Neuropathy Signs and Symptoms 2

Question 1

A patient describes a sensation of walking on cushions or thick socks despite being barefoot. This altered perception is best classified as which neuropathy symptom?

Accepted Answer

Paresthesia

Answer

Paresthesia is an abnormal sensation such as tingling, prickling, or the feeling of padding under the feet.

Question 2

In a 'stocking-glove' distribution of symptoms, where do sensory changes typically begin first?

Accepted Answer

The toes and feet

Answer

Length-dependent neuropathy affects the longest nerves first, so symptoms usually start in the toes and feet.

Question 3

A patient with neuropathy reports severe pain when a bedsheet lightly touches their feet. This painful response to a normally non-painful stimulus is called:

Accepted Answer

Allodynia

Answer

Allodynia is pain produced by a stimulus that does not normally cause pain, such as light touch.

Question 4

Which symptom suggests autonomic involvement rather than purely sensory neuropathy?

Accepted Answer

Orthostatic dizziness on standing

Answer

Orthostatic dizziness reflects autonomic dysfunction affecting blood pressure regulation.

Question 5

A patient notices they cannot feel the temperature of bathwater accurately with their feet. Which fiber type is most likely affected?

Accepted Answer

Small unmyelinated/thinly myelinated fibers

Answer

Small fibers carry temperature and pain sensation, so their damage impairs thermal perception.

Neuropathy Practice Test

Neuropathy Practice Test

Neuropathy Signs and Symptoms 2