MSAT - CEREBELLAR EXAMINATION QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED A++

MSAT - CEREBELLAR EXAMINATION QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST

UPDATE GRADED A++


Opening introduction

HELPP:

H: 'Hello' (introduction & consent)

E: Exposure (underwear)

L: Lighting

P: Positions correctly (standing)

P: Patient in any pain

Wash hands

General inspection of the room

Inspect the room for:

• Railings

• Walking aids

• Catheter

• Wheel chair

• Medications

General inspection from foot of the bed

Inspect patient for:

- Truncal instability

, - Titubation of the head

- Stiffness of neck

- Level of consciousness

Inspect the eyes

Ask the patient to follow your finger far left and as far right (keeping their head still)

Inspect for:

- Nystagmus

N.B. Usually it is jerky horizontal nystagmus with increased amplitude on looking

towards the side of the lesion

Assesses articulation (dysarthria)

Examine the patient SPEECH by asking them various questions. Start off by asking

which is the dominant hand (this will come in handy later)

Ask them to repeat "British Constitution".

Examining for:

- Dysarthria

- Staccato

- Jerkiness

- Rapid changes in volume

Assess the patient's upper limb

Assess for:

- Tone (shake hands)

- Arm drift (agonist muscle hypotonia)

- Arm rebound