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32 Cards in this Set
- Front
- Back
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The C4 dermatome is at what anatomic level?
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Clavicle
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Which nerve root/s supply the bicep reflex?
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C5-C6
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Which nerve root supplies the tricep reflex?
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C7
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Which nerve root supplies the knee jerk reflex?
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L4
"Down on all fours" -- Down on L4 |
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Which nerve root supplies the Ankle Jerk reflex?
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S1
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Which nerve root supplies the anal reflex?
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S2-S5
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Which nerve root supplies the cremasteric reflex?
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L1-L2
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Which nerve root supplies the thumb and index finger?
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C6
Left hand "OK" sign makes a "6" with thumb and index finger |
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Which nerve root supplies the middle finger?
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C7
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Which nerve root supplies the little finger?
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C8
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Which nerve root supplies the nipple line?
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T4
T = thorax |
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Which nerve root supplies the umbilicus?
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T10
BellybutTEN |
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Which nerve root supplies the inguinal ligament?
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L1
IL = L1 |
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What are the grading components of the Eye exam on the Glascow Coma Scale?
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4- Spontaneous
3- to Voice 2- To Pain 1- None |
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What are the grading components of the Verbal part of the Glascow Coma Scale?
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5- Full sentences/ oriented
4- Full sentences/ confused 3- Understandable words 2- Garbled, moans 1- None |
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Describe the grading components of the Motor Response part of the Glascow Coma Scale
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6- Follows commands
5- Localizes pain 4-Withdraws to pain 3-Decorticate (Flexes) 2-Decerebrate (Extends) 1- None |
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What does the first cranial nerve supply?
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Olfactory
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What does second cranial nerve supply?
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Vision
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What does third, fourth and six cranial nerves innervate and what are their respective names?
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Eye muscles
3 = Oculomotor 4= Trochlear 6 = Abducens |
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What does the fifth cranial nerve innervate?
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Trigeminal nerve
Facial sensation |
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What does the seventh cranial nerve innervate and what is it's name?
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Facial Nerve
supplies movement to face |
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What does eighth cranial nerve innervate and what is it's name?
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Vestibulocochlear
Sense of balance Hearing |
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What does your ninth cranial nerve innervate and what is it's name?
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Glossopharangeal nerve
Sensation and motor to pharynx |
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What does your tenth cranial nerve innervate and what is it's name?
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Vegas Nerve
Innervates heart and gut motility |
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What does eleventh cranial nerve innervate and what is it's name?
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Accessory nerve
SCM and trapezius muscle |
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What is twelfth cranial nerve and what does it innervate?
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Hypoglossal nerve
Motor to tongue |
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Describe what the cold caloric test is and what the result means.
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Tests brainstem reflexes.
Irrigate ear with ice-cold water If Brainstem AND cortex intact nystagmus with fast component directed to opposite ear. (COWS: Cold- opposite Warm-Same) If cortex is injured but brainstem intact eyes deviate toward cold ear. If brainstem is injured - no eye deviation |
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What is oculocephalic reflex?
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aka Doll's Eyes reflex
Test in comatose patient Turn patient's head from side to side. If brainstem intact: eyes move in opposite direction of head movement If brainstem is injured: eyes stay fixed in orbit. |
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What is intranuclear ophthalmoplegia?
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Eye on affected side cannot look medially (cannot look at nose)
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What is corneal reflex?
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Tests CN V and VII
Touching cornea should elicit BILATERAL blink Decreased blink in opposite eye suggests brainstem or cortical injury |
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What disease does bilateral INO (intranuclear ophthalmoplegia) strongly suggest?
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Multiple Sclerosis
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What are the symptoms and treatment of trigeminal Neuralgia
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"Electric" brief, intermittent facial pain.
Middle age. Women > men Neuro exam normal Tx: Carbamezapine, Surgical decompression |
