Tina Jones Neurological Shadow Health Review Questions
To evaluate spinal levels L2, L3, and L4 in Tina, which deep tendon reflexes should be examined?
Correct: The patellar deep tendon reflex engages sensory and motor nerve fibers associated with spinal segments L2, L3, and L4. Identifying abnormal reflex locations can aid in pinpointing neurological pathologies of the spine.
Struggling to meet your deadline?
Get your assignment on Tina Jones Neurological Shadow Health Review Questions done by certified MDs and PhDs in the USA. ORDER NOW!
– Achilles
– Biceps
– Patellar (Correct Response)
– Triceps
Picture a scenario in which you were about to irrigate a Foley catheter for a patient with a spinal cord injury at T4 in a urology clinic. When moving the leg bag, the patient suddenly became flushed and diaphoretic above the nipple line. What might you suspect was happening?
Correct: Autonomic dysreflexia is the abrupt surge in blood pressure resulting from dysregulation of the sympathetic and parasympathetic nervous systems responding to a noxious stimulus below the spinal injury site. Additional symptoms include bradycardia, anxiety, blurred vision, headache, flushing, and sweating. Resolving the noxious stimulus (in this case, pulling the Foley catheter) should alleviate 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?
Correct: Parkinson’s disease manifests with tremors at rest, bradykinesia, cogwheel rigidity, postural instability, festination, lack of facial expression, reduced arm swing, autonomic and neuroendocrine dysfunctions, and various psychological issues like depression, anxiety, and sleep disturbances.
– Lack of facial expression
– Festination
– Cogwheel rigidity
– Intention tremors (Correct Response)
Enumerate at least three methods to assess cerebellar function during a physical examination.
Student Response:
1. Heel-to-shin test
2. The finger-to-nose test
3. Gait and balance assessment
Model Note: The cerebellum ensures smooth and accurate coordination of voluntary movements. Cerebellar function can be evaluated through gait assessment and instructing the patient to perform tests such as finger-to-finger, finger-to-nose, heel-to-shin, rapid alternating movements, and Romberg tests.
If Tina exhibited a fever and photophobia, you would need to test for meningitis. Describe how you would perform the Kernig’s sign test.
Student Response: Meningeal irritation is identified using a test for Kernig’s sign. This involves flexing the leg at the knee and hip when the patient is supine, forming a right angle with the flexed knee, and then attempting to straighten the leg at the knee. Pain and resistance in the lower back indicate a positive Kernig’s sign, signifying meningeal irritation.
Model Note: The Kernig’s sign test is employed to detect meningeal irritation. To perform the test, flex the leg at the knee and hip when the patient is supine, creating a right angle with the flexed knee. Attempt to straighten the leg at the knee. The presence of resistance and pain in the lower back constitutes a positive Kernig’s sign, indicating meningeal irritation.
Shoshanna Tillman Follow Up Sick Visit: Musculoskeletal Shadow Health Transcript
Suppose you assessed pain sensation over Tina’s left foot and noticed decreased sensation. How would you proceed with your examination?
Student Response: It is crucial to assess bilateral sensations, starting from Tina’s feet and proceeding up the legs due to the risk of diabetic neuropathy. Sensation evaluation should encompass dull, sharp, and soft touch, vibration, point location, joint positioning, and temperature. Assessing superficial and deep tendon reflexes of the feet, ankles, and knees is also vital to determine the extent of neuropathy.
Model Note: Because Tina is at risk for diabetic neuropathy, it is essential to evaluate bilateral sensations, starting from her feet and moving up the legs. Sensation tests should cover sharp and dull touch, light touch, vibration, temperature, point location, and joint positioning. Additionally, assess superficial and deep tendon reflexes of the feet, ankles, and knees to determine the extent of her neuropathy.
Tina Jones Neurological Shadow Health Review Questions
To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested?
- 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?
- Odynophagia
- Febrile reaction
- Idiopathic spinal reaction
- Autonomic dysreflexia (Correct Response)
Which of the following is not a common symptom of Parkinson’s disease?
- Lack of facial expression
- Festination
- Cogwheel rigidity
- Intention tremors (Correct Response)
Name at least three ways to assess cerebellar function during a physical exam.
Student Response: 1. Heel-to-shin test 2. The finger-to-nose test 3. Gait and balance assessment
Model Note: The cerebellum is responsible for smooth and accurate coordination of voluntary movements. You can test cerebellar function by assessing gait and by instructing the patient to perform the finger-to-finger, finger-to-nose, heel-to-shin, rapid alternating movements, and Romberg tests.
If Tina had a fever and photophobia, you would have had to test for meningitis. Describe how you would have tested for the Kernig’s sign.
Student Response: meningeal irritation is identified using a test for Kernig’s sign and this is done by flexing the leg at the knee and hip when the patient is supine thus generating a right angle with the flexed knee, and then try to straighten the leg at the knee. If this results in pain and resistance in the lower back, it shows a positive Kernig’s sign indicating the presence of meningeal irritation.
Model Note: The test for Kernig’s sign is used to identify meningeal irritation. To perform the test, flex the leg at the knee and hip when the patient is supine, making a right angle with the flexed knee. Then attempt to straighten the leg at the knee. Resistance and pain in the lower back constitute a positive Kernig’s sign, indicating meningeal irritation.
Suppose you assessed pain sensation over Tina’s left foot, and noticed that she had decreased sensation. How would you have proceeded with your exam?
Student Response: It is important to assess bilateral sensations starting from Tina’s feet and proceeding up the legs because she is at risk for diabetic neuropathy and the sensation should include dull, sharp, and soft touch, vibration, point location, positioning of joints, and temperature. It is also important to determine the extent of her neuropathy and therefore, superficial and deep tendon reflexes of the feet, ankles, and knees should be performed.
Dont wait until the last minute.
Provide your requirements and let our native nursing writers deliver your assignments ASAP.