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21 Cards in this Set

  • Front
  • Back
2 EMG tests for the NMJ
repetitive stimulation
single fiber EMG (SFEMG)
2 contraindications for EMG
bleeding diathesis (e.g. warfarin)
ICD
EMG has high/low sensitivity & specificity for radiculopathy
low
EMG is indicated for radiculopathy for ___
deciding whether surgery is needed
normal nerve conduction velocity is ___ in upper extremity, ___ in lower
50--60 m/s
40--50 m/s
normal nerve conduction amplitude is ___ in sensory fibers, ___ in motor.
10 uV
6 mV
___ is the most distal muscle innervated by the median nerve
abductor pollicis brevis
stimulation distal to a lesion gives a ___ reading, proximal to one gives a ___ reading.
normal
low
2 causes of conduction block
demyelination
compression
if no defect found on NCT, check ___
F wave
in GBS, F wave may be ___ (2)
prolonged
absent
3 kinds of spontaneous activity on SFEMG
fibrillations
positive sharp waves
fasciculations
fibrillations are seen as ___ deflections, positive sharp waves as ___.
upward (negative)
downward (positive)
fibrillations are ___ly timed
irregularly
2 causes of spontaneous activity on SFEMG
denervation
inflammatory polymyopathy with necrosis
___ in SFEMG can be used to distinguish ___ from ___
interference pattern
myopathy
neurogenic problem
neurogenic problems are characterized by ___ (2) firing with ___ interference. spontaneous activity is present/absent.
rapid
high amplitude
reduced
present
myopathic problems are characterized by ___ firing with ___ interference.
spontaneous activity is present/absent.
NCT is usually ___
low amplitude
full
absent (except inflammatory myopathy)
normal
2 kinds of neurogenic problem
these are distinguishable via ___.
demyelinating
axonal
NCT
demyelinating problems have ___ distal latency, ___ conduction velocity, ___ amplitude, with/without dispersion and with/without conduction block.
high
low
normal
with
with
axonal problems have ___ distal latency, ___ conduction velocity, ___ amplitude, with/without dispersion and with/without conduction block.
normal
normal
low
without
without