WITH ANSWERS GRADED A+
◉ Testing the brachioradialis reflex helps localize lesions in which
cervical nerve root? Answer: C6
◉ Testing the triceps reflex helps localize lesions in which cervical
nerve root? Answer: C7
◉ Testing the knee jerk reflex helps localize lesions in which nerve
root(s)? Answer: L3/L4
◉ Testing the Achilles reflex helps localize lesions in which nerve
root(s)? Answer: L5/S1
◉ What is being tested with a monofilament for diabetic
neuropathy? Answer: Intact sensation
◉ Decreased sensation to monofilament testing in the feet of a
patient with diabetes may indicate an increased risk of which
complication? Answer: Skin ulcers
,◉ Where is the dermatome that corresponds to the C6 nerve root?
Answer: In the thumb and 1st web space
◉ Where is the dermatome that corresponds approximately to the
T10 nerve root? Answer: At the level of the umbilicus
◉ Which is TRUE regarding Hoffman's maneuver? Answer: It
indicates upper motor neuron involvement.
◉ What is a positive Lhermitte's sign? Answer: It involves flexion of
the neck causing an "electric-like" sensation that runs down the
back.
◉ What physical exam finding is indicative of a cervical nerve root
radiculopathy? Answer: Positive foraminal compression test
◉ What type of headache might present with a "thunderclap"
intense onset of pain? Answer: Headache due to a subarachnoid
hemorrhage
◉ What type of headache is often associated with symptoms of
nausea, photophobia, and phonophobia Answer: Migraine headache
,◉ Which cranial nerve (CN) affects the sensory as well as the motor
function of the face? Answer: trigeminal nerve
◉ What cranial nerve (CN) palsy leads to the eye not being able to
move laterally on exam? Answer: CN VI: abducens nerve
◉ Which three cranial nerves control ocular movements? Answer:
III, IV, and VI
◉ How do you test for an afferent pupillary defect on a physical
examination? Answer: Using the swinging flashlight test
◉ What is a Snellen chart used for during a cranial nerve
examination? Answer: To test visual acuity
◉ Which cranial nerve (CN) do the Weber and Rinne tests evaluate?
Answer: CN VIII: cochlear nerve
◉ Which cranial nerves (CN) are tested by asking the patient to
elevate their palate by saying "AH?" Answer: CN X: vagus nerve and
CN IX: glossopharyngeal nerve
◉ Which cranial nerve (CN) is tested by asking the patient to turn
their head against resistance? Answer: CN XI: accessory nerve
, ◉ Which cranial nerve (CN) is tested by asking the patient to move
their tongue from side to side? Answer: CN XII: hypoglossal nerve
◉ Which condition most commonly causes sacroiliitis or pain in the
sacroiliac joints? Answer: Ankylosing spondylitis
◉ Pain and tenderness over the lateral hip are most commonly seen
in which condition? Answer: Trochanteric bursitis
◉ Pain and burning in the anterior and lateral thigh are usually due
to what condition? Answer: Meralgia paresthetica
◉ Piriformis syndrome can mimic what other condition? Answer:
Sciatica
◉ Osteoarthritis of the hip produces pain most commonly with
which maneuver? Answer: Internal rotation of the hip joint
◉ What area is tender with iliopsoas bursitis? Answer: Tenderness
is elicited over the inguinal ligament.
◉ So this is a 59-year-old woman with a medical history of type two
diabetes and tobacco use disorder who's presenting with a cough,