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*Part II Supplemental > Part II NBS NMS > Flashcards

Part II NBS NMS Flashcards

1
Q

What movement exacerbates radiculopathy (IVF encroachment)

A

Extension

Lateral Flexion and rotation

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2
Q

ADI instability exacerbated by

A

Flexion

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3
Q

ADI instability is associated with what condition

A

RA

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4
Q

Flexion also exacerbates …

A

OA (uncinate hypertrophy) in lower cervical –> CANAL STENOSIS

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5
Q

Disease of the spinal cord is definition of…

A

Myelopathy

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6
Q

Myelopathy mainly occur where?

A

Cervical spine

Cervical = Radiculo & Myelo

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7
Q

Lumbar spine is “married” to

A

Radiculopathy

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8
Q

Radiculopathy commonly occurs where

A

C5-T1, L4-S1

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9
Q

Dermatogenous pain is associated with

A

Radiculopathy

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10
Q

LMNL, Peripheral Nerve Entrapment (PNE), causalgia (burning nerve pain)

A

Neuropathy

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11
Q

UMNL, Bilateral symptoms, neck flexion

A

Myelopathy

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12
Q

LMNL, local pain

A

Radiculopathy, Neuropathy

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13
Q

Cerebellum is responsible for

A

MOTOR
Speech
Gait

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14
Q

Cerebellum is associated with CHARCOT’S TRIAD, which has symptoms of

A

SIN (Speech, Intention tremor, Nystagmus)

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15
Q

Cerebellum test

A

Heel to shin
DIadochokinesia
Finger to nose

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16
Q

Cerebellum disease

A

Alcoholism
MS
Motor ataxia

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17
Q

Posterior Column responsibility

A

Sensory
2 point discrimination
Position sense (conscious)
VIBRATION (MAIN)

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18
Q

THE BEST test to test vibration

A

POST COLUMN test

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19
Q

Posterior Column tests

A

ROMBERG
2 Pins
128 tuning fork
Toe placement

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20
Q

Disease associated with posterior column

A 
SYPHILIS
MS
PLS (Primary lateral Sclerosis)
DM
Sensory ataxia (SLAPPAGE GAIT)
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21
Q

Primary Lateral Sclerosis (PLS) associated with what vitamin deficiency and what condition?

A

B12

CHRONIC GASTRITIS —> pernicious anemia –> STOCKING AND GLOVE PARESTHESIA

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22
Q

Stocking and glove paresthesia is associated with …

A

PLS

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23
Q

Corticospinal tract responsibility is

A

Motor

Voluntary Motor

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24
Q

Corticospinal tract test

A

Muscle test
Mensuration
DTR

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25
Corticospinal tract disease
UMNL - before anterior cell | LMNL - anterior cell to periphery
26
SLAPPAGE GAIT is associated with
= Sensory ataxia | Posterior Column Disease
27
Dorsal Column Cortex helps to discriminate. What are the tests?
Barognosis (weight and size), Stereognosis and Graphognosis (shape)
28
Lateral Spinothalamic tract disease
Syringomyelia - loss of pain and temp BILATERALLY
29
Death of muscle ...
Fasciculation
30
Fasciculation in UNML vs LMNL
UMNL - absent | LMNL - present
31
Superficial reflex in UNML vs LMNL
ABSENT in BOTH | unilateral (LMNL), bilateral (UMNL)
32
UMNL disease
Pyramidal lesion (motor) CVA Tumor
33
LMNL disease
DISC PNE IVF
34
UNML & LMNL disease
MS | ALS
35
Motor Neurological Disease (5)
``` MD (Erb's Duchenne) Myasthenia Gravis ALS Cerebral Palsy Parkinson's ```
36
Sex linked in young boy, fatal by 20, difficulty walking, albuminuria, creatinuria, cpk-mm weak muscles, pseudohypertropy
Erb Duchenne
37
Gower's sign
Erb Duchenne
38
LMNL affecting the Myoneural junction (CN MUSCLES), Face, Sshoulder, DESCENDING Paralysis, DIPLOPIA, swallowing, fatigue, masked faces, intermittent (naps, sleep, etc)
Myasthenia Gravis
39
Face & Intermittent --> think?
Myasthenia
40
Bulbar palsy is frequently affected in ...
ALS | Bulbar palsy - can't swallow, phonate, breath, chew
41
Scissors Gait, Athetoid, Chorea
Cerebral palsy
42
Basal ganglia (Substantia Nigra), Dopamine, extrapyramidal tract (resting tremor), festinating gait, blank stare (masked face), oily, dependent arm
Parkinsons | Paralysis Agitans
43
Dopamine is precursor for
Epi and NE
44
Fluid filled cavitation that expands and put pressure on the lateral spinothalamic tract first (sensory) then expands onto other tracts (motor).
Syringomyelia
45
Syringomyelia usually occurs where?
Cervical spine
46
Pain ant temperature loss in shawl like distribution is associated with
Syringomyelia
47
Stocking and gloves paresthesia
PLS --> gastritis - pernicious anemia - B12 deficiency
48
Demyelination of the cord (plaque form), DIPLOPIA, speech, incontinence, UMNL&LMNL
MS
49
Exacerbation and Remission, Intention tremor + Charcot's triad (Cerebellum)
MS
50
Combined System Disease AKA
PLS
51
Paresthesia, weakness, pain and temp loss
PLS
52
PLS test
Schilling's test
53
Hemisection of the spinal cold with IPSILATERAL loss of MOTOR. CONTRALATERAL loss of pain and temperature.
Brown Sequard
54
Rapidly ascending polyneuropathy (sensory and motor)
Guillian Barre (post viral)
55
Peroneal disease, characterized by calf weakness and sensory loss
Charcot Marie Tooth
56
Charcot Marie Tooth gait
Steppage gait
57
Vertiginous Disease
Meniere's Barre Lious Labyrinthitis BPPV
58
Tinnitus, vertigo, transient deafness, episodic, unilateral, CN 8
Meniere's
59
Mimics Meniere's, post trauma
Barre Lieou
60
With Barre Lieou avoid what motion?
Rotation
61
Post trauma, motion dizziness
Labyrinthitis
62
Post trauma, fatigable nystagmus, dizziness
BPPV`
63
What condition mimics heart attack, inflammation of costal cargilages (anteromedial chest)
TieTze (Costochondritis)
64
Cord compression
Myelopathy
65
Cord compression causes symptoms neurologically where?
Upper and lower extremity
66
S2-S4, Bowel and bladder control, nerve root compression
Cauda equina (radiculopathy)
67
Conus medullaris
Radiculopathy
68
Sympatheric interruption
Horner's
69
Horner's symptoms
Miosis (flushing of the face and enophthalmosis - post eyeball displacement) Ptosis - droopy lid Anhydrosis - can't sweat
70
Causes of Horner's
Whiplash (MC), TOS, birth, tumors
71
C5 NR Myotome
arm abduction
72
C5 NR Dermatome
Lateral arm
73
C5 NR DTR
Biceps
74
C6 NR Myotome
Wrist extension
75
C6 NR Dermatome
Lateral FA | First 2 digits
76
C6 NR DTR
Brachioradialis
77
C7 NR Myotome
``` Wrist flexor Wrist extensor (with c6) ```
78
C7 NR Dermatome
Middle finger
79
C7 DTR
Triceps
80
C8 Myotome, Dermatome, DTR
Myo = Finger Flexor Derm = Medial FA, last 2 digits no DTR
81
T1 Myotome, Dermatome, DTR
Myo = interossei Derm = Medial elbow no DTR
82
L4 Myotome, Dermatome, DTR
``` Myo = tibialis anterior derm = Medial Leg, ankle DTR = Patella ```
83
L5 Myotome, Dermatome, DTR
``` Myo = glute medius, extensor halluci longus Derm = lateral leg, dorsum of foot DTR = posterior tibial, medial hamstring ```
84
S1 Myotome, Dermatome, DTR
Myo - peroneus longus&brevis, gluteus maximus, gastroc, soleus Dermatome - post leg, lat foot, planter foot DTR = achilles
85
C2 dermatome landmark
Scalp
86
C3 dermatome landmark
Nape neck
87
T2 dermatome landmark
Axilla
88
T4 dermatome landmark
Nipple
89
T7 dermatome landmark
Xiphoid
90
T10 dermatome landmark
Umbilicus
91
L1 dermatome landmark
Inguinal ligament | Oblique upper thigh
92
L2 dermatome landmark
Oblique middle thigh
93
L3 dermatome landmark
Knee
94
L4 dermatome landmark
Medial Leg
95
L5 dermatome landmark
Top of foot
96
S1 dermatome landmark
Little toe
97
S2 dermatome landmark
posterior thigh | "Bulls eye"
98
Unilateral leg involvement, Antalgia TOWARD the side of lesion, Wells leg raiser
Medial Lumbar disc lesion
99
Unilateral leg involvement, Antalgia AWAY from the side of lesion, Lindner's
Lateral Lumbar disc lesion
100
Unilateral leg involvement, Antalgia FORWARD
Subrhizal or Pos
101
Bilateral leg involvement, Antalgia forward
Central
102
Grade 4 DTR
Transient clonus
103
Grade 5 DTR
Sustained clonus
104
Superficial reflex: Corneal
CN 5 sensory | CN 7 motor
105
Superficial reflex: Pharyngeal
CN IX sensory | CN X Motor
106
Superficial reflex: cremasteric
Femoral/sensory
107
Superficial reflex genitofemoral
Motor L1-L2
108
Superficial reflex Abdominal
T7-T9 T10-T12 Umbilical deviation is normal
109
Superficial reflex Anal
S2-S4
110
Visceral Reflex CILIOSPINAL
Cervical sympathetic
111
Visceral Reflex OCULOCARDIAC
Sensory V | Motor X
112
Visceral Reflex: CAROTID SINUS
Sensory IX | Motor X
113
Visceral Reflex Direct
Sensory II | Motor III
114
Visceral Reflex Indirect
Sensory II | Motor III
115
Pathological Reflex is what kind of lesion
UMNL
116
Pathological Reflex Babinski
stroke sole
117
Pathological Reflex Chaddocks
Stroke around lateral malleolus make a C
118
Pathological Reflex Oppenheim
Stroke down tibia (opens like a zipper)
119
Pathological Reflex Gordons
Squeeze calf (G for gastroc)
120
Pathological Reflex Schaefer
Squeeze Achilles
121
Pathological Reflex Rossolimo
Tap ball of foot (Italian "meatball")
122
Pathological Reflex Hoffmans
Flick phalanx down (flexion of finger and thumb)

*Part II Supplemental (28 decks)

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