Clinical Examination: Trapezius Muscle and Hypoglossal Nerve
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Questions and Answers

What type of headache often has a vascular cause?

  • Recurrent headache
  • Throbbing headache (correct)
  • Cluster headache
  • Continuous headache

    • What type of headache is associated with oculosympathetic disturbance?

  • Recurrent headache
  • Migraine
  • Cluster headache (correct)
  • Continuous headache

    • Which type of headache may be triggered after a period of excitement?

  • Cluster headache
  • Migraine (correct)
  • Continuous headache
  • Recurrent headache

    • What can loss of consciousness result from?

    <p>All of the above</p> Signup and view all the answers

    What should be clarified about loss of consciousness?

    <p>All of the above</p> Signup and view all the answers

    What kind of symptoms may precede an attack leading to loss of consciousness?

    <p>Visual disturbances</p> Signup and view all the answers

    What symptom is associated with spastic paralysis, rigidity, and involuntary movement?

    <p>Generalized, proximal, or distal weakness</p> Signup and view all the answers

    Which condition is likely if a patient experiences intention tremors and inability to change movement rapidly?

    <p>Tremors or involuntary movement</p> Signup and view all the answers

    What is the most common cause of headaches according to the text?

    <p>Muscle contraction</p> Signup and view all the answers

    What should you ask a patient with a sudden onset headache according to the text?

    <p>Is it related to migraine?</p> Signup and view all the answers

    Which symptom is NOT mentioned as potentially associated with changes in sensory perception and cognitive functions?

    <p>Tremors or involuntary movement</p> Signup and view all the answers

    What is a characteristic feature of headaches that have been presented for several years according to the text?

    <p>Unchanged pattern</p> Signup and view all the answers

    How is the Achilles tendon reflex elicited?

    <p>Having the patient sit with feet dangling, flexing the leg at the hip and knee, and striking the Achilles tendon</p> Signup and view all the answers

    What nerve roots are tested by the Achilles tendon reflex?

    <p>S1 to S2</p> Signup and view all the answers

    How is the abdominal superficial reflex elicited?

    <p>Having the patient lie on the back and quickly stroking the abdomen horizontally</p> Signup and view all the answers

    What happens when the cremasteric superficial reflex is elicited in men?

    <p>Rapid elevation of the testicle on the same side</p> Signup and view all the answers

    What type of sensation is evaluated by light touch during sensory testing?

    <p>Light touch</p> Signup and view all the answers

    Which nerves are responsible for light touch sensation?

    <p>Spinal nerves</p> Signup and view all the answers

    What is the purpose of palpating the trapezius muscles during the evaluation process?

    <p>To determine muscle tone</p> Signup and view all the answers

    Which nerve supplies the fibers to the muscles of the tongue?

    <p>Hypoglossal nerve (XII)</p> Signup and view all the answers

    What is the significance of inspecting muscle atrophy and fasciculations during a neurological examination?

    <p>To evaluate muscle tone</p> Signup and view all the answers

    What grade represents 'complete paralysis' in the muscle strength assessment according to the text?

    <p>Grade 0</p> Signup and view all the answers

    When does 'Grade 2' muscle strength appear according to the text?

    <p>When power is detectable only when gravity is excluded by postural adjustment</p> Signup and view all the answers

    What is the initial step during motor system evaluation according to the text?

    <p>Assessing muscle bulk</p> Signup and view all the answers

    How is pain sensation tested?

    <p>By using a safety pin and asking if it is felt</p> Signup and view all the answers

    What should be done if sensation is abnormal while testing pain sensation on the toes and fingers?

    <p>Work proximally until a sensory level can be determined</p> Signup and view all the answers

    How should proprioception be tested?

    <p>By moving the distal phalanx</p> Signup and view all the answers

    What is the purpose of using a wooden applicator stick with both sharp and dull ends?

    <p>To test pain sensation</p> Signup and view all the answers

    When testing pain sensation, what should the examiner say when touching the patient with the blunt end of the pin?

    <p>'This is dull.'</p> Signup and view all the answers

    What should you do if the patient has no loss of sensation while testing pain sensation?

    <p>Proceed with the next examination</p> Signup and view all the answers

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