Neurological Assessment Methodology
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Questions and Answers

In neurological assessment, which step involves gathering information and is also known as establishing the database?

  • Establishing the database (correct)
  • Making the diagnosis
  • Categorizing the disease
  • Electrodiagnostic testing
  • What should be used as an extension and not as a substitute for obtaining a good history and performing a proper general and neurologic examination in neurological assessment?

  • Electrodiagnostic testing (correct)
  • Neuroimaging
  • Laboratory investigation
  • Clinical problem-solving
  • What is the second distinct step to solve most clinical problems systematically in clinical problem-solving?

  • Follow up
  • Making the diagnosis
  • Categorize the disease (correct)
  • The best proper therapy
  • What is the best way to separate the active problems from the inactive problems in clinical problem-solving?

    <p>The best proper therapy</p> Signup and view all the answers

    What should be undertaken to solve most clinical problems systematically?

    <p>Making the diagnosis</p> Signup and view all the answers

    What is used as an extension and not as a substitute for obtaining a good history and performing a proper general and neurologic examination in clinical assessment?

    <p>Electrodiagnostic testing</p> Signup and view all the answers

    What is the third distinct step to solve most clinical problems systematically in clinical problem-solving?

    <p>The best proper therapy</p> Signup and view all the answers

    What should be used to follow the patient’s clinical situation and response to treatment in clinical problem-solving?

    <p>Symptomatic measurements</p> Signup and view all the answers

    What is the primary step in neurological assessment for evaluating patients?

    <p>Gathering information by history and examination</p> Signup and view all the answers

    Which step in clinical problem-solving involves categorizing the disease by assessing the type, stage, grade, and severity?

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

    What is the most appropriate action once there is a likely etiology in clinical problem-solving?

    <p>Formulate a treatment plan</p> Signup and view all the answers

    What should be used as an extension and not as a substitute for obtaining a good history and performing a proper general and neurologic examination in neurological assessment?

    <p>Laboratory investigation</p> Signup and view all the answers

    What is essential for measuring the patient’s clinical situation and response to treatment in clinical problem-solving?

    <p>Other testing</p> Signup and view all the answers

    In neurological assessment, what is the practical endpoint of analyzing the gathered information?

    <p>Confirming the provisional diagnosis</p> Signup and view all the answers

    What does the neurologist aim to determine when approaching the patient from an anatomic view?

    <p>The nature and location of the lesion in the nervous system</p> Signup and view all the answers

    What role does history play in answering the question 'what' in neurological assessment?

    <p>It helps to hypothesize the nature of the lesion explaining all the symptoms</p> Signup and view all the answers

    What is the method for determining the temporal profile of a lesion in neurological assessment?

    <p>Analyzing the patient's course and pattern of symptoms</p> Signup and view all the answers

    What is the relationship between etiologic diagnoses and pathologic diagnoses in neurological assessment?

    <p>Etiologic diagnoses always imply pathologic diagnoses</p> Signup and view all the answers

    What is a common pitfall in diagnosis that involves clinicians clinging to a thought or diagnosis despite evidence to the contrary?

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

    Which step in the clinical problem-solving process involves narrowing down potential diagnoses by obtaining additional historical or examination data?

    <p>Developing a differential diagnosis</p> Signup and view all the answers

    What is the main workflow for optimal care in clinical practice?

    <p>Identifying the patient and developing a differential diagnosis</p> Signup and view all the answers

    Which cognitive bias in diagnosis refers to the clinician's difficulty in admitting they are wrong about their conclusions?

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

    What is the final step once a provisional diagnosis is made in clinical practice?

    <p>Initiate management of the condition</p> Signup and view all the answers

    What is the main pitfall clinicians should avoid, as mentioned in the text?

    <p>Getting anchored in their thought process</p> Signup and view all the answers

    How can clinicians minimize the risk of anchoring and bias in patient encounters?

    <p>Consult literature and other information sources</p> Signup and view all the answers

    What is the consequence of not keeping up with the most current medical literature, as stated in the text?

    <p>Patients may receive outdated treatments</p> Signup and view all the answers

    Why does the text suggest discussing complex cases with colleagues?

    <p>To get different perspectives and insights on the case</p> Signup and view all the answers

    In what scenario might a patient with untreated HIV have a headache due to a migraine?

    <p>When there's no evidence of toxoplasmosis present</p> Signup and view all the answers

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