MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
he nurse is caring for a patient who was involved in a motor vehicle injury and sustained a head injury. When assessing deep tendon reflexes (DTR), the nurse observes diminished or hypoactive reflexes. How will the nurse document this finding?
A
0
B
1+
C
2+
D
3+
Explanation: 

Detailed explanation-1: -The motor assessment should include assessment of muscle bulk, strength, and tone. Assessment of gait, posture, involuntary movements, and coordination should also be performed.

Detailed explanation-2: -Instruct the patient to remove all metallic objects, including jewelry, hairpins, and watches. Ask the patient if he has any implanted metal devices or prostheses, such as vascular clips, shrapnel, pacemakers, joint implants, filters, and intrauterine devices.

Detailed explanation-3: -When reflexes are very hyperactive, a phenomenon called clonus may be elicited. If the foot is abruptly dorsiflexed, it may continue to “beat” two to three times before it settles into a position of rest. Rigidity is an increase in muscle tone at rest characterized by increased resistance to passive stretch.

There is 1 question to complete.