Unit 2: Spinal Cord Syndromes Flashcards

1
Q

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

A

Flaccid

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2
Q

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

A

Spastic

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3
Q

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

A

Conus Medullaris

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4
Q

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

A

Conus Medullaris

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5
Q

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

A

Cauda Equina

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6
Q

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

A

Cauda Equina

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7
Q

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

A

Cauda Equina

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8
Q

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

A

Conus Medullaris

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9
Q

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

A

Cauda Equina

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10
Q

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

A

Cauda Equina

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11
Q

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

A

Conus Medullaris

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12
Q

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

A

Conus Medullaris

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13
Q

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

A

3/5/2015

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14
Q

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

A

4/5/2015

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15
Q

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

A

2/5/2015

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16
Q

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

A

1/5/2015

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17
Q

L1: What motor function grade? Normal movement

A

5

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18
Q

L1: What reflex grade? Brisk

A

3+

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19
Q

L1: What reflex grade? Nonsustained clonus

A

4+

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20
Q

L1: What reflex grade? Normal

A

2+

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21
Q

L1: What reflex grade? Sustained clonus

A

5+

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22
Q

L1: What reflex grade? Trace

A

1+

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23
Q

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

A

C3

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24
Q

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

A

C7

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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