MEDSURG2: 1st Shifting Flashcards
A lesion in this region usually will present with normal reflexes?
Myoneural junction
In taking a neurological history, the following aspects should also be carefully taken into account?
A. onset of illness
B. family history
C. medical history
D. all of the above
D. all of the above
The following pertains to a lower motor neuron lesion EXCEPT?
A. presence of hyperreflexia
B. absence of pathologic reflexes
C. hypotonicity
D. presence of fasciculations
Presence of hyperreflexia
A stroke patient presented with dysdiachokinesia and intention tremors on the left upper extremity. Where is the location of the lesion?
Left cerebellar hemisphere
The following is an important component in the assessment of the second cranial nerve (CN II)?
Testing for visual acuity
A mass lesion located in the vermis will most likely present with which cerebellar sign?
Truncal ataxia
Flexion of both lower extremities on passive flexion of neck refers to?
(+) Brudzinski
Which brain lesion has an acute onset and rapid course?
Vascular lesion
Anisocoria refers to?
Presence of unequal pupils
Tapping of the Achilles tendon will elicit what response?
Plantarflexion
The afferent limb and efferent limb of the reflex arc are located in the?
Spinal nerve
Hyperreflexia may be caused by a dysfunction in which neural structures?
Corticospinal tract
A lesion in the level of the pons will affect which reflex?
Corneal reflex
Crossed motor/sensory syndrome is characteristic of lesions in the?
Brainstem
Big toe extension elicited by squeezing the gastrocnemius maximally is referred to as?
Gordon sign
The presence of a pathological pupillary dilatation is indicative of a problem in the?
Oculomotor nerve
Which among the following is not considered a focal neurologic deficit?
A. aphasia
B. dizziness
C. seizures
D. hemiparesis
B. dizziness
Rigidity and rest tremor are often seen in lesions of the?
Basal ganglia
The following are tests used to confirm the presence of visual or visual field defects EXCEPT?
A. perimetry
B. visual evoke potential
C. Electronystagmography
D. tangent screen
C. Electronystagmography
Proximal symmetrical weakness is characteristic of a lesion affecting the?
muscle
In the presence of hypereflexia, the usual grade or score given to the deep tendon reflex is?
3
focal deficits with the area responsible for itβs presentation: Contralateral hemiparesis, contralateral hemisensory deficit and contralateral Babinski
Cerebral hemisphere dysfunction
focal deficits with the area responsible for itβs presentation: Presents with purely motor manifestation in a diurnal pattern usually involving cranially and spinally innervated muscles, with intact reflexes.
Neuromuscular Junction / Myoneural Junction
focal deficits with the area responsible for itβs presentation: Ipsilateral cranial nerve deficits accompanied by contralateral hemiparesis with Babinski
Brainstem dysfunction