26-55 LT Quiz Flashcards
METHODS used to manage Neck pain of non-traumatic injury of grade I° – II°?
NSAIDs; muscle relaxants; laser therapy; mobilization
A 63-male hx of feet numbness and progressive instability while walking, especially in the dark.
He reports no back pain. DM 2 has been diagnosed 5 years ago and the blood sugar control has been poor. Examination: bilateral “sock” type hypoesthesia up to the middle part of the lower legs, impaired vibration sense in the feet, diminished toe strength and absent Achilles reflex bilaterally.
What syndrome of peripheral nervous system lesion would you suspect?
Distal symmetric sensorimotor polyneuropathy
A 67-year-old A&E with progressive limb weakness. 10 days ago fever and flu-like symptoms. 2 days ago pain in her lower back and neck followed by numbness in the limbs and clumsy gait. This morning, fell down and could not get up due to the weakness.
On examination: the strength is diminished in both proximal and distal muscles of legs and distal muscles of the arms, the deep tendon reflexes are absent in arms and legs, slight gloves-socks type hypoesthesia is present in the limbs. What is the most likely diagnosis
Guillan-Barre syndrome
symptoms are characteristic to the cranial nerve VI (abducens nerve) lesion?
Eye looking inward, inability to look outward, diplopia
Which of the following helps to determine the form of epilepsy?
All of the above
seizures, age at onset, EEG, disease course
The early CT signs of acute ischemic stroke in a.cerebri media territory are
- ALL CORRECT*
1. Shallow subarachnoidal convexital sulci in the site of injury
2. No differentiation between putamen and capsula externa and gl. pallidus and capsula interna #
3. Indistinct n. lentiformis (putamen - gl. pallidus) border #
4. Vanishing of differentiation of density of insular cortex #
5. Hyperdense a.cerebri media
Which cerebrospinal fluid changes are characteristic of bacterial meningitis?
neutrophil pleocytosis
A 36-year-old man is having recurrent paroxysmal events which last 3-5 minutes. At the onset of such an event, he starts feeling a bitter
taste in his mouth, then he starts glancing to the sides, licks his lips and does not respond when called. These paroxysms occur every 3-4
days, some of them were provoked by emotional distress. What would you suspect?
Focal epileptic seizures with impaired consciousness or awareness (dyscognitive)
L3 / 4 intervertebral disc lateral hernia presses:
L4 root
One of the patients described below is experiencing focal epileptic seizures. Specify which:
The 72-year-old woman experiences seizures that begin with clonic convulsions in the right side of the face and right arm. Later clonic convulsions spreads to both arms and legs, impairs consciousness. The attack lasts about 1.5 minutes.
When is a bacterial antigen test performed in a cerebrospinal fluid?
suspected bacterial meningitis if the patient was treated with antibiotics prior to lumbar puncture
A 53-year-old female had a minor cardioembolic stroke of the left frontal lobe following a heart catheterization. Patient is unable to name
objects, lacks fluency, but comprehension and ability to repeat remain preserved. Which of the listed language disorders best defines the
given scenario?
Transcortical motor aphasia
The patient suffered a brain injury. After painful stimulus, he says a curse, does not open his eyes, pushes the investigator’s hand away from his chest. GCS?
9
What are the symptoms of internal capsule lesion?
Impaired sensation, impaired coordination
paralysis
half-field visual defect on the opposite side
32-year-old woman noticed a breast discharge 2 years ago, had a disrupted menstrual cycle, and consulted gynecologists. A month ago the vision in the left eye began to deteriorate. Ophthalmologists found an onset of left optic nerve atrophy and bitemporal hemianopsia.
What neurosurgical disease would you suspect?
Hypophysis adenoma
Which of the following patients has the biggest risk of arteriovenous malformation rupture?
43yo male with 3cm AVM which was diagnosed in childhood and ruptured twice without neurologic sequela
51 years old the woman fell from the stairs, crashed into her back, felt very
strong pain in her back, and immediately weakened the strength of her legs.
Admission to Neurology: the state of consciousness is good, the hands are controlled, the strength is not weakened, the senses are not disturbed. Leg force: thigh flexion 3 points, knee flexion 2 points, ankle extensions, big toe extensions, ankle flexors - 2 points. Sensory hypesthesia from the navel level. Urination is not impaired. What is AIS grade?
AIS - C
Which of the following symptoms are characteristic to the cranial nerve IV (trochlear nerve) lesion?
Eye looking upward and slightly inward, inability to look downward and inward, diplopia
Damage to one side of the cortex of the nuclei leading to the XII nerve nucleus
the tongue deviated to the opposite side of the lesion
What are the most important dimensions for the correct adaptation of an active type wheelchair?
seat width and depth, back height, foot length
Myasthenic crisis may be triggered by:
use of medications that increase muscle weakness
infection, aspiration, trauma, stress, change of medications
thymectomy
ALL OF ABOVE
Sensory aphasia causes inability to:
Comprehend speech of others
severe pulsating left-sided fronto-temporal headache irradiating to the other
side of the head. The headache has lasted for 8 hours, is accompanied by nausea and vomitting and gets worse with any movement or
louder sounds. No abnormalities detected on physical examination, no focal neurological signs are noted. What is the diagnosis?
Migraine
A 45-year old woman developed a tremor of both her arms and her head, that gets worse under stressful circumstances, especially in
public places. Recently it has become difficult to eat, write, dress herself. Patient’s grandmother also had tremor of the arms and the head.
On examination: “no-no” type tremor of the head and in outstretched arms is visible; muscle tone is normal. What treatment would you
prescribe?
Beta-adrenoblockers and benzodiazepines
