HnP Neuro 1 Ortho Eval II Exam 1 Latest Update 2024-2025 100% Complete 260 Questions and Verified Correct Answers Already Graded A+
"Action" tremor, dysmetria, MS and cerebellar disease, overshoot, "past pointing" of cerebellar dysmetria - CORRECT ANSWER: Intention tremor (very fast; cerebellar +/- 11 Hz)
4 Modalities commonly assessed in the sensory exam? - CORRECT ANSWER: Tough
Temp Pinprick Vibration/position
A firmly held belief, not altered by rational argument, and not a conventional belief within
the culture and society of the patient - CORRECT ANSWER: Delusions
A unilateral pronator drift in one arm suggests an - CORRECT ANSWER: upper motor neuron lesion affecting that arm
Abdominal Reflex Absent in: - CORRECT ANSWER: Obese Post-op Age Pregnancy
Abdominal Reflex usually done if: - CORRECT ANSWER: Usually done if a spinal cord injury is suspected
umbilicus at T10
abrupt, stereotyped, coordinated movements or vocalizations - CORRECT ANSWER:
tics
Absence of taste perception - CORRECT ANSWER: Ageusia
Achilles Reflex - CORRECT ANSWER: Tibial Nerve
Adie's Pupil (Tonic Pupil), Holme's Adie pupil. - CORRECT ANSWER: Large, regular, and usually unilateral Reaction to light is severely reduced and slowed, or even absent Near reaction is very slow but present Slow accommodation causes blurred vision Deep tendon reflexes are usually decreased Cause unknown - probable neuropathy
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Convergence Pupilary construction Accomodation
Afferent from peripheral to central (Ascending tract) - CORRECT ANSWER: Sensory
pathway
Altered odor perception in the presence of another odor - CORRECT ANSWER:
Paraosmia
An almost continuous flow of accelerated speech in which a person changes abruptly from topic to topic, changes are based on understandable associations, plays on words, or distraction stimuli, but the ideas don't progress to sensible conversation (manic) -
CORRECT ANSWER: Flight of ideas
An eyelid higher than normal, usually above the level of the top of the iris, is described
as having - CORRECT ANSWER: lid retraction
An eyelid lower then normal is referred to as - CORRECT ANSWER: prosis
An increased resistance that becomes less prominent when the patient is distracted; without such distraction, the patient seems unable to relax the muscle.This is particularly common in patients who are anxious or demented. - CORRECT
ANSWER: Paratonia
an involuntary tendency for steps to accelerate and become smaller. - CORRECT
ANSWER: festination
Appears when muscles are brought into action, no increased muscle tone associated with it, stops with alcohol Titubation = truncal ataxia - CORRECT ANSWER: Essential (Familial/Senile) tremor
Are cranial nerves UMN or LMN? - CORRECT ANSWER: LMN
Are nerve conduction studies abnormal in myopathies and MG? - CORRECT ANSWER:
Yes they are typically normal.
The main reason for a needle exam is to find out if it is a motor problem is a neurogenic or myopathic pattern, that's about it.
Argyll-Robertson pupils - CORRECT ANSWER: Small, irregular pupils that do not react to light but do react to near effort Probably an upper midbrain lesion; now very rare Common causes: syphilis, diabetes mellitus, rarely: MS "Prostitute's pupil" 2 / 3
"Accommodates but does not react"
Assessing gait and you notice a wide base - CORRECT ANSWER: Truncal ataxia -
usually cerebellar, occasionally dorsal column
Assessing gait and you notice ankle dorsiflexion weakness - CORRECT ANSWER:
Steppage Gait
Assessing gait and you notice asymmetric arm swinging and circumduction and toe
catch. - CORRECT ANSWER: Hemiparesis
Assessing gait and you notice increased kyphosis, decreased arm swinging, slow turns
- CORRECT ANSWER: Parkinson's Disease
"shuffling gait"
Associated with bilateral spastic paresis of the legs, patient uses short steps, dragging ball of foot across floor, legs extended and tend to cross forward on each other at each
step, the patient appears to be walking through water - CORRECT ANSWER: Spastic
Diplegia (Scissoring)
Associated with corticospinal tract disease, as with a stroke, affected leg stiff and extended with plantar flexion of foot, drag or circumduct a weak or spastic leg, arm flexed at elbow across abdomen, pelvic tilting upward on involved side - CORRECT
ANSWER: Spastic Hemiparesis
Biceps Reflex - CORRECT ANSWER: Musculocutaneous Nerve
Bitemporal field defects
where's the lesion? - CORRECT ANSWER: Lesion at the optic chiasm
Bitemporal field defects
where's the lesion? - CORRECT ANSWER: Lesion at the optic chiasm
bitemporal hemianopsia can be due to a tumor where - CORRECT ANSWER: pituitary
ademona
Both parts of the face weak = LMN or UMN issue? - CORRECT ANSWER: LMN issue
Brachioradialis Reflex - CORRECT ANSWER: Radial Nerve
Causes of complete transverse lesion - CORRECT ANSWER: Common causes: trauma, spinal cord compression by tumor, cervical spondylitis, transverse myelitis, MS Rare causes: intraspinal tumors, spinal abscess, post-infectious
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