While assessing the client's gait during, which of the following would indicate a need for further evaluation?
Feet stay parallel when moving forward.
Heels strike the ground before the toes.
Reses each foot off the floor with each step.
Right arm and leg move forward together
The Correct Answer is D
A. This is a normal finding in gait, as the feet should typically remain parallel while walking.
B. Heels strike the ground before the toes. This is a normal gait pattern, especially in elderly individuals, where a heel-to-toe walk is common.
C. Reses each foot off the floor with each step. This is a normal finding, as the person should lift their foot off the ground while walking.
D. Right arm and leg move forward together. This is an abnormal finding, indicating a possible neurological issue such as hemiparesis or other gait disturbance, which warrants further evaluation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cerebral palsy affects movement and coordination but typically presents with different types of motor impairment and not the specific signs of Parkinsonism.
B. Ataxia involves a lack of coordination, often affecting gait, but it would not typically involve the specific signs such as pill-rolling tremor or stooped posture.
C. Muscular dystrophy involves muscle weakness and atrophy but does not typically cause the motor symptoms observed in this patient.
D. Parkinson's disease is characterized by the classic signs of tremor (pill-rolling), bradykinesia (slow movement), postural instability, and a shuffling gait, which the patient exhibits.
Correct Answer is A
Explanation
A. The ballottement test involves pressing on the knee joint to check for the presence of fluid, which can indicate joint effusion.
B. The McMurray test is used to assess for meniscal tears, not for fluid around the patella.
C. The Tinel sign is used to assess for nerve compression, not fluid accumulation.
D. The Phalen test is used to diagnose carpal tunnel syndrome, not to assess for joint effusion.
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