Approach to Neuro

Question 1

Diseases that affect the corticospinal tract often have what type of findings?

Answer 1

Upper Motor neuron findings

Question 2

Vascular events involving the nervous system are typically

Answer 2

ABRUPT ONSET

Question 3

Inflammatory events are typically

Answer 3

Gradual onset

Question 4

L5 nerve root damage causes 3 things

Answer 4

1) decreased pinprick on dorsum
2) Weakness of hip abductors
3) weakness of dorsiflexors

Question 5

Deep tendon reflexes are lost with which 2 nerve roots

Answer 5

L4, S1

Question 6

Bilateral lower limb weakness
bilateral lower limb sensory loss 
sensory level on torso
UMN findings in legs
bowel and bladder 
THINK...

Answer 6

THORACIC spinal cord lesion

Question 7

Sock distribution of peripheral nerve findings, what tests should be ordered?

Answer 7

HbA1c
TSH
B12
Serum protein electroph

Question 8

Bilateral distal limb sensory loss

Reduced or absent reflexes

Answer 8

sensory peripheral neuropathy

Question 9

sensory-motor peripheral neuropathy you would find

Answer 9

distal weakness in limbs

Question 10

Left hemiplegia
Left hemisensory symptoms
cognitive symptoms
UMN findings in left arm and leg

Answer 10

Right hemisphere lesion

Question 11

Back and radiating left leg pain
weakness in a myotomal pattern
sensory loss in a dermatomal pattern
loss of deep tendon reflexes 
Muscle atrophy if chronic

Answer 11

Left lumbosacral nerve root lesion

Question 12

Fluctuating weakness
Ptosis
Diplopia
bulbar symptoms
diffuse limb weakness
resp symptoms
NO sensory loss

Answer 12

Neuromuscular junction!