Meningeal Signs Assessment
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Questions and Answers

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?

  • 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?

  • 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?

    <p>Pain behind the knee during full extension</p> Signup and view all the answers

    In what percentage of patients with acute bacterial meningitis is neck stiffness with resistance to flexion found?

    <p>~84%</p> Signup and view all the answers

    What is the overall diagnostic accuracy of neck stiffness with resistance to flexion?

    <p>Low</p> Signup and view all the answers

    Which sign is positive when there is pain and increased resistance to knee extension?

    <p>Kernig sign</p> Signup and view all the answers

    Which test involves flexion of both the hips and knees to indicate a positive sign?

    <p>Brudzinski sign</p> Signup and view all the answers

    What does a positive straight leg raise test indicate?

    <p>Lumbosacral radiculopathy</p> Signup and view all the answers

    What is the frequency range of Brudzinski and Kernig signs in patients with meningitis?

    <p>5% to 60%</p> Signup and view all the answers

    Which test is used to assess for lumbosacral radiculopathy by raising the patient’s relaxed and straightened leg?

    <p>Straight leg raise test</p> Signup and view all the answers

    What does asterixis suggest in patients with impaired mental functions?

    <p>Metabolic encephalopathy</p> Signup and view all the answers

    What can further increase leg pain in lumbosacral radiculopathy or sciatic neuropathy?

    <p>Foot dorsiflexion</p> Signup and view all the answers

    What makes the diagnosis of sciatica five times more likely?

    <p>Leg wasting</p> Signup and view all the answers

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