NBCE Part 3 NMS (Pain, Entrapments, & Conditions)
Terms in this set (60)
Pain along the sensory distribution of a
Pain that originates w/i a mm?
Pain that arises from structures derived from
along the course of a dermatome
due to irritation of a nerve root?
Pain along scleroderm of origination involving
more than one kind of tissue
What type of pain is joint pain?
What type of pain is organ pain?
Pain that comes from ____________ are cramping, aching, dull, and can have spasms.
Pain that comes from ____________ are shooting, radiating, burning.
Pain that comes from ____________ is throbbing/pulsating.
Pain that comes from ____________ are constant, deep, boring, nocturnal, progressive, and/or unremitting.
Pain that is poorly localized, dull, and achy.
Pain that comes from ____________ have trigger points.
The gallbladder refers pain to...?
The pancreas refers pain to...?
Epigastric (Spine at T10)
Like a knife
The heart refers pain to...?
Medial left arm
The intestines refer pain to...?
The appendix refers pain to...?
The kidney refers pain to...?
The ureter refers pain to...?
The bladder refers pain to...?
Pt presents with numbness and tingling in the first 3 digits. She is a secretary and has thenar atrophy upon inspection of her right hand.
, what other condition goes with carpal tunnel?
Pronator Teres Syndrome
Pronator Teres Syndrome affects what nerve?
Anterior Interosseous Nerve
What is the treatment for Carpel Tunnel?
Adjust (Lunate A-P)
Cock-up splint (Stretch flexors)
Natural diuretic - B6 (Pyridoxine)
Which nerve is commonly affected by cyclists?
What sites is the Ulnar nerve commonly trapped at?
Tunnel of Guyon (under hook of hamate)
Cubital tunnel (at the elbow)
Pt presents with pain, tingling, and numbness in the last 2 digits, weakness of the adductor pollicis, and hypothenar atrophy?
Ulnar nerve entrapment
What is the treatment for Cubital tunnel entrapment?
Adjust (Pisiform, Hamate, & Elbow)
Tape for support
Palsy of the
lower brachial plexus
from childbirth that creates a
claw hand deformity
with dorsi-flexion of the wrist...?
Erb's Palsy is indicative of damage to what nerve?
Waiter's Tip Deformity is indicative of damage to what nerve?
What condition presents with Waiter's Tip Deformity?
Saturday Night Palsy is indicative of damage to what nerve?
Crutch Palsy is indicative of damage to what nerve?
Damage to the radial nerve will cause a loss of what reflex?
Scapular winging is indicative of damage to what nerve?
Flaring of the scapula is indicative of damage to what nerve?
Meralgia Paresthetica is indicative of damage to what nerve?
Lateral Femoral Cutaneous Nerve
(L2-3 Nerve Roots)
An obese pt presents with burning pain over the pelvic brim/under the inguinal ligament into the anterolateral thigh.
Meralgia Paresthetica is usually caused by...?
Obesity combined with:
- Tight pants
- Tool/Gun belt
Meralgia Paresthetica treatments include...?
Weight loss (exercise & diet)
, Sciatic pain will travel to...?
Common causes of sciatic pain include...?
Trauma (Disc herniation)
Muscle (Piriformis) Spasm
Sciatic Pain vs. Facet Pain
Sciatic pain will travel to the floor
Facet pain will not travel far (dull/achy)
Tarsal Tunnel Syndrome is indicative of damage to what nerve?
Medial plantar (Tibial)
Pt presents with
& decreased sensation on the
soles of their feet
aggravated by walking or standing
Tarsal Tunnel Syndrome
Tarsal Tunnel Syndrome vs. Plantar Fasciitis
Tarsal Tunnel = Worse with walking/standing
Plantar Fasciitis = Better throughout day
Female pt. presents with pain in the toes and dorsum of foot. She works as a secretary and wears narrowed toed high heels.
Morton's Neuroma presents where in the body?
Between the 3rd and 4th metatarsals
What test is used to check for Morton's Neuroma?
Impingement of the common peroneal nerve happens where?
Baseball player presents with pain in the lateral aspect of the leg and foot drop. He claims it started after sliding into home plate in his game last night. What nerve is affected?
Common Peroneal Nerve
Anterior Compartment Syndrome is indicative of damage to what nerve?
Deep Peroneal Nerve
What mm. are affected with Anterior Compartment Syndrome?
Tibialis Anterior (foot drop/steppage gait)
Extensor Hallucis Longus
Extensor Digitorum Longus
Anterior Compartment Syndrome is similar to what hereditary condition?
Charcot Marie Tooth
Hyper-flexion of the DIP and hyper-extention of the PIP.
Swan Neck Deformity
Hyper-extension of the DIP and hyper-flexion of the PIP.
An abnormal thickening underneath the skin of the palm and fingers causing the last two fingers to curl into the palm. (
will only be the 4th finger curled)
Inflammation of the extensor pollicis brevis and the abductor pollicis longus. +Finkelstein's test
De Quervain's (Chronic stenosing tenosynovitis)