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Somatosensory Neurophysiology Active learning session

Total questions: 8

Worksheet time: 4mins

Name
Class
Date
1.

What is the most prevalent type of somatosensory dysfunction that men and women over 70 suffer from?

a)

Visual Impairment

b)

Hearing Impairment

c)

Balance Impairment

d)

Loss of feeling in the feet

2.

What type of neuropathy does patient C.T. demonstrate?

a)

mononeuropathy

b)

autonomic neuropathy

c)

peripheral neuropathy

d)

Radiculoplexus neuropathy

3.

Sensory neuropathy is often classified as "small fiber" or "large fiber" neuropathy. Based on patient CT's normal pain/temperature sensations, but impaired vibratory sensation, which fibers are most likely damaged?

a)

Small fiber neuropathy

b)

Large fiber neuropathy

c)

Both large and small fiber neuropathy

d)

Don't know.

4.

You conduct the grating orientation task on patient C.T.'s toes. Compared with a non-neuropathy patient, you would expect patient C.T.'s grating orientation discrimination THRESHOLD to be

a)

Increased

b)

Decreased

c)

Stay the same

d)

What is the grating orientation task?

5.

Diabetic neuropathy most commonly occurs via demyelination of the compound axons. Which result would you expect from the nerve conduction test compared with a non-neuropathy patient?

a)

Faster conduction velocity (CV)

b)

Decreased amplitude of action potential

c)

Slower conduction velocity (CV)

d)

Increased amplitude of action potential

6.

Patient CT has suffered a laceration on his heel. What change in the neurogenic inflammatory response would you expect compared with a non-diabetic patient?

a)

Increased antidromic reflex

b)

Increased CGRP-induced vasodilation

c)

Increased SP-induced plasma extravasation

d)

Impaired antidromic reflex

7.

What is a likely cause of the superior spatial acuity in the fingertip of a blind patient?

a)

Increased (larger) receptive field size.

b)

lesion of the visual cortex

c)

expanded area of cortical representation of the fingertip.

d)

Slower conduction velocity of A-beta fibers innervating the fingers.

8.

In this 5 year old patient, a clear ear canal and a normal-appearing and functioning tympanic membrane suggests the type of hearing loss is likely

a)

Conductive

b)

Sensorineural

c)

Mixed hearing loss

d)

presbycusis