Barlizo Final Flashcards
Muscle atrophy could be due to all of the following EXCEPT:
a. Contractures
b. Peripheral spasms
c. Peripheral nerve lesions
d. Myopathy
b. peripheral spasms- these are due to hypertrophy
Hypertrophy is due to which of the following?
a. Disuse atrophy
b. Peripheral nerve lesion
c. Myopathy
d. Psuedohypertrophy
e. Contractures
D. pseudohypertrophy
The bing reflex is:
a. the flexion of the hallux after noxious stimuli indicating a pyramidal tract lesion
b. the extension of hte hallux towards the noxious stimuli indicating a pyramidal tract lesion
c. the abduction of hallux after noxious stimuli
d. the adduction of the hallux after noxious stimuli
B.
What is the patellar DTR?
a. L4-L5
b. L2-L4
c. S1-S2
d. L5-S1
e. L3-L5
B. L2-L4
A DTR OF A 3/5 INDICATES:
a. hypotonia
b. normal
c. exaggerated
d. clonus
e. tonus
C. exaggerated
What is a normal DTR response?
2/5
What is sterognosis?
a. the ability to distingusih between letters + numbers traced on palm of hand
b. the ability to decipher between 2 different points applied to a specific area
c. the ability to to determine a simple object placed in the palm of a patients hand
d. none of the above
C.
Inability to distinguish sterognosis can be indicative of:
a. parietal lobe lesion
b. posterior column defcet
c. anterior spinothalamic tract defect
d. pyramidal tract lesion
Parietal lobe lesion
Which of the following is NOT a UMN lesion?
a. Stroke
b. MD
c. MS
d. CP
e. Brain/spinal tumor
b. MD= muscular dysdrophy
Which form of CP is the LEAST common?
a. Spastic CP
b. Athetoid CP
c. Ataxic CP
d. All CP is relatively same commonality
d. Ataxic: only 15% of people have this type
You see a patient with scissoring gait, bilateral spasticity, and severe intellecutal impairment. What is your diagnosis?
a. Spastic hemiplegia
b. Spastic deplegia
c. Spastic quadriplegia
d. athetoid CP
b. Spastic diplegia
With what disease do you commonly seen genu recurvatum?
polio
Patients with stroke commonly present with what foot type?
a. equinovalgus
b. equinovarus
c. equinovarus + valgus
d. Hammertoes
e. All of the above
Equinovarus
Hammertoes
mallet toes
clinodactyly
What type of gait do stroke patients usually present with?
a. shuffling
b. ataxic
c. circumductory
d. crouch grait
e. steppage gait
C. circumductory
This disease is pathologically characterized by plaques of inflammation, demyelinating dissemination in different areas of the CNS
a. multiple sclerosis
b. duchennes muscular dystrophy
c. poliomyelitis
d. roussy levy syndrome
e. dejerine sotta disease
A. MS
This disease has sensory manifestations of vertigo, blurred vision, diminished hearing and paresthesia
a. Cerebral palsy
b. Duchennes MD
c. Multiple sclerosis
d. Poliomyelitis
e. None of the above
C. MS
The visual evoked potential test is performed w what disease?
MS
A 5 year old patients presents w toe walking. In follow up you notice he now has more of a back heeled gait. What underlying disease manifestation does he most likely have?
a. charcot marie tooth
b. dejerine sotta disease
c. freidrich’s ataxia
d. cerebral palsy
e. refsum’s disease
D. cerebral palsy
What spinal roots are commonly affected in patients with poliomyelitis ?
a. L2-L4
b. L2- S1
c. S1- S2
d. S1- S3
e. S2-S3
B L2-S1
What type of gait do CMT patients present with?
a. shuffling gait
b. ataxic gait
c. circumductory gait
d. crouch grait
e. steppage gait
E. steppage
Stork leg / champagne bottle deformity
CMT
This disease has a classic onion bulb formation of the nerve which is enlarged + palpable.
a. charcot marie tooth
b. dejerine sotta disease
c. freidrich’s ataxia
d. cerebral palsy
e. refsum’s disease
B Dejerine Sotta Disease (DSD)
This disease can start either in early childhood OR adulthood, can be AR OR AD and is characterized by concentric proliferation of schwann cells around teh areas of demyelination
a. charcot marie tooth
b. dejerine sotta disease
c. freidrich’s ataxia
d. cerebral palsy
e. refsum’s disease
B. dej
This disease is characterized by a cavus foot type, claw toes, kyphoscoliosis + heart disease
a. muscular dystrophy
b. dejerine sotta disease
c. freidrich’s ataxia
d. spinal dysraphism
e. refsum’s disease
C. freidrich’s ataxia
Essential tremor
roussy levy syndrome
Abnormal lipid metabolism + INCREASE in phytanic acid
Refsum’s disease
This disease only has a motor component, can havea spastic type deformity + is typically inherited
Hereditary spastic paraplegia
This disease is found in boys only, is associated w early childhood, presents w delayed milestones + commonly is seen w pseudohypertrophy of calf muscles
a. Cerebral palsy
b. Duchennes MD
c. Multiple sclerosis
d. Poliomyelitis
e. None of the above
B
Steppage gait?
charcot marie tooth
tredelenburg gait?
Muscular dystrophy
crouch gait?
cerebral palsy
circumductory gait?
stroke
