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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 |