Blumenfeld

Question 0

Decreased level of alertness can be seen with?

Answer 0

#Bilateral cerebral dysfunction
#Dysfunction of brainstem and diencephalic reticular activating systems

Question 1

Unilateral extinction on double simultaneous stimulation suggests?

Answer 1

Neglect (parietal lobe lesion)

Question 2

Babinski in acute UMN lesion?

Answer 2

Can be normal

Question 3

Uncal herniation triad?

Answer 3

Ipsilateral Blown pupil
Contralateral Hemiplegia
Coma

Question 4

Hemiplegia, pupillary dysfunction, altered consciousness - lesion location?

Answer 4

Midbrain

Question 5

Unarousable, bilateral fixed pupils, no EOM, bilateral extensor posturing - lesion location?

Answer 5

Bilateral with some brainstem intact (decerbrate posturing) - likely hemorrhage causing bi-Uncal herniation

Question 6

Likely complication of pineal gland tumor?

Answer 6

Obstructive hydrocephalus by blocking aqueduct of Sylvius

Question 7

Type if vision loss associated with hydrocephalus? Other causes?

Answer 7

Concentric vision loss

Sagittal sinus thrombosis, pseudotumor cerebri, mass lesion

Question 8

Causes of upper and lower motor neuron lesions (not ALS)?

Answer 8

#Paraneoplastic motor neuron disease
#hexosaminidase deficiency
#lead toxicity

Question 9

Arteries affected in thalamic infarction?

Answer 9

small penetrating arteries
#lenticulostriate (MCA)
#anterior choroidal (ICA)
#thalamoperforator (PCA)

Question 10

bulbocavernosus reflex?

Answer 10

Squeeze glans penis, look for anal wink

Question 11

Radiculopathy that can present with Horner’s?

Answer 11

T1

Question 12

L4 radiculopathy vs femoral nerve lesion?

Answer 12

Weak thigh addiction vs not

Question 13

Pain in big toe with leg raise - nerve root?

Answer 13

L5