Which of the Following disorders is known to be heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder
Huntington
... [Show More] Chorea
The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients ankle and asks her to indicate what is felt. What is being assessed?
Primary sensory function
Multiple sclerosis
Fatigue, bowel and bladder dysfunction, sexual dysfunction, sensory changes, muscle weakness
Myasthenia gravis
An autoimmune disorder of neuromuscular junction involved with muscle activation.
Whisper Test
CN V111 acoustic
Patient sticks out tongue and moves it from side to side
CN X11 Hypoglossal
Taste test with sugar, salt, and lemon
CN V11 and CN 1X Facial and glossopharyngeal
Patient puffs out cheeks and shows teeth
CN V11 facial
Patient shrugs shoulders against examiner's hands
CN X1 Spinal accessary
Smell test with coffee, orange and cloves
CN 1 Olfactory
Eyes constrict and dilate in response to light
CN 111 oculomotor
patient clinches teeth (temporal muscles contracted)
CN V Trigeminal
positive Babinski sign be considered a normal finding in what ages?
0-24 months
The nurse observes the gait of a client as he enters the room. He uses short steps, keeps his knees in contact, and walks with considerable effort. What term is used to describe this gait?
Scissors gait
A nurse observes very fine, rapid, continuous twitching of a patient's finger while at rest. How should the nurse document this finding?
Fasciculation
A fasciculation is a fine, rapid twitching that may occur with some lower motor neuron disease. Paralysis is loss of motor function. Spasticity is abnormally increased muscle tone. An intention tremor is an involuntary contraction of a muscle group occurring with voluntary movement
Under what conditions should a patient be tested for clonus?
When deep tendon reflexes are hyperactive
Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation. Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex.
The abdominal reflexes are tested to assess functioning of the nerves in which location of the spine?
Thoracic
Which change is most commonly observed in aging patients?
Kyphosis, advanced posterior curvature of the thoracic spine, occurs commonly with age. Lordosis, scoliosis, and ankylosis are not as commonly associated with age.
While palpating the patient's knee, the nurse finds effusion in the joint. What further assessment will support this finding?
Testing for ballottement is a test to detect fluid in the joint
Which assessment finding is associated with lumbar stenosis?
Pain associated with prolonged standing
Lumbar stenosis, narrowing of the spinal canal, causes pain associated with prolonged standing. Pain is improved by bending forward.
Risk factors for osteoarthritis
Risk factors for osteoarthritis include obesity, aging, and a family history of osteoarthritis. overuse of joints, as with certain sport activities and occupations, is a risk factor.
A patient states he injured his right ankle while walking the previous day. How should the nurse assess the ankle initially?
Initial assessment is inspection of the ankle and comparison with the other ankle. Palpation, performing passive range of motion, and asking the patient to walk are done after the initial inspection.
Which assessment finding is consistent with carpal tunnel syndrome?
Carpal tunnel syndrome, compression of the median nerve, causes weakness in the thumb and episodes of numbness and burning that awaken the patient from sleep.
McMurray sign test for?
Anterior cruciate ligament injury (ACL)
Neer Test
Shoulder rotator cuff impingement or tear
Hawkins test
Shoulder rotator cuff impingement or tear
Katz hand diagram
Median nerve integrity (carpel tunnel)
Thumb abduction test
Median nerve integrity (carpel tunnel)
Tinal sign
Median nerve integrity (carpal tunnel)
Phalen test
Median nerve integrity (carpal tunnel)
Straight leg raising
L4, L5, S1 nerve root irritation
Femoral stretch test
L1, L2, L3, L4 nerve root irritation
Bulge sign
Effusion of the knee
Anterior and posterior drawer test
Anterior and posterior cruciate ligament integrity (ACL and PCL)
Varus-valgus stress test
Medial or lateral collateral ligament instability of the knee (MCL)
Lachman test
Anterior cruciate ligament integrity (ACL)
Thomas test
Flexion contracture of hip
Trendlenburg sign
Weak hip abductor
Herberden nodes and bouchard nodes noted on the hands
Osteoarthritis [Show Less]