Question 12 out of 2 pointsThe finger-to-nose test allows assessment of:Selected Answer:coordination and fine motor function.Correct Answer:coordination and fine motor function.Response Feedback:To perform the finger-to-nose test, the patient closes both eyes, touches his or her nose with the index finger, alternating hands while gradually increasing the speed. This tests coordination and fine motor skills. All of the other choices test sensory function without motor function.Question 22 out of 2 pointsYou ask the patient to follow a series of short commands to assess:Selected Answer:attention span.Correct Answer:attention span.Response Feedback:A series of short commands for the patient to follow will test attention span rather than judgment, arithmetic calculations, abstract reasoning, or emotional stability.Question 32 out of 2 pointsAs Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B. s pattern as:Selected Answer:cerebellar ataxia.Correct Answer:cerebellar ataxia.ResponseFeedback:Cerebellar gait (cerebellar ataxia) occurs when the patient s feetare wide based with a staggering gait, lurching from side to side,often accompanied by swaying of the trunk. Dystonic ataxia is
jerky dancing movements that appear nondirectional. Steppage gait is noted when the hip and knee are elevated excessively high to lift the plantar flexed foot off the ground. The foot is brought down with a slap and the patient is unable to walk on the heels. Tabetic stamping occurs when the legs are positioned far apart, lifted high and forcibly brought down with each step; inthis case the heel stamps on the ground. In Parkinsonian gait, the patient s posture is stooped and the body is held rigid; steps are short and shuffling, with hesitation on starting and difficulty stopping.Question 40 out of 2 pointsWhen is the mental status portion of the neurologic system examination performed?Selected Answer:During the history-taking processCorrect Answer:Constantly, throughout the entire interaction with a patientQuestion 52 out of 2 pointsAn aversion to touch or being held, along with delayed or absent languagedevelopment, is characteristic of:Selected Answer:autism.
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- Summer '15