Practicals

Question 0

A positive result to any of the multimodal test would be an indicator of what?

Answer 0

higher cortical lesion

Question 1

What are the Multimodal sensation tests?

Answer 1

Stereognosis
Barognosis
Topognosis
Graphognosis
2-point discrimination

Question 2

test performed by placing two object into the patients hands and asking the patient to correctly identify the object.

Answer 2

stereognosis

Question 3

patient assess the relative weight of similarly sized and shaped objects

Answer 3

Barognosis

Question 4

Test performed by touching the patient somewhere on the skin and have him or her point to the area touched

Answer 4

Topognosis

Question 5

The performed by writing a letter or number on the patients chest, back or palm and having them correctly identify it

Answer 5

Graphognosis

Question 6

Test used to determine what point a patient can determine two different points

Answer 6

2-point discrimination

Question 7

A patient should be able to identify 2 point discrimination on the fingertips at what distance?

Answer 7

2-4 mm

Question 8

A patient should be able to identify a 2 point discrimination on the dorsum of the fingers at a distance of?

Answer 8

4-6mm

Question 9

A patient should be able to determine a 2 point discrimination on the palm of the hand at a distance of?

Answer 9

8-12mm

Question 10

A patient should be able to determine a 2 point discrimination on the dorsum of the hand at a distance of?

Answer 10

20-30mm

Question 11

Describe the Romberg test

What is a normal vs abnormal finding?

What are two other tests that you could perform to confirm findings?

Answer 11

patient stand erect looking straight ahead first with eyes open

normal - little or no swaying
abnormal - eyes open and closed - Cerebellar lesion and/or vestibular mechanism deficit
- only eyes close - Dorsal column pathology

hopping on one foot, squatting on one foot

Question 12

Describe the Hopping on one foot test

What is a normal vs abnormal finding?

What are two other tests that you could perform to confirm your diagnosis?

Answer 12

patient hops on one leg with eyes open and then closed then the patient does it on the other side

normal - patient maintains posture
abnormal - patient falls with eyes open and closed - Cerebellar deficit
and/or vestibular mechanism deficit
- falls with only eyes closed - Dorsal Column Pathology

Rhombergs test, squatting on one foot

Question 13

Describe the squatting on one foot

What is a normal vs abnormal finding?

What are two other tests that you could perform?

Answer 13

patient squats on one leg with eyes open and then closed, repeated on the other side

normal - patient maintains posture with eyes open and closed
abnormal - falls with eyes open and closed - cerebellar lesion and/or vestibular mechanism deficit
- eyes closed only - Dorsal column pathology

Rombergs, Hopping on one foot

Question 14

Describe the Finger to nose test

What is a normal vs abnormal finding?

What are two other tests that you could perform to confirm findings?

Answer 14

patient has arms straight out to the side and then touches the nose with each arm with eyes open and closed

normal - smooth and accurate movement
abnormal:
- Dyssynergia(open): uncoordinated movement
- Dysmetria(closed): inaccuracy in measuring distance

Finger to Finger test, Finger to nose to finger, Heel to shin

Question 15

Describe the finger to finger test

What is a normal vs abnormal finding?

What are two other tests that you could perform to confirm findings?

Answer 15

patient opens their eyes and performs the test by bringing the fingers together in front of her, she then performs the test with her eyes closed

normal - smooth and accurate movement
abnormal:
- Dyssynergia(open): uncoordinated movement
- Dysmetria(closed): inaccuracy in measuring distance

Finger to nose, finger to nose to finger, heel to shin

Question 16

Describe the finger to nose to finger test

What is a normal vs abnormal finding?

What are two other tests that you could perform to confirm findings?

Answer 16

doctor places finger 2 feet in front of patient in different positions

normal - smooth and accurate movement
abnormal:
- Dyssynergia(open): uncoordinated movement
- Dysmetria(closed): CANNOT BE DONE

finger to nose, finger to finger, heel to shin

Question 17

Describe the heel to shin test

What is a normal vs abnormal finding?

What are two other tests that you could perform to confirm findings?

Answer 17

patient runs heel of the foot from the knee to the ankle of the opposite leg with eyes open and the closed

normal - smooth and accurate movement
abnormal:
- Dyssynergia(open): uncoordinated movement
- Dysmetria(closed): inaccuracy in measuring distance

finger to nose, finger to finger, finger to nose to finger

Question 18

What are the four sensory examinations?

Answer 18

light, pain, temperature and vibration