MS SKILLS FINALS

• It measures muscle response to nerve stimulation and evaluates electrical activity within selected muscle fibers.

  Electromyography
• It is used to assess nerve damage and dysfunction, determine the adequacy of the nerve impulse conduction to detect signs of nerve injury.

  Nerve Conduction Velocity Study
• They are electrodiagnostic tests performed to evaluate the function of the PNS and measure aspects of the electrophysiological properties inherent in peripheral nerve and muscle tissue.

  EMG and NCS
• EMG and NCS are performed to localize the site of nerve injury.

  TRUE
• One symptom of EMG/NCS include numbness in what areas of the body ?

  feet and limbs
• Symptoms of EMG and NCS include pain in what areas of the body ?

  limb, neck, back
• Needle electromyography is performed with caution in patients on coagulation/platelet therapy.

  false
• Examination on the para-spinal musculature is generally avoided in patients on anticoagulation due to potential adverse effects of possible hematoma formation adjacent to spinal structures.

  TRUE
• Needle electromyography is avoided in affected limbs of patients with ?

  lymphedema
• The region of the upper trunk of the brachial plexus ?

  Erb's point
• In preparing for EMG and NCV, tell the patient to apply skin lotion or cream on the areas to be tested.

  false
• EMG: discomfort is felt when the needle electrodes are inserted.

  true
• NCV: patient may feel startled when the electrical pulses are generated

  true
• It is a condition that affects the nerves in the hand and arm,. It's usually not serious, but can be painful.

  Carpal tunnel syndrome
• A condition that happens when the disk of the spine is damaged. This puts pressure on the spine, causing pain and numbness.

  Herniated disc
• An autoimmune disorder that affects the nerves. It can lead to numbness, tingling, and paralysis.

  Guillain-Barre syndrome
• A neuromuscular disorder that causes weakness and fatigue in the skeletal muscles.

  Myasthenia gravis
• An inherited disease due to the lack of dystrophin, that seriously affects the muscle structure and function.

  Muscular dystrophy
• An inherited disorder that causes nerve damage, mostly in the arms and legs.

  Charcot-Marie-Tooth disease
• Also known as Lou Gehrig's disease. This is a progressive, ultimately fatal, disorder that attacks nerve cells of the brain and spinal cord. It affects all the muscles that are used to move, speak, eat, and breathe.

  Amyotrophic lateral sclerosis
• It is a diagnostic imaging test that uses a contrast dye and CT, to look for problems in the spinal canal.

  myelogram,myelography
• What procedure is alternative to X-ray if the result does not give clear answers about the cause of back/spine problems.

  Myelogram
• These are discs that bulge and press on nerves/spinal cord.

  Herniated discs
• Degeneration and swelling of the bones and tissues around the spinal cord that make the canal narrow.

  Spinal stenosis
• A disease that affects the spine, causing the bones to grow together.

  Ankylosing spondylitis
• Benign capsules that may be filled with fluid/solid matter

  cysts
• Inflammation of a delicate membrane that covers the brain.

  Arachnoiditis
• The injection of contrast dye might put the patient at risk for ?

  seizure
• It is a complication of lumbar puncture wherein a small amt of CSF can leak from the needle insertion site that can cause headaches after the procedure.

  Spinal headache
• It is a complication of lumbar puncture wherein the needle breaks the skin's surface, providing a possible entry point for bacteria.

  Risk of infection
• One complication of lumbar puncture is the risk of bleeding in the spinal canal.

  true
• Instruct the patient to decrease fluid intake few days before the procedure.

  false
• The patient should not take any food/drink 3 hours before the test.


  true
• What is the position of the patient during lumbar puncture?

  prone or lateral
• It is commonly used scale for determining when people can be safely discharged from the PACU to either the post-surgical ward or Phase II.

  Modified Aldrete Scoring System
• This takes place in a critical care unit, where the patient will stay until they have sufficiently recovered respiration, level of consciousness, blood pressure and activity.

  Phase 1 (early recovery)
• It is a category of post surgical recovery wherein the patient is given food and drink, and will be readied to go home. 


  Phase 2 (intermediate recovery)
• This takes place at home for the ambulatory surgical patient, and will conclude when the person has completely recovered from their surgical procedure. 


  Phase 3 (late recovery)
• It is a tool utilized in the Phase 1 of the early recovery phase after surgery to determine the safe discharge from the post-anesthesia care unit.

  Modified Aldrete Scoring System
• A score of 0-2 is given for each of the five categories, for a maximum score of 10.

  true