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Flashcards in test 2 Deck (33):
1

what is apraxia?

inability to turn verbal requests into motor performance

2

what is typically the best exam to differentiate agitated dimensia from delirium?

attention testing poor attention think delirium

3

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.

4

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

5

what is dysmetria

Clumsy, vary in speed/force, past point, lack of coordinated movement overshoot or undershoot when grabbing things

6

what is DYSDIADOCHOKINESIS?

DYSDIADOCHOKINESIS: one movement cannot be abruptly stopped and followed by the opposite movement: slow, irregular and clumsy

7

elbow flexion and extension nerves

flex= c5 extension=c7

8

wrist flex and ext nerves?

flex=c7 ext=c6

9

finger grip nerve, and abduction?

c8, T1

10

hip flex ext nerve levels?

flex=L2-L4 ext= L5

11

knee flex/ext nerve level?

flex: S1 ext=L3

12

ankle dorsiflex and plantar flex nerve levels?

dorsiflex=L4 plantar flex= S1

13

nerve level to dorsiflex big toe?

L5

14

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

15

what dermatome level it the nipple, umbilucus, and perianal regions?

nipple= T4 umbilicus=T10 perianal= S3-5

16

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

17

what is hyperalgesia?

significant pain in response to mildly painful stimulus (sharp)

18

what is allodynia?

non-painful stimulus perceived as painful on the skin, sometimes severe

19

what is steryogenisis?

ability to identify an object by feel

20

what levels are the various deep tendon reflexes located at? what rating is normal

Biceps- C5-6
Point end onto thumb lying over tendon
Brachioradialis- C5-6
Point end into proximal muscle belly
Flat end on distal tendon
Triceps- C6-7
Flat or point end on triceps tendon above olecranon
Patellar- L2-4
Flat end on patellar tendon below patella above tibia
Achilles- S1
Flat end on achilles tendon above calcaneus
2+=normal

21

lateral portion of calf and foot is what dermatome?

S1

22

what is graphesthesia?

writing a letter or number in their hand and being able to distinguish it

23

is clonus and babinski sign upn or lpmn damage?

upper

24

what is drop foot indicitive of?

damage to deep peroneal Nerve

25

what are the three core functions of public health?

assessment, assurance, policy development

26

pinch grip tests what nerve? (okay sign)

anterior interosseous nerve

27

claw hand damages what nerve and levels?

ulnar nerve c8-t1

28

wrist drop effects what nerve and levels?

c5-t1 radial n

29

foot drop effects what nerve

common fibular N/deep fibular n

30

what is dysarthria?

: Imperfect articulation due to lack of motor coordination; damaging event CNS or PNS. Language comprehension and use may be fine.

31

what is a dysphasia?

Impairment in use of speech that is clear “Dys-phasia”
Failure to arrange properly in sentence

32

what is apraxia?

Inability to turn verbal request into motor performance

33

clumsy inablity to put finger against yours is indicative of?

dysmetria