Unit 2: Spinal Cord Syndromes Flashcards Preview

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Flashcards in Unit 2: Spinal Cord Syndromes Deck (62):
1

L1: ______ bladder: injury of parasympathetic and lower motor neurons

Flaccid

2

L1: ______ bladder: injury to descending pathway in bladder micturition system, with UMN signs

Spastic

3

L1: Conus medullaris or Cauda Equina Syndrome? Early bladder dysfunction

Conus Medullaris

4

L1: Conus medullaris or Cauda Equina Syndrome? Early bowel and sexual dysfunction

Conus Medullaris

5

L1: Conus medullaris or Cauda Equina Syndrome? Early pain radiating to the legs

Cauda Equina

6

L1: Conus medullaris or Cauda Equina Syndrome? Late bladder dysfunction

Cauda Equina

7

L1: Conus medullaris or Cauda Equina Syndrome? Late bowel and sexual dysfunction

Cauda Equina

8

L1: Conus medullaris or Cauda Equina Syndrome? Late pain in thighs/buttocks

Conus Medullaris

9

L1: Conus medullaris or Cauda Equina Syndrome? Leg weakness and reduced deep tendon reflexes

Cauda Equina

10

L1: Conus medullaris or Cauda Equina Syndrome? Patchy, asymmetric saddle numbness

Cauda Equina

11

L1: Conus medullaris or Cauda Equina Syndrome? Pelvic Floor muscle weakness

Conus Medullaris

12

L1: Conus medullaris or Cauda Equina Syndrome? Symmetric saddle anesthesia, numbness

Conus Medullaris

13

L1: What motor function grade? Movement possible against gravity but not against resistance

3/5/2015

14

L1: What motor function grade? Movement possible against some resistance

4/5/2015

15

L1: What motor function grade? Movement possible, but no against gravity

2/5/2015

16

L1: What motor function grade? Muscle flicker, but no movement

1/5/2015

17

L1: What motor function grade? Normal movement

5

18

L1: What reflex grade? Brisk

3+

19

L1: What reflex grade? Nonsustained clonus

4+

20

L1: What reflex grade? Normal

2+

21

L1: What reflex grade? Sustained clonus

5+

22

L1: What reflex grade? Trace

1+

23

L2: The C3 vertebra overlies the ___ spinal cord segment.

C3

24

L2: The C6 vertebra overlies the ___ spinal cord segment.

C7

25

L2: The T10 vertebra overlies the ___ spinal cord segment.

L1

26

L2: The T3 vertebra overlies the ___ spinal cord segment.

T5

27

L2: What dermatome level corresponds to the region containing the nipple?

T4

28

L2: What dermatome level corresponds to the region containing the umibilicus?

T10

29

L2: What dermatome level corresponds to the region containing the xyphoid process?

T6

30

L2: What is the reflex associated with spinal nerve C5?

Biceps

31

L2: What is the reflex associated with spinal nerve C6?

Brachioradialis

32

L2: What is the reflex associated with spinal nerve C7?

Triceps

33

L2: What is the reflex associated with spinal nerve L4?

Patellar

34

L2: What is the reflex associated with spinal nerve S1?

Achilles

35

L2: What sign? neck flexion results in electric shock sensation down the back and/or into the arms

Lhermitte's

36

L2: Which spinal cord syndrome? Bilateral loss of pain, strength, and temperature sensation

Anterior Spinal Artery Occlusion

37

L2: Which spinal cord syndrome? Bilateral loss of strength, LMN syndrome

Anterior Horn Cell Syndrome

38

L2: Which spinal cord syndrome? Bilateral loss of vibration, prioprioception, strength

Posterolateral Column Syndrome

39

L2: Which spinal cord syndrome? Bilateral loss of vibration/proprioception

Posterior Cord Syndrome

40

L2: Which spinal cord syndrome? Bilateral UMN signs and possible bladder dysfunction

Myelopathy with radiculopathy

41

L2: Which spinal cord syndrome? Bilateral weakness with UMN signs

Pyrimidal Tract Syndrome

42

L2: Which spinal cord syndrome? Caused by herniated discs, tumor, or extramedullary abscess

Brown-Sequard Syndrome

43

L2: Which spinal cord syndrome? Caused by synringomelia, ependymoma, or cord contusion

Central Lesion

44

L2: Which spinal cord syndrome? Caused by tabes dorsalis (neurosyphilis)

Posterior Cord Syndrome

45

L2: Which spinal cord syndrome? Caused by Vitamin B Deficiency

Posterolateral Column Syndrome

46

L2: Which spinal cord syndrome? Deficits in cape-like distribution

Central Lesion

47

L2: Which spinal cord syndrome? Loss of strength bilaterally, fasciculations, atrophy, increases or decreases in tendon reflexes

Anterior Horn Cell-Pyrimidal Tract Syndrome

48

L2: Which spinal cord syndrome? Pain/temperature sensation loss at level of lesion, sparing positive sensation

Central Lesion

49

L2: Which spinal cord syndrome? Sensory and motor levels below lesion; spinal shock followed by UMN syndrome

Complete cord Transection

50

L3: What are causes of central lesions? (3)

Syringomelia, ependymoma, cord contusion

51

L3: What is the motor distribution for spinal nerve C5?

Deltoid, infraspinatus, biceps

52

L3: What is the motor distribution for spinal nerve C6?

Biceps, wrist extensors

53

L3: What is the motor distribution for spinal nerve C7?

Triceps

54

L3: What is the motor distribution for spinal nerve L4?

Psoas, Quadriceps

55

L3: What is the motor distribution for spinal nerve L5?

Foot dorsiflexion, big toe extension, foot eversion and inversion

56

L3: What is the motor distribution for spinal nerve S1?

Plantarflexion

57

L3: What is the sensory distribution for spinal nerve C5?

Shoulder, upper lat, arm

58

L3: What is the sensory distribution for spinal nerve C6?

1st and 2nd digits of hand

59

L3: What is the sensory distribution for spinal nerve C7?

3rd digit of hand

60

L3: What is the sensory distribution for spinal nerve L4?

Knee, medial leg

61

L3: What is the sensory distribution for spinal nerve L5?

Dorsum of foot, great toe

62

L3: What is the sensory distribution for spinal nerve S1?

Lateral foot, small toe, sole of foot