Deck 9: Assessment of the Neurological System

Question 1

Dermatomes are skin areas that are supplied from one spinal cord segment through a particular spinal nerve.

Answer 1

True

Question 2

Because dermatomes overlap, the sensations can be transmitted by the dermatome to the lateral extremity when one nerve is severed.

Answer 2

False

Question 3

With the child's arm resting on her leg, locate the ulnar tendon approximately 1 inch above the wrist on the radial side.

Answer 3

False

Question 4

Tap the Achilles tendon slightly medially. The child's foot should flex upward (dorsiflexion).

Question 5

To test sensation, tickle the child on various parts of the body.

Question 6

Match each item to the statement or sentence listed below.

-Have the child place his hands on his knees and tap them as fast as he can, turning his hand over and back as rapidly as possible.

A)Gait
B)Point-to-point testing
C)Rapid alternating movements

Question 7

Match each item to the statement or sentence listed below.

-Have the child kick an object.

A)Gait
B)Point-to-point testing
C)Rapid alternating movements

Question 8

Match each item to the statement or sentence listed below.

-Ask the child to touch your index finger and then his nose alternately several times.

A)Gait
B)Point-to-point testing
C)Rapid alternating movements

Question 9

Match each item to the statement or sentence listed below.

-Have the child touch each of his fingers with his thumb in rapid sequence.

A)Gait
B)Point-to-point testing
C)Rapid alternating movements

Question 10

Match each item to the statement or sentence listed below.

-Have the child heel/toe walk or do three pirouettes while walking.

A)Gait
B)Point-to-point testing
C)Rapid alternating movements

Question 11

Match each item to the statement or sentence listed below.

-Touch the skin with test tubes filled with hot and cold water.

A)Sensation
B)Position
C)Temperature
D)Vibration

Question 12

Match each item to the statement or sentence listed below.

-Tickle the child.

A)Sensation
B)Position
C)Temperature
D)Vibration

Question 13

Match each item to the statement or sentence listed below.

-Use a tuning fork.

A)Sensation
B)Position
C)Temperature
D)Vibration

Question 14

Match each item to the statement or sentence listed below.

-Grasp the big toe by its sides and move it up and down.

A)Sensation
B)Position
C)Temperature
D)Vibration

Question 15

Match each item to the statement or sentence listed below.

-Have the child close her eyes. Touch a place on the child's skin. Then have the child open her eyes and touch the same area.

A)Stereognosis
B)Number Identification
C)Two-point discrimination
D)Point localization
E)Extinction

Question 16

Match each item to the statement or sentence listed below.

-Using two ends of an opened paperclip, touch a finger pad either in two places simultaneously or simply in one place and ask the child to identify if one or two places were touched.

A)Stereognosis
B)Number Identification
C)Two-point discrimination
D)Point localization
E)Extinction

Question 17

Match each item to the statement or sentence listed below.

-Touch both sides of the body simultaneously. Ask the child to point to where you touched.

A)Stereognosis
B)Number Identification
C)Two-point discrimination
D)Point localization
E)Extinction

Question 18

Match each item to the statement or sentence listed below.

-Using the end of a pen, draw a large number in the palm of the child's hand and ask the child to identify it.

A)Stereognosis
B)Number Identification
C)Two-point discrimination
D)Point localization
E)Extinction

Question 19

Match each item to the statement or sentence listed below.

-Place a familiar object such as a key in the palm of the child's hand and ask him to identify it.

A)Stereognosis
B)Number Identification
C)Two-point discrimination
D)Point localization
E)Extinction

Question 20

When you tap a tendon with a reflex hammer:

A)The muscle stretches and impulses are sent to the spinal cord.
B)The muscle stretches and impulses are sent to the muscle fibers.
C)The impulse is sent back to the spinal cord.
D)Muscles contract from stretching.

Question 21

If the DTRs are hyperreactive:

A)Dorsiflex the foot.
B)Maintain sustained rhythmic oscillations.
C)Ankle clonus should be tested.
D)Do a Romberg test.

Question 22

The Romberg test is a good test for:

A)Oscillation.
B)Balance.
C)Shoulder symmetry.
D)Extension of arms.

Question 23

Evaluate any child who has head trauma or loses consciousness with the Glasgow Coma Scale. The scale comprises three tests, which include of the following except:

A)Eye responses.
B)Verbal responses.
C)Motor responses.
D)Coma.

Question 24

Note any spasticity (________________________)or a limb held in an unusual position.

Question 25

CN II-XII can easily be checked in a well-child examination. The __________________ is usually not tested.

Question 26

There are five reflexes that should be tested when a complete well-child assessment is performed: (1)biceps, (2)triceps, (3)brachioradialis, (4)patella, and (5)Achilles.
Assess each DTR ____________ and compare responses.

Question 27

If the child is having a hard time relaxing his legs and feet, have him focus on something in the room, __________ his teeth, or clasp his hands together and pull.

Question 28

For younger children, make a game of testing DTR's-make it fun. Grasp her hands and _________________________ while laughing. She will begin to laugh and you will feel pressure.