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32 Cards in this Set

  • Front
  • Back
The C4 dermatome is at what anatomic level?
Clavicle
Which nerve root/s supply the bicep reflex?
C5-C6
Which nerve root supplies the tricep reflex?
C7
Which nerve root supplies the knee jerk reflex?
L4
"Down on all fours" -- Down on L4
Which nerve root supplies the Ankle Jerk reflex?
S1
Which nerve root supplies the anal reflex?
S2-S5
Which nerve root supplies the cremasteric reflex?
L1-L2
Which nerve root supplies the thumb and index finger?
C6
Left hand "OK" sign makes a "6" with thumb and index finger
Which nerve root supplies the middle finger?
C7
Which nerve root supplies the little finger?
C8
Which nerve root supplies the nipple line?
T4
T = thorax
Which nerve root supplies the umbilicus?
T10
BellybutTEN
Which nerve root supplies the inguinal ligament?
L1
IL = L1
What are the grading components of the Eye exam on the Glascow Coma Scale?
4- Spontaneous
3- to Voice
2- To Pain
1- None
What are the grading components of the Verbal part of the Glascow Coma Scale?
5- Full sentences/ oriented
4- Full sentences/ confused
3- Understandable words
2- Garbled, moans
1- None
Describe the grading components of the Motor Response part of the Glascow Coma Scale
6- Follows commands
5- Localizes pain
4-Withdraws to pain
3-Decorticate (Flexes)
2-Decerebrate (Extends)
1- None
What does the first cranial nerve supply?
Olfactory
What does second cranial nerve supply?
Vision
What does third, fourth and six cranial nerves innervate and what are their respective names?
Eye muscles
3 = Oculomotor
4= Trochlear
6 = Abducens
What does the fifth cranial nerve innervate?
Trigeminal nerve
Facial sensation
What does the seventh cranial nerve innervate and what is it's name?
Facial Nerve
supplies movement to face
What does eighth cranial nerve innervate and what is it's name?
Vestibulocochlear
Sense of balance
Hearing
What does your ninth cranial nerve innervate and what is it's name?
Glossopharangeal nerve
Sensation and motor to pharynx
What does your tenth cranial nerve innervate and what is it's name?
Vegas Nerve
Innervates heart and gut motility
What does eleventh cranial nerve innervate and what is it's name?
Accessory nerve
SCM and trapezius muscle
What is twelfth cranial nerve and what does it innervate?
Hypoglossal nerve
Motor to tongue
Describe what the cold caloric test is and what the result means.
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
What is oculocephalic reflex?
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.
What is intranuclear ophthalmoplegia?
Eye on affected side cannot look medially (cannot look at nose)
What is corneal reflex?
Tests CN V and VII
Touching cornea should elicit BILATERAL blink
Decreased blink in opposite eye suggests brainstem or cortical injury
What disease does bilateral INO (intranuclear ophthalmoplegia) strongly suggest?
Multiple Sclerosis
What are the symptoms and treatment of trigeminal Neuralgia
"Electric" brief, intermittent facial pain.
Middle age. Women > men
Neuro exam normal
Tx: Carbamezapine,
Surgical decompression