Flashcards in test 2 Deck (33):
what is apraxia?
inability to turn verbal requests into motor performance
what is typically the best exam to differentiate agitated dimensia from delirium?
attention testing poor attention think delirium
what does a romberg test test for?
tests ataxia specific to posterior column function. While positioned and eyes open, balance is maintained. Closing eyes removes visual input and ataxia (falling over) occurs. Direction of the fall may indicate where the lesion is.
what is pronator drift?
Pronator drift: in same stance as for Romberg, if the arm drifts downward (and occasionally lateral) when eyes are closed it is specific for a contralateral corticospinal tract lesion/disease
what is dysmetria
Clumsy, vary in speed/force, past point, lack of coordinated movement overshoot or undershoot when grabbing things
what is DYSDIADOCHOKINESIS?
DYSDIADOCHOKINESIS: one movement cannot be abruptly stopped and followed by the opposite movement: slow, irregular and clumsy
elbow flexion and extension nerves
flex= c5 extension=c7
wrist flex and ext nerves?
finger grip nerve, and abduction?
hip flex ext nerve levels?
flex=L2-L4 ext= L5
knee flex/ext nerve level?
flex: S1 ext=L3
ankle dorsiflex and plantar flex nerve levels?
dorsiflex=L4 plantar flex= S1
nerve level to dorsiflex big toe?
what is the measurement scale for muscle strength testing?
0= no movement
1= muscle twitch without joint movement
2= movement with gravity eliminated
3= full strength against gravity only
4= partial strength against resistance
5= full strength against resistance
what dermatome level it the nipple, umbilucus, and perianal regions?
nipple= T4 umbilicus=T10 perianal= S3-5
what are the dematomes of sole of the foot, dorsum of the foot, and medial calf?
sole of foot=S1, dorsum of the foot=L5, medial calf=L4
what is hyperalgesia?
significant pain in response to mildly painful stimulus (sharp)
what is allodynia?
non-painful stimulus perceived as painful on the skin, sometimes severe
what is steryogenisis?
ability to identify an object by feel
what levels are the various deep tendon reflexes located at? what rating is normal
Point end onto thumb lying over tendon
Point end into proximal muscle belly
Flat end on distal tendon
Flat or point end on triceps tendon above olecranon
Flat end on patellar tendon below patella above tibia
Flat end on achilles tendon above calcaneus
lateral portion of calf and foot is what dermatome?
what is graphesthesia?
writing a letter or number in their hand and being able to distinguish it
is clonus and babinski sign upn or lpmn damage?
what is drop foot indicitive of?
damage to deep peroneal Nerve
what are the three core functions of public health?
assessment, assurance, policy development
pinch grip tests what nerve? (okay sign)
anterior interosseous nerve
claw hand damages what nerve and levels?
ulnar nerve c8-t1
wrist drop effects what nerve and levels?
c5-t1 radial n
foot drop effects what nerve
common fibular N/deep fibular n
what is dysarthria?
: Imperfect articulation due to lack of motor coordination; damaging event CNS or PNS. Language comprehension and use may be fine.
what is a dysphasia?
Impairment in use of speech that is clear “Dys-phasia”
Failure to arrange properly in sentence
what is apraxia?
Inability to turn verbal request into motor performance