Neurological Assignment _ Completed _
Shadow Health:2
To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to
be tested?
Correct: The patellar deep tendon reflex involves the sensory and motor nerve fibers associated with spinal
segments L2, L3, and L4. Location of abnormal reflexes may be helpful in identifying neurological pathologies of
the spine.
Achilles
Biceps
Patellar (Correct Response)
Triceps
Imagine that you were preparing to irrigate a Foley catheter of a patient with a
spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient
became suddenly flushed and diaphoretic above the nipple line. What would you
suspect was happening?
Correct: Autonomic dysreflexia is the sudden increase in blood pressure caused by dysregulation of
sympathetic and parasympathetic nervous systems reacting to a noxious stimulus below the site of spinal injury.
Other symptoms include bradycardia, anxiety, blurred vision, headache, flushing, and sweating. The noxious
stimulus (pulling of the Foley catheter) should be alleviated to resolve the condition.
Odynophagia
Febrile reaction
Idiopathic spinal reaction
Autonomic dysreflexia (Correct Response)
Which of the following is not a common symptom of Parkinson's disease?
Incorrect: Parkinson’s disease is characterized by tremors at rest, bradykinesia, cogwheel rigidity, postural
instability, festination, lack of facial expression, reduced arm swing, autonomic and neuroendocrine dysfunctions,
and a variety of psychological issues such as depression, anxiety, and sleep disturbances.
Lack of facial expression
Festination
Cogwheel rigidity (Student Response)
Intention tremors (Correct Response)
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