Which finding below represents a positive Romberg Sign in a patient with multiple sclerosis? aThe patient report dark spots in the visual fields during the confrontation visual field test. bWhen the patient closes the eyes and stands with their feet together they start to lose their balance and sway back and forth. cThe patient’s sign and symptoms increase when expose to hot temperatures. dThe patient reports an electric shock feeling when the head and neck are moved downward.
Question
Which finding below represents a positive Romberg Sign in a patient with multiple sclerosis? aThe patient report dark spots in the visual fields during the confrontation visual field test. bWhen the patient closes the eyes and stands with their feet together they start to lose their balance and sway back and forth. cThe patient’s sign and symptoms increase when expose to hot temperatures. dThe patient reports an electric shock feeling when the head and neck are moved downward.
Solution
The positive Romberg Sign in a patient with multiple sclerosis is represented by the finding: "When the patient closes the eyes and stands with their feet together they start to lose their balance and sway back and forth." This is because the Romberg test is a test of the body's sense of positioning (proprioception), which requires healthy functioning of the dorsal columns of the spinal cord. In multiple sclerosis, these pathways may be damaged, leading to a positive Romberg sign.
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