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38 Cards in this Set
- Front
- Back
which muscles are innervated by the musculocutaneous nerve?
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BBC (biceps, brachialis, coracobrachialis)
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lumbosacral plexus
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L1-S4
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what are the motor functions of the radial nerve?
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extension at all arm, wrist, and finger joints, forearm supination, thumb abduction in plane of palm
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what are the motor functions of the median nerve?
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thumb flexion and opposition, flexion of digits 2 and 3, wrist flexion and abduction, forearm pronation
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what are the motor functions of the ulnar nerve?
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finger adduction and abduction other than thumb, thumb adduction, flexion of digits 4 and 5, wrist flexion and adduction
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what is the function of the axillary nerve?
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abduction of arm at shoulder beyond first 15°
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what is the function of the musculocutaneous nerve?
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flexion of arm at elbow, supination of forearm
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sensory innervation of saphenous nerve
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medial shin
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sensory innervation of common peroneal nerve
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lateral upper half of shin
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sensory innervation of deep peroneal nerve
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b/w 1st and 2nd toes
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sensory innervation of superficial peroneal
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lower lateral half of shin
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sensory innervation of posterior tibial nerve
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lateral foot and sole
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what are the intrinsic hand muscles?
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muscles of the thenar and hypothenar eminence, lumbricals, and interossei
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what nerves and nerve roots innervate the intrinsic hand muscles?
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ulnar nerve, except for the LOAF muscles which are innervated by the median nerve; C8, T1
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function of the palmar interossei
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adduct the fingers
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function of the dorsal interossei
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abduct the fingers
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which muscles are innervated by the sciatic nerve?
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hamstring muscles (semitendinosus, semimembranosus, biceps femoris)
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Erb-Duchenne Palsy
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damage to the upper trunk of the brachial plexus causes weakness of the deltoid, biceps, infraspinatus, and wrist extensors (C5, C6); arm assumes "bellman's" or "waiter's tip" pose
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what causes Erb-Duchenne Palsy?
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traction on infant's shoulder during delivery and motorcycle accidents
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Klumpke's Palsy
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damage to the lower trunk of the brachial plexus causes hand and finger extension weakness, atrophy of the hypothenar muscles, and sensory loss on the ulnar aspect of the hand and forearm
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what causes Klumpke's Palsy?
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upward traction produced by grabbing a branch during fall from a tree, thoracic outlet syndrome, and Pancoast's syndrome
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thoracic outlet syndrome
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lower brachial plexus is compressed as it passes b/w the clavicle and 1st rib
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Pancoast's syndrome
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apical lung tumor (non-small cell carcinoma) extends into the lower brachial plexus
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what causes radial neuropathy?
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sleeping with the arm slung over a park bench ("Saturday night palsy"), compression in the axilla by crutches
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signs of radial neuropathy?
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wrist drop (weakness of all extensors of the arm hand, and fingers below the shoulder), loss of triceps reflex
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what causes median neuropathy?
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someone sleeping with their head resting on the upper arm ("honeymooner's palsy")
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which nerve passes through the pronator teres muscle in the forearm?
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median
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signs of median neuropathy?
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preacher's hand (unable to flex first 3 digits when trying to make a fist)
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what is the best muscle to test carpal tunnel syndrome?
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abductor pollicis brevis, which abducts the thumb perpendicular to the plane of the palm
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signs of femoral neuropathy?
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weakness of thigh flexion and knee extension, loss of patellar reflex, and sensory loss in anterior thigh
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signs of sciatic neuropathy?
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weakness of all foot and ankle muscles and of knee flexion, loss of Achilles reflex, and sensory loss in the foot and lateral leg below the knee
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where is the common peroneal nerve vulnerable to injury?
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as it passes around the fibular head
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signs of peroneal nerve palsy?
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foot drop with weakness of foot dorsiflexion and eversion, and sensory loss over the dorsolateral foot and shin
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meralgia paresthetica
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lateral femoral cutaneous nerve (L2,L3) can be entrapped as it passes under the inguinal ligament or fascia lata producing paresthesias and loss of sensation in the lateral thigh
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Morton's metatarsalgia
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tight-fitting shoes can compress the nerves of the 3rd and 4th toes, producing numbness and paresthesias
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what will you see in a nerve conduction study with a lesion proximal to the dorsal root ganglia?
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SNAPs will be preserved
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what will you see in a nerve conduction study with a lesion proximal to motor nerve roots?
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reduced or absent CMAPs
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decreased SNAP amplitude indicates
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axonal damage
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