approach

Question 1

Key difference btw myopathies and NMJ diseases

Answer 1

bulbar involvement in NMJ diseases

Question 2

sensitive indicator of orbicularis oculi strength

Answer 2

how completely the patient buries eyelashes on both sides

Question 3

Usefulness of grip strength in assessing muscle strength

Answer 3

not useful

Question 4

a normal individual can distinguish _________ mm of separation at finger tips

Answer 4

3mm

Question 5

Distal dysesthesias

Answer 5

hyperventilation
acetazolamide
myelopathy due to B12 deficiency
evolving polyneuropathy

Question 6

In polyneuropathies,dysesthesias are felt in finger tips when it reaches __________ in lower limbs

Answer 6

knees

Question 7

causes of lherrmitte sign

Answer 7

cervical spondylosis
multiple sclerosis
irradiation to cervical region

Question 8

hemisensory numbness with tingling from head to foot

Answer 8

thalamus

anterior parietal cortex

Question 9

falls within first year in parkinsonism suggest the possibility of

Answer 9

progressive supra nuclear palsy

Question 10

causes of gait apraxia

Answer 10

extensive frontal lobe disease
tumors
binswanger disease
pick

Question 11

strokes causing delirium

Answer 11

right parietal

medial dorsal thalamic lesions

Question 12

3 important questions to be asked in a delirious pts attender

Answer 12

baseline cognitive function
time course of present illness
current medications

Question 13

forward digit span of _________ or less indicates impaired attention

Answer 13

4

Question 14

examination finding indicating toxic or metabolic etiology for delirium

Answer 14

multi focal myoclonus

asterexis

Question 15

drug effective in delirium

Answer 15

antipsychotics

benzodiazepines may worsen

Question 16

crossed aphasias

Answer 16

language disturbance due to right hemisphere lesions in a right handed individuals

Question 17

anomic aphasia is the single most common language disturbance in

Answer 17

head trauma
alzheimer
metabolic encephalopathy

Question 18

Lesion in pure alexia without agraphia

Answer 18

left occipital cortex and splenium of carpus callosum

Question 19

site of lesion of sympathetic apraxia

Answer 19

anterior carpus callosum

Question 20

what is sympathetic apraxia

Answer 20

ideomotor apraxia confined to left side of body

Question 21

limb kinetic apraxia

Answer 21

clumsiness in actual use of tools

Question 22

causes of limb kinetic apraxia

Answer 22

cortico basal degeneration

focal premotor cortex lesions

Question 23

when should subcortical aphasias suspected?

Answer 23

anomic aphasia with dysarthria

fluent aphasia with hemiparesis

Question 24

subtypes of primary progressive aphasias

Answer 24

agrammatic
semantic
logopenic

Question 25

how to see plantar response in a patient with missing great toe

Answer 25

brissaud response