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Neuroscience practical
Neuroscience Practical
65
Health Care
Graduate
07/27/2011

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Cards

Term
Pain
Definition
sharp/dull, slide fingers ANTEROLATERAL SPINOTHALAMIC
Term
Temperature
Definition
test tubes with hot and cold water, hot/cold ANTEROLATERAL SPINOTHALAMIC
Term
Light touch
Definition
cotton ball, yes/no DORSAL COLUMN MEDIAL LEMINISCUS
Term
Pressure
Definition
with q-tip press down until skin indention, yes/ DORSAL COLUMN MEDIAL LEMINISCUS
Term
Kinesthesia
Definition
awareness of movement. Deep sensation, up/down in/out. DORSAL COLUMN MEDIAL LEMINISCUS
Term
Proprioception
Definition
examines joint position sense and awareness of joints at rest. Describe/duplicate static position. DORSAL COLUMN MEDIAL LEMINISCUS
Term
Vibration
Definition
Tuning fork on bony prominence. vibrating/notvibrating DORSAL COLUMN MEDIAL LEMINISCUS
Term
Stereognosis
Definition
combined cortical sensation (superficial and deep)DORSAL COLUMN MEDIAL LEMINISCUS
Term
Tactile localization
Definition
cotton ball on different places have pt tell you where you touched them DORSAL COLUMN MEDIAL LEMINISCUS
Term
Two-point discrimination
Definition
measure shortest distance that a patient can feel 2 points. DORSAL-COLUMN MEDIAL LEMINISCUS
Term
Double simultaneous stimulation
Definition
Opposite body sides, prox/dist opposite side, same side. PT tells where stimulus is and number of stimuli.
Term
Graphesthesia
Definition
Traced figure identification. DORSAL COLUMN MEDIAL LEMINISCUS
Term
Recognition of texture
Definition
DORSAL COLUMN MEDIAL LEMINISCUS
Term
Barognosis
Definition
Recognition of weight. DORSAL COLUMN MEDIAL LEMINISCUS>
Term
Superficial sensations
Definition
Pain, Temperature, light touch, pressure
Term
Deep sensations
Definition
Kinesthesia, Proprioception, Vibration
Term
Combined cortical sensations
Definition
Stereognosis, Tactile localization, 2-point discrimination, double simultaneous stimulation, graphesthesia, recognition of texture,barognosis
Term
Spasticity
Definition
Injury to corticospinal pathways (pyramidal tracks), UMNL, Resistance increases with increasing amplitude and velocity of stretch.
Term
Signs and symptoms of UMNL
Definition
hyperactive stretch reflex, involuntary flex/ext spasms, clonus, babinski, exaggerated cutaneous reflexes, loss of precise autonomic control, dyssynergic movement patterns.
Term
Decorticate rigidity
Definition
Corticospinal tract lesion at level of diencephalon. Trunk and lower limbs extended and upper limbs in flexion.
Term
Decerebrate rigidity
Definition
Corticospinal brainstem lesion. Upper and lower body extended.
Term
Opisthotonus
Definition
strong and sustained contraction of extensor muscles of neck and trunk.
Term
Rigidity
Definition
Basal ganglia lesions. Resistance to passive movement involving agonist and antagonist muscles.
Term
Cogwheel rigidity
Definition
rachetlike jerkiness common in parkinsons
Term
Leadpipe rigidity
Definition
increased uniform resistance independent of velocity.
Term
Hypotonia/Flaccidity
Definition
LMNL, decreased or absent muscular tone.
Term
dystonia
Definition
Hyperkinetic movement disorder characterized by impaired or disordered tone. Tone fluctuates in unpredictable manner.
Term
Jaw DTR
Definition
CN V, thumb over chin
Term
Biceps DTR
Definition
C5, C6 thumb over biceps tendon
Term
Brachioradialis DTR
Definition
radial, C5, C6 finger on radial tuberosity
Term
Triceps DTR
Definition
radial, C6, C7 tap above olecranon
Term
Finger flexors DTR
Definition
median, C6-T1 finger across palmar surface of distal phalanges
Term
Hamstrings DTR
Definition
tibial branch, sciatic nerve, L5, S1, S2 Tap on finger directly above tendon at knee
Term
Quadriceps DTR
Definition
femoral, L2, L3, L4 tap tendon of quad
Term
Achilles DTR
Definition
tibial, S1-S2 tap tendon above insertion on calcaneous
Term
Plantar SCR (superficial cutaneous reflex)
Definition
S1,S2 stroking stim on sole of foot. Flexion of big toe normal.
Term
Abdominal SCR (superficial cutaneous reflexes)
Definition
light brisk stroke over the skin of abdominal muscles. Localized contraction under stim is produced.
Term
Rooting (onset, integration)
Definition
O: 28 wks
I: 3 mo
Rub cheek --> open mouth
Term
Suck-swallow (onset, integration)
Definition
O: 28 wks
I 2-5 mo
Fingers in mouth --> sucking
Term
Moro/Startle (onset, integration)
Definition
O: 28 wks
I: 5-6 mos
Clap --> arms out (startled), moro (arms come back in)
Term
Traction (onset, integration)
Definition
O: 28 wks
I: 2-5 mos
Pulling (traction) of arms --> lift up (co contraction)
Term
Crossed extension (onset, integration)
Definition
O: 28 wks
I: 1-2 mo
Maintained noxious stim on foot --> other foot crosses over and pushes stim away
Term
Flexor withdrawal (onset, integration)
Definition
O: 28 wks
I: 1-2 mo
Noxious stimulus on foot --> flex away from pain
Term
Plantar grasp (onset, integration)
Definition
O: 28wks
I: 9 mo
Touch sole of foot --> toes curl
Term
Asymmetrical tonic neck reflex (onset and integration)
Definition
O: birth
I: 4-6 mo
Turn head R --> R arm extends and vice versa
Term
Palmer grasp (onset, integration)
Definition
O: birth
I: 4-6 mo
Touch palm --> squeeze
Term
Tonic labyrinthe (TLR) (onset, integration)
Definition
O: birth
I: 6 mo
Prone flexion tone, supine extension tone
Term
Symmetrical tonic neck (STNR) (onset and integration)
Definition
O: 4-6 mo
I: 8-12 mo
Head position stim: head extension --> arms extend, knees flex (BUNNY)
Term
Positive support (onset and integration)
Definition
O: birth
I: 6 mo
weight bearing --> extension
Term
Associated reaction (onset and integration)
Definition
O: birth
I: 8-9 years
Some movement associated --> reflex (stressful movement makes other reflex sharper)
Term
CN I
Definition
Olfactory.
Pt closes eyes and closes one nostrils and have them identify a smell.
Early sign of Parkinson's
Term
CN II
Definition
Optic.
Pt sitting with one eye covered and have them tell you when they can see your finger (both sides)
Eye chart
Lesions (1,2,3) - what they can and cant see
Term
CN III
Definition
Oculomotor.
Shine light in eye.
Cover one eye and follow finger.
Both eyes open and follow finger going towards face (conversion)
Look straight ahead to see if eyelid is not drooping and balanced
Term
CN IV
Definition
Trochlear.
Cover one eye and bring finger medially and down (innervates superior oblique)
Term
CN V
Definition
Trigeminal.
Test forehead, cheek and chin with sharp/dull stim
Stim on cornea
Mandible reflex (palpate pterygoids)
MMT mouth muscles
Term
CN VI
Definition
Abducens
Term
CN VII
Definition
Facial
Smile, show teeth, close eyes, raise eyebrows, puff cheeks
BELLS PALSY LMN, stroke UMN, Guillan barre LMN
Term
CN VIII
Definition
Vestibulocochlear
closes eyes and test hearing on both sides
Hearing from mastoid process
Term
CN IX
Definition
glossopharyngeal
Tongue depressor on back of tongue say AH
swab dipped into salty and sweet water on lateral sides of posterior tongue
Term
CN X
Definition
Vagus
Stick out tongue say AH look to see if vibration on each side
Term
CN XI
Definition
Spinal accessory
MMT of upper traps (IDK)AROM first
Head rotation both ways
Term
CN XII
Definition
Hypoglassal
Stick out tongue (deviation = lesion)
Push on cheek: dont let me move you
Term
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Definition
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Term
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Definition
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Term
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Definition
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