CLTM Neurological Examination Questions With Complete Solution

CLTM Neurological Examination Questions With Complete Solution Decorticate posturing -Correct Answer--upper extremities flexed at the elbows and held closely to the body (rotated inward) -lower extremities externally rotated and extended. -occurs when the brainstem is not inhibited by the motor function of the cerebral cortex. posturing that occurs when occurs when the brainstem is not inhibited by the motor function of the cerebral cortex. -Correct Answer-decorticate ability to recognize numbers and letters "written" on skin by the sensation of touch -Correct Answer-graphesthesia clinical indications for ambulatory cEEG recordings (ACNS) -Correct Answer--documenting and quantifying ictal and interictal EEG features and assessment of their relationship to reported behavior -as an inpatient when mobility is of benefit -not appropriate for a detailed characterization of EEG features for presurgical eval loss of pupillary reflexes indicates -Correct Answer-loss of brainstem function oculocephalic reflex testing -Correct Answer-in a comatose patient, the head is rotated to the side to evaluate response of eye movement in oculocephalic testing, when the eyes do not follow the head movement, but lag or remain fixed, this indicates -Correct Answer-a positive response brainstem function is present in oculocephalic testing, in a comatose patient, when the head is rotated and the eyes stay in the same position relative to the head (as they would in a conscious patient), this indicates -Correct Answer-negative response brainstem function is impaired cold caloric testing -Correct Answer-cold water is squirted into the ear canal to evaluate brainstem function when cold caloric testing produces a beating nystagmus toward the stimulated ear -Correct Answer-the reflex is positive brainstem function is present when cold caloric testing produces no eye movement -Correct Answer-the reflex is absent brainstem function (pons, medulla) is impaired the Babinski sign or plantar response consists of -Correct Answer-upgoing big toe and/or fanning of all toes when the sole of the foot is stroked with a blunt object from heel toward toes