain

Answer 19

pain that areises from structures derived from embryological sclerotomes (joint pain, bone on bone)

Question 20

myotogenous

Answer 20

pain that originates within a muscle

Question 21

dermatogenous

Answer 21

pain along the sensory distribution of a NR

Question 22

dermatomes

Answer 22

normal fingidngs includes ability for patient to distinguish between sharp and dull sensations with their eyes closed
abnormalities include anesthesia, hypoesthesia, and hyperesthesia

Question 23

medial plantar nerve
motor
muscle
sensory
disorder

Answer 23

toe flexion
toe flexor muscles
NA
tarsal tunnel syndrome

Question 24

peroneal/fibuar motor
muscle
sensory
disorder

Answer 24

foot dorsiflexion, inversion, eversion
tibialis anterior, toe extensors, peroneals
anterior leg and dorsum of foot
fibular head fracture

Question 25

``` sciatic motor muscle sensory disorder ```

Answer 25

flexion of knee hamstrings ant/post leg, sole/dorsum of foot piriformis syndrome

Question 26

``` femoral nerve motor muscle sensory disorder ```

Answer 26

hip flexion, knee extension iliopsoas, quadricepts anteromedial thigh/leg impingement

Question 27

``` obturator motor muscle sensory disorder ```

Answer 27

hip adduction hip adductor ms medial thigh impingement

Question 28

``` saphenous motor muscle sensory disorder ```

Answer 28

NA NA anteromedial knee, medial leg NA

Question 29

``` lateral femoral cutaneous motor muscle sensory disorder ```

Answer 29

NA NA lateral thigh meralgia paresthesia

Question 30

``` long thoracic motor muscle sensory disorder ```

Answer 30

protraction of scapula serratus anterior NA winged scapula

Question 31

``` dorsal scapular motor muscle sensory disorder ```

Answer 31

elevation and retraction of scapula rhomboids and levator scapula NA flaring of scapula

Question 32

``` ulnar motor muscle sensory disorder ```

Answer 32

abduction of 5th digit and adduction of thumb finger ab/add and thumb add distal ulnar hand, 5th digit, medial 1/2 of 4th digit claw hand

Question 33

``` median motor muscle sensory disorder ```

Answer 33

thumb pinch, opposition of thumb wrist and thumb flexors. thumb abductors, thenar distal radial hand, 2nd digit carpal tunnel, pronator teres, ape hand

Question 34

``` musculocutaneous motor muscle sensory disorder ```

Answer 34

elbow flexion biceps, brachioradialis, coracobrachialis lateral forearm impingement

Question 35

``` radial motor muscle sensory disorder ```

Answer 35

wrist/finger extnesion, thumb abduction wrist/finger extensors, triceps dorsal web between thumb and index wrist drop, crutch palsy, erb's palsy

Question 36

``` axillary motor muscle sensory disorder ```

Answer 36

arm abduction deltoid and teres minor lateral arm glenohumeral dislocation

Question 37

``` S2-4 motor muscle sensory disorder ```

Answer 37

anal wink levator ani/coccygeus perianal cauda equina syndrome

Question 38

``` S1 motor muscle sensory disorder ```

Answer 38

eversion, plantar flexion, hip extension peroneus longus/brevis, glute max lateral aspect of foot and plantar surface of foot NA

Question 39

``` L5 motor muscle sensory disorder ```

Answer 39

toe extension, heel walk, hip abduction extensor digitorum, extensor hallucis lonngus, glute med and min lateral aspect of leg across dorsum of foot to big toe foot drop

Question 40

``` L4 motor muscle sensory disorder ```

Answer 40

inversion and dorsiflexion tibialis anterior medial aspect of leg and foot foot drop

Question 41

``` L2-4 motor muscle sensory disorder ```

Answer 41

hip flexion and adduction, knee extension quads, adductors NA NA

Question 42

``` L1-3 motor muscle sensory disorder ```

Answer 42

hip flexion iliopsoas intuinal lig, oblique below L1, oblique across knee meralgia paresthesia

Question 43

``` T5-12' motor muscle sensory disorder ```

Answer 43

trunk flexion rectus abdominus T5-12 NA

Question 44

``` T1 motor muscle sensory disorder ```

Answer 44

finger abduction, finger adduction dosal interossei, palmer interossei medial elbow NA

Question 45

``` C8 motor muscle sensory disorder ```

Answer 45

finger flexion flexor digitorum superificalis/profundus, lumbricals medial forearm/digits 4-5 klumpke's paralysis

Question 46

``` C7 motor muscle sensory disorder ```

Answer 46

wrist flexion, finger extension flexor carpi ulnaris/radialis, triceps 3rd digit wrist drop

Question 47

``` C6 motor muscle sensory disorder ```

Answer 47

wrist extension extensor carpi ulnaris/radialis, brachialis lateral forearm/digits 1-2 erb's palsy

Question 48

``` C5 motor muscle sensory disorder ```

Answer 48

arm abudction, forearm flexion middle deltoid, biceps brachii lateral arm erb's palsy

Question 49

chaddock's wrist

Answer 49

examiner strokes the distal ulnar side of the forearm near the wirst lfexion of wrist with extension and fanning of fingers

Question 50

gordon's finger

Answer 50

examiner strokes the pisiform of the patient | felxion of wrist and fingers or thumb and index finger

Question 51

tromner

Answer 51

examiner sharply taps the tips of the middle 3 fingers | flexion and adduction of the thumb and flexion of fibners

Question 52

hoffman

Answer 52

exmainer extends middle phalynx and flicks distal phalynx inferior flexion and adduction of thumb and flexion of fingers

Question 53

rossolimo

Answer 53

tap the ball of the foot | plantar flexion of great toe with curling of the other toes

Question 54

schaefer

Answer 54

squeeze achilles tendon | babinski like response

Question 55

gordon's calf

Answer 55

squeeze the calf below the knee | babinski like response

Question 56

oppenheim

Answer 56

stroke down the tibial crest to teh ankle | babinski like response

Question 57

chaddock

Answer 57

stroke lateral malleolus to 5th toe | babinski like response

Question 58

babinski

Answer 58

stroke up lateral aspect of foot to great toe | dorsiflexion of great toe with splaying of other toes

Question 59

absecne of visceral organic reflexes indicates?

Answer 59

UMNL, LMNL

Question 60

ciliospinal procedure afferent efferent

Answer 60

pinch neck while noting dilation of eyes sensory from neck cervical sympathetics

Question 61

oculocardiac procedure afferent efferent

Answer 61

press on eye note slowing of the heart by 10bpm CN V CN X

Question 62

carotid sinus procedure afferent efferent

Answer 62

press on carotid sinus note slowing of heart and decreased pressure C IX CN X