Upper Limb Interpretation

Question 1

Inspection
Cortex -> BG ->CS-> AHC -> NMJ- > Muscle

Answer 1

Debility, catheter
Cortex - stroke
BG - tremor, flat face,
Nerve - chemo, amyloid
Muscle - frontal balding, ptosis

Question 2

make like a chicken wing, keep it up!

Answer 2

C5, C6

Question 3

tuck your shoulder in

Question 4

now make boxers arms, push me away

Answer 4

C7,C8

Question 5

now pull me towards you, pull me towards you

Answer 5

C5,C6

Question 6

now make a fist, cock your wrists back , keep them there

Answer 6

C7, C8 - radial

Question 7

now push your fist down

Answer 7

C6, C7

Question 8

straighten your fingers, keep them straight

Answer 8

C7, C8

Question 9

turn your hands over, curl your fingers, pull my fingers towards you

Answer 9

C7, C8

Question 10

pull this card, pull the card

Answer 10

ulnar

Question 11

point your thumb up to the ceiling

Answer 11

median

Question 12

if wrist drop add
supination
flip your arms over
put your arms out and show me your palm

Answer 12

radial

Question 13

Where does reflex loss occur in reference to a spinal cord lesion?
I’m now going to be checking your reflexesH

Answer 13

below the level

Question 14

bicep reflex

Answer 14

C5, C6

Question 15

tricep

Answer 15

C7, C8

Question 16

BR

Answer 16

C5, C6

Question 17

tapping BR induces finger flexion and elbow extension,
bicep reflex absent
tricep hyperreflexic

Answer 17

C5, C6 lesion

Question 18

Hoffmans middle finger flick

Answer 18

UMN cervical cord lesion

Question 19

I’m now going to test your sensation

Answer 19

C3 to T10