A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have symptoms
that include asymmetric weakness in the arms and difficulty walking. The neurologist recognizes
these symptoms as characteristic of involvement of which portion of the nervous system?
Lower motor neurons
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis (ALS) asks about
long-term care. What will the provider include when teaching the family about this disease?
Preventing malnutrition is a key element in care.
Which symptoms may occur with Bell's palsy?
Select all that apply.
Alteration in taste, Drooling, Tinnitus
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with drooping
and tearing in one eye. The patient has a history of a recent viral illness, but is otherwise healthy.
During the exam, the provider notes that there is unilateral full face paralysis on the right side.
What is the initial intervention for this patient?
Prescribe oral prednisolone
What is recommended to prevent ophthalmic complications in patients with Bell's palsy?
Lubricating eye drops
A patient reports a recurrent sensation of spinning associated with nausea and vomiting. Which
test will the provider order to confirm a diagnosis for this patient?
The Hallpike-Dix positioning maneuver
An elderly patient reports sensations of being off balance when walking, but does not experience
dizziness. The provider will refer this patient to which specialist for further evaluation?
Neurologist
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient who is
developing muscle weakness and paresthesias?
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