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level: Lecture 8: Sensory System Examination 1

Questions and Answers List

level questions: Lecture 8: Sensory System Examination 1

Question	Answer
Use a wisp of cotton wool (or lightly apply your finger) and ask the patient to respond to each touch. Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Light Touch
• Use a fresh neurological pin, e.g. Neurotip™. Do not use a hypodermic needle. The pin must be disposed of after each patient to prevent transmitting infection. • Explain and demonstrate that the ability to feel a sharp pinprick is being tested. • Follow the dermatomes (see below), comparing for symmetry Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Superficial Pain
• Explain the test and ask the patient to report as soon as he feels discomfort. • Squeeze the muscle bellies, e.g. calf, biceps, or apply pressure to finger or toe nail beds. Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Deep Pain
Touch the patient with a cold metallic object, e.g. tuning fork, and ask if it feels ____. Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Temperature
Place a vibrating 128 Hz tuning fork over the sternum/large toe/interphalangeal joints/medial malleolus, tibial tuberosity and anterior iliac spine. Ask the patient 'Do you feel it _______? Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Vibration
Hold the distal phalanx of the patient's large toe at the sides to avoid giving information from pressure (or middle finger) and move it up and down. Ask if it's ____ or ____. Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Joint Position Sense
Apply either one or two points to the pulp of the patient's forefinger and ask whether one or two stimuli were felt. Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Two-point discrimination
With the patient's eyes closed, lightly touch various body parts, e.g. hand, finger, shoulder, and ask which part has been touched and whether on the right or left side Which sensory system test type matches the statement? a) Light Touch, b) Superficial Pain, c) Deep Pain, d) Vibration, e) Temperature, f) Point Localization, g) Two-point discrimination, h) Point Localization	Point Localization