Signs you don't know

Question 1

patient flexes his or her hips and knees in response to neck flexion.

Answer 1

Brudzinski sign: Meningitis

Question 2

positive when the knee cannot be fully extended when the patient is lying supine with the hip flexed.

Answer 2

Kernig sign: Meningitis

Question 3

Chronic neck pain w/ cape-like distribution of loss of pain and temperature sensation in the upper extremities with preservation of light touch and proprioception.

Answer 3

syringomyelia

Question 4

bilateral motor paresis and sensory impairment.

Answer 4

central cord syndrome

Question 5

loss of motor function below the lesion and preservation of position, touch and vibration sensation

Answer 5

Anterior cord syndrome

Question 6

ipsilateral motor function loss and contralateral pain and temperature sensation loss.

Answer 6

Brown-Séquard syndrome

Question 7

Positive ice bag test

Answer 7

myasthenia gravis - improves Sx

Question 8

Positive edrophonium test

Answer 8

myasthenia gravis - improves Sx

Question 9

The patient is asked to hold a piece of paper between the thumb and index finger in a pinching grasp. The examiner then tries to pull the paper out from the patient’s grasp. The test is positive if the patient must compensate by flexing the flexor pollicis longus of the thumb to keep the object in place.

Answer 9

Froment’s sign -tests for ulnar nerve palsy.

Question 10

electric shock-like sensation down the spine with flexing the neck

Answer 10

Lhermitte sign - Multiple sclerosis

Question 11

Optic neuritis and a band like sensation around the trunk or a limb

Answer 11

Multiple sclerosis

Question 12

Prevalence increases with further distance from the equator.

Answer 12

Multiple sclerosis

Question 13

requires the patient to rotate and extend the neck to one side while the clinician gently applies an axial load to the neck. Nerve root compression is likely when this test produces cervical radiculopathy.

Answer 13

Spurling test

Question 14

prolonged lymphopenia

Answer 14

West Nile encephalitis

Question 15

Elevated protein with only a mild pleocytosis on cerebrospinal fluid analysis (termed albuminocytologic dissociation)

Answer 15

Guillain-Barré syndrome

Question 16

difficulty encountered by an individual in executing a task or action

Answer 16

Disability

Question 17

Participation restriction experienced by an individual in involvement in life situations

Answer 17

Handicap

Question 18

a problem in body function or structure

Answer 18

impairment

Question 19

painful, firm fluctuant inguinal lymph node

Answer 19

groove sign- Lymphogranuloma venereum

Question 20

Vision problems with focal neurological deficits

Answer 20

Multiple Myeloma

Question 21

Cerebellar disease, multiple sclerosis and chronic ETOH abuse

Answer 21

Intention tremor

Question 22

OD is seizures and cardiac dysrhtythmia

Answer 22

Lidocaine

Question 23

Ghon complex

Answer 23

TB

Question 24

Emphysema in a young non-smoker

Answer 24

alpha-1-antitrypsin deficiency

Question 25

Electrolyte imbalances with renal failure after chemo Tx

Answer 25

Acute Tumor Lysis syndrome

Question 26

Deep labored breathing

Answer 26

Kussmaul respirations (DKA, metabolic acidosis, kidney failure)

Question 27

groups of quick, shallow inspirations followed by regular or irregular periods of apnea

Answer 27

Bitot’s respirations

Question 28

Alternating between deep and labored breathing

Answer 28

Cheyne-Stokes respirations

Question 29

Kussmaul respirations

Answer 29

DKA, metabolic acidosis, kidney failure

Question 30

Thrombocytopenia with kidney damage/renal failure no fever or neurologic abnormalities

Answer 30

HUS. Tx with plasmapharesis

Question 31

Thrombocytopenia with kidney damage/renal failure with fever and neurological deficits

Answer 31

Thrombotic Thrombocytopenic Purpura (TTP)