wk 4- neurological

Question 2

peripheral nervous system is made up of what nerve pathways

Answer 2

somatic- sensory/motor nerves

autonomic

Question 3

afferent nerve dibres

Answer 3

toward CNS

Question 4

Efferent nerve fibres

Answer 4

away from CNS

Question 5

How many pairs of spinal nerves

Answer 5

31

Question 6

spinal cord types, where they track and what they control

Answer 6

Dorsal- (posterior root) sensory -toward CNS

Ventral- (anterior root)- motor- AWAY from CNS

Question 7

Somatic nervous system what does it do

Answer 7

-controls voluntary skeletal muscles
-sensory fibres to skin
-reflexes

Question 8

autonomic nervous system- what are the branches, what does it do

Answer 8

parasympathetic-rest and digest
or sympathetic system- fight or flight

-involuntary motor fibres

Question 9

causes of neurological conditions

Answer 9

developmental
trauma
ischameia (stroke)
compression
infection
autoimmune (HIV)
nutritional
surgery

Question 10

mononeuropathy

Answer 10

single nerve

Question 11

radiculopathy

Answer 11

nerve root

Question 12

polyneuropathy

Answer 12

widespread, symmetrical

Question 13

autonomic symptoms

Answer 13

postural dizziness
incontinenece
urinary retention
no sweating

Question 14

motor nerves testing

Answer 14

1. wasting/fasciculation
2. tone
3. strength
4. tendon reflexes
5. plantar responses

Question 15

sensory nerve testing

Answer 15

1. monofilament
2. vibration
3. light touch

Question 16

tinels sign

Answer 16

tapping to reproduce pain

Question 17

slump test

Answer 17

stretch to reproduce root nerve pain

Question 18

symptoms of UMN lesion

Answer 18

hyperreflexia
clonus
spasiticy
increased muscle tone
plantar response- dorsiflexion and fanning of lesser toes

Question 19

damage to what spinal cord levels is an UMN lesion

Answer 19

cortex and L1

Question 20

Symptoms of LMN lesion

Answer 20

reduced muscle tone
no clonus
muscle weakness
hyporeflexia
no babinski sign- toes down

Question 21

LMN lesions are what part of spinal cord

Answer 21

C1 -L1 can be UMN and LMN

L2 and lower - LMN only

Question 22

LMN condiitons

Answer 22

spina bifida
CMT
trauma
b12 deficiency
polio
MND

Question 23

UMN conditions

Answer 23

CP
MS
stroke

Question 24

symptoms of sensory nerve issues

Answer 24

1. paraesthesia
   -pins and needles
   -burning
   -pricking
   -shooting pain
   -dull ache
2. anaesthesia
3. referred pain

Question 25

dermatome is

Answer 25

area of skin that is supplied by a single spinal nerve

Question 26

dermatomes and areas

Answer 26

L3- medial knee L4- medial ankle L5- dorsum of 3rd met s1- Lateral heel S2- back of knee

Question 27

what does testing in a dermatome area and cutaneous sensory area provide

Answer 27

whether its a peripheral cutaneous nerve issue or root nerve issue (dermatome)

Question 28

review nerve anatomy

Answer 28

lecture notes- pt 2.

Question 29

sciatic nerve is made up of what nerve roots

Answer 29

L4-S3

Question 30

Common peroneal nerve root

Answer 30

L4-S3

Question 31

Superficial peroneal nerve nerve root

Answer 31

L4-S1

Question 32

deep peroneal nerve nerve root

Answer 32

L4-L5

Question 33

Tibial nerve nerve root

Answer 33

L4-S3

Question 34

Nerves of the sole of the foot

Answer 34

medial plantar nerve lateral plantar nerve sural nerve saphenous nerve tibial nerve

Question 35

sural nerve is what type of nerve

Answer 35

purely sensory (cutaneous)

Question 36

cutaneous branches

Answer 36

sciatic nerve tibial nerve common peroneal nerve superficial peroneal nerve sural nerve saphenous nerve calcaneal nerve medial plantar nerve lateral plantar nerve deep peroneal nerve

Question 37

what test for radiculopathy

Answer 37

straight leg raise - positive pain in back or slump test- "

Question 38

how to test for nerve entrapment

Answer 38

tinels sign- percuss nerves at certain areas to reproduce paresthesia complete for 15-20secs

Question 39

tarsal tunnel structures

Answer 39

tib post flexor digitorum longus post tib artery post tib vein tib nerve flexor hallucis longus

Question 40

myotomes hip to toes

Answer 40

hip flexion- l2, l3 hip extension- l4, l5 knee- extension- l3, l4 knee flexion- l5, s1 ankle dorsiflexion- l4, l5 ankle plantarflexion- s1, s2 toe extension - l5, s1 toe flexion- s2, s3

Question 41

myotomes of ankle inv, ev

Answer 41

ankle inversion- l4, l5 eversion- l5, s1

Question 42

myotomes of 1st MTPJ

Answer 42

dorsiflexion- l5, s1 plantarflexion- s1, s2

Question 43

what myotomes does the patella reflex test

Answer 43

l3, l4

Question 44

what myotomes does the achilles reflex test

Answer 44

S1, S2

Question 45

What do sensory tests test

Answer 45

large muscle fibres

Question 46

what does motor strength test

Answer 46

large muscle fibres

Question 47

what does reflexes test

Answer 47

medium muscle fibres

Question 48

signs in autonomic neuropathy

Answer 48

1. dry skin- especially in heels 2. warm to warm perfusion 3. bounding pulses 4. red feet -erythema (AV shunting) 5. orthostatic hypotension 6. incontinence/ GI disturbances