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PD III Exam #1 -Neuromuscular
Winter Semester - 2011
90
Medical
Graduate
02/19/2011

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Cards

Term
Muscle and Nerve Root/Nerve for shoulder ABduction
Definition
Deltoid; C5 (axillary nerve)
Term
Muscle (2) and Nerve Root/Nerve for Elbow Flexion
Definition
Biceps, Brachialis; C5&6 (musculocutaneous n.)
Term
Muscle (2) and Nerve Root/Nerve for Wrist Extension
Definition
Extensor carpi radialis/ulnaris; C6,7,&8 (radial nerve)
Term
Muscle and Nerve Root/Nerve for Wrist Flexion
Definition
Flexor carpi radialis/ulnaris; C6 &7 (median nerve)
Term
Muscle and Nerve Root/Nerve for Hand Grip
Definition
Hand grip mms; C7,8, & T1
Term
Muscle and Nerve Root/Nerve for Hip Flexion
Definition
Iliopsoas; L2,3,&4
Term
Muscle and Nerve Root/Nerve for Hip Extension
Definition
Gluteus Maximus; S1
Term
Muscle and Nerve Root/Nerve for Hip Abduction
Definition
Gluteus Medius; L4,5,&S1
Term
Muscle and Nerve Root/Nerve for Hip Adduction
Definition
Adductors; L2,3,&4
Term
Muscle and Nerve Root/Nerve for Knee Extension
Definition
Quads; L2,3,&4
Term
Muscle and Nerve Root/Nerve for Knee Flexion
Definition
Hamstrings; L2,3,&4
Term
Muscle and Nerve Root/Nerve for Ankle Plantarflexion
Definition
Gastrocnemius; S1
Term
Muscle and Nerve Root/Nerve for Ankle Dorsiflexion
Definition
Anterior Tibialis; L4,5
Term
Muscle and Nerve Root/Nerve for Toe Extension
Definition
Extensor Hallicus Longus; L5
Term
Nerve Root for dermatome located Back and Front of the Neck
Definition
C3
Term
Nerve Root for dermatome located Nipple Line
Definition
T4
Term
Nerve Root for dermatome located Umbilicus
Definition
T10
Term
Nerve Root for dermatome located Thumb
Definition
C6
Term
Nerve Root for dermatome located Middle Finger
Definition
C7
Term
Nerve Root for dermatome located Ring and 5th finger
Definition
C8
Term
Nerve Root for dermatome located Inguinal region
Definition
L1
Term
Nerve Root for dermatome located Knee Region
Definition
L4
Term
Nerve Root for dermatome located Anterior tibial area
Definition
L4 (medial) & L5 (lateral)
Term
Nerve Root for dermatome located Heel & lateral foot (4th and 5th toe)
Definition
S1
Term
Nerve Root for dermatome located Perianal region
Definition
S5
Term
Which tracts/pathway is described as Regulates position and vibration
Definition
Dorsal/Posterior Column
Term
Which tracts/pathway is described as Helps maintain motor tone and controls body movements
Definition
Corticospinal (Pyramidal) Tracts
Term
Which tracts/pathway is described as Regulates pain, temp., and touch
Definition
Spinothalamic Tract
Term
Which tracts/pathway is described as Regulates voluntary movement where it selects or inhibits motor tone to produce an action. Originates in the motor cortex.
Definition
Basal ganglia system
Term
Which tracts/pathway is described as Receives sensory and motor input coordinates motor activity, maintains equilibrium, & posture
Definition
Cerebellar system
Term
Name the 4 muscles of the rotator cuff.
Definition
Supraspinatus, Infraspinatus, Teres minor, Subscapularis
Term
What muscles make up the walls of the axilla?
Definition
Anterior wall - Pectoralis Major
Posterior wall - Latissimus Dorsi
Medial wall - Serratus Anterior
Lateral wall - Humeral bone
Term
What are the primary elbow flexors of the elbow joint?
Definition
Brachialis, biceps brachii, brachioradialis, pronator teres
Term
What are the primary muscles that produce elbow extension?
Definition
Triceps brachii and anconeus
Term
What motor neurons are being evaluated with the following mms are tested?
Biceps Reflex
Brachioradialis Reflex
Triceps Reflex
Definition
Biceps reflex C5
Brachioradialis reflex C6
Triceps reflex C7
Term
From what nerve roots does the brachial plexus originate?
Definition
C5-T1
Term
What spinal level corresponds to the dermatomal innervations of the following regions?
Perianal
Nipple Line
Index Finger
Third Finger
Knee
Lateral Foot
Definition
Perianal S2-S4,
Nipple line T4,
Index finger C6,
Third finger C7,
Knee L4,
Lateral foot S1
Term
Name the four mms of the quadriceps:
Definition
Rectus Femoris, Vastus, lateralis, Vastus Medialis, Vastus Intermedius
Term
Name the three mms of the hamstrings
Definition
Semitendinosus, semimembranosus, biceps femoris
Term
The strong ligament of the medial aspect of the ankle is collectively called the
Definition
Deltoid (medial) ligament
Term
What group of mms on the lateral part of the lower leg prevent the ankle from excessive inversion?
Definition
Peroneal mms
Term
What is the mm belly found distal to the lateral malleolus on the dorsum of the foot?
Definition
Extensor digitorum brevis
Term
Freely movable joint
Definition
Synovial joint
Term
Slightly movable joint
Definition
Cartilaginous joint
Term
Immovable joint
Definition
Fibrous joint
Term
Wide-ranging motion joint
Definition
Spheroidal joint
Term
joint with Motion in one plane
Definition
Hinge joint
Term
joint with Motion in one plane
Definition
Hinge joint
Term
Joint with Movement of two articulating surfaces
Definition
Condylar joint
Term
What is the most movable joint in the body?
Definition
Synarthroidial (Shoulder)
Term
What mms make up the rotator cuff?
Definition
-Supraspinatus
-Infraspinatus
-Teres Minor
-Subscapularis
Term
What type of joint is the TMJ?
Definition
Sliding hinge joint or condylar synovial joint
Term
Name the 8 carpal bones?
Definition
Navicular (scaphoid) 5. Trapezoid
Lunate 6. Capitate
Triquetrium 7. Hamate
Trapezium 8. Pisiform
Term
What two nerves make up the Sciatic nerve?
Definition
Peroneal N. (Fibular n.)
Tibial N.
Term
List the primary mms of EXTENSOR hip movement
Definition
Gluteus maximus
Term
List the primary mms of FLEXION hip movement.
Definition
Iliopsoas
Term
List the primary mms of ABDUCTION hip movement.
Definition
Gluteus medius and minimus
Term
List the primary mms of ADDUCTION hip movement.
Definition
Adductor magnus, adductus brevis, adductor longus, and gracilis
Term
List the primary mms of EXTERNAL ROTATION hip movement.
Definition
Internal and external obturators, quadratus femoris, superior and inferior gemellus
Term
List the primary mms of INTERNAL ROTATION hip movement.
Definition
Gluteus medius and minimus
Term
List the primary mms of knee FLEXION movement.
Definition
hamstring group: biceps femoris, semitendinosis, and semimembranosus
Term
List the primary mms of knee EXTENSION movement.
Definition
Quadriceps:rectus femoris, vastus medialis, vastus lateralis, and vastus intermedius
Term
List the primary mms of knee INTERNAL ROTATION movement.
Definition
Sartorius, gracilis, semitendinosus, semimembranosus
Term
List the primary mms of knee EXTERNAL ROTATION movement.
Definition
biceps femoris
Term
List the major ligaments of the knee
Definition
Anterior cruciate ligament
Posterior cruciate ligament
Lateral collateral ligament
Medial collateral ligament
Term
List the 2 major joints of the ankle.
Definition
1. Talotibial joint/Talocrural joint
2. Subtalar joint
Term
List the ligaments of the ankle joint that can be involved in a sprain .
Definition
Anterior Talofibular Ligament (lateral)
Posterior Talofibular Ligament (lateral)
Calcaneofibular Ligament (lateral)
Deltoid Ligament (medial)
Term
Explain the primary mms involved in Plantar flexion
Definition
Gastrocnemius, soleus, plantaris, tibialis posterior
Term
Explain the primary mms involved in Dorsiflexion
Definition
Tibialis anterior, extensor digitorum longus,and extensor hallucis longus
Term
Explain the primary mms involved in Inversion
Definition
Tibialis posterior and anterior
Term
Explain the primary mms involved in Eversion
Definition
Peroneus longus and brevis
Term
Responsible for vision
Definition
CN II
Term
CN for Smells
Definition
CN I
Term
CN Moves the eye mms and pupillary constriction
Definition
CN III
Term
CN Causes the eye to move down and in
Definition
CN IV
Term
CN for Corneal reflex
Definition
CN V
Term
CN that Moves the eye outward
Definition
CN VI
Term
CN that Moves mms of facial expression
Definition
CN VII
Term
CN for Hearing and equilibrium
Definition
CN VIII
Term
CN Provides taste to the posterior 1/3 of the tongue
Definition
CN IX
Term
CN allowing you to Says “Ahh”
Definition
CN X
Term
CN Responsible for neck and shoulder movements
Definition
CN XI
Term
CN that Protrudes and depresses the tongue
Definition
CN XII
Term
If the peripheral nerve of CN XII was cut on the left side, if the patient protrudes the tongue, you will see it move to the RIGHT or LEFT?
Definition
LEFT
Term
List the 6 components of the Neuro exam.
Definition
Mental Status
Cranial Nerves
Motor
Sensory
Reflexes
Cerebellar function
Term
Explain Babinski reflex. Positive.
Definition
-The path of “stroking” is on the plantar aspect of the foot-lateral plantar foot, then across the plantar metatarsal heads.
- Positive if there is DF of the great toe. Means there is a CNS lesion in the corticospinal tract.
Term
Explain Pronator Drift.
Definition
The inability to maintain a forward flexed, supinated UE on the side contralateral to the UMN lesion. Downward drift of the arm with flexion of fingers and elbow may also occur.
Term
What does a positive pronator drift test signify?
Definition
-Positive test signifies UMN CST nerve lesion in the contralateral hemisphere.
Term
What does the Rhomberg test test for? Which column?
Definition
Test for position sense (Dorsal Column)
Term
What is a positive Rhomberg test? What does it mean?
Definition
Positive test if patient stands well with eyes open and then loses balance with the eyes closed. Means that he has loss of position sense from the dorsal column.
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