Quiz Bee: Neurological Ax

Responds only to strong, generally noxious stimuli and returns to the unconscious state when stimulation is stopped

• Alert

• Obtunded

• Stupor

• Coma

A catch or sudden feeling of letting go after high resistance movement may also be felt (clasp-knife response)

• Rigidity

• Spasticity

• Clonus

• None of the above

What grade is this on the MAS: Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM

• 1

• 1-

• 1+

• 2

Inability to initiate action though command was understood. The elements of the task may be blended together, the sequence may be incorrect, or the task can’t be completed at all.

• Ideational Apraxia

• Ideomotor Apraxia

• Dressing Apraxia

• Aphasia

How do you test for the glabellar reflex? 

• Press each toe downward and release with a snap

• Repetitive tapping of forehead

• Percussion of tibialis anterior

• Passive dorsiflexion of great toe

Given these manifestations: Hypertonicity, hyperreflexia, pyramidal pattern of weakness (weak UE extensors, weak LE flexors), weakness/atrophy associated with disuse, what lesion does the patient have? 

• LMNL

• Muscle Disease 

• Peripheral Nerve Disease 

• UMNL

What test is this: It assesses the cochlear component of CN VIII. Place the base of the vibrating tuning fork against the patient’s mastoid bone. The PT counts or times the interval with a watch. The patient tells when he or she no longer hears the sound, and the PT notes the number of seconds. PT then transfers the tuning fork on auditory canal, says when he or she no longer hears the sound, and the PT notes the number of seconds

• Rinne Test

• Weber Test

• Romberg Test

• Hallpike Maneuver

Enumerate the parts of neurological assessment

How do you test for an individual’s plantar reflex? 

• Stroking the lateral malleolus to lateral aspect of the foot

• Downward stroking of the tibial crest

• Apply a blunt stimulus from the heel to the lateral border of the sole going to the ball of the foot

• None of the above