Author Question: In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of these ... (Read 92 times)

neverstopbelieb · **on:** Jun 25, 2018

In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of these physical assessment findings should the nurse expect?

a. Hyperreflexia
b. Fasciculations
c. Loss of muscle tone and flaccidity
d. Atrophy and wasting of the muscles

Question 2

During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:

a. Parkinsonism.
b. Cerebral palsy.
c. Cerebellar ataxia. d.
Muscular dystrophy.

tashiedavis420 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Hyperreflexia, diminished or absent superficial reflexes, and increased muscle tone or spasticity can be expected with upper motor neuron lesions. The other options reflect a lesion of lower motor neurons

Answer to Question 2

ANS: A
The stooped posture, shuffling walk, short steps, flat facial expression, and pill-rolling finger movements are all found in parkinsonism.