Neurological Assessment: Finger-to-Nose Test
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Questions and Answers

What is the purpose of the finger-to-nose test?

  • To observe posture, balance, swinging of the arms, and movements of the legs
  • To observe the smoothness and accuracy of leg movement
  • To test position sense and the function of the cerebellum (correct)
  • To test the function of the inner ear labyrinth
  • Which part of the body is primarily observed during the gait assessment?

  • Legs (correct)
  • Head movements
  • Arms
  • Eye movements
  • What does the patient do during the finger-to-nose test to assess position sense?

  • Extend the arm fully to reach the examiner's finger
  • Touch his or her nose alternately with the index finger
  • Raise the arm overhead and lower it again to touch the examiner's finger
  • Touch the examiner’s finger with eyes open or closed (correct)
  • What does observation of smoothness and accuracy of leg movement primarily pertain to?

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

    What is primarily assessed when observing the patient's turns during gait assessment?

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

    What is tested when a person walks heel-to-toe in a straight line?

    <p>Plantar flexion and dorsi­flexion of the ankles</p> Signup and view all the answers

    Which movement abnormality is associated with cerebellar disease?

    <p>Clumsy and unsteady movements</p> Signup and view all the answers

    What does dysmetria involve?

    <p>Overshooting the mark followed by reaching it fairly well</p> Signup and view all the answers

    What may appear toward the end of a movement in intention tremor?

    <p>An involuntary shaking or trembling</p> Signup and view all the answers

    In cerebellar disease, how does incoordination change with eyes closed?

    <p>It modestly worsens, indicating loss of position sense</p> Signup and view all the answers

    What does consistent deviation to one side with eyes closed suggest?

    <p>Cerebellar or vestibular disease</p> Signup and view all the answers

    What does it suggest if the heel overshoots the knee and oscillates down the shin?

    <p>Cerebellar disease</p> Signup and view all the answers

    What is revealed by a reeling and unstable gait?

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

    What may tandem walking reveal that is not otherwise obvious?

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

    What is a sensitive test for corticospinal tract damage?

    <p>Inability to heel-walk</p> Signup and view all the answers

    What does the finger-to-nose test primarily assess?

    <p>Position sense and function of the inner ear and cerebellum</p> Signup and view all the answers

    What is primarily observed during the heel-to-shin test?

    <p>Proprioception and muscle strength</p> Signup and view all the answers

    What is primarily assessed during observation of gait?

    <p>Posture and balance</p> Signup and view all the answers

    When a patient walks across the room, what is observed to assess normalcy?

    <p>Symmetrical arm movements and leg swings</p> Signup and view all the answers

    What does consistent deviation to one side with eyes closed during the finger-to-nose test suggest?

    <p>Cerebellar disease</p> Signup and view all the answers

    What does observation of smoothness and accuracy of leg movement primarily pertain to in the heel-to-shin test?

    <p>Proprioception and muscle strength</p> Signup and view all the answers

    What is primarily assessed when a person walks heel-to-toe in a straight line?

    <p>Balance and coordination</p> Signup and view all the answers

    In cerebellar disease, how does incoordination change with eyes closed?

    <p>Worsens slightly</p> Signup and view all the answers

    What does consistent deviation to one side with eyes closed suggest?

    <p>Cerebellar disease</p> Signup and view all the answers

    What may appear toward the end of a movement in intention tremor?

    <p>Overshooting the target</p> Signup and view all the answers

    What is revealed by a reeling and unstable gait?

    <p>Cerebellar disease</p> Signup and view all the answers

    What is primarily observed during the gait assessment?

    <p>Movements of the legs and feet</p> Signup and view all the answers

    What does it suggest if the heel overshoots the knee and oscillates down the shin?

    <p>Cerebellar disease</p> Signup and view all the answers

    What does observation of smoothness and accuracy of leg movement primarily pertain to?

    <p>Balance and coordination</p> Signup and view all the answers

    What does dysmetria involve?

    <p>Overshooting or undershooting a target</p> Signup and view all the answers

    What is revealed when walking on toes and heels?

    <p>Distal leg weakness</p> Signup and view all the answers

    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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    Description

    Test your knowledge of the finger-to-nose test used in neurological assessments. This test evaluates coordination, accuracy, and smoothness of arm movements, as well as detects any tremors. It also assesses the ability to reach and touch a target with precision.

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