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PMR
PMR
77
Medical
Graduate
03/27/2014

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Cards

Term
what ligament is compressed by lumbar disk herniation
Definition
posterior longitudinal ligament
Term
what mm are responsible for shoulder abduction
Definition
deltoid supraspinatus
Term
what mm are responsible for shoulder internal rotation
Definition
infraspinatus
subscapularis
Term
what mm are responsible for should adduction
Definition
teres minor and subscapularis
Term
cerebral palsy criteria
Definition
1. neuromotor control deficit that cuases a change in movement or posture
2. static brain lesion
3. acquisition of injury before age 1yr
Term
risk factors for CP
Definition
prematurity #1
low birth weight
intraventricular hemorrhage
twins
hypozia
Term
normal post void urine
Definition
less than 50
Term
moa of benzodiazapines
Definition
gaba-a agonist
Term
baclofen moa
Definition
gaba-b agonist
Term
tizanidine
Definition
alpha2 agonist used for spacticity
Term
dantrolene moa
Definition
decrease ca release from sarcoplasmic reticulum
Term
clonadine MOA and uses
Definition
alpha2 agonist, lowers blood pressure, helps sleep, adhd
Term
botox contraindication with medicine
Definition
cannot use with AMG
Term
brain regions at highest risk for anoxia
Definition
hippocampus
auditory nucleau
basal ganglia
Term
Where does peroneal nerve injury occur
Definition
Along later side of lower leg, at the head of. Fibula
Term
What roots make peroneal nerve
Definition
L45 s12 from sciatic nerve
Term
What causes peroneal nerve damage in hospital
Definition
External flotation of leg, or resting lateral knee on side of bed
Term
Test for peroneal nerve injury
Definition
Tinels
Tap on lateral fibula and pt feels tingling down foot to top of foot
Term
Signs of peroneal nerve injury
Definition
Foot drop
Dec sensation of top of foot and lateral anterior lower leg
Term
Gait in peroneal nerve injury
Definition
High steppage gait
Term
Pain when twisting spine to left and leaning back
Definition
Facet joint pain
Term
Tx facet joint pain
Definition
Medial nerve blocks
Term
Brain regions at risk for diffuse axonal injury
Definition
Basal ganglia
Corpus callosum
Brain stem
Term
Features of dai
Definition
Lots of neuro sx, normal mri, or punctuate hemorrhage on ct
Term
Side line test after tbi in sports
Definition
SCAT
Term
Tx spasticity upper limb v ll
Definition
Ll: baclofen
Up: tizanidine and dantrolene
Term
Conus medullaris vs cauda equina
Definition
Cm: umn and lmn sx. More painful, urinary incontinence
Ce: just lmn, urinary incontinence, less pain
Term
pathogenesis of inclusion body myositis
Definition
inflammatory mm disease
invasion of T cells --> vacoules of protein in myocytes
Term
sx in inclusion body myositis
Definition
slow progressing, distal and proximal or UE and LE --> clumsiness, trip, fall, drops things, dysphagia

some may have thigh pain
Term
age for inclusion body myositis
Definition
50s
Term
sex for inclusion body myositis
Definition
male > female
Term
onset of friedrichs ataxia
Definition
5-15 yo if hereditary
Term
how do you get hereditary friedrichs ataxia
Definition
FXN gene mutation, autosomal recessive
Term
how do ppl with friedrichs ataxia die
Definition
heart disease
Term
digns and sx of friedrichs
Definition
gait ataxia
dysarthria
wkness
dec reflexes
coliosis
carb intol --> dm
Term
cervical spondylosis aka
Definition
cervical stenosis
Term
main complication of cervical spondylosis
Definition
spinal cord compression
Term
name of nerve syndrome in cervical stenosis
Definition
cervical spondylitic myelopathy
Term
signs of cervical spondylosis
Definition
neck pain + cervical radiculopathy
Term
features of cervical spondylosis causing spinal cord compression/radiculopathy
Definition
upper extremity lmn signs
lower extremity umn signs (+babinski)
UE numbness, parasthesia

bladder dysfxn
Term
gait in cervical stenosis
Definition
spastic scissoring gait
dec proprioreception
Term
hoffmans sign
Definition
flick distal finger tip with proximal finger flexed at MCP joint --> thumb adducts or other fingers twitch
Term
charcot mariet tooth signs and sx
Definition
hi arch foot
foot drop --> slapping foot gain
LE wasting
Term
pathogenesis of charcot marie tooth
Definition
pns demyelination
Term
dx charcot marie tooth
Definition
mm or nn biopsy
Term
als time frame of UMN vs LMN
Definition
LMN signs first then UMN
Term
dementia in ALS
Definition
frontotemporal dementia --> no aggression
Term
CIDP signs
Definition
weakness
numbness, burning pain, tingling that radiates
Term
heart issue in friedrichs ataxia
Definition
hypertrophic cardiomegally
Term
peroneal nerve aka
Definition
fibular nerve
Term
CIDP UMN or LMN
Definition
LMN
dec DTR, atrophy, fasiculations
Term
work up of cidp
Definition
anti-ganglioside ab
sural nerve biopsy
emg
Term
AIDP
Definition
GBS
descending weakness and sensory changes
Term
infection that --> AIDP
(2)
Definition
campylobacter jejuni\
CMV
Term
work up AIDP
Definition
EMG
LP --> albumino cytological dissociation
Term
cause of deeath in aidp
Definition
respiratory mm weakness
Term
fibrillation and sharp waves on EMG
Definition
denervated myocte
Term
when can pt have sex after cabg
Definition
6 wks
Term
major ade of ultram in head injury pts
Definition
lowers seizure threshold
Term
most common nutritional def causing neuropathy after bypass surgery
Definition
1. thiamine
2. folate
Term
is neuropathy from vit deficiency a loss of myelin or an actual loss of axons?
Definition
axonal loss
Term
anterior interosseous nerve syndrome
Definition
1. +"OK" sign
2. cannot flex distal phalynx of thumb
3. mm wkness of flexor pollicis longus, flex dig profundus and pronator quadratus
Term
sensory issues in anterior interosseous nerve syndrome
Definition
no sensory deficites in AINS
Term
what is attacked by autoantibodies in myasthenia gravis
Definition
nicotinic ACh receptors at the NMJ
Term
myasthenia gravis and exercise testing
Definition
after 3-4 min or normal exercise their should be decline in strength

after 10 seconds of maximal exercise there should be a slight return to baseline due to postexercise facilitation
Term
what if, after 10 seconds of maximal exercise there is a response that is better than the baseline?
Definition
lambert eaton sydrome
Term
what nerve gives rise to anterior interosseos nerve
Definition
median
Term
long thoracic nerve palsy causes what?
Definition
medially rotated winged scapula
Term
what causes laterally rotated winged scapula?
Definition
spinal accessory nerve problem causing
trapezius weakness
Term
what does the long thoracic nerve innervate to cause the medial winged scapula?
Definition
serratus anterior
Term
what is complex regional pain syndrome? (CRPS)
Definition
-continuing and spontaneous or evoked regional pain (usually evoked)
-this pain is disproportionate in time or severity to any other lesion/trauma
-the pain is usually in a distal extremity (ankle, foot, wrist, hand elbow etc)
Term
how does CRPS progress
Definition
defined as having variable progression in the pain and disability (it is kind of like a fibromyalgia located to one spot)
Term
what are the two types of CRPS
Definition
Type I: no nerve lesion
Type II: associated with an inciting nerve injury
Term
sx of CRPS
Definition
-skin discolorization of the area
-the area is either cold or hotter than non-affected limb
-edema
-pain
-allodynia
Term
allodynia
Definition
pain due to a stimulus that is disproportionate to the stimulus
Term
tx of CRPS
Definition
physical therapy
psychotherapy if needed
pain management so they can do physical therapy (nerve block, nsaids etc)
Term
MOA ketamine
Definition
NMDA blockade --> dec pain
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