More Questions on Pathophysiology of the Nervous System

More Questions on Pathophysiology of the Nervous System ( 19 Questions)

Question 9 :
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A nurse is performing a physical examination on a client who has cervical radiculopathy due to spondylosis. The nurse asks the client to tilt their head toward their affected shoulder and apply slight pressure. The client reports increased pain radiating from their neck to their arm. The nurse recognizes this as a positive result of which of the following tests?

Correct Answer: A

Choice A reason:

This is the correct answer because Spurling's test is used to diagnose cervical radiculopathy by reproducing radicular pain with neck extension, lateral flexion, and compression. A positive result indicates nerve root compression by a herniated disc, osteophyte, or other lesion.

Choice B reason:

This is incorrect because straight leg raise test is used to diagnose lumbar radiculopathy by reproducing radicular pain with hip flexion and knee extension. A positive result indicates nerve root compression by a herniated disc or other lesion in the lower back.

Choice C reason:

This is incorrect because Tinel's sign is used to diagnose peripheral neuropathy by reproducing tingling or paresthesia with tapping over a damaged nerve. A positive result indicates nerve regeneration or irritation by a scar, tumor, or other lesion.

Choice D reason:

This is incorrect because Phalen's test is used to diagnose carpal tunnel syndrome by reproducing numbness or tingling in the median nerve distribution with wrist flexion for 60 seconds. A positive result indicates median nerve compression by a thickened flexor retinaculum or other lesion in the wrist.




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