Neuromuscular 1 Exam 2
Ability of the neurological system to organize and interpret sensations from the body and environment
then interpret and organize input
AND
Ability to use these sensations appropriately during fxn - ANS Sensory integration
Put these levels of mental status in order.
a. Alert → Stupor → Obtunded → Lethargic → coma
b. Alert → Obtunded → Lethargic → Stupor → coma
c. Alert → Lethargic → Obtunded → Stupor → coma - ANS c. Alert → Lethargic → Obtunded → Stupor →
coma
Dull reaction; when a patient is aroused, they show signs of confusion and are slow to respond. - ANS
Obtunded
__________ means that only vigorous and repeated stimuli will arouse the individual, and when left
undisturbed, the patient will immediately lapse back to the unresponsive state. - ANS Stupor
These receptors recognize sensation to pain, temperature, light touch and pressure. They receive
information from the external environment from the skin and subcutaneous tissue. - ANS
Exteroreceptors
These receptors receive stimuli from muscle, tendons, ligaments, joints and fascia. They are responsible
for position, sense, awareness of joints at rest or during movement and vibration. - ANS Proprioceptors
,Using a safety pin to test for sharpness and dullness is to test what pathway? - ANS ALS
Using a cotton swab to test for touch awareness is to test what pathway? - ANS DCML
Testing movement through space for kinesthesia awareness is to test what pathway? - ANS DCML
Knowing where your joint is in space (proprioceptive awareness) tests what pathway? - ANS DCML
Using a tuning fork to test vibration perception tests what pathway? - ANS DCML
Ability to evaluate the weight of objects - ANS Barognosis
Superficial Sensation Examination Tests (3) - ANS Sharp/dull examination: Pain - safety pin for ALS
Temperature awareness: Can use 2 test tubes at different temperatures ALS
Touch awareness: Cotton swab/ Q-Tip DCML
Deep Sensation Exam Tests (3) - ANS Kinesthesia awareness: movement through space DCML
Proprioceptive awareness: knowing where your joint is in space DCML
Vibration perception: tuning fork DCML
Combined Cortical Sensation Exam Tests - ANS Barognosis- ability to evaluate the weight of objects
Stereognosis- ability to perceive the form of solid objects by touch
Graphesthesia- ability to recognize writing on the skin purely by the sensation of touch
Tactile Location- the perception of a stimulus at a specific location on the body
Texture recognition- soft, sharp, dull, rough, smooth
, 2-point discrimination- the ability to discern that two nearby objects touching the skin are truly two
distinct points, not one
Ability to perceive the form of solid objects by touch - ANS Stereognosis
Ability to recognize writing on the skin purely by the sensation of touch - ANS Graphesthesia
The perception of a stimulus at a specific location on the body - ANS Tactile Location
Describe 2-point discrimination - ANS The ability to discern that two nearby objects touching the skin
are truly two distinct points, not one
How do you do oculomotor testing, and what CN's are affected? - ANS CN's 3, 4, & 6 to assess for any
muscular deficits in the ocular muscles
Must follow a moving object w/ eyes while keeping head stationary. To watch either how well the eyes
can fixate on a target and then how well they can move in conjunction w/ each other.
How well the eyes are able to move rapidly b/w two different objects - ANS Saccades
reflex that facilitates the eye moving with the head in order to create clear vision when the head is
moving - ANS Vestibular ocular reflex (VOR)
Homonymous hemianopia is due to damage to what CN? - ANS Visual field deficit due to damage to CN
II. Cannot see one side of their visual field.
Homonymous hemianopia results from a loss of vision on the _________ portion of one eye and the
__________ portion of the contralateral eye. - ANS Homonymous hemianopia results from a loss of
vision on the TEMPORAL portion of one eye and the NASAL portion of the contralateral eye.
Ability of the neurological system to organize and interpret sensations from the body and environment
then interpret and organize input
AND
Ability to use these sensations appropriately during fxn - ANS Sensory integration
Put these levels of mental status in order.
a. Alert → Stupor → Obtunded → Lethargic → coma
b. Alert → Obtunded → Lethargic → Stupor → coma
c. Alert → Lethargic → Obtunded → Stupor → coma - ANS c. Alert → Lethargic → Obtunded → Stupor →
coma
Dull reaction; when a patient is aroused, they show signs of confusion and are slow to respond. - ANS
Obtunded
__________ means that only vigorous and repeated stimuli will arouse the individual, and when left
undisturbed, the patient will immediately lapse back to the unresponsive state. - ANS Stupor
These receptors recognize sensation to pain, temperature, light touch and pressure. They receive
information from the external environment from the skin and subcutaneous tissue. - ANS
Exteroreceptors
These receptors receive stimuli from muscle, tendons, ligaments, joints and fascia. They are responsible
for position, sense, awareness of joints at rest or during movement and vibration. - ANS Proprioceptors
,Using a safety pin to test for sharpness and dullness is to test what pathway? - ANS ALS
Using a cotton swab to test for touch awareness is to test what pathway? - ANS DCML
Testing movement through space for kinesthesia awareness is to test what pathway? - ANS DCML
Knowing where your joint is in space (proprioceptive awareness) tests what pathway? - ANS DCML
Using a tuning fork to test vibration perception tests what pathway? - ANS DCML
Ability to evaluate the weight of objects - ANS Barognosis
Superficial Sensation Examination Tests (3) - ANS Sharp/dull examination: Pain - safety pin for ALS
Temperature awareness: Can use 2 test tubes at different temperatures ALS
Touch awareness: Cotton swab/ Q-Tip DCML
Deep Sensation Exam Tests (3) - ANS Kinesthesia awareness: movement through space DCML
Proprioceptive awareness: knowing where your joint is in space DCML
Vibration perception: tuning fork DCML
Combined Cortical Sensation Exam Tests - ANS Barognosis- ability to evaluate the weight of objects
Stereognosis- ability to perceive the form of solid objects by touch
Graphesthesia- ability to recognize writing on the skin purely by the sensation of touch
Tactile Location- the perception of a stimulus at a specific location on the body
Texture recognition- soft, sharp, dull, rough, smooth
, 2-point discrimination- the ability to discern that two nearby objects touching the skin are truly two
distinct points, not one
Ability to perceive the form of solid objects by touch - ANS Stereognosis
Ability to recognize writing on the skin purely by the sensation of touch - ANS Graphesthesia
The perception of a stimulus at a specific location on the body - ANS Tactile Location
Describe 2-point discrimination - ANS The ability to discern that two nearby objects touching the skin
are truly two distinct points, not one
How do you do oculomotor testing, and what CN's are affected? - ANS CN's 3, 4, & 6 to assess for any
muscular deficits in the ocular muscles
Must follow a moving object w/ eyes while keeping head stationary. To watch either how well the eyes
can fixate on a target and then how well they can move in conjunction w/ each other.
How well the eyes are able to move rapidly b/w two different objects - ANS Saccades
reflex that facilitates the eye moving with the head in order to create clear vision when the head is
moving - ANS Vestibular ocular reflex (VOR)
Homonymous hemianopia is due to damage to what CN? - ANS Visual field deficit due to damage to CN
II. Cannot see one side of their visual field.
Homonymous hemianopia results from a loss of vision on the _________ portion of one eye and the
__________ portion of the contralateral eye. - ANS Homonymous hemianopia results from a loss of
vision on the TEMPORAL portion of one eye and the NASAL portion of the contralateral eye.
