Sensory system examination Flashcards Preview

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Flashcards in Sensory system examination Deck (18)
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1
Q

screening procedure means

A

tests ascending tracts

2
Q

crude touch

A

ask patient when he or she is being touched by dull end of neurotic

screening procedure

3
Q

Pain

A

ask patient to identify when being touched by sharp end of the neurotip

screening procedure

4
Q

vibration/Pallesthesia

A

vibrate 128hz tuning fork on bony prominences of upper and lower extremities (3 DIPS, 5th metatarsal base, radial and ulnar styloids, medial/lateral malleoli) Ask patient to say when vibration is stopped

screening procedure

5
Q

light tough

A

Ask patient to identify when being touched by cotton swab or brush

screening procedure

6
Q

joint position sense

A

Dr. stablizes lateral surface of fingers or toes and asks patient to identify if it is up or down (start distal and go proximal: DIP, PIP, MCP joints)

screening procedure

7
Q

rhomberg

A

ask patient to stand should width apart and close eyes. Doctor stands close to steady the patient.

swaying=dorsal column involvement

screening procedure

8
Q

Discriminatory sensation

A

tests the integrity of somatosensory cortex

9
Q

Point localization

A

ask patient to identify multiple points the doctor touches with the dull end of neurotic, paperclip, or toothpick

Discriminatory sensation

10
Q

Sharp vs Dull discrimination

A

ask the patient to identify multiple points the doctor touches with dull or sharp end being applied to multiple points

Discriminatory sensation

11
Q

Stereognosis

A

ask patient to identify objects e.g. keys, pencil etc via touch

Discriminatory sensation

12
Q

graphesthesia

A

Patient identifies letts or numbers traced lightly on skin

Discriminatory sensation

13
Q

barognosis

A

ask patient to identify difference between two same sized objects of a different weight

Discriminatory sensation

14
Q

two point discrimination

A

Discriminatory sensation

15
Q

double simultaneous stimulation

A

touch patient on each side individually and then bilaterally

Discriminatory sensation

16
Q

extinction

A

only one side is felt

double simultaneous stimulation

17
Q

displancement

A

one side felt normally and the other displaced toward midline

(double simultaneous stimulation)

18
Q

synesthesia

A

one side is felt normally and the other is vague burning

double simultaneous stimulation