Which test would involve placing a paper clip in the palm of the patient whose eyes are closed and asking them to recognize the object?
Graphesthesia
Stereognosis
Extinction
Discrimination
The Correct Answer is B
Stereognosis is a cortical sensory function requiring the parietal lobe to integrate tactile input for object identification without visual cues. It necessitates intact primary sensations and high-level somatosensory processing to discern physical properties. Deficits often indicate contralateral cerebral cortex lesions.
A. Graphesthesia: This test evaluates the ability to recognize numbers or letters traced on the skin, usually the palm. It assesses higher-order cortical sensory processing when the patient cannot see the stimulus. This requires different mental mapping than identifying three-dimensional objects.
B. Stereognosis: Placing a familiar object like a paper clip in the hand tests the tactile recognition of form and texture. The patient must synthesize sensory data to name the item. This specific procedure directly matches the maneuver described in the question stem.
C. Extinction: This maneuver involves simultaneously stimulating symmetrical areas on both sides of the body to see if the patient perceives both. Failure to perceive one stimulus despite intact primary sensation indicates a sensory neglect. It does not involve object identification.
D. Discrimination: Two-point discrimination measures the minimum distance at which two distinct tactile stimuli are perceived as separate. It assesses the density of sensory receptors and the precision of the somatosensory system. It does not require identifying a specific object.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
An adult with a complete set of permanent teeth possesses 32 structures, including the third molars (wisdom teeth). These are categorized into incisors, canines, premolars, and molars, each designed for specific mechanical digestive functions. This set replaces the deciduous teeth, which total 20 in the pediatric population.
A. 20: This is the normal number of primary or "baby" teeth found in children. Deciduous teeth serve as placeholders for the permanent set but are eventually shed. An adult with only 20 teeth would have significant dental loss or developmental anomalies.
B. 32: A full adult dentition consists of 8 incisors, 4 canines, 8 premolars, and 12 molars (including 4 wisdom teeth). This is the standard anatomical count used in clinical dental and physical assessments. It reflects the completion of dental development by early adulthood.
C. 16: This number represents exactly half of a full adult set of teeth, typically the count for either the maxillary or mandibular arch alone. Documenting 16 teeth in an entire adult mouth would indicate severe dental decay or extraction.
D. 28: While many adults have 28 teeth if their third molars (wisdom teeth) have been surgically removed or never erupted, the "normal" biological count for the full permanent set is 32. Dental assessments use 32 as the baseline for a complete human adult mouth.
Correct Answer is ["A","B","C","D"]
Explanation
The neurocranium consists of 8 bones that form the protective vault surrounding the brain. It is distinguished from the viscerocranium, which comprises the facial skeleton. These bones are joined by sutures, which are immobile fibrous joints, providing structural integrity to the skull.
A. Occipital: This bone forms the posterior and inferior base of the cranium and contains the foramen magnum. It articulates with the atlas of the vertebral column. It is a primary component of the cranial vault protecting the cerebellum.
B. Temporal: These paired bones form the lateral walls and base of the skull, housing the structures of the inner ear. They articulate with the mandible at the temporomandibular joint. They are essential components of the lateral neurocranium.
C. Frontal: This bone forms the forehead and the superior portion of the orbit and the anterior cranial fossa. It contains the frontal sinuses and provides protection for the frontal lobes. It is a major constituent of the cranium.
D. Parietal: These paired bones form the bulk of the superior and lateral vault of the skull. They meet at the sagittal suture and articulate with the frontal and occipital bones. They are fundamental parts of the cranial structure.
E. Zygomatic: Known as the cheekbones, these are components of the viscerocranium or facial skeleton rather than the neurocranium. They form the lateral wall and floor of the orbit. They do not contribute to the protective brain case.
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