If patients have true muscle weakness, first focus on determining whether weakness is caused by dysfunction of the brain, spinal cord, plexuses, peripheral nerves, neuromuscular junction, or muscles. From the Cambridge English Corpus The Many disorders (eg, chronic inflammatory demyelinating polyneuropathy Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) Chronic inflammatory demyelinating polyneuropathy is an immune-mediated polyneuropathy characterized by symmetric weakness of proximal and distal muscles and by progression continuing > 2 months read more , Guillain-Barr syndrome Guillain-Barr Syndrome (GBS) Guillain-Barr syndrome is an acute, usually rapidly progressive but self-limited inflammatory polyneuropathy characterized by muscular weakness and mild distal sensory loss. Elevated levels are consistent with myopathy but can also be high in neuropathies (reflecting muscle atrophy) and very high in ischemic rhabdomyolysis. The plantar reflex (extensor, flexor) is tested. Causes of muscle weakness are treated. WebAll of Gods creation is good, evil is a lack of being and goodness. WebIn the second chapter of his final book, Fanon explores the facts of violent uprisings against colonialist powers. The tear causes pain due to irritation of sensory nerves in the disk, and read more ), Spinal cord compression Spinal Cord Compression Various lesions can compress the spinal cord, causing segmental sensory, motor, reflex, and sphincter deficits. Web9. In general, if history and physical examination do not detect abnormalities suggesting physical disorders, these disorders are unlikely; disorders that cause constant, generalized fatigue with no physiologic temporal or anatomic pattern (eg, depression; chronic fatigue syndrome; an as-yet undiscovered systemic illness such as severe anemia, hypothyroidism, or Addison disease; an adverse drug effect) should be considered. Abdominal reflexes are absent below the level of spinal cord injury. WebIf you want to win the heart of a Gemini man and keep it for the long run youll need to give him lots of mental stimulation. The history helps differentiate weakness from fatigue, defines the time course of the illness, and gives clues to the anatomic pattern of weakness. Lack of spontaneity: The older the autistic participants in a study, the smaller the differences between them and controls. So, you will have to prepare yourself for this much. Botulism may occur without infection if toxin is ingested, injected, or inhaled read more , organophosphate poisoning Organophosphate Poisoning and Carbamate Poisoning Organophosphates and carbamates are common insecticide ingredients that inhibit cholinesterase activity, causing acute muscarinic manifestations (eg, salivation, lacrimation, urination, diarrhea read more ). In patients with diabetes who take insulin or antihyperglycemic read more ; with treatment, hypoglycemia and the resulting weakness resolve. Here are three strategies for handling the Weakness interview question: You want to minimize the reach and scope of what you reveal. Lower motor neuron dysfunction disrupts reflex arcs, causing hyporeflexia and decreased muscle tone (flaccidity), and may cause fasciculations; with time, muscles atrophy. While it can be tempting to choose a weakness thats really a strength in disguise, it wont come across as authentic. Social history should note the following: Use of alcohol: Suggesting alcoholic myopathy, Illicit drug use: Suggesting increased risk of HIV/AIDS, bacterial infections, tuberculosis, or stroke due to cocaine use, Occupational or other exposure to toxins (eg, organophosphate insecticides, heavy metals, industrial solvents), Recent travel: Suggesting Lyme disease, tick paralysis, diphtheria, or a parasitic infection, A complete neurologic and muscle examination is done to identify localizing or diagnostic findings. Theres a good chance youll have to answer it at some point throughout your career, so its a good idea to have an answer prepared. The RBC mass represents the read more . The temporal pattern of symptoms is useful. Fatigue may persist weeks or read more ), endocrine disorders, renal failure Chronic Kidney Disease Chronic kidney disease (CKD) is long-standing, progressive deterioration of renal function. Mild asymmetry during tongue protrusion may be normal. if i understand the question correctly, and we base the question on system1 and system2*1 (intuition and reasoning*1), then knowing that system2 (r Spinal cord compression can also cause paralysis that evolves over minutes (but usually over hours or days) and is readily distinguished by incontinence and clinical findings of a discrete cord sensory and motor level. And thats a trait most hiring managers will appreciate. Hepatitis may be acute or chronic (usually defined as lasting > 6 months). But, you dont do that, instead you try something even worse, like saying I tend to overwork at times. WebLack of confidence and low self-esteem can kill you from inside because you see yourself as an adequate, unworthy, unlovable, and incompetent person. No, so it is important that you know what all you have to do before you prepare your answer. Though theres been a recent trend to stop asking this question on the basis that no one likes it or answers it honestly, its still a staple for many interviewers. Take This Quiz To Find Out, Avoid These Dangerous Assumptions When Selling To Women, Equal Means Equal: Looking Closely At Rights For Women, It's Obstacles Women Face In The Workplace - Not A Lack of Ambition - That Causes Them To Opt Out, How To Deliver The Ultimate In Luxury Retail Experiences, Italian Style. Lack of confidence is a common weakness, especially among entry-level contributors. However, having a lack of confidence can sometimes cause inefficiencies in ones work. For example, you might feel unqualified to speak up during an important meeting when your idea could actually help the team to achieve a goal. This will show that you have the quality to motivate others when required and it is definitely a positive sign. Clinicians should also ask about the onset of weakness (sudden or gradual) and progression (eg, constant, worsening, intermittent) of symptoms. WebSpontaneity and Health. Public Speaking seems to be the safest answer when asked about weaknesses, but remember that must not be the case always. Idiopathic facial nerve palsy is sudden, unilateral peripheral facial nerve palsy. A weakness is just an area that isnt a strength. Thats one of the reasons that talking about weaknesses is one of the most dreaded interview questions. There are many ways to understand hurting persons and how they cope with life. Use for phrases First, general patterns are discerned: Weakness primarily of proximal muscles suggests myopathy. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. However, these studies can help differentiate among certain acute disorders, such as acute demyelinating neuropathy (eg, Guillain-Barr syndrome), acute botulism, and other acute neuromuscular junction disorders. o [ abdominal pain pediatric ] Coordination testing How to Assess Gait, Stance, and Coordination Normal gait, stance, and coordination require integrity of the motor, vestibular, cerebellar, and proprioceptive pathways ( see also Movement and Cerebellar Disorders). The job description will tell you everything that you need to know, so just steer clear of all the things that might hamper your chances. Think of projects where you might have done things differently in hindsight what specifically would you do differently and can this be turned into a weakness that you are dealing with? When you feel sexy, devote the afternoon to sex and intimacy. These and other physical disorders that cause complaints of weakness (eg, influenza, infectious mononucleosis, renal failure) typically are already diagnosed or are suggested by findings during the history, physical examination, or both. There is a lack of spontaneity in her performance. Well sure, nervousness increases sturtering. These deficiencies read more or a liver or kidney disorder, Heat or cold intolerance: Thyroid dysfunction, Depressed mood, poor concentration, anxiety, and loss of interest in usual activities: Mood disorder Overview of Mood Disorders Mood disorders are emotional disturbances consisting of prolonged periods of excessive sadness, excessive joyousness, or both. This is another effect when we talk about of lack of employee concentration on business. So, in this way you can turn your weakness into your strength. They may also report limb heaviness or stiffness. If you cant identify an example or how youre taking steps to grow, its probably not the right weakness to bring up in an interview! Of the questions job seekers are curious about, most ask specifically about the Weakness question. Caroline welcomes your comments and questions. Lack of Experience in the Workplace If you dont have the relevant experience required for a certain job then step one is to accept it. I argue that managers respond to questions from prepared scripts to avoid the disclosure of bad news. But nearly everyone gets nervous with public speaking, for example, but most dont stutter. Although these numbers seem objective, rating strength between 3 and 5 (the typical levels during early weakness, when diagnosis usually occurs) is rather subjective; if symptoms are unilateral, comparison with the unaffected side improves discrimination. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. WebFor many couples, the lack of spontaneity rears its ugly head in the bedroom first. Clinicians should assess risk factors for possible causes, including those for infection (eg, unprotected sexual intercourse, blood transfusions, exposure to tuberculosis) and stroke (eg, hypertension, atrial fibrillation, atherosclerosis). Symptoms vary with the cause but typically include ataxia (impaired read more , multiple sclerosis Multiple Sclerosis (MS) Multiple sclerosis (MS) is characterized by disseminated patches of demyelination in the brain and spinal cord. By Chris Drew (PhD) / February 17, 2023. CT is used when MRI testing is not possible (eg, in patients with a cardiac pacemaker). Use this feedback to make appropriate changes to your speech. While preparing for this answer you must keep in mind what position you have applied for and whether the reply that you will give will affect your chances of getting selected or not. The answer "perfectionism" won't cut it when talking about your biggest weakness because it's not a real weakness. Please confirm that you are a health care professional. First, practice as you are drafting the outline to help you process through your speech ideas. Anal tone, anal wink reflex, or both are reduced or absent in spinal cord injury but are preserved in ascending paralysis due to Guillain-Barr syndrome. If patients have hyporeflexia, decreased muscle tone, muscle atrophy, and muscle fasciculations, suspect a lower motor neuron lesion. Fatigue is normal after physical exertion, prolonged stress, and sleep deprivation read more rather than weakness, history and physical examination focus on identifying subtle manifestations of underlying illness (particularly infections, endocrine and rheumatologic disorders, anemia, and depression) that can be used to guide testing, but testing may be unnecessary. Lower motor neurons transmit impulses to the neuromuscular junction to initiate muscle contraction. Palatal weakness is suggested by a nasal voice quality; testing the gag reflex and looking at the palate directly are less helpful. Then, specific questions can be asked, particularly about the ability to do specific tasks, including brushing teeth or hair, speaking, swallowing, rising from a chair, climbing stairs, and walking. If you have some issue which you know will come up during the interview, but the interviewer is not comfortable talking about it, then you can bring it up on your own. You will have to talk about some genuine weakness, so if you do not have any problem in public speaking, then do not say so just to avoid the question. For example, cardiopulmonary dysfunction or anemia can cause fatigue due to dyspnea or exercise intolerance. The many causes of muscle weakness are categorized by location of the lesion (see table Some Causes of Muscle Weakness Some Causes of Muscle Weakness ). WebThere was no spontaneity or surprises to her. Evaluation of weakness should try to distinguish true muscular weakness from fatigue, then check for findings that help establish the location or mechanism (eg, whether weakness is caused by dysfunction of the brain, spinal cord, plexuses, peripheral nerves, neuromuscular junction, or muscles) and, when possible, the cause. If sudden or severe true general weakness or any respiratory symptoms are present, forced vital capacity and maximal inspiratory force must be tested to assess risk of acute ventilatory failure. 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