Assessment and Diagnostic Reasoning
4th Edition
Testing the biceps reflex helps localize lesions in which cervical nerve root? - ANSWERSC5
Testing the brachioradialis reflex helps localize lesions in which cervical nerve root? -
ANSWERSC6
Testing the triceps reflex helps localize lesions in which cervical nerve root? - ANSWERSC7
Testing the knee jerk reflex helps localize lesions in which nerve root(s)? - ANSWERSL3/L4
Testing the Achilles reflex helps localize lesions in which nerve root(s)? - ANSWERSL5/S1
What is being tested with a monofilament for diabetic neuropathy? - ANSWERSIntact
sensation
Decreased sensation to monofilament testing in the feet of a patient with diabetes may
indicate an increased risk of which complication? - ANSWERSSkin ulcers
Where is the dermatome that corresponds to the C6 nerve root? - ANSWERSIn the thumb
and 1st web space
Where is the dermatome that corresponds approximately to the T10 nerve root? -
ANSWERSAt the level of the umbilicus
Which is TRUE regarding Hoffman's maneuver? - ANSWERSIt indicates upper motor neuron
involvement.
,What is a positive Lhermitte's sign? - ANSWERSIt 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? -
ANSWERSPositive foraminal compression test
What type of headache might present with a "thunderclap" intense onset of pain? -
ANSWERSHeadache due to a subarachnoid hemorrhage
What type of headache is often associated with symptoms of nausea, photophobia, and
phonophobia - ANSWERSMigraine headache
Which cranial nerve (CN) affects the sensory as well as the motor function of the face? -
ANSWERStrigeminal nerve
What cranial nerve (CN) palsy leads to the eye not being able to move laterally on exam? -
ANSWERSCN VI: abducens nerve
Which three cranial nerves control ocular movements? - ANSWERSIII, IV, and VI
How do you test for an afferent pupillary defect on a physical examination? -
ANSWERSUsing the swinging flashlight test
What is a Snellen chart used for during a cranial nerve examination? - ANSWERSTo test
visual acuity
Which cranial nerve (CN) do the Weber and Rinne tests evaluate? - ANSWERSCN VIII:
cochlear nerve
Which cranial nerves (CN) are tested by asking the patient to elevate their palate by saying
"AH?" - ANSWERSCN X: vagus nerve and CN IX: glossopharyngeal nerve
, Which cranial nerve (CN) is tested by asking the patient to turn their head against
resistance? - ANSWERSCN XI: accessory nerve
Which cranial nerve (CN) is tested by asking the patient to move their tongue from side to
side? - ANSWERSCN XII: hypoglossal nerve
Which condition most commonly causes sacroiliitis or pain in the sacroiliac joints? -
ANSWERSAnkylosing spondylitis
Pain and tenderness over the lateral hip are most commonly seen in which condition? -
ANSWERSTrochanteric bursitis
Pain and burning in the anterior and lateral thigh are usually due to what condition? -
ANSWERSMeralgia paresthetica
Piriformis syndrome can mimic what other condition? - ANSWERSSciatica
Osteoarthritis of the hip produces pain most commonly with which maneuver? -
ANSWERSInternal rotation of the hip joint
What area is tender with iliopsoas bursitis? - ANSWERSTenderness 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, left-sided pleuritic chest pain and shortness of
breath for the last two days. - ANSWERS
Which cause of shortness of breath is primarily due to a pulmonary etiology? -
ANSWERSPneumothorax
Which statement demonstrates the correct path of cardiac blood flow? - ANSWERSBlood
flows from the left atrium to the left ventricle through the mitral valve.