Random NBS 2 Flashcards
1
Q
Westphal sign
A
Absent DTR
2
Q
AKA cortical distraction - squeeze hands or knees
A
Jendrasik Maneuver
3
Q
Corneal reflex
A
5 sensory, 7 motor
4
Q
Pharyngeal reflex
A
9 sensory, 10 motor
5
Q
Cremasteric reflex (Geigel in women)
A
Femoral sensory, genitofemoral motor
L1-L2
6
Q
Abdominal reflex
A
T7-T12 nerve roots
7
Q
Ciliospinal
A
Squeeze neck and eyes dilate
8
Q
Oculocardiac
A
5 sensory, 10 motor
Hearts slows down when eye touched
9
Q
Carotid sinus
A
9 sensory, 10 motor
10
Q
Sympathetic CN
A
3,7,9,10
11
Q
Indirect light, direct light, accomodation
A
2 Sensory, 3 motor
12
Q
T4 dermatome
A
Nipple
13
Q
T7 dermatome
A
Xiphoid
14
Q
T10 dermatome
A
Umbilicus
15
Q
L1 dermatome
A
Inguinal ligament
16
Q
Oblique upper thigh dermatome
A
L1
17
Q
Oblique Middle thigh dermatome
A
L2
18
Q
Knee dermatome
A
L3
19
Q
Posterior thigh dermatome
A
S2
20
Q
Bulls eye dermatome
A
S2-S4
21
Q
Medial leg dermatome
A
L4
22
Q
Dorsum of foot and lateral leg dermatome
A
L5
23
Q
Ball of foot, lateral foot, posterior leg
A
S1
24
Q
L4 NR, L3 disc, L4 IVF myotome
A
Tibialis anterior
Heel walk - foot drop
25
L4 NR, L3 disc, L4 IVF DTR
Patella
26
L5 NR Myotome
Gluteus medius - hip abduction
Extensor hallucis longus
Heel walk
27
L5 NR DTR
Posterior tibial
| Medial Hamstring
28
S1 NR Myotome
Peroneus longus and brevis
Gluteus maximus - hip extension
Gastroc and soleus
29
S1 NR DTR
Achilles
30
Chaddock
Stroke lateral malleolus
31
Oppenheim
Stroke down anterior tibia
32
Gordons
Squeeze Calf
33
Schaeffer
Squeeze achilles
34
Hoffman
FLick phalanx down
35
MC in men, UNILATERAL, last 1-2 hours or seasonal, rhinorrhea, tearing, several per day, PIERCING, 2 hours after sleep and alcohol
Cluster headache
36
Band like, temporal, or occipital location. Afternoon or when stressed. Quality is achy or spasm
Tension HA
37
Older patient, general location, MORNING, throbbing quality
HTN HA
38
Anyone, general location, MORNING, throbbing and achy quality, serum studies (metabolic panel)
Metabolic HA
39
Location is above eye or cheek, Repetitive pattern, FEVER, quality is achy, discharge. Position may exacerbate
Sinusitis
40
Older than 50, unilateral/ temporal location, Gradual persistent, throbbing and achy quality. FEVER
Temporal Arteritis
41
Constant HA, FEVER, decrease flexion, rigid, sensitive to light. Brudzinski, Kernigs, CSF culture
Meningitis
| ER!!
42
Younger population, progressive steady timing, personality change, worst HA in my life
Subarachnoid hemorrhage
| ER!!
43
Subarachnoid hemorrhage test
CT/ Angiography
| MRA
44
Older population, progressive steady timing, personality change and weakness
Subdural hemorrhage
| ER!!
45
Subdural Hemorrhage test
CAT scan
46
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.
Trigeminal Neuralgia
47
Anyone, location is ear and throat for 15-45 seconds which is sharp short and severe
Glossopharyngeal Neuralgia
48
Thumb extension nerve - wrist drop
Radial N
49
Thumb Adduction and fingers adduction abduction nerve
Ulnar N
50
Thumb flexion nerve
Median N
51
Tennis elbow
Lateral epicondylitis - wrist extensor brevis
52
Little leaguer/ Golfer's elbow
Medial epicondylitis - wrist flexor
53
Main muscle in the knee
Vastus medialis
54
Knee Terrible Triad
Medial Meniscus
Medial collateral ligament
Anterior collateral ligament
55
Sag sign associated with
Posterior collateral ligament injury
56
Inversion sprain of the ankle (invert + plantar flex) affect which ligament
anterior talofibular
57
Pain in calves, tenderness, mild swelling
Shin spint (minor compartment syndrome) - due to lack of O2
58
Swollen, shiny calf, paresthesia, weakness, decrease pulse, can't grip toes, EMERGENCY
compartment syndrome
59
Achilles tension leads to heel spurs
Plantar fascitis
60
Burning pain, 2nd-4th metatarsal, pain refers to dorsal surface
Morton's neuroma
| can adjust
61
Burning pain near the sole and toe
Tarsal tunnel
62
SOL orthopedics
Nafzinger - occlude jugular vein
Milgrams
Valsalva
Swallowing test
63
How to do milgrams
Supine, actively raise both legs 6 inches
64
Bakody's
Nerve root syndrome
65
Distraction
Increase pain = sprain/strain
| Decrease pain = NR compression
66
Lhermitte
Cord degeneration
| MS
67
Soto Hall
General exam
Anterior pain = fracture
Posterior pain = ligament damage
68
Adson
Rotate head towards
| Scalenus anticus, cervical rib
69
Modified Adson
Scalenus medius
| Subclavian artery
70
Edens
Costoclavicular - rib, clavicle
| Worst - involves nerve,artery,vein
71
Wrights
Hyperabduction, pec minor
72
General TOS tests
Reverse bakody
Allen's maneuver
Roos
73
Allen's test vs Allen's maneuver
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
Shoulder tests
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CAADDYS (7)
Codman
Appley's, Apprehension
Duggas, Dawbarn
Yergason
Speed
```
75
Codman's
Drop arm test
| Rotator cuff - supraspinatus tendon
76
Appley's
ROM
77
Apprehension
Abduct and rotate shoulder externally
| Chronic dislocation
78
Dugas
Dislocation
79
Maneuver to fix anterior shoulder dislocation
Kocher
| Milchs - esp
80
Dawbarn
Palpate joint, passively abduct arm decrease pain
| Bursitis
81
Yergason
Bicipital tendon instability (transverse humeral ligament)
82
Yergason AKA
Abbot Saunders test
83
Speed
Tendonitis
84
Lateral epicondylitis - tennis elbow
Cozen - restricted extension
| Mills - stretching extensors, extensor brevis, TFM
85
Medial epicondylitis - golfers elbow
Reverse Cozen - restricted flexion
86
Medial collateral ligament
Abduct - valgus stress
87
Lateral collateral ligament
Adduct - varus stress
88
Tinnel in elbow
Between olecranon and medial condyle (ulnar)
89
Median N - thumb flexion
Tinnel
Phalen - upside down praying position
Pinch grip
90
Ulnar N - thumb adduction
Froment
91
Finkelstein
Flex thumb and fingers
| Dequervain's - stenosing tenosynovitis
92
Bunnel Littler's
Muscle vs joint - check for nodes
