Preceptorials: Sensory, Meninges, Autonomics

Question 1

Dermatomal Distribution

C1

Answer 1

NONE!!!

Question 2

Dermatomal Distribution

Hood

Answer 2

C2

Question 3

Dermatomal Distribution

Nape

Answer 3

C3

Question 4

Dermatomal Distribution

Shoulders

Answer 4

C4

Question 5

Dermatomal Distribution

Thumb

Answer 5

C6

Question 6

Dermatomal Distribution

Middle finger

Answer 6

C7

Question 7

Dermatomal Distribution

Little finger

Answer 7

C8

Question 8

Dermatomal Distribution

Nipple level

Answer 8

T4

Question 9

Dermatomal Distribution

Umbilicus

Answer 9

T10

Question 10

Dermatomal Distribution

Groin

Answer 10

L1

Question 11

Dermatomal Distribution

Big Toe

Answer 11

L5

Large toe

Question 12

Dermatomal Distribution

Small Toe

Answer 12

S1

Question 13

(+) for nuchal rigidity

Answer 13

Resist cervical flexion

Question 14

Horner’s Syndrome TRIAD

Answer 14

Ptosis
Miosis
Anhydrosis

Question 15

Lateral Spinothalamic Tract

Answer 15

Pain and Temperature

1. Dorsal Root Ganglion
2. Substancia Gelatinosa
3. VPLN of Thalamus
4. Posterior Limb of Internal Capsule and Corona Radiata
5. Primary Somatosensory Area (3,1,2)

Decussation: 1 spinal segment

Question 16

Anterior Spinothalamic Tract

Answer 16

Light Touch and Pressure

1. Dorsal Root Ganglion
2. Substancia Gelatinosa
3. VPLN of Thalamus
4. Posterior Limb of Internal Capsule and Corona Radiata
5. Primary Somatosensory Area (3,1,2)

Decussation: 2-3 spinal segments

Question 17

Dorsal Column Medial Lemniscus

Answer 17

Discrimination Touch and Vibration

1. Dorsal Root Ganglion
2. Cuneate and Gracile Nuclei of Medulla Oblongata
3. VPLN of Thalamus
4. Posterior Limb of Internal Capsule and Corona Radiata
5. Primary Somatosensory Area (3,1,2)

Question 18

Receptor for Light Touch

Answer 18

free nerve endings

Question 19

Receptor for pain

Answer 19

free nerve endings

Question 20

Receptor for temperature

Answer 20

Hot- Rufini’s

Cold- Krausse end bulbs

Question 21

Receptor for vibration

Answer 21

Pacinian corpuscle

Question 22

Painful even if stimulus is not painful

Answer 22

Allodynia

Question 23

Esthesia

Answer 23

Touch or feeling

Question 24

Therm

Answer 24

Heat

Question 25

Algesia

Answer 25

Pain

Question 26

Uncomfortable sensations of numbness, tingling, pins and needles or burning pin

Answer 26

Parasthesia - accompany normal external stimulus to the skin Dysesthesia - spontaneous occurence without any obvious external stimulus

Question 27

Extreme overresponse to pain

Answer 27

Hyperpathia

Question 28

Multiple, very severe, electric-shock like pains

Answer 28

Neuralgia

Question 29

Unbearable,burning, relentless hyperesthesia and hyperalgesia that ensue after injury to a peripheral nerve

Answer 29

Causalgia

Question 30

T or F: | S/S of PNS lesions will be expressed in the anatomic distribution of roots, nerve trunks, plexuses or peripheral nerves

Answer 30

TRUE

Question 31

Yes or no responses from the patient

Answer 31

Forced-choice testing

Question 32

Most sensitive area for temperature discrimination

Answer 32

Forehead

Question 33

T or F: | Do normal subjects sway MINIMALLY with eyes closed but not fall?

Answer 33

TRUE

Question 34

Form knowing by presenting objects of different shapes for recognition

Answer 34

Stereognosis

Question 35

Object recognition through touch

Answer 35

Stereognosis