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Meningeal Signs
Series Editor and Author:
Frank L. Urbano, MD
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1. Which one of the following describes the correct position for eliciting
Kernigs sign?
- The patient is supine, with the hips and knees in flexion.
- The patient is supine, with the hips and knees in extension.
- The patient is prone, with the hips and knees in flexion.
- The patient is prone, with the hips and knees in extension.
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2. With the patient in the correct position, a positive Kernigs sign is
defined as an inability to extend the patients knees beyond:
- 45 degrees
- 90 degrees
- 135 degrees
- 30 degrees
- 160 degrees
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3. All of the following statements about Brudzinskis sign are true
EXCEPT:
- When performing the test, the examiner places one hand behind the patients
head and one on the chest.
- The neck is flexed while preventing the patient from rising from the bed.
- While flexing the neck, flexion of the hips and knees constitutes a positive
sign.
- The sign has equal sensitivity to Kernigs sign in diagnosing meningitis.
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Updated 1/04/08 kkj
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