NEW
Font size
WorksheetsNeuro exam
Total questions: 10
Worksheet time: 5mins
A patient with polyneuropathy secondary to diabetes mellitus type 2 might present with:
Sensory loss in a glove and stocking pattern
Sensory loss within 1 or 2 isolated dermatomes
Sensory loss in one half of the body (right arm and right leg for example)
Loss of pain and temperature but not proprioception in the same limb
Pain (sharp/dull) information is relayed via which spinal pathway?
Anterolateral spinothalamic
Dorsal column medial lemniscus
Lateral corticospinal
Reticulospinal
Having the patient describe random items placed in their hand with vision occluded describes which combined cortical sensory test?
Graphesthesia
Two-point discrimination
Sensory extinction
Stereognosis
Evaluating the pupillary response to light tests which cranial nerve(s)?
Cranial nerve II
Cranial nerve III
Cranial nerves II & III
Cranial nerves III, IV, & VI
In testing cranial nerve VIII; which test finding suggests a sensorineural hearing loss?
When sound is lateralized to the side experiencing the hearing loss
If during the Rinne test, the patient hears the vibration longer on the mastoid process
If during the Rinne test, the patient cannot perceive vibration when the tuning fork is placed on the mastoid process
If during the Weber test, the patient cannot perceive vibration when the tuning fork is placed on the mastoid process
A score of 1+ on the Modified Ashworth Scale (MAS) indicates:
A normal finding
Slight increase in muscle tone manifested by a catch, followed by minimal resistance throughout the remainder of the available ROM (< 1/2)
Slight increase in muscle tone characterized by a brief catch, followed by a release
Considerable increase in muscle tone with resistance through most of the available ROM (> 1/2) but the limb is still easily moved
A deep tendon reflex (DTR) grade of 2+ indicates:
An average response
A slight but definitely present response
A brisk response (greater than what would be expected)
A brisk response (greater than what would be expected) + 2-3 beats of clonus
In which condition might we expect the patient to become extremely reliant on visual information, such that motor coordination tests (such as finger to nose), are substantially harder when the patient is required to repeat the test with the eyes closed?
Cerebellar ataxia
Sensory ataxia
Parkinson's Disease (PD)
Huntington's Disease
An example of an equilibrium coordination test is:
Rapidly alternating forearm pronation and supination
Finger to nose
Walking backwards
Sliding the heel up the contralateral shin
Dyssynergia (or movement decomposition) describes:
Impaired motor coordination of the muscles responsible for speech
Difficulty with rapid alternating movements
Under or overshooting when reaching for a target
Movement performed in a sequence of component parts rather than a single activity
