NR 509 Neurological & Musculoskeletal Assessment Practice Questions and Answers 2024

NR 509 Neurological & Musculoskeletal Assessment Practice Questions and Answers 2024 A patient with alcoholism is brought in with confusion. You ask him to “stop traffic” with his palms and notice that every few seconds his palms suddenly move toward the floor. What does this indicate? A) Stroke B) Metabolic problems C) Carpal tunnel syndrome D) Severe fatigue and weakness Ans: B Feedback: This is asterixis and represents the inability to maintain a sustained contraction of the muscles. It is usually due to various metabolic diseases. A variant of this is called “milkmaid's grip” in which the patient is asked to grasp two fingers. A positive occurs if the patient is unable to sustain the grip and it feels as if the patient is trying to milk a cow. Most would consider checking an ammonia level in this patient. A stroke is less likely to produce bilateral symptom study material Which of the following is a “red flag” regarding patients presenting with headache? A) Unilateral headache B) Pain over the sinuses C) Age over 50 D) Phonophobia and photophobia Ans: C A unilateral headache is often seen with migraines and may commonly be accompanied by phonophobia and photophobia. Pain over the sinuses from sinus congestion may also be unilateral and produce pain. Migraine and sinus headaches are common and generally benign. A new severe headache in someone over 50 can be associated with more serious etiologies for headache. Other red flags include: acute onset, “the worst headache of my life”; very high blood pressure; rash or signs of infection; known presence of cancer, HIV, or pregnancy; vomiting; recent head trauma; and persistent neurologic problems. A patient with alcoholism is brought in with confusion. You ask him to “stop traffic” with his palms and notice that every few seconds his palms suddenly move toward the floor. What does this indicate? A) Stroke B) Metabolic problems C) Carpal tunnel syndrome D) Severe fatigue and weakness Ans: B Feedback: This is asterixis and represents the inability to maintain a sustained contraction of the muscles. It is usually due to various metabolic diseases. A variant of this is called “milkmaid's grip” in which the patient is asked to grasp two fingers. A positive occurs if the patient is unable to sustain the grip and it feels as if the patient is trying to milk a cow. would consider checking