Testing the Nervous System

12442Introduction
Welcome to the Testing the Nervous System Assignment. This assignment will cover the brain and spinal cord. For this assignment, you will investigate a case and answer the corresponding questions.

Remember to view the assignment rubric (see below) before completing the assignment.

Assignment Instructions
Read the Testing the Nervous System case study.
Answer each question and create a report for the case study.
Which of the test results indicated a central nervous system injury and why?
Which of the test results indicated a peripheral nervous system injury and why?
Are there any cranial nerves involved? Describe which cranial nerves could be involved.
Explain why the reflexes were hyperactive and the Babinski reflex was present.
Your report must be a minimum of 300 words.
All answers should be in your own words and typed neatly using appropriate grammar, spelling, punctuation, and APA style.
Include APA citations when necessary.
Must be submitted as a Word file.
Submit to your instructor by 11:59 PM on the date listed in the course schedule.
Notes
Do not include/rewrite the questions in the assignment.
Your submission must have a Turnitin similarity score of less than 20%. Remember you have 3 submissions before the due date to check your score.
Submissions greater than 20% will risk point deductions, and you may be reported to Administration for academic discipline.
Case Study
The case is based on a case from the National Center for Case Study Teaching in Science and modified/rewritten by Dr. Bruce Forciea.

Dr. Mary Smith and Dr. Ashley Peters were beginning their ER residency at ACME Memorial Hospital. They had been close friends throughout medical school and were looking forward to helping each other through the challenges of clinical work. They had just completed a 16-hour shift and were sitting down to enjoy a cup of bitter vending machine coffee when Nurse Cassidy burst into the break room.

“I wouldn’t get too comfortable,” said nurse Cassidy. “A call just came in; paramedics are bringing in a 19-year-old male with neuro injuries. Better drink up and get back to the ER.”

The young doctors intercepted the paramedics wheeling in the teen. His eyes were wide open, and he struggled to speak with the neck brace anchoring his head.

“19-year-old male, BP 100/70, pulse 102 bpm, respirations elevated, conscious and alert. A head wound with significant loss of blood. Motorcycle versus car accident. Friends called 911. Loss of consciousness at the scene, loss of sensation and movement in right upper and lower extremities. We immobilized and stabilized him at the scene.”

“So, what do you think?” said Dr. Smith. “I think we should rule out central nervous system/brain injury first?” said Dr. Peters.

“Actually, I disagree,” said Dr. Peters. “I think we should evaluate the spinal cord and peripheral nervous system first.”

“We’ll do both,” said Dr. Smith. “Let’s get going.”

The following table summarizes the findings of the evaluation, which included a physical exam, x-rays, magnetic resonance imaging (MRI), and neurological tests.

Table 1. Summary of Diagnostic Testing for ER Patient
Sensory Testing
Decreased sensation to touch, pressure, and vibration in the right upper/lower extremities
Decreased temperature discrimination (cold vs. warm) in the left upper/lower extremities
Numbness on the right cheek
Motor Testing
Decreased strength and movement of the right upper/lower extremities during muscle testing
Absence of triceps and biceps reflexes in the right upper extremity
Numbness on the medial portion of the right hand and forearm
Abnormal response of patellar, Achilles (hyper) reflexes in the right lower extremity
Positive Babinski sign on the right foot
Inability of patient to turn head to the right along with weak right trapezius muscle
Weakness of right masseter muscle
Mild blurred vision
General Examination
Abnormal pupil response of right eye (constriction)
Other vital signs within normal limits
Cognitive testing normal (counts backward from 100 by 7s; knows name, date, place)
X-ray and MRI Examination
No fractures were present in the skull
Fracture in the 7th cervical vertebra
Significant swelling present in the spinal canal in the C7-T2 region
Spinal cord appears to be intact
Rubric
Testing the Nervous System Rubric
Testing the Nervous System Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAnswer Question 1
Answer includes a description of the test results indicating a central nervous system injury and why?
20 pts
Exemplary
Answer to question 1 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 1 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 1 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 1 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeAnswer Question 2
Answer includes a description of the tests indicating a peripheral nervous system injury and why?
20 pts
Exemplary
Answer to question 2 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 2 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 2 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 2 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeAnswer to Question 3
Answer includes a description of cranial nerves involved in the case.
20 pts
Exemplary
Answer to question 3 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 3 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 3 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 3 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeAnswer to Question 4
Answer includes an explanation of why the reflexes were hyperactive and the presence of the Babinski reflex?
20 pts
Exemplary
Answer to question 4 demonstrated an in-depth understanding of concepts through the application of course content. Concepts are synthesized into the student’s own perception.
18 pts
Good
Answer to question 4 demonstrated an understanding of concepts through the application of course content. Most concepts are synthesized into the student’s own perception.
16 pts
Satisfactory
Answer to question 4 demonstrated a basic understanding of concepts through the application of course content. Some concepts are synthesized into the student’s own perception.
12 pts
Needs Improvement
The answer to question 4 fails to demonstrate an understanding of concepts through the application of course content. Not all concepts are synthesized in the student’s own words.
0 pts
No Submission
The student did not answer this question.
20 pts
This criterion is linked to a Learning OutcomeGrammar, Mechanics and Cohesiveness
Answer is clearly written with good logic, grammar and spelling and directly addresses the question.
10 pts
Exemplary
The student effectively presents the answer in a clear and logical manner. Student’s writing expertly presents a valid answer to the question without spelling, grammatical and punctuation errors.
9 pts
Good
For the most part, the student presents the answer in a clear and logical manner with minimal (1-2) spelling, punctuation, and/or grammatical errors.
8 pts
Satisfactory
Sometimes the student presents the answer in a clear and logical manner and/or contains several (3-5) spelling, punctuation, and/or grammatical errors.
6 pts
Needs Improvement
The answer fails to answer the question in a clear and logical manner. The student’s writing shows a minimal understanding of the question topic and/or the answer contains significant errors (more than 5), grammar, spelling, and/or punctuation.
0 pts
No Submission
The student did not submit the assignment.
10 pts
This criterion is linked to a Learning OutcomeAPA Guidelines
Answer contains APA citations when necessary.
10 pts
Exemplary
The assignment is written following all APA guidelines to include a properly formatted title page, body, and reference page (as needed).
9 pts
Good
The assignment contains minimal APA guideline formatting errors to include a properly formatting title page, body, and reference page (as needed).
8 pts
Satisfactory
The assignment paper contains several APA formatting errors including a properly formatted title page, body, and reference page (as needed).
6 pts
Needs Improvement
The assignment is not properly formatted per APA.
0 pts
No Submission
The student did not submit the assignment.
10 pts
Total Points: 100

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