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Parkinson’s Disease (PD) Neurological II Practice Exam

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Which sign is not a standard meningeal sign?
Correct Answer:
Romberg sign
Explanation:
The question tests understanding which signs indicate meningeal irritation versus other causes of ataxia or balance problems. Classic signs of meningeal irritation include nuchal rigidity (stiff neck) and the reflexive responses known as Brudzinski and Kernig signs. Romberg sign, by contrast, is not about irritation of the meninges. It is a test of proprioception and balance: a patient stands with feet together and eyes closed to see if they lose balance due to dorsal column (proprioceptive) or vestibular problems. Because it reflects proprioceptive/ balance dysfunction rather than meningitis-related irritation, Romberg sign is not a standard meningeal sign.

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