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Flashcards in Test 2 Deck (9)
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1
Q

Horace Longhorn, a 62-year-old chemistry teacher has a complaint of long-standing tingling sensations. History reveals that he has a particular fondness for Sweets. He reports that he seems to be thirsty all the time and consequently drinks a lot and urinates a lot. He describes the tingling in his feet as state starting in his toes and running across his foot and now it is in his ankles. He is for Zyrtec for a valuation because of how his fingers and hands to be going to go NOM and he frequently drops equipment in the chemistry lab.

A

What is suggested by the stocking glove distribution of the numbness?
Peripheral neuropathy you
What is the cause?
Ischemia of affected nerves due to long-term elevation of blood sugar
What is the nature of the patients complaint?
Diabetic neuropathy

2
Q

Neville Longbottom, a 14-year-old boys involved in a fight at school she now complains of weakness of the left arm after fall on the left shoulder. During the injury, his neck was forced into right lateral flexion. Muscle and sensory testing in the left arm reveals decreased sensitivity from the left shoulder all the way to the thumb and index finger. Muscle test for grade 2 for arm abduction wrist extension and elbow flexion

A
Which injury is described above?
Herbs Duchenne palsy
Brachioplexus?
Upper trunk injury
Choose all that apply
Biceps deltoids and extensor carpi radialis longus and brevis
Position patient's arm would assume based on weakness?
Waiters tip position
3
Q

This is about the Neville Longbottom question

A

The voice was difficulty swallowing turning head to the left
What cranial nerve shows involvement in the patient?
Glossopharyngeal, Vegas, and spinal accessory nerve’s
What is the most likely exit for the above cranial nerves to be affected?
Jugular for Raymond
What reflex is most likely affected in this patient?
Carotid sinus reflex

4
Q

High school teacher complains that of intermittent dizziness was tingling in the right. Probably because of the feeling of fullness or increased pressure in the ears and gradually losing ____

A

Light condition is described as a feeling of fullness in the ear leading to dizziness and hearing loss?
Meriteres disease
If the patient reports sound is heard in the left ear on the Webbers test but he demonstrates a ___ hearing loss
Right sensorineural
What is the nature of this condition? Overproduction of fluid in the inner ear

5
Q

And sent crab, will be 16-year-old boy has been complaining of pain on the side of the spies. He reports he has been bulking up recently to plan the school team. Now whenever you put anything in his pocket to thighs going numb and tingly.

A

Which nerve is affected in this patient?
Lateral tomorrow cutaneous nerve
Which of the following is a cause of the patients complaint? Entrapment between the inguinal ligament and ASIS
What is the condition this patient is experiencing?
Meralgia paresthetica

6
Q

Romida Vane, a 19-year-old student complaints of weakness in her hands face and neck. She states that by the end of the day she is so weak it is difficult to hold her head up, speaking become slurred and she often experience is double vision by the end of the day. The patient’s responses favorably and instantly to tensilon.

A

Weakness of the cranial nerve innervating muscles, worse at the end of the day, indicates a problem and which location?
Muscle receptors
Which of the following is suggested by weakness of cranial nerve that innervates muscles, worse at the end of the day?
Myasthenia gravis
What is the cause of patients problem? Autoimmune attack of the muscle receptors
What is your definitive test for your diagnosis?
Tensilion test

7
Q

Ronald Weasley, a six-year-old soon and complains that he has been having trouble with controlling his car while driving. His right foot is weak while driving, he cannot seem to lift off the gas pedal, and he is always tripping over his own toes while running to get the classes.

A

Which muscles will be weak during muscle testing in this patient?
Extensor hallicus longus
Which area of the skin sensation might be effective this patient?
Top of the foot
Which disc is likely to be the cause of this nerve or entrapment?
L4

8
Q

Pansy Parkinson, and 15 roll girl complains of pain in the hands. She states that her hands get very cold they turn white, blue, and red and become very painful.

A

Which condition is described in this case?
Reynards disease
What is the likely cause of this condition?
Peripheral vasospasm
Which orthopedic test will be warranted in this patient?
Allen’s test

9
Q

Oliver woods, a 16 year goalie on his high school team fell on his right hand three weeks ago. It has been experiencing pain and tingling in the thumb and first two fingers. It wakes him up at night and is relieved by shaking the hand. He states his grip strength is diminished and he notes a mild degree of atrophy in the right thenar eminence. Sensory testing reveals decreased sensation in the first three fingers, but normal sensation the farm. Forearm is a grade 3 out of five

A

What is the patient’s diagnosis?
Carpal tunnel syndrome
What test to be warranted for this patient?
Phalen test
Which nerve is involved in this patients complaint?
Median