MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 53-year-old man presents to the emergency department with a chief complaint of inability to form words, and numbness and weakness of the right arm and leg. Where would you locate the site of injury?
A
Left basal ganglia
B
Left frontoparietal region
C
Left temporal region
D
Right frontoparietal region
Explanation: 

Detailed explanation-1: -Ataxia describes poor muscle control that causes clumsy voluntary movements. It may cause difficulty with walking and balance, hand coordination, speech and swallowing, and eye movements. Ataxia usually results from damage to the part of the brain that controls muscle coordination (cerebellum) or its connections.

Detailed explanation-2: -Weakness made worse with repeated effort and improved with rest suggests myasthenia gravis.

Detailed explanation-3: -Which safety action will the nurse implement for a client receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)? Ensure that no client care equipment containing metal enters the room where the MRI table is located.

Detailed explanation-4: -This normal response is termed the flexor plantar reflex. In some patients, stroking the sole produces extension (dorsiflexion) of the big toe, often with extension and abduction ("fanning") of the other toes.

There is 1 question to complete.