MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which is the optimal way to determine the level of a patient’s alertness?Elevate the head of the bed to 30 degrees
A
Footdrop
B
Impaired cough reflex
C
Paralyzed diaphragm
D
None of the above
Explanation: 

Detailed explanation-1: -The most definitive treatment for elevated hemidiaphragm is to treat the underlying pathology. A patient presenting with respiratory distress or complete diaphragm paralysis may require endotracheal intubation and ventilation. However, most patients with elevated hemidiaphragm are asymptomatic.

Detailed explanation-2: -Patients with a paralyzed diaphragm experience weakness of the diaphragm and have reduced breathing capabilities or are unable to control their voluntary breathing. They also have difficulty maintaining adequate gas exchange, as the lungs are not able to inhale and exhale outside air as efficiently.

Detailed explanation-3: -[1] A diagnosis can be made based on a combination of the patient’s history, physical exam findings, imaging, and other tests. All unknown cases of unilateral diaphragmatic paralysis should be evaluated by obtaining basic workups such as chest imaging, Snif test, spirometry, and respiratory muscle strength testing.

There is 1 question to complete.