NR 509 ADVANCED PHYSICAL ASSESMENT
WEEK 6 (NUERO AND MUSCULO) QUESTIONS
AND ANSWERS LATEST UPDATED
CHAMBERLAIN UNIVERSITY
, A patient with alcoholism is brought in with confusion. You ask him to “stop traffic” with his
palms and notice that every few seconds his palms suddenly move toward the floor. What does
this indicate?
A) Stroke
B) Metabolic problems
C) Carpal tunnel syndrome
D) Severe fatigue and weakness
Ans: B
Feedback: This is asterixis and represents the inability to maintain a sustained contraction of the
muscles. It is usually due to various metabolic diseases. A variant of this is called “milkmaid's
grip” in which the patient is asked to grasp two fingers. A positive occurs if the patient is unable
to sustain the grip and it feels as if the patient is trying to milk a cow. would consider checking
an ammonia level in this patient. A stroke is less likely to produce bilateral symptoms. Carpal
tunnel represents a sensory loss in the median nerve distribution.
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