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85 Cards in this Set

  • Front
  • Back
# of PNs
31
anterior (ventral) PN responsible for?
motor
posterior (dorsal) PN responsible for?
sensory
segmental level of DTR:
ankle
S1
segmental level of DTR:
knee
L2-4
segmental level of DTR:
supinator
C5-6
segmental level of DTR:
biceps
C5-6
segmental level of DTR:
triceps
C6-7
diplopia, dysarthria, and ataxia
postior circulation stroke
bilateral proximal weakness
myopathy
bilateral distal weakness
polyneuropathy
awareness of personal identity, place, and time
orientation
sensory awareness of objects in env. and their interrelationship
perceptions
awareness that sx or behaviors are NL or abNL
insight
comparing and evaluating alternatives when deciding on a course of action
judgement
5 things to test for aphasia
word comprehension
repetition
naming
reading comprehension
writing

* if can write correct sentence then NOT aphasia
speech characterized by delay in reaching pt. b/c of unnecessary detail
circumstantiality
person shifts from one subject to another that are unrelated
derailment
continuous flow of speech where person changes abruptly from one topic to the next
flight of ideas
invented or distorted words
neologisms
speech that is incomprehensible
incoherence
sudden interuption of speech in midsentence
blocking
fabrication of ffacts in response to questions
confabulation (seen in amnesia)
persistent repitition of words/ideas
perseveration
repitition of words/phrases of others
echolalia
person chooses a word based on sound rather than meaning
clanging
repetitive behaviors that a person feels driven to perform to produce or prevent future state of affairs
compulsion
recurrent uncontrollable thoughts, images, impulses that another considers unacceptable
obsessions
misinterpretations of real external stimuli
illusions
subjective sensory perceptions in absence of relevant external stimuli
hallucinations
What do these measure?
digit span
serial 7s
spelling backwards
attention
What does this measure?
proverbs
similarities
abstract thinking
CN I
olfactory
CN II
optic
CN III
Oculomotor
poor sense of smell
olfactory (CN I)
abNL
visual acuity
optic fundi
visual fields
Optic (CN II)
abNL size and shape of pupils and papillary rxns to light
Optic and Oculomotor (CN II and CN III)
CN IV
Trochlear
CN VI
abducens
abNL
extraocular movements
convergence of eyes
nystagmus
ptosis
oculomotor, trochlear, abducens (III, IV, VI)
abNL
masseter muscle
pain sensation of forehead, cheeks, and jaw
corneal reflex
trigeminal (V)
CN V
trigeminal
AbNL
raise eyebrows
frown
close eyes
show teeth
smile
puff out cheeks
facial (VII)
CN VII
facial
CN VIII
acoustic
hearing loss
CN VIII (acoustic)
CN IX
Glossopharyngeal
CN X
vagus
abNL
hoarseness of voice
swallowing
movement of soft palate and pharynx
gag reflex
CN IX and X (glossopharyngeal and vagus)
tongue abNL
hypoglossal
CN XII
hypoglossal
repetitive and consistent deviation to 1 side
past pointing (w/ cerebellar disease)
inability to heel walk
corticospinal tract weakness
stand w/ feet together and eyes open and then closed, w/o support- note ability to maintain upright posture
Romberg Test
pt stands w/ both arms straight forward, palms up, eyes closed - note ability to hold position
test for pronator drift
1st sensation lost in peripheral neuropathy
vibration
(caused by DM, alcoholism, posterior column disease, tertiary syphilis, or Vit B12 deficiency)
inability to ID an object by feeling it
asterognosis
stimulus on side opposite damaged cortex is extinguished
sensory cortex lesion
rating of DTR: very brisk, hyperactive w/ clonus
4+
NL DTR
2+
absent DTR
0
slow relaxation phase of ankle reflex
hypothyroidism
sudden, brief, nonrhythmic flexion of hands and fingers
asterixis (helps to ID metabolic encephalopathy)
what muscle weakness causes winging of the scapula
serratus anterior
flex neck, watch hips and knees for rxn
Brudzinki's sx
flex pt legs at both hip and knee, then straighten knee and determine presence of pain
Kernig's sx
to determine whether brainstem is intact check these reflexes
oculocephalic reflex (Doll's eyes)
oculovestibular reflex w/ caloric stimulation (if intact, eyes drift toward irrigated ear)
dpressed mood and sx for most of day, for more days than not, over at least 2 yrs (no more than 2mo of relief from symtoms)
dysthymic disorder
numerous periods of hypomanic and depressive sxs that last for at least 2 yrs
cyclothymic disorder
inflection and articulation good, but sentences lack meaning; word comprehension, repetition, naming, reading and writing are all impaired; lesion in temporal lobe
Wernicke's Aphasia
inflections and articulation are impaired but words are meaningful; word and reading comprehension are fair; repetition, naming and writing are impaired; lesion in frontal lobe
Broca's Aphasia
Delusions, hallucinations, disorganized speech, catatonic bx, and negative sx present for > 6mo
Schizophrenia
(if < 6mo- schizophreniform disorder)
nonbizarre delusions that involve real-life situations that last for a mo
delusional disorder
may be associated w/ uremia or acute hepatic failure
delerium
may be associated w/ thyroid disorders, alzheimers or vascular cause
demetia
paralysis of entire side of face including forehead, eye doesn't close
CN 7 lesion
paralysis of opposite lower side of face, can close eyes and wrinkle forehead
UMN lesion
spasticity
caused by UMN lesion
flaccidity
cuased by lesion of LMN
associated w/ corticospinal tract lesion; one arm held close to side, extended leg, dragging foot
spastic hemiparesis
associated w/ bilateral spastic paresis of legs
scissor gait
associated w/ foot drop due to LMN disease
steppage gait
upper arms tight to chest; legs extended and internally rotated
decorticate rigidity
(lesion of corticospinal tract)
jaw clenched, adducted arms, wrist flexed
decerebrate rigidity