Neurological Symptoms Assessment Quiz
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Questions and Answers

Which symptom can be indicative of depression?

  • Tremors
  • Insomnia (correct)
  • Numbness
  • Mania

    • What symptom may indicate a neurological issue?

  • Hallucinations
  • Facial droop (correct)
  • Anhedonia
  • Seizures

    • Which condition may present with slurred speech?

  • Vertigo (correct)
  • Apathy
  • Ataxia
  • Hypersomnolence

    • What symptom could suggest a somatic disorder?

    <p>Tingling (paresthesia)</p> Signup and view all the answers

    Which symptom could lead to consideration of a cardiovascular condition?

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

    What might be a potential diagnosis for a patient with speech disorders and memory loss?

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

    How can considering associated symptoms such as nausea, vomiting, and photophobia help in the diagnosis process?

    <p>They speed up the interview and suggest migraine headache.</p> Signup and view all the answers

    What can be considered important risk factors when assessing a possible vascular cause for neurological symptoms?

    <p>Vascular diseases, hypertension, family history, and smoking.</p> Signup and view all the answers

    Why is obtaining birth history and development information important in some neurological situations?

    <p>To provide valuable insights in assessing epilepsy and other conditions.</p> Signup and view all the answers

    What could be a potential reason for neurological symptoms caused by medications?

    <p>Idiosyncratic reactions, dose-related issues, or chronic use.</p> Signup and view all the answers

    How can a family history be crucial in understanding certain neurological disorders?

    <p>It can reveal single-gene defects or polygenic influences relevant to the disorder.</p> Signup and view all the answers

    Why is it important to inquire about trauma when assessing neurological symptoms?

    <p>To determine if the onset was sudden or gradual.</p> Signup and view all the answers

    Which type of tremor is typically unilateral, occurs at a frequency of about 5 per second, and is characterized by resting tremor, rigidity, and bradykinesia?

    <p>Parkinsonian tremor</p> Signup and view all the answers

    Which type of tremor is high-frequency, bilateral, involves upper extremities with limb movement and posture, and subsides when the limb is relaxed?

    <p>Essential tremor</p> Signup and view all the answers

    Absent at rest and worsening with movement, which type of tremor typically occurs with tasks that involve approaching a target and is often related to cerebellar disorders like multiple sclerosis?

    <p>Intention tremor</p> Signup and view all the answers

    What type of tremor appears when a part of the body is actively maintaining a posture and includes examples like the fine rapid tremor seen in hyperthyroidism?

    <p>Postural tremor</p> Signup and view all the answers

    What term is used to describe the feeling of fainting or about to faint without actually losing consciousness, often related to lightheadedness or weakness?

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

    What should be determined regarding a patient who reports fainting episodes to guide management and potential hospital admission?

    <p>If they lost consciousness during the episode</p> Signup and view all the answers

    What is the first step when a patient describes their symptoms as 'dizziness'?

    <p>Clarify exactly what the patient means by 'dizziness'</p> Signup and view all the answers

    What is important to ask patients who present with neurological symptoms?

    <p>What they think might be wrong with them</p> Signup and view all the answers

    When did the symptoms start for the patient?

    <p>The symptoms have a pattern over time</p> Signup and view all the answers

    What should be done when a patient reports intermittent neurological symptoms?

    <p>Clarify the onset, duration and pattern of symptoms</p> Signup and view all the answers

    What is important to consider when a patient presents with numbness as a symptom?

    <p>The patient may be describing a different symptom</p> Signup and view all the answers

    What is an essential step when a patient presents with neurological symptoms?

    <p>Clarify or review the history with the patient and/or witness</p> Signup and view all the answers

    What associated symptoms did the patient with a headache experience?

    <p>Nausea and photophobia</p> Signup and view all the answers

    What was the patient's family history related to headaches?

    <p>Mother and sister have migraines</p> Signup and view all the answers

    What neurological exam findings were present in the patient with a headache?

    <p>No papilledema, normal pupil reaction, extraocular movement, and facial sensation</p> Signup and view all the answers

    What symptoms does the 72-year-old man present with?

    <p>Dizziness, vertigo, and falls</p> Signup and view all the answers

    What would be an appropriate next step for the 72-year-old man's evaluation?

    <p>Refer to a neurologist for further evaluation</p> Signup and view all the answers

    What is the patient's blood pressure and heart rate?

    <p>128/78 mmHg and 90 bpm</p> Signup and view all the answers

    What aspect of gait does abductor contraction help to achieve?

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

    What can a lack of knee flexion during the stance phase of gait lead to?

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

    What does a wide base in the gait suggest?

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

    What can cause the pelvis to drop on the opposite side during walking?

    <p>Abductor weakness</p> Signup and view all the answers

    What can inspection of the lumbar portion of the spine help assess?

    <p>Degree of lordosis</p> Signup and view all the answers

    What should be assessed while inspecting the anterior and posterior surfaces of the hip?

    <p>Muscle atrophy</p> Signup and view all the answers

    What is the purpose of looking for pitting when examining a patient?

    <p>To assess the severity of edema</p> Signup and view all the answers

    During range of motion testing at the hip, why should the patient not be tested while standing?

    <p>It is difficult to assess the full range of motion while standing</p> Signup and view all the answers

    How should the examiner assist the patient with movements of the hip during range of motion testing?

    <p>By positioning the patient near the edge of the table</p> Signup and view all the answers

    When examining hip flexion, why might the hip flex further when the knee is also flexed?

    <p>Because knee flexion allows for hip relaxation</p> Signup and view all the answers

    What is the purpose of stabilizing the pelvis during hip abduction testing?

    <p>To ensure accurate assessment of hip movement</p> Signup and view all the answers

    Why does an examiner need to press down on the opposite anterior–superior iliac spine during hip abduction testing?

    <p>To stabilize the patient's body</p> Signup and view all the answers

    How is muscle strength graded on a 0 to 5 scale during strength testing?

    <p>Using a scale from no muscular contraction to active movement against full resistance</p> Signup and view all the answers

    How can hip flexion be tested during strength testing at L2, L3, and L4 nerve levels?

    <p>By asking the patient to perform a leg raise against resistance</p> Signup and view all the answers

    Which movement is involved in testing the talocalcaneal joint strength?

    <p>Foot inversion and eversion</p> Signup and view all the answers

    What does a grade of 3 indicate in muscle strength testing?

    <p>Active movement with gravity eliminated</p> Signup and view all the answers

    How is the subtalar joint strength testing scale graded?

    <p>On a scale from 0 to 5 depending on muscle strength</p> Signup and view all the answers

    During ankle strength testing, what indicates normal muscle strength?

    <p>$5(7 + 3)$</p> Signup and view all the answers

    What structure in the knee is formed by the convex curves of the medial and lateral condyles of the femur as they articulate with the concave condyles of the tibia?

    <p>Condylar tibiofemoral joints</p> Signup and view all the answers

    Which tendon continues below the knee joint and inserts distally on the tibial tuberosity?

    <p>Patellar tendon</p> Signup and view all the answers

    What is the function of the patella in the knee?

    <p>It slides on the groove of the anterior aspect of the distal femur during flexion and extension of the knee.</p> Signup and view all the answers

    What are the three articular surfaces in the knee?

    <p>Condylar tibiofemoral joints, patellofemoral joint, and tibial tuberosity</p> Signup and view all the answers

    What structure in the knee rests on the anterior articulating surface of the femur midway between the epicondyles?

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

    What are the two surfaces on which the patella slides during flexion and extension of the knee?

    <p>Anterior aspect of the distal femur and trochlear groove</p> Signup and view all the answers

    Which assessment is used to evaluate foot dorsiflexion and plantar flexion?

    <p>Heel and toe walk</p> Signup and view all the answers

    What is the documentation for the strength of the right elbow in the provided sample?

    <p>Strength 4/5</p> Signup and view all the answers

    Which joint is described as having limited flexion due to pain and swelling in the provided sample?

    <p>Right knee</p> Signup and view all the answers

    What is the purpose of the Skills Lab mentioned in the provided text?

    <p>To practice inspection, palpation, range of motion, and strength testing</p> Signup and view all the answers

    Which of the following is NOT mentioned as a finding in the sample documentation for the upper extremities?

    <p>Decreased sensation</p> Signup and view all the answers

    Which of the following is NOT mentioned as a finding in the sample documentation for the lower extremities?

    <p>Decreased strength</p> Signup and view all the answers

    During range of motion testing for the hip, what is the purpose of stabilizing the pelvis?

    <p>To prevent rotation of the thigh</p> Signup and view all the answers

    What does pitting indicate when observed during a physical examination?

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

    Why should the patient not be tested while standing during hip range of motion testing?

    <p>Risk of falling</p> Signup and view all the answers

    What is the primary concern when an examiner must assist a patient with hip movements during a physical examination?

    <p>Avoiding joint hyperextension</p> Signup and view all the answers

    When performing hip abduction testing, what does reaching the limit of abduction indicate?

    <p>Normal range of motion</p> Signup and view all the answers

    What should be considered regarding the hamstrings during hip flexion testing?

    <p>Hamstring relaxation allows for greater flexion</p> Signup and view all the answers

    Which of the following is NOT a part of the inspection of the lower extremities?

    <p>Examining lung capacity</p> Signup and view all the answers

    What is the clinical significance of finding genu varum in a patient?

    <p>It suggests the patient has bowlegs</p> Signup and view all the answers

    On inspection, which of the following is NOT a common finding in the lower extremities?

    <p>Nail polish</p> Signup and view all the answers

    Which of the following is NOT a part of the technique for inspection of the lower extremities?

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

    Which of the following is NOT a common deformity observed during the inspection of the lower extremities?

    <p>High arches</p> Signup and view all the answers

    What is the clinical significance of finding calluses and corns during the inspection of the lower extremities?

    <p>They suggest the patient has a foot deformity</p> Signup and view all the answers

    What is the function of the patellar tendon in the knee?

    <p>It connects the patella to the tibial tuberosity.</p> Signup and view all the answers

    Which of the following structures is NOT found on the anterior surface of the knee?

    <p>Medial condyle of the femur</p> Signup and view all the answers

    Which joint is formed by the convex curves of the medial and lateral condyles of the femur as they articulate with the concave condyles of the tibia?

    <p>Tibiofemoral joint</p> Signup and view all the answers

    What is the purpose of the trochlear groove in the knee?

    <p>It provides a sliding surface for the patella during flexion and extension.</p> Signup and view all the answers

    Which of the following is NOT a part of the ankle/foot palpation?

    <p>Medial epicondyle of the femur</p> Signup and view all the answers

    Which of the following is NOT a common cause of knee pain?

    <p>Patellar tendonitis</p> Signup and view all the answers

    Which muscle action is involved in ankle/foot plantar flexion?

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

    What is the primary purpose of stabilizing the pelvis during hip abduction testing?

    <p>To isolate the movement of the hip joint</p> Signup and view all the answers

    What type of motion is described by 'swinging the lower leg medially for external rotation at the hip'?

    <p>External rotation</p> Signup and view all the answers

    Which position is preferred when testing ankle/foot dorsiflexion passively?

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

    Which movement is involved in testing the talocalcaneal joint strength?

    <p>Inversion and eversion</p> Signup and view all the answers

    What is the purpose of the patella in the knee?

    <p>To protect the articulating surfaces of the femur and tibia</p> Signup and view all the answers

    What is the recommended position for the patient during knee palpation?

    <p>Sitting on the edge of the examining table with knees in flexion</p> Signup and view all the answers

    What are the main structures located on the anterior surface of the hip?

    <p>The iliac crest, iliac tubercle, anterior superior iliac spine, and greater trochanter</p> Signup and view all the answers

    What is the purpose of assessing the temperature of the feet and legs with the backs of the fingers?

    <p>To compare one side with the other for any temperature differences</p> Signup and view all the answers

    What is the primary objective of palpation during a physical examination?

    <p>To identify any abnormalities, such as heat, tenderness, swelling, crepitus, abnormal muscle tone, or masses</p> Signup and view all the answers

    What structures are located on the posterior surface of the hip?

    <p>The posterior superior iliac spine, greater trochanter, ischial tuberosity, and sacroiliac joint</p> Signup and view all the answers

    What should be the examiner's first step when palpating the hip and knee joints?

    <p>Inspect the joint for any visible abnormalities</p> Signup and view all the answers

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