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Question 1

Reflex: testicles
Hop flexion

Sens: Ant thigh? Knee?

Motor:
Weak quads knee ext?
Reduced knee reflex
Positive FEMORAL stretch test

Answer 1

Reflex: testicle L1,2
Hip flexion = L1,2

L3 Ant thigh; L4 ant knee

L3+4=
Weak quadriceps knee ext
Reduced knee reflex
Positive FEMORAL stretch test

Question 2

Reflex: Patellar?

Myotome:
knee extensors - quads?

Ankle dorsiflexors - Tibialis anterior?

Toe extensors - hallucis longus?

Answer 2

Reflex: L3,4 kick the door

Myotome:
knee extensors quads - L3

Ankle dorsiflexors - Tibialis ant - L4 + 5

Toe extensors - hallucis longus- L5

Question 3

Sens: Dorsum foot?

Motor:
Weakness in dorsiflexion ANDDDDD foot inversion?

Positive SCIATIC nerve stretch test at??

Answer 3

L5 – Dorsum foot

L5=Weakness in 
HipABduct +
dorsiflex ankle+bigtoe + 
foot INversion + 
dorsum sensation 
SLRpos + reflexes fine

(common peroneal nerve = unable to
dorsiflex ankle+bigtoe(EHLongus) +
foot Evert +
dorsum + low-lat sensation

Positive SLR ie. SCIATIC nerve stretch test @ both L5 + S1

Question 4

Sens: PostLatLeg + LatFoot?

Motor:
Weakness in plantar flexion of foot?

Positive SCIATIC nerve stretch test

Reduced ankle reflex?

Answer 4

S1 – PostLatLeg + LatFoot

S1=
Weakness in PLANTarflexion of foot

Positive SLR ie. SCIATIC nerve stretch test @ both L5 + S1

Reduced ankle reflex @ S1 + 2

Question 5

1 loss:
ankle jerk + plantar reflex
AND
knee flexion
AND
power below  knee?

2 LBP gradually worse
Positive straight leg raise

Answer 5

1 Sciatic neuropathy

2 Sciatic nerve pain

Question 6

Loss of anterior thigh sensation

Answer 6

Femoral neuropathy

Question 7

Reflex: biceps + brachiorad?

Myotome:
elbow flexors/biceps?

wrist extensors?

Answer 7

Reflex: C5,6 pick up sticks

Myotome:
elbow flexors/biceps = C5

wrist extensors = C6

Question 8

Reflex: biceps + brachiorad?
Reflex: Triceps?

Myotome:
elbow flexors/biceps?

wrist extensors?

elbow extensors ie. triceps?

Long finger flexors?

Small finger abductors?

Answer 8

Reflex: biceps C5,6 pick up sticks
Reflex: triceps C7,8 lay em straight

Myotome:
elbow flexors/biceps = C5

wrist extensors = C6

elbow extensors ie. triceps = C7

Long finger flexors = C8

Small finger abductors = T1

Question 9

Reflex: Ankle achilles?
Reflex: Anal wink?

Myotome:
Ankle plantar flexors ie - gastrocnemius

Answer 9

Reflex: S1,2
Reflex: S3,4

Myotome:
Ankle plantar flexors - gastrocnemius - S1

Question 10

Pain worse @ AM + standing + extension
Pain over facets
NORMAL SCIATIC SLR!!!!

Answer 10

Facet joint

Question 11

Gradual,
uni/bilat leg pain +/- back pain
WEAK and NUMB @ walk

Resolves @ sit/lean forward
Need MRI to confirm

Answer 11

Spinal stenosis

Question 12

Lower back pain + stiffness in MAN

Worse in morning, better with activity

Answer 12

Ankylosing spondylitis

Question 13

Pain @ walking, relieved @ rest
Shit pulses + limb ischaemia pulse
PMH = VIDEOS FAGE AAA

Answer 13

Peripheral arterial disease

Question 14

Patient has pain, parathesia @ dermatome, Reduced range of movement
On neck flexion he gets a shooting pain. What sign is this?

Answer 14

Cervical spondylosis

Lhermitte sign

Physio, analgesias, brace, surgery

General theme for prolapsed disc type shit is PHYSIO and analgesia

Question 15

Patient has radicular pain radiating between shoulder blades To the back of head

Answer 15

Cervical spondylo LisThesis

Cervical vertebrae displaced anteriorly and deformity and narrow vertebral canal

Meyer Ding grading system
Danis Weber system @ ankle (not relevant at all, just adding it)(below, on, above syndemosis)

Physio analgesia surgery

General theme for prolapsed disc type shit is PHYSIO and analgesia

Question 16

Patient has brach(arm)algia With radiculopathy, pain parasthesia weakness

Answer 16

Cervical disc prolapse Nucleus propulsus = herniates through annulus ligament

Mild – no neuro symptoms = physio analgesia
Moderate – only radicular symptoms - surgery
Severe - URGENT DECOMP

General theme for prolapsed disc type shit is PHYSIO and analgesia

Question 17

MRC power grading scale

Answer 17

Move @:

Full resistance
Some resistance

No resistance + gravity
No resistance + @gravity elimination eg @ supine

Muscle flicker
Muscle nothing

Question 18

Bilateral spastic paresis UMN
Bilateral loss of pain and temp

Bilateral spastic paresis #UMN
Bilateral loss of pain and temp
Bilateral limb ataxia

Bilateral spastic paresis UMN
Bilateral loss of pain and temp
Bilateral limb ataxia
Cerebellar ataxia

Same side loss of prop and vib - DC
Opp side loss of pain and temp - ST
Same side LMN at level and UMN below lesion

Answer 18

Anterior spinal artery occlusion

Subacute Combo Degen SCord - B12def

Fredrichs Ataxia

Brown sequard

Question 19

Flacid paresis especially instrinc hand muscles
+ Loss of pain and temp

Loss of prop and vib

Answer 19

Syringomyelia

Tabes doralis neurosyphilis

Question 20

Flexion (hip, knee, plantarflex)

Extension (hip, knee, dorsiflex)
Gluteal, femoral, peroneal

Answer 20

Flexion (hip, knee, plantarflex)
Femoral, sciatic, tibial
L1,2; L5 S1; S1

Extension (hip, knee, dorsiflex)
Gluteal, femoral, peroneal
L5 S1 / L3,4 / L4,5

Question 21

Dermatomes;
Nipple
Umbilicus/bellybutton
Inguinal ligament
Knees
Toes
Lat foot/small toe

Answer 21

T4 at the Teat Pore, BellybuT-TEN(T10), L for ligament, 1 for 1nguinal , Down on aLL fours - L4, L5 = Largest of the 5 toes, S1 = the smallest one