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Flashcards in Sensory Exam Deck (21):
1

Sensory Testing

Which tract?

  • PINPRICK

 

Spinothalamic

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2

What is the test? What does it test for?

  • severe stiffness of hamstring causes inability to straighten leg at knee when hip is flexed to 90 degrees. 

  • Kernig’s Test
  • Meningismus. •One sign of meningitis

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3

2 tests of Meningismus (meningitis)

  1. Kernig's sign
  2. Neck rigidity (Bradzinski's neck sign)

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4

What is the test? What does it test?

Ability to recognize a number written in the palm

  • Sensory Exam- Higher Cortical Sensory Discrimination
  • Graphesthesia

5

Sensory Exam-Proprioception

Grasp the patient’s joint by the ______of the finger / toe – NOT on the _________

  • side
  • NOT on the top or bottom

6

Sensory Testing

When performing sensory testing, start _____ and move ______

  • distally
  • move proximally

7

Sensory Testing

Which tract?

  • JOINT POSITION

 

Posterior columns

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8

Sensory Testing-Sharp v. Dull

  • To test sharp, you need something sharp enough to make the patient say “Ouch”.  _____________, etc won’t do. 
  • Sharp and dull objects need to be about the _________ as well.   

  • Paperclips, fingernails, pen tops
  • about the same size

9

Sensory Testing-Light Touch

Describe the touch used for testing light touch

Touch lightly without stroking or pressing

10

What is the test? What does it test for?

  • severe neck stiffness causes pts hip and knees to flex when neck is flexed

  • Brudzinski’s Test
  • Meningismus. •One sign of meningitis

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11

What is the test? What does it test for?

Percuss lightly over the course of any nerve which may be regenerating. 

  • Tinel’s Test
  • In the case of carpal tunnel, this would be the median nerve.  If the percussion causes tingling or electrical sensations, the Tinel’s test is positive.

12

Sensory Testing

Which tract?

  • SHARP/DULL

 

Spinothalamic

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13

Sensory Exam-Vibration

1.Strike the fork to maximum stimulus and place it on ______ joint.

2.Place your ________ under the patient’s MTP to feel the vibration the pt feels.

  • MTP joint
  • your DIP

14

Sensory Testing-Light Touch

Touch lightly without stroking or pressing

Do not use _________, etc to perform light touch

gauze, q-tips, cotton

15

Sensory Testing

Which tract?

  • TEMPERATURE

 

Spinothalamic

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16

Sensory Testing

Which tract?

  • LIGHT TOUCH

 

Spinothalamic/Posterior columns

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17

Sensory Exam- Higher Cortical Sensory Discrimination

3 Tests

  1. •Two-point discrimination
  2. •Graphesthesia
  3. •Stereognosis

18

What is the test? What does it test?

•Ability to identify an object by feeling it

  • Sensory Exam- Higher Cortical Sensory Discrimination
  • Stereognosis

19

2 Tests for Carpal Tunnel

  1. Phalen’s Test
  2. Tinel’s Test

20

What is the test? What does it test for?
•Pt to hold wrists in 90 degrees of flexion for 60 seconds. 

  • Phalen’s Test
  • If numbness and tingling develop in the median nerve distribution, the test is positive and is suggestive of carpal tunnel syndrome.

21

Sensory Testing

Which tract?

  • VIBRATION

 

Posterior columns

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