Random NBS 2 Flashcards

1
Q

Westphal sign

A

Absent DTR

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2
Q

AKA cortical distraction - squeeze hands or knees

A

Jendrasik Maneuver

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3
Q

Corneal reflex

A

5 sensory, 7 motor

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4
Q

Pharyngeal reflex

A

9 sensory, 10 motor

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5
Q

Cremasteric reflex (Geigel in women)

A

Femoral sensory, genitofemoral motor

L1-L2

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6
Q

Abdominal reflex

A

T7-T12 nerve roots

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7
Q

Ciliospinal

A

Squeeze neck and eyes dilate

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8
Q

Oculocardiac

A

5 sensory, 10 motor

Hearts slows down when eye touched

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9
Q

Carotid sinus

A

9 sensory, 10 motor

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10
Q

Sympathetic CN

A

3,7,9,10

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11
Q

Indirect light, direct light, accomodation

A

2 Sensory, 3 motor

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12
Q

T4 dermatome

A

Nipple

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13
Q

T7 dermatome

A

Xiphoid

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14
Q

T10 dermatome

A

Umbilicus

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15
Q

L1 dermatome

A

Inguinal ligament

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16
Q

Oblique upper thigh dermatome

A

L1

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17
Q

Oblique Middle thigh dermatome

A

L2

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18
Q

Knee dermatome

A

L3

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19
Q

Posterior thigh dermatome

A

S2

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20
Q

Bulls eye dermatome

A

S2-S4

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21
Q

Medial leg dermatome

A

L4

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22
Q

Dorsum of foot and lateral leg dermatome

A

L5

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23
Q

Ball of foot, lateral foot, posterior leg

A

S1

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24
Q

L4 NR, L3 disc, L4 IVF myotome

A

Tibialis anterior

Heel walk - foot drop

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25
Q

L4 NR, L3 disc, L4 IVF DTR

A

Patella

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26
Q

L5 NR Myotome

A

Gluteus medius - hip abduction
Extensor hallucis longus
Heel walk

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27
Q

L5 NR DTR

A

Posterior tibial

Medial Hamstring

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28
Q

S1 NR Myotome

A

Peroneus longus and brevis
Gluteus maximus - hip extension
Gastroc and soleus

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29
Q

S1 NR DTR

A

Achilles

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30
Q

Chaddock

A

Stroke lateral malleolus

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31
Q

Oppenheim

A

Stroke down anterior tibia

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32
Q

Gordons

A

Squeeze Calf

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33
Q

Schaeffer

A

Squeeze achilles

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34
Q

Hoffman

A

FLick phalanx down

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35
Q

MC in men, UNILATERAL, last 1-2 hours or seasonal, rhinorrhea, tearing, several per day, PIERCING, 2 hours after sleep and alcohol

A

Cluster headache

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36
Q

Band like, temporal, or occipital location. Afternoon or when stressed. Quality is achy or spasm

A

Tension HA

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37
Q

Older patient, general location, MORNING, throbbing quality

A

HTN HA

38
Q

Anyone, general location, MORNING, throbbing and achy quality, serum studies (metabolic panel)

A

Metabolic HA

39
Q

Location is above eye or cheek, Repetitive pattern, FEVER, quality is achy, discharge. Position may exacerbate

A

Sinusitis

40
Q

Older than 50, unilateral/ temporal location, Gradual persistent, throbbing and achy quality. FEVER

A

Temporal Arteritis

41
Q

Constant HA, FEVER, decrease flexion, rigid, sensitive to light. Brudzinski, Kernigs, CSF culture

A

Meningitis

ER!!

42
Q

Younger population, progressive steady timing, personality change, worst HA in my life

A

Subarachnoid hemorrhage

ER!!

43
Q

Subarachnoid hemorrhage test

A

CT/ Angiography

MRA

44
Q

Older population, progressive steady timing, personality change and weakness

A

Subdural hemorrhage

ER!!

45
Q

Subdural Hemorrhage test

A

CAT scan

46
Q

Older male or alcoholic, site is cheek, jaw, lips, gums; last for 15-45 seconds which is sharp short and severe. Triggered by cold, chewing.

A

Trigeminal Neuralgia

47
Q

Anyone, location is ear and throat for 15-45 seconds which is sharp short and severe

A

Glossopharyngeal Neuralgia

48
Q

Thumb extension nerve - wrist drop

A

Radial N

49
Q

Thumb Adduction and fingers adduction abduction nerve

A

Ulnar N

50
Q

Thumb flexion nerve

A

Median N

51
Q

Tennis elbow

A

Lateral epicondylitis - wrist extensor brevis

52
Q

Little leaguer/ Golfer’s elbow

A

Medial epicondylitis - wrist flexor

53
Q

Main muscle in the knee

A

Vastus medialis

54
Q

Knee Terrible Triad

A

Medial Meniscus
Medial collateral ligament
Anterior collateral ligament

55
Q

Sag sign associated with

A

Posterior collateral ligament injury

56
Q

Inversion sprain of the ankle (invert + plantar flex) affect which ligament

A

anterior talofibular

57
Q

Pain in calves, tenderness, mild swelling

A

Shin spint (minor compartment syndrome) - due to lack of O2

58
Q

Swollen, shiny calf, paresthesia, weakness, decrease pulse, can’t grip toes, EMERGENCY

A

compartment syndrome

59
Q

Achilles tension leads to heel spurs

A

Plantar fascitis

60
Q

Burning pain, 2nd-4th metatarsal, pain refers to dorsal surface

A

Morton’s neuroma

can adjust

61
Q

Burning pain near the sole and toe

A

Tarsal tunnel

62
Q

SOL orthopedics

A

Nafzinger - occlude jugular vein
Milgrams
Valsalva
Swallowing test

63
Q

How to do milgrams

A

Supine, actively raise both legs 6 inches

64
Q

Bakody’s

A

Nerve root syndrome

65
Q

Distraction

A

Increase pain = sprain/strain

Decrease pain = NR compression

66
Q

Lhermitte

A

Cord degeneration

MS

67
Q

Soto Hall

A

General exam
Anterior pain = fracture
Posterior pain = ligament damage

68
Q

Adson

A

Rotate head towards

Scalenus anticus, cervical rib

69
Q

Modified Adson

A

Scalenus medius

Subclavian artery

70
Q

Edens

A

Costoclavicular - rib, clavicle

Worst - involves nerve,artery,vein

71
Q

Wrights

A

Hyperabduction, pec minor

72
Q

General TOS tests

A

Reverse bakody
Allen’s maneuver
Roos

73
Q

Allen’s test vs Allen’s maneuver

A

Test - open close occlude - 10 secs/more difference in refill- occlusion
Allen’s maneuver - abduct arm, external rotate, flex elbow rotate head away - decrease pulse?

74
Q

Shoulder tests

A
CAADDYS (7)
Codman
Appley's, Apprehension
Duggas, Dawbarn
Yergason
Speed
75
Q

Codman’s

A

Drop arm test

Rotator cuff - supraspinatus tendon

76
Q

Appley’s

A

ROM

77
Q

Apprehension

A

Abduct and rotate shoulder externally

Chronic dislocation

78
Q

Dugas

A

Dislocation

79
Q

Maneuver to fix anterior shoulder dislocation

A

Kocher

Milchs - esp

80
Q

Dawbarn

A

Palpate joint, passively abduct arm decrease pain

Bursitis

81
Q

Yergason

A

Bicipital tendon instability (transverse humeral ligament)

82
Q

Yergason AKA

A

Abbot Saunders test

83
Q

Speed

A

Tendonitis

84
Q

Lateral epicondylitis - tennis elbow

A

Cozen - restricted extension

Mills - stretching extensors, extensor brevis, TFM

85
Q

Medial epicondylitis - golfers elbow

A

Reverse Cozen - restricted flexion

86
Q

Medial collateral ligament

A

Abduct - valgus stress

87
Q

Lateral collateral ligament

A

Adduct - varus stress

88
Q

Tinnel in elbow

A

Between olecranon and medial condyle (ulnar)

89
Q

Median N - thumb flexion

A

Tinnel
Phalen - upside down praying position
Pinch grip

90
Q

Ulnar N - thumb adduction

A

Froment

91
Q

Finkelstein

A

Flex thumb and fingers

Dequervain’s - stenosing tenosynovitis

92
Q

Bunnel Littler’s

A

Muscle vs joint - check for nodes