Questions and Answers
What is the purpose of the finger-to-nose test?
To test position sense and the function of the cerebellum
Which part of the body is primarily observed during the gait assessment?
Legs
What does the patient do during the finger-to-nose test to assess position sense?
Touch the examiner’s finger with eyes open or closed
What does observation of smoothness and accuracy of leg movement primarily pertain to?
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What is primarily assessed when observing the patient's turns during gait assessment?
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What is tested when a person walks heel-to-toe in a straight line?
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Which movement abnormality is associated with cerebellar disease?
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What does dysmetria involve?
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What may appear toward the end of a movement in intention tremor?
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In cerebellar disease, how does incoordination change with eyes closed?
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What does consistent deviation to one side with eyes closed suggest?
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What does it suggest if the heel overshoots the knee and oscillates down the shin?
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What is revealed by a reeling and unstable gait?
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What may tandem walking reveal that is not otherwise obvious?
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What is a sensitive test for corticospinal tract damage?
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What does the finger-to-nose test primarily assess?
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What is primarily observed during the heel-to-shin test?
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What is primarily assessed during observation of gait?
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When a patient walks across the room, what is observed to assess normalcy?
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What does consistent deviation to one side with eyes closed during the finger-to-nose test suggest?
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What does observation of smoothness and accuracy of leg movement primarily pertain to in the heel-to-shin test?
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What is primarily assessed when a person walks heel-to-toe in a straight line?
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In cerebellar disease, how does incoordination change with eyes closed?
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What does consistent deviation to one side with eyes closed suggest?
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What may appear toward the end of a movement in intention tremor?
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What is revealed by a reeling and unstable gait?
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What is primarily observed during the gait assessment?
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What does it suggest if the heel overshoots the knee and oscillates down the shin?
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What does observation of smoothness and accuracy of leg movement primarily pertain to?
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What does dysmetria involve?
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What is revealed when walking on toes and heels?
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Study Notes
Cerebellar Function Tests
- The finger-to-nose test assesses position sense, where the patient touches their index finger to their nose to evaluate cerebellar function.
- During the finger-to-nose test, the patient's ability to accurately touch their nose is observed.
- The gait assessment primarily observes the legs and walking pattern.
- Smoothness and accuracy of leg movement during the heel-to-shin test pertains to cerebellar coordination and control.
- During gait assessment, the patient's turns are observed to assess coordination and balance.
- Walking heel-to-toe in a straight line tests cerebellar coordination and balance.
Cerebellar Disease
- Cerebellar disease is associated with dysmetria, which involves incoordination and inaccurate movement.
- In cerebellar disease, intention tremor may appear towards the end of a movement.
- Incoordination worsens with eyes closed in cerebellar disease.
- Consistent deviation to one side with eyes closed during the finger-to-nose test suggests cerebellar disease.
- Dysmetria involves incoordination and inaccurate movement.
Gait Assessment
- During gait assessment, the patient's walking pattern is observed to assess normalcy.
- Observation of gait primarily assesses cerebellar coordination and balance.
- Tandem walking can reveal coordination and balance problems that may not be obvious otherwise.
- A reeling and unstable gait reveals cerebellar coordination and balance problems.
- Heel-to-shin test primarily observes the smoothness and accuracy of leg movement.
- Walking on toes and heels reveals cerebellar coordination and balance.
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