MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is assessing a client with meningitis. Which of the following signs would the nurse expect to observe?
A
Ptosis and diplopia
B
Hyporeflexia in the lower extremities
C
Headache and nuchal rigidity
D
Numbness and vomiting
Explanation: 

Detailed explanation-1: -Meningitis can have a varied clinical presentation depending on the age and immune status of the host. Symptoms typically include fever, neck pain/stiffness, and photophobia. More non-specific symptoms include headache, dizziness, confusion, delirium, irritability, and nausea/vomiting.

Detailed explanation-2: -Assess him for headache, fever, light sensitivity, nausea, vomiting, respiratory changes, and signs and symptoms of increasing intracranial pressure, such as changes in pupillary reaction to light, behavior, or level of consciousness.

Detailed explanation-3: -Kernig’s sign, Brudzinski’s sign, and nuchal rigidity are bedside diagnostic signs used to evaluate suspected cases of meningitis. The presence of meningeal irritation, however, is not pathognomonic for meningitis.

Detailed explanation-4: -Symptoms may include headache, photophobia, neck stiffness and seizures. Signs may include nuchal rigidity, Kernig’s sign, Brudzinski’s sign or jolt accentuation headache.

There is 1 question to complete.