NBCE - Part 2: NMS | 223 QUESTIONS| WITH COMPLETE SOLUTIONS

NBCE - Part 2: NMS | 223 QUESTIONS| WITH COMPLETE SOLUTIONS Abdominal Reflex - ANSWER-Stroke in all 4 abdominal quadrants with reflex hammer. Upper: T7 to T9 - efferent & afferent Lower: T10 to T12 - efferent & afferent .Abducens Nerve - ANSWER-CNVI (motor) SO4-LR6-R3 Lateral Rectus Moves the eye laterally. .Accommodation - ANSWER-Eyes converge, pupils constrict, lens convexity. .Achillies DTR - ANSWER-S1 Tibial Nerve AKA: Ankle Jerk Reflex .Adson's Test - ANSWER-AKA: Scalenus Anticus Test Patient seated, doctor slightly abducts, extends and externally rotates the arm while taking the radial pulse. Patient rotates head toward tested side and extends head. Patient takes a deep breath. Positive: alteration in pulse amplitude. Indicates: subclavian artery, cervical rib, TOS, scalenus anticus syndrome. .Allen's Test - ANSWER-Patient seated, forearm supinated. Occlude radial and ulnar arteries while patient pumps fist. Patient slowly opens hand while doctor opens one artery and records filling time. Repeat for other artery. Positive: filling time of more than 10 seconds. Indicates: occlusion of corresponding artery. .Amyotrophic Lateral Lateral Sclerosis - ANSWER-AKA: Lou Gehrig's Disease Affects corticospinal tract and anterior horn. Usually begins in the hands/feet. Life expectancy is short. Seen in males over 40. Fasciculation's are present as well as spasticity and increased DTR's. LMNL in arms and UMNL in legs. .Anosmia - ANSWER-Lost sense of smell. .Antalgic Gait - ANSWER-Gait is utilized to avoid provoking pain. .Anterior Spinothalamic Tract - ANSWER-Crude light touch. .Appendix Referral - ANSWER-Epigastric - Early RLQ - Late .Axillary Nerve - ANSWER-Motor: Arm Abduction Muscle: Deltoid, Teres Minor Sensory: Lateral Arm Disorder: Glenohumeral Dislocation .Babinski Pronation Reflex - ANSWER-Patient's hand placed together, palms up. Dr.'s hands are made into a fist and will jar one of the patients hands from below. The affected hand falls in pronation while the other remains in supination and horizontal. .Babinski Reflex - ANSWER-Stroke up lateral aspect of foot to great toe. Dorsiflexion of great toe with splaying of the toes. .Bakody's Test - ANSWER-AKA: Shoulder Abduction Test Seated, affected arm's palm on top of head and elbow should be at head level. Positive: relief of pain. Indicates: IVF encroachment. .Bell's Palsy - ANSWER-CNVII - LMNL Unilateral facial paralysis. Caused by trauma, virus, or immune mediated response. Initial pain behind the ipsilateral ear, twitching, weakness or paralysis, drooping eyelid and corner of the mouth, drooling, dry eye, & impairment of taste. Not a permanent condition. .Biceps DTR - ANSWER-C5 Musculocutaneous Nerve .Bladder Referral - ANSWER-Suprapubic Area (Cystitis = bladder infection) .Brachioradialis DTR - ANSWER-C6 Radial Nerve .Brown Sequard - ANSWER-A hemisection spinal cord usually caused by an injury. Ipsilateral loss of motor function and dorsal columns (proprioception). Contralateral loss off pain and temperature. .C1-4 Dermatomes - ANSWER-Motor: Difficult to isolate. Muscle: Suboccipital Sensory: Head/Neck Disorder: N/A .C5 Dermatome - ANSWER-Motor: Arm Abduction, Forearm Flexion Muscle: Middle Deltoid, Biceps Brachii Sensory: Lateral Arm Disorder: Erb's Palsy, Birth Trauma .C6 Dermatome - ANSWER-Motor: Wrist Extension Muscle: Extensor Carpi Ulnaris/Radialis, Brachialis Sensory: Lateral Forearm, Digits 1 & 2 Disorder: Erb's Palsy, Birth Trauma (upper brachial plexus). .C7 Dermatome - ANSWER-Motor: Wrist Flexion, Finger Extension Muscle: Flexor Carpi Ulnaris/Radialis, Triceps Sensory: 3rd Digit Disorder: Wrist Drop (Radial Nerve), Klumpke's .C8 Dermatome - ANSWER-Motor: Finger Flexion Muscle: Flexor Digitorum Superficialis/Profundus, Lubricals Sensory: Medial Forearm, Digits 4 & 5 Disorder: Klumpke's, Birth Trauma (lower brachial plexus). .Cancer Pain - ANSWER-Constant, deep, boring, nocturnal, progressive, unremitting. .Carotid Reflex - ANSWER-CNIX - afferent CNX - efferent Massage carotids and there is a slowing of the heart and decreased pressure.