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Reflexes
Unconscious patient
Motor exam
Sensory exam
Cranial Nerves
100
name the lesion- hyperrflexia
What is Upper motor neuron lesion
100
The head is turned to the left and the eye conjugately move to the right
What is positive Doll's eyes (normal)
100
where is the lesion- hypotonicity
What is Lower motor neuron
100
ascending tract responsible for vibration
What is Posterior column
100
Pupil abnormality seen in patient's with syphillis
What is argyll-robertson pupil
200
Hung reflex
What is hypothyroid
200
jaw clenched, neck extended, arms adducted, elbows extended, forearms pronated with wrist/fingers flexed.
What is decerebrate posturing
200
a disease in which you may see "cogwheel" rigidity
What is Parkinson's Disease
200
name the location of the lesion- Loss of pin, temp, crude touch bilaterally below the lesion and loss of motor below the lesion
What is anterior cord syndrome
200
eye in the down and out position
What is CNIII palsy
300
big toe is upgoing with stroking of the bottom of the foot
What is positive Babinksi
300
Flexion of the knee, hip, and foot with an upgoing toe
What is triple flexion
300
grade the muscle strength- patient can perform active movement when gravity is eliminated
What is 2 strength
300
Ascending tract responsible for joint position
What is posterior column
300
where's the lesion- blindness of the left eye
What is left optic nerve
400
The grading of a "normal" reflex
What is 2+
400
Next step if the patient does not respond to light touch on the shoulder or verbal stimuli
What is perform noxious stimulation (sternal rub, nailbed pressure)
400
proximal > distal weakness
What is myopathic weakness
400
name the pattern of sensory loss stocking and glove
What is peripheral neuropathy
400
where's the lesion- patient with right facial weakness- unable to wrinkle forehead with flatening of the right nasolabial fold
What is LMN lesion of CN VII
500
Pain and resistance with flexion of the hip and extension of the knee
What is Kernig's sign
500
cold water is injected into the patient's ear and eyes move to the opposite side
What is an abnormal oculovestibular reflex- brainstem damage
500
a disorder of decreased ceruloplasmin
What is Wilson's Disease
500
dermatome at the level of the umbilicus
What is T10
500
visual field deficit seen in an optic chiasm lesion
What is bitemporal hemianopsia