Practical

Question 1

senory exam lateral aspect of upper arms

Answer 1

C5

Question 2

sensory exam medial aspect of lwer arms

Answer 2

T1

Question 3

sensory exam tip of thumb

Answer 3

C6

Question 4

Sensory exam tip of middle finger

Answer 4

C7

Question 5

sensory exam tip of pinky

Answer 5

C8

Question 6

patient reports pain on tip of middle finger

Answer 6

lateral spinal thalamic tract. may indicate nerve root compression or peripheal nerve lesions

Question 7

patient reports loss of light touch sensation on medial aspect of lower arms

Answer 7

anterior spinal thalamic tract, T1. may indicate nerve root compression of T1 or peripheal nerve lesion

Question 8

Loss of vibration in upper extremities indicates

Answer 8

dorsal column lesion to cuneatus

Question 9

Supraspinatus muscle test tests for:

Answer 9

C5, suprascapular nerve

Question 10

deltoid muscle test tests for:

Answer 10

C5, axillary nerve

Question 11

biceps muscle exam tests for:

Answer 11

musculocutaneous, C5

Question 12

brachioradialis muscle exam tests for:

Answer 12

Radial, C5

Question 13

Wrist extensor muscle exam tests for:

Answer 13

C6, radial

Question 14

Triceps muscle exam tests for:

Answer 14

radial nerve, C7

Question 15

Wrist flexion muscle exam tests for:

Answer 15

C7, median/ulnar

Question 16

finger extension muscle exam tests for:

Answer 16

C7, Radial nerve

Question 17

Finger flexion muscle exam tests for:

Answer 17

C8, median/ulnar

Question 18

Finger abduction/adduction exam tests for:

Answer 18

Ulnar, T1

Question 19

Muscle Stretch Reflex for C5

Answer 19

Biceps, musculocutaneous nerve

Question 20

muscle stretch reflex for C6:

Answer 20

Brachioradialis, Radial nerve

Question 21

muscle stretch reflex for C7

Answer 21

triceps, radial nerve

Question 22

muscle stretch reflex for C8

Answer 22

finger flexion, median/ulnar nerve

Question 23

The superficial gag reflex tests for

Answer 23

CN 9 and 10

Question 24

Superficial coneal blink reflex tests for

Answer 24

CN 5 and 7

Question 25

the superficial reflex test for T5-T7 is:

Answer 25

Epigastric Reflex, looking for contraction of upper ab muscles, move umbilicus upward, if lesion its a peripheal nerve of t5-t7

Question 26

superficial reflex for T7-T9:

Answer 26

upper abdominal reflex. looking for contraction of upper abs, move umbilicus up and out

Question 27

superficial reflex for T9-T11

Answer 27

middle abdominal reflex, looking for contraction of middle abs to move umbilicus laterally

Question 28

superficial reflex for T11-T12

Answer 28

lower abdominal reflex. looking for lower abs to move down and out

Question 29

superficial reflex for L4-S2

Answer 29

Plantar reflex: stroke plantar foot from heel to metatarsals to big toe, looking for plantar flexion of toes and foot. lesion would present as dosiflexion of great toe and flaring of the other toes

Question 30

pathological reflexes: Hoffman Sign

Answer 30

segmental (lesion above C5 in corticospinal tract), sharp forcible flick of thumb against patient's middle finger. lesion presents as flexion of fingers and adduction of thumb

Question 31

tromner's sign

Answer 31

lesion above C5 corticospinal tract | tap the surface of middle finger. lesion presents as flexion of fingers and adduction of thumb

Question 32

rossolimo sign

Answer 32

foot: tap the balll of foot or tap the tips of toes. lesion presents as plantar flexion of toes corticospinal tract

Question 33

babinki's sign

Answer 33

corticospinal tract. stroke plantar foot from heel to metatarsals to big toe. normal: plantar flexion of toes and foot. abnormal: dorsiflexion of great toe and flaring of other toes. UMNL

Question 34

chaddock sign

Answer 34

stroke from lateral malleolus on heel to toe | normal: no motion, abnormal: dorsiflexion of great toe and flaring of other toes. UMNL corticospinal tract

Question 35

oppenheim sign

Answer 35

stroke anterior tibial surface from superior to inferior. normal: no motion of toes and foot abnormal: dorsiflexion of great toe and flaring of other toes. UMNL, corticospinal tract

Question 36

gordon sign

Answer 36

squeeze calf. normal: no motion of the toes and foot, abnormal: dosiflexion of great toe and flaring of the other toes corticospinal tract, UMNL

Question 37

Schaefer Sign

Answer 37

Squeeze achilles, normal: no motion of toes and foot. abnormal: dorsiflexion of great toes and flaring of other toes. UMNL, corticospinal tract

Question 38

Pupillary Light Reflex

Answer 38

afferent: CN II, efferent: CNIII

Question 39

Accomodation

Answer 39

CN III | convergence, constriction, lens thickening

Question 40

Ciliospinal reflex

Answer 40

testing cervicals sympathetics and CN V, painful stimulus to side of neck, pinching the skin, dilation of the pupil on the painful side

Question 41

hypoactive stretch reflexes indicate:

Answer 41

cerebellum lesion UMNL

Question 42

Sensory Exam posterior aspect of shoulder

Answer 42

C4 | alternating pinprick and light touch on both arms