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39 Cards in this Set
- Front
- Back
which nerve root is affected in a far lateral L4-L5 disc herniation?
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L4; far lateral disc herniation will reach the nerve root exiting at that level, resulting in impingement of the next higher nerve root
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what kind of herniation can cause cauda equina syndrome?
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central lumbosacral disc herniation
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where does the lumbar cord end?
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T12-L1 (although the lumbar nerve roots exit below their corresponding vertebrae)
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what muscles does the radial nerve innervate?
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triceps, brachioradialis, extensor carpi radialis
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triceps nerve root
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C7 (C6,C7,C8)
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brachioradialis
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C6 (C5,C6)
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extensor carpi radialis
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C6 (C5,C6)
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what muscles does the median nerve innervate?
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pronator teres, flexor carpi radialis, palmaris longus, flexor digitorum superficialis, LOAF muscles
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which muscles are affected in carpal tunnel? what nerve and nerve root supply these muscles?
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Lumbricals (I, II), opponens pollicus, abductor pollicus brevis, flexor pollicis brevis; median nerve; T1
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radiculopathy
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neuropathy affecting spinal nerve roots
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what is the presentation of Guillain-Barre syndrome?
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progressive weakness, areflexia, and tingling paresthesias of the hands and feet; typically occurs 1-2 weeks following a viral illness
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what is pyridostigmine?
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long-acting cholinesterase inhibitor
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spondylosis
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degenerative disorder of the spine
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spondylolysis
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fracture in the interarticular portion of the vertebral bone, b/w the facet joints
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spondylolisthesis
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displacement of a vertebral body relative to the vertebral body beneath it
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saddle anesthesia
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sensory loss in the S2-S5 distribution
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where do nerve roots exit?
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below the corresponding vertebrae except for the cervical nerve roots which exit above the corresponding vertebrae
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sensory innervation of the head
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C2 (face is trigeminal)
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dermatome of the shoulder
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C5
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dermatome of the lateral arm and first 2 digits
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C6
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dermatome of the middle digit
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C7
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dermatome of the 4th and 5th digits
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C8
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dermatome of the anteromedial shin
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L4
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dermatome of the anterolateral shin and dorsum of the foot to the big toe
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L5
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dermatome of the small toe, lateral foot, sole, and calf
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S1
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myotome
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muscles innervated by a single nerve root
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which nerve and nerve roots innervate the rhomboids?
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dorsal scapular, C5 (C4-C6)
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which nerve and nerve roots innervate pectoralis minor?
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medial pectoral, C6-C8
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which nerve and nerve roots innervate latissimus dorsi?
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thoracodorsal C7 (C6-C8)
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what are the muscles of the hypothenar eminance? which nerve and nerve roots innervate these muscles?
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opponens digiti minimi, abductor digiti minimi, flexor digiti minimi; ulnar, T1 (C8,T1)
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what radiculopathy can cause Horner's syndrome?
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T1 radiculopathy can interrupt the sympathetic pathway to the cervical sympathetic ganglia, resulting in Horner's
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what's occurs in a disc herniation?
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part or all of the nucleus pulposis extrudes through a tear in the annulus fibrosus, often causing root compression
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what are the most common radiculopathies caused by disc herniation?
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C6, C7, L5, S1; lumbosacral are 2-3 times more common that cervical radiculopathies
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arm abduction at the shoulder
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C5
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flexion at the elbow
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C5-C6
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wrist flexion
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C6
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elbow extension
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C7
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dorsiflexion
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L5
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plantar flexion
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S1
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