Here are four descriptions related to neurological status, including one that represents typical findings in a patient with amyotrophic lateral sclerosis (ALS):

A: Mental Status: Alert and oriented to person, place, and time. No cognitive deficits. Cranial Nerves: Intact visual fields, normal eye movements, symmetric facial strength, and intact gag reflex. Motor Examination: Normal muscle tone, strength, and coordination. Sensory Examination: No sensory deficits. Reflexes: Symmetric and brisk deep tendon reflexes (e.g., biceps, patellar, Achilles). Gait and Balance: Steady gait without abnormalities.

B: Mental Status: May have focal deficits (e.g., aphasia, neglect). Cranial Nerves: Variable, depending on the affected area (e.g., facial droop, visual field deficits). Motor Examination: Weakness or paralysis in specific muscle groups. Sensory Examination: May have sensory loss in specific regions. Reflexes: May be hyperactive or asymmetric. Gait and Balance: Unsteady or hemiparetic gait.

C: Mental Status: Progressive decline in memory, impaired judgment, and disorientation. Cranial Nerves: May remain intact initially. Motor Examination: No specific motor deficits. Sensory Examination: Typically normal. Reflexes: Usually unaffected. Gait and Balance: Gradual decline in mobility and coordination.

D: Mental Status: Initially normal, but cognitive changes may occur later. Cranial Nerves: Facial weakness, dysarthria, and dysphagia. Motor Examination: Upper Motor Neuron Signs: Hyperreflexia, spasticity, and weakness. Lower Motor Neuron Signs: Fasciculations, muscle atrophy, and weakness. Sensory Examination: Typically normal. Reflexes: Hyperactive deep tendon reflexes. Gait and Balance: May develop spastic gait or weakness.

Correct answer is D. Amyotrophic Lateral Sclerosis (ALS) Neurological Status: Mental Status: Initially normal, but cognitive changes may occur later. Cranial Nerves: Facial weakness, dysarthria, and dysphagia. Motor Examination: Upper Motor Neuron Signs: Hyperreflexia, spasticity, and weakness. Lower Motor Neuron Signs: Fasciculations, muscle atrophy, and weakness. Sensory Examination: Typically normal. Reflexes: Hyperactive deep tendon reflexes. Gait and Balance: May develop spastic gait or weakness. Remember that these descriptions provide a simplified overview, and actual clinical assessments involve a comprehensive evaluation of various neurological functions. ALS, in particular, presents with a distinct combination of upper and lower motor neuron signs.

Here are four descriptions related to neurological status, including one that represents typical findings in a patient with amyotrophic lateral sclerosis (ALS):

Here are four descriptions related to neurological status, including one that represents typical findings in a patient with amyotrophic lateral sclerosis (ALS):

Категории