PRELIMS: PNI & Polyneuropathies

Question 1

Composition of the carpal tunnel

Answer 1

carpal bones
flexor retinaculum
FDS,FDL.FDP,FPL

Question 2

Compression of the Median Nerve

Answer 2

CTS

Question 3

Anatomical affectation of CTS

Answer 3

lateral 3 1/2 of the hand (lat. 2/3)

Question 4

CTS prognosis explain each
GOOD
FAIR
POOR

Answer 4

GOOD = early treatment
FAIR = starting signs of mm weakness and/or atrophy
POOR = atrophy, permanent loss of function

Question 4

Which is not a sign and symptom of CTS:
tingling
nocturnal pain
increase grip strength
atrophy of thenar mm

Answer 4

increase grip strength (decrease)

Question 5

CTS PT management

Answer 5

splinting (neutral position
Icing (acute, if swollen)
Iontophoresis (US)

Question 5

T or F a cubitus valgus deformity is a possible presentation in Tardy ulnar palsy

Answer 5

TRUE

Question 5

CTS treatment are?

Answer 5

steroid injection
surgery
ergonomic changes
neurostimulation
acupuncture therapy

Question 5

Which of these is not a symptom of Sciatica:
Severe unbearable pain
Leg weakness
Heavy feeling

Answer 5

Severe unbearable pain
(Radiating pain)

Question 6

What nerve is entrapped/compressed in Retroepicondylar Palsy

Answer 6

Ulnar Nerve
(condition is also called Tardy ulnar palsy, Ulnar Nerve entrapment)

Question 6

T or F
CTS shows a claw hand deformity

Answer 6

FALSE
CTS shows an APE hand deformity
(Claw hand deformity is present in Tardy ulnar palsy)

Question 7

Froment’s sign is present in what condition

Answer 7

Tardy Ulnar Palsy

Question 7

Which of these is not a mechanism of injury for Tardy ulnar palsy:
Direct trauma
fx
TBI

Answer 7

TBI

Question 8

Which of these is not a s/sx of Tardy Ulnar palsy:
mm weakness
mm wasting
numbness
tingling
dull pain
paresthesia

Answer 8

DULL PAIN (shooting pain)

Question 8

Prognosis for Tardy Ulnar Palsy

Answer 8

GOOD = after surgery (up to 6 mo.)
FAIR = loss of function

Question 9

T or F: the PT management for Tardy ulnar palsy is surgery

Answer 9

FALSE
PT focuses on conservative tx specifically splinting (claw hand position)

Question 9

PT management for Sciatica?

Answer 9

Joint mobilization
Exercise

Question 10

T or F
Males are most likely to have morton’s neuroma than females

Answer 10

FALSE
Female>

Question 10

Type of splinting recommended for Saturday night palsy

Answer 10

Cock up splint

Question 10

Sciatica is caused by nerve root compression due to ? and at the level of?

Answer 10

Due to herniation at the L4-L5 or L5- S1

Question 10

T or F: Steppage gait may present in pt with Sciatica

Answer 10

FALSE Antalgic gait is present (also in Morton’s neuroma)

Question 10

Nerve fibers that are unmyelinated, slow, and associated with pain sensation.

Answer 10

Type C Fibers

Question 11

Which of these is not an S/sx of Saturday night palsy
Tingling
Weak wrist extensors
Wrist drop
Paralysis
Sharp burning pain

Answer 11

None all are corect

Question 11

Compression of the Radial nerve in the arm
May lead to segmental demyelination

Answer 11

Saturday night palsy

Question 11

T or F In Saturday night palsy the griping problem is due to the weakness of the wrist

Answer 11

FALSE weakness is not always the case, griping problems may be caused of the wrist drop

Question 12

Entrapment leads to thickening of nerve structures and demyelination

Answer 12

Morton's Neuroma

Question 12

Wrist drop is present in what PNI condition?

Answer 12

Saturday night palsy

Question 13

Which of these is not an S/sx of Morton's Neuroma Burning, tingling sharp pain during walking Difficulty sitting Paresthesia Difficulty in long sitting Nocturnal pain

Answer 13

Difficulty in long sitting

Question 13

Consistent, severe unilateral Shoulder girdle pain is consistent with what PNI condition?

Answer 13

Paronage-Turner Syndrome

Question 13

A process of nerve degeneration that occurs after a nerve is cut or crushed.

Answer 13

Wallerian Degeneration

Question 14

A rare and idiopathic PNI condition that affects the LMN of the brachial plexus or indiv ner or indiv branches

Answer 14

Parsonage-Turner Syndrome

Question 14

Common entrapment neuropathy in the forefoot, What is the condition and in what interspace?

Answer 14

Morton's Neuroma 3rd toe interspace

Question 15

The outermost layer of a nerve, providing tensile strength and elasticity.

Answer 15

Epineurium

Question 15

Transmits signals from the CNS to the body.

Answer 15

Peripheral Nerves

Question 16

The fibrous covering that surrounds the axon within a nerve.

Answer 16

Endoneurium

Question 17

Nerve fibers that are heavily myelinated, fast, and associated with touch sensation.

Answer 17

Type A Fibers

Question 18

A condition resulting from damage to peripheral nerves, often presenting with sensory and motor symptoms.

Answer 18

Peripheral Neuropathy

Question 19

What is Bell's Phenomenon?

Answer 19

The inability to close the eye d/t bells palsy so the eye rolls upwards instead

Question 20

Bell's Palsy occurs due to the compression of what nerve

Answer 20

CV VII

Question 20

Infllamation and swelling that compress the nerve and potentially cause demyelination and axonal damage to the auditory canal

Answer 20

Bell's Palsy

Question 20

A hereditary motor and sensory neuropathy that is due to damage to the peripheral nerves

Answer 20

Charcot-Marie Tooth DSE

Question 20

Whoch of these is not an S/x of Charcot-Marie tooth DSE Hypo reflexive Strong distal mm Foot drop Steppage gait loss of sensory

Answer 20

Strong distal mm (it is weak)

Question 21

Hyperglycemia-Induced Effects & vascular changes leads to nerve damage and loss of axon

Answer 21

Diabetic Neuropathy