Barlizo Final

Question 1

Muscle atrophy could be due to all of the following EXCEPT:

a. Contractures
b. Peripheral spasms
c. Peripheral nerve lesions
d. Myopathy

Answer 1

b. peripheral spasms- these are due to hypertrophy

Question 2

Hypertrophy is due to which of the following?

a. Disuse atrophy
b. Peripheral nerve lesion
c. Myopathy
d. Psuedohypertrophy
e. Contractures

Answer 2

D. pseudohypertrophy

Question 3

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

Answer 3

B.

Question 4

What is the patellar DTR?

a. L4-L5
b. L2-L4
c. S1-S2
d. L5-S1
e. L3-L5

Answer 4

B. L2-L4

Question 5

A DTR OF A 3/5 INDICATES:

a. hypotonia
b. normal
c. exaggerated
d. clonus
e. tonus

Answer 5

C. exaggerated

Question 6

What is a normal DTR response?

Answer 6

2/5

Question 7

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

Answer 7

C.

Question 8

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

Answer 8

Parietal lobe lesion

Question 9

Which of the following is NOT a UMN lesion?

a. Stroke
b. MD
c. MS
d. CP
e. Brain/spinal tumor

Answer 9

b. MD= muscular dysdrophy

Question 10

Which form of CP is the LEAST common?

a. Spastic CP
b. Athetoid CP
c. Ataxic CP
d. All CP is relatively same commonality

Answer 10

d. Ataxic: only 15% of people have this type

Question 11

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

Answer 11

b. Spastic diplegia

Question 12

With what disease do you commonly seen genu recurvatum?

Answer 12

polio

Question 13

Patients with stroke commonly present with what foot type?

a. equinovalgus
b. equinovarus
c. equinovarus + valgus
d. Hammertoes
e. All of the above

Answer 13

Equinovarus
Hammertoes
mallet toes
clinodactyly

Question 14

What type of gait do stroke patients usually present with?

a. shuffling
b. ataxic
c. circumductory
d. crouch grait
e. steppage gait

Answer 14

C. circumductory

Question 15

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

Answer 15

A. MS

Question 16

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

Answer 16

C. MS

Question 17

The visual evoked potential test is performed w what disease?

Answer 17

MS

Question 18

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

Answer 18

D. cerebral palsy

Question 19

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

Answer 19

B L2-S1

Question 20

What type of gait do CMT patients present with?

a. shuffling gait
b. ataxic gait
c. circumductory gait
d. crouch grait
e. steppage gait

Answer 20

E. steppage

Question 21

Stork leg / champagne bottle deformity

Answer 21

CMT

Question 22

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

Answer 22

B Dejerine Sotta Disease (DSD)

Question 23

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

Answer 23

B. dej

Question 24

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

Answer 24

C. freidrich’s ataxia

Question 25

Essential tremor

Answer 25

roussy levy syndrome

Question 26

Abnormal lipid metabolism + INCREASE in phytanic acid

Answer 26

Refsum’s disease

Question 27

This disease only has a motor component, can havea spastic type deformity + is typically inherited

Answer 27

Hereditary spastic paraplegia

Question 28

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

Answer 28

B

Question 29

Steppage gait?

Answer 29

charcot marie tooth

Question 30

tredelenburg gait?

Answer 30

Muscular dystrophy

Question 31

crouch gait?

Answer 31

cerebral palsy

Question 32

circumductory gait?

Answer 32

stroke