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NMS I > Quiz Motor DTR > Flashcards

Quiz Motor DTR Flashcards

(63 cards)

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1
Q

three areas of muscle integrity that are assessed for th epurposes of neurologic evaluation

A
  • strength
  • tone
  • volume
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2
Q

process of muscle strength exam

A
  • area must be disrobed

- patient should be in a standing neutral posture

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3
Q

what should be looked for during a muscle strength exam

A
  • unusual posture
  • muscle volume asymmetry
  • muscle fasciculation
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4
Q

fasciculations are due to what

A

denervated muscle fibers

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5
Q

if the fasciculations can not be seen by the naked eye but can be demonstrated electromyographically then they are called

A

fibrillations

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6
Q

the doctor must always compare the right side to the left during muscle strength testing

A

TRUE

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7
Q

the force exerted in changing position

A

kinetic

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8
Q

the force exerted in resisting movement

A

static

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9
Q

power is sometimes classified as

A

kinetic

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10
Q

muscles that hold the body in the quadruped position

A

antigravity muscles

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11
Q

antigravity muscles are stronger than their antagonists

A

TRUE

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12
Q

complete paralysis, no evidence of contration

A

0

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13
Q

evidence of slight contraction but no joint motion (0-10% of normal movement)

A

1

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14
Q

complete range of motion with gravity eliminated (11-25% of normal movement)

A

2

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15
Q

(26-50% of normal movement)

A

3

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16
Q

complete range of motion against gravity with some resistance (51-75% of normal movement)

A

4

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17
Q

complete range of motion against gravity with full resistance (76-100% of normal movement)

A

5

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18
Q

segmental innervation and peripheral nerve for: supraspinatus

A

C5, suprascapular

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19
Q

segmental innervation and peripheral nerve for: deltoid

A

C5, axillary

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20
Q

segmental innervation and peripheral nerve for: biceps

A

C5, musculocutaneous

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21
Q

segmental innervation and peripheral nerve for: brachioradialis

A

C5, radial

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22
Q

segmental innervation and peripheral nerve for: wrist extension

A

C6, radial

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23
Q

segmental innervation and peripheral nerve for: triceps

A

C7, radial

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24
Q

segmental innervation and peripheral nerve for: wrist flexion

A

C7, median and ulnar

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25
segmental innervation and peripheral nerve for: finger extension
C7, radial
26
segmental innervation and peripheral nerve for: finger flexion
C8, median and ulnar
27
segmental innervation and peripheral nerve for: finger abduction
T1, ulnar
28
segmental innervation and peripheral nerve for: finger adduction
T1, ulnar
29
characteristics of muscle tone assessment can be one of three things
- normal - decreased - increased
30
if the muscle tone assessment shows muscle tone to be increased in tone what does that indicate
UMNL
31
if the muscle tone assessment shows muscle tone to be decreased what does that indicate
LMNL
32
two types of increased muscle tone
- spasticity | - rigidity
33
increased muscular resistance felt by the examiner during quick joint movement
spasticity
34
what is the term for when spasticity is present but then is quickly fades away
clasped knife
35
spasticity is associated with a lesion in which pathway
cortical or pyramidal (UMNL)
36
an involuntary muscular resistance felt when moving a resting joint and persists as the joint is moved through its entire ROM
rigidity
37
gooseneck
rigidity
38
rigidity is associated with a lesion in which pathway
extrapyramidal (UMNL)
39
could be related to muscle spindle mechanism interference from diseased extrapyramidal structures
rigidity
40
causes or indications of hypotonia
- neurological damage at level of reflex arc (LMNL) | - cerebellar disease causing diffuse hypotonia
41
may occur following acute, severe upper motor neuron damage in either the brain or the spinal cord
neural shock
42
neural shock is a phenomenon that is related to vascular shock
FALSE
43
what is the initial examination finding for neural shock
peripheral neurological findings
44
loss of neurologic function
deficit phenomena
45
exagerations or perversions of normal neurological function and are due to a loss of cortical inhibition
release phenomena
46
hyper-reflexia, hypertonia, and pathological reflexes are examples of what
release phenomena
47
all neurological signs can be divided into what
- deficit phenomena | - release phenomena
48
LMNL can produce both deficit and release phenomena
FALSE; only deficit phenomena
49
when a muscle is passively stretched and its fibers actively resist the stretching and enter into an entire state of increased and sustained tension
the stretch reflex
50
biceps
C5, musculocutaneous
51
brachioradialis
C6, radial
52
triceps
C7, radial
53
finger flexion
C8, median, ulnar
54
what is the wexler scale
grading system for reflexes (0, +1, +2, +3, +4)
55
reflex grading system: absent with reinforcement
0
56
reflex grading system: hypoactive with reinforcement
1
57
reflex grading system: normal
2
58
reflex grading system: hyperactive
3
59
reflex grading system: hyperactive with transient clonus
4
60
reflex grading system: hyperactive with sustained clonus
4
61
the proper way to perform the muscle tendon reflex if it does not work when striking the tendon is to strike the muscle belly
FALSE; never strike the muscle belly
62
reinforcement may be carried out according to which method
jendrassik
63
give an example of a jendrassik method
when testing the patellar reflex the patient is asked to hook their fingers and try to pull them apart at the time the reflex is being tested; as a distraction

NMS I (5 decks)

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