Clinical Examination: Trapezius Muscle and Hypoglossal Nerve

What type of headache often has a vascular cause?

Throbbing headache

What type of headache is associated with oculosympathetic disturbance?

Cluster headache

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

Migraine

What can loss of consciousness result from?

All of the above Signup and view all the answers

What should be clarified about loss of consciousness?

All of the above Signup and view all the answers

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

Visual disturbances Signup and view all the answers

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

Generalized, proximal, or distal weakness Signup and view all the answers

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

Tremors or involuntary movement Signup and view all the answers

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

Muscle contraction Signup and view all the answers

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

Is it related to migraine? Signup and view all the answers

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

Tremors or involuntary movement Signup and view all the answers

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

Unchanged pattern Signup and view all the answers

How is the Achilles tendon reflex elicited?

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

What nerve roots are tested by the Achilles tendon reflex?

S1 to S2 Signup and view all the answers

How is the abdominal superficial reflex elicited?

Having the patient lie on the back and quickly stroking the abdomen horizontally Signup and view all the answers

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

Rapid elevation of the testicle on the same side Signup and view all the answers

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

Light touch Signup and view all the answers

Which nerves are responsible for light touch sensation?

Spinal nerves Signup and view all the answers

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

To determine muscle tone Signup and view all the answers

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

Hypoglossal nerve (XII) Signup and view all the answers

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

To evaluate muscle tone Signup and view all the answers

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

Grade 0 Signup and view all the answers

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

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

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

Assessing muscle bulk Signup and view all the answers

How is pain sensation tested?

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

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

Work proximally until a sensory level can be determined Signup and view all the answers

How should proprioception be tested?

By moving the distal phalanx Signup and view all the answers

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

To test pain sensation 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?

'This is dull.' Signup and view all the answers

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

Proceed with the next examination Signup and view all the answers