Podcast
Questions and Answers
What is the purpose of testing for meningeal signs?
What is the purpose of testing for meningeal signs?
- To detect cervical vertebrae fractures
- To diagnose subarachnoid hemorrhage
- To evaluate spinal nerve function (correct)
- To assess femoral nerve function
What does resistance to neck flexion indicate in the context of meningeal signs?
What does resistance to neck flexion indicate in the context of meningeal signs?
- Inflammation in the subarachnoid space (correct)
- Relaxation of the hip and knees
- Fracture to the cervical vertebrae
- Compression of the sciatic nerve
What should be observed as the neck is flexed to detect Brudzinski Sign?
What should be observed as the neck is flexed to detect Brudzinski Sign?
- Discomfort behind the knee
- Relaxation of the neck muscles
- Resistance in the hips and knees (correct)
- Straightening of the knee
What is the expected reaction during the Kernig Sign maneuver?
What is the expected reaction during the Kernig Sign maneuver?
In what percentage of patients with acute bacterial meningitis is neck stiffness with resistance to flexion found?
In what percentage of patients with acute bacterial meningitis is neck stiffness with resistance to flexion found?
What is the overall diagnostic accuracy of neck stiffness with resistance to flexion?
What is the overall diagnostic accuracy of neck stiffness with resistance to flexion?
Which sign is positive when there is pain and increased resistance to knee extension?
Which sign is positive when there is pain and increased resistance to knee extension?
Which test involves flexion of both the hips and knees to indicate a positive sign?
Which test involves flexion of both the hips and knees to indicate a positive sign?
What does a positive straight leg raise test indicate?
What does a positive straight leg raise test indicate?
What is the frequency range of Brudzinski and Kernig signs in patients with meningitis?
What is the frequency range of Brudzinski and Kernig signs in patients with meningitis?
Which test is used to assess for lumbosacral radiculopathy by raising the patient’s relaxed and straightened leg?
Which test is used to assess for lumbosacral radiculopathy by raising the patient’s relaxed and straightened leg?
What does asterixis suggest in patients with impaired mental functions?
What does asterixis suggest in patients with impaired mental functions?
What can further increase leg pain in lumbosacral radiculopathy or sciatic neuropathy?
What can further increase leg pain in lumbosacral radiculopathy or sciatic neuropathy?
What makes the diagnosis of sciatica five times more likely?
What makes the diagnosis of sciatica five times more likely?
