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1. Which of the Following disorders is known to be Huntington Chorea
heredity?
Peripheral neuropathy
Meningitis
Huntington Chorea
Seizure disorder
2. The Examiner asks the patient to close her eyes and Primary sensory
then place a vibrating tuning fork on the patients function
ankle and asks her to indicate what is felt. What is
being assessed?
3. Multiple sclerosis Fatigue, bowel and
bladder dysfunc-
tion, sexual dys-
function, sensory
changes, muscle
weakness
4. Myasthenia gravis An autoimmune dis-
order of neuromus-
cular junction in-
volved with muscle
activation.
5. Whisper Test CN V111 acoustic
6. Patient sticks out tongue and moves it from side to CN X11 Hypoglos-
side sal
7. Taste test with sugar, salt, and lemon CN V11 and CN
1X Facial and glos-
sopharyngeal
8. Patient puffs out cheeks and shows teeth CN V11 facial
9. Patient shrugs shoulders against examiner's hands CN X1 Spinal ac-
cessary
10. Smell test with coffee, orange and cloves CN 1 Olfactory
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11. Eyes constrict and dilate in response to light CN 111 oculomotor
12. patient clinches teeth (temporal muscles contract- CN V Trigeminal
ed)
13. positive Babinski sign be considered a normal find- 0-24 months
ing in what ages?
14. The nurse observes the gait of a client as he enters Scissors gait
the room. He uses short steps, keeps his knees in
contact, and walks with considerable effort. What
term is used to describe this gait?
15. A nurse observes very fine, rapid, continuous Fasciculation
twitching of a patient's finger while at rest. How A fasciculation is a
should the nurse document this finding? fine, rapid twitch-
ing that may oc-
cur with some low-
er motor neuron
disease. Paralysis
is loss of mo-
tor function. Spas-
ticity is abnormal-
ly increased muscle
tone. An intention
tremor is an involun-
tary contraction of
a muscle group oc-
curring with volun-
tary movement
16. Under what conditions should a patient be tested When deep tendon
for clonus? reflexes are hyper-
active
Clonus, repeated
reflex muscle move-
ment, is tested
when a patient has
hyperactive reflex-
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es. It is found with
diseases of the up-
per motor neuron.
Nuchal rigidity, neck
stiffness, is a sign
of meningeal irrita-
tion. Absent reflexes
are associated with
lower motor neuron
diseases. Decorti-
cate positioning, a
state of flexion with
the arms adducted,
occurs with hemi-
spheric lesion of the
cerebral cortex.
17. The abdominal reflexes are tested to assess func- Thoracic
tioning of the nerves in which location of the spine?
18. Which change is most commonly observed in aging Kyphosis, advanced
patients? posterior curvature
of the thoracic
spine, occurs com-
monly with age. Lor-
dosis, scoliosis, and
ankylosis are not as
commonly associat-
ed with age.
19. While palpating the patient's knee, the nurse finds Testing for ballotte-
effusion in the joint. What further assessment will ment is a test to de-
support this finding? tect fluid in the joint
20. Which assessment finding is associated with lum- Pain associated
bar stenosis? with prolonged
standing
Lumbar stenosis,
narrowing of the
spinal canal, caus-