NMS 5 Flashcards

(48 cards)

1
Q

if there is a LMNL, what kind of paralysis can you see?

A

flaccid

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2
Q

if there is an UMNL, what kind of paralysis can you see?

A

spastic

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3
Q

if there is a LMNL, what kind of DTR can you see?

A

hypoactive/absent

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4
Q

if there is an UMNL, what kind of DTR can you see?

A

hyperactive

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5
Q

if there is a LMNL, would you see a pathological reflex?

A

no

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6
Q

if there is an UMNL, would you see a pathological relfex?

A

yes

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7
Q

if there is a LMNL, would you see clonus?

A

no

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8
Q

if there is a UMNL, would you see a clonus?

A

yes

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9
Q

if there is a LMNL, what kind of tone would you see?

A

hypotonic

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10
Q

if there is an UMNL, what kind of tone would you see?

A

hypertonic

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11
Q

if there is a LMNL, would reaction of degeneration be present?

A

yes (won’t respond properly)

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12
Q

if there is an UMNL, would reaction of degeneration present?

A

absent

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13
Q

if there is a LMNL, would atrophy be present?

A

yes

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14
Q

is there is an UMNL, would atrophy be present?

A

no

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15
Q

if there is a LMNL, would fasciculations be present?

A

yes

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16
Q

if there is an UMNL, would fasciculations be present?

A

no

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17
Q

if there is a LMNL, superficial reflexes be present?

A

no

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18
Q

if there is an UMNL, superficial reflexes be present?

A

no

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19
Q

beevor’s

A

while observin the umbilicus, the patient does a partial situp
normal: umbilicus stays midline

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20
Q

afferent/efferent nerves for beevor’s

A

upper: T7-9
lower: T10-12

21
Q

abdominal relfex

A

stroke in all 4 abdominal quadrants toward from umbilicus

normal: umbilicus movees toward side stroked

22
Q

afferent/efferent nerves for abdominal reflex

A

upper: T-79
lower: T10-12

23
Q

plantar reflex

A

stroke up sole of foot see curing of toes and pulling away from foot

24
Q

afferent/efferent nerves for plantar reflex

25
geigel's
stroke up inner female thigh | poupart's ligament contracts
26
afferent nerve for geigel's reflex
femoral nerve
27
efferent nerve for geigel's reflex
genitofemoral nerve
28
cresmasteric relfex
stroke inner thigh of male | ipsilateral rise in testes
29
afferent nerve for cremasteric relfex
femoral nerve
30
efferent nerve for cremasteric reflex
genitofemoral nerve
31
pharyngeal reflex
touch back fo tongue with tongue blade produces gagging
32
afferent nerve for pharyngeal reflex
CN IX
33
efferent nerve for pharyngeal reflex
CN X
34
corneal reflex
touch with cotton wisp produces blinking or tearing
35
afferent nerve for corneal reflex
CN V
36
efferent nerve for corneal reflex
CN VII
37
nerve and nerve root for jaw jerk
trigeminal | CN V
38
nerve and nerve root for bicepts
musculocutaneous | C5
39
nerve and nerve root for brachioradialis
radial | C6
40
nerve and nerve root for triceps
radial | C7
41
nerve and nerve root for patellar (knee jerk)
femoral | L4
42
nerve and nerve root for medial hamstring
sciatic | L5
43
nerve and nerve root for achilles (ankle jerk)
tibial | S1
44
if there is a hypoactive DTR, what lesion is that?
LMNL
45
if there is a hyperactive DTR, what lesion is that?
UMNL
46
westphal sign
absence of any DTR, especially patellar (LMNL)
47
jendrassik's maneuver (reinforcement test)
brings out reflex by cortical distraction
48
reflexes defined and testing
defined: involuntary motor responses to potentially harmful stimuli testing: all tests are done bilaterally with normal side tested first