Neuromuscular Review

Cranial Nerves

100

These cranial nerves are located in the midbrain.

Oculomotor Nerve (CN 3)

Trochlear Nerve (CN 4)

200

This cranial nerve is responsible for downward and inward eye movement. 

Trochlear Nerve (CN 4)

300

You ask a patient to open their mouth and say AHHH. During the examination the uvula goes towards the R. What CN is impacted, and which side? 

L CN 10 (Vagus Nerve)

400

You place a sugar cube on the anterior 2/3 portion of the tongue and ask the patient if they can taste it. What CN is being tested? 

CN 7 (Facial Nerve)

500

A patient comes into clinic and when performing the H test, you notice that the patient is unable to bring their eye back to the center, it is stuck laterally. What CN is impaired?

CN 3 (Oculomotor)

Pediatrics

100

What month is a child able to perform independent ambulation?

12 months

200

Able to roll from prone to supine.

5 months 

300

If this reflex isn't integrated, it could be indicative of a corticospinal tract problem. 

Babinski Reflex 

400

Also known as the fencing reflex. 

ATNR 

500

Can pull to stand at furniture at this month.

8-9 months 

Spinal Cord Injuries

100

This SCI can present with UE weakness and ataxia gait. 

Central Cord Syndrome 

200

This SCI level is able to perform transfers with a tenodesis grip. 

C6

300

This SCI will have intact proprioception, loss of motor function and pain/temperature. 

Anterior Cord Syndrome 

400

Patient presents to the hospital after sustaining a gun shot wound. On examination, he is unable to detect pain/temperature on the R side of the body, but is able to on the left. What SCI does this patient have? 

Brown Sequard Syndrome 

500

What type of ambulator will a T12-L2 SCI patient be?

Household ambulator 

Neuroanatomy

100

Nerve that innervates the serratus anterior muscle

Long Thoracic Nerve (C5-C7)

200

Wrist drop will be present if there is a lesion in this nerve. 

Radial Nerve (C5-T1)

300

A positive Phalen's Test would indicate that this nerve is impacted.

Median Nerve (C6-T1)

400

A positive OK sign would indicate a lesion in this nerve. 

Anterior Interosseous Nerve (AIN; C8-T1)

500

An impaired superior gluteal nerve could cause this gait compensation.

Trendelenburg Gait 

Neuro Pathologies

100

This pathology is gradual, has no sensory symptoms, fasciculations are present, and has hyperreflexia. 

ALS

200

This pathology has diplopia, difficulty swallowing, muscle weakness worse with activity, and has normal reflexes/tone. 

Myasthenia Gravis 

300

This pathology can happen after an infection and can cause glove/stocking distribution. 

Guillan Barre Syndrome (GBS)

400

When testing for this pathology the patient has the following:

1. Ataxic Gait 

2. + Hoffman's 

3. + Inverted Supinator Sign 

4.+ Babinski 

5. 45 years or older

Cervical Radiculopathy 

500

A wartenburg sign would be present in a patient with this pathology. 

Cubital Tunnel Syndrome