Cerebrovascular Diseases

Question 1

What is Erb Duchenne’s paralysis?

Answer 1

Paralysis of an arm

Question 2

What is Klumpke’s paralysis

Answer 2

Paralysis of the small muscles of the hand

Question 3

Clinical picture of median nerve injury?

Answer 3

Ape hand and pointer index finger deformity

Question 4

Clinical Picture of Ulnar nerve injury?

Answer 4

Paralysis of both thumbs supplied by the ulnar nerve. A partial claw hand appearance as a result

Question 5

Clinical picture of radial nerve injury in the spiral groove?

Answer 5

Wrist and finger drop

Question 6

Clinical picture of radial injury in the forearm?

Answer 6

Finger drop only

Question 7

Sciatic nerve injuries, in the lower limb ofc, might be caused by what?

Answer 7

Fault IM injections or hip dislocation

Question 8

What’s the resultant deformity of a sciatic nerve injury?

Answer 8

Flail Foot

Question 9

What causes damage to the common peroneal nerve?

Answer 9

Damage by trauma to the Fibular neck

Question 10

What is the clinical picture of a common peroneal nerve injury?

Answer 10

Foot drop, and a sensory loss over the dorsum of the foot

Question 11

Tibial nerve injury signs?

Answer 11

Weakness of the plantar flexors and a weak ankle jerk

Question 12

Femoral nerve injury cause?

Answer 12

Inguinal region wounds

Question 13

Signs of a femoral nerve injury?

Answer 13

Weakness of quads and iliopsoas, plus the knee jerk is lost

Question 14

Investigations for peripheral nerve injuries??

Answer 14

Nerve conduction, EMG, CT, MRI, XR

Question 15

What’s the indication for surgery

Answer 15

Neurotmesis

Question 16

Who do we do primary sutures on?

Answer 16

Clean cut wounds

Question 17

Who do we do secondary sutures on?

Answer 17

Crushed and contaminated wounds, their nerve repair is delayed for 3-6 weeks

Question 18

What’s advantages to a secondary suture?

Answer 18

Control infection, proper injury eval and a proper neurosurgeon

Question 19

What is Thoracic outlet syndrome?

Answer 19

Scalene muscles compress the neurovascular bundle

Question 20

Thoracic outlet syndrome signs?

Answer 20

Arm pain and parasthesia, Supraclavicular pain and Adson’s sign

Question 21

What is Adson’s sign?

Answer 21

Rotation of shoulder produces symptoms

Question 22

Thoracic outlet syndrome

Answer 22

Neck X-Ray, and EMG

Question 23

Carpal Tunnel syndrome arises in whom?

Answer 23

Pregnancy or with strenuous work involving the hands

Question 24

Clinical features of carpal tunnel?

Answer 24

Phalen’s sign and Tinel’s test positive, weak thenar muscles

Question 25

Cubital tunnel syndrome treatment?

Answer 25

Neurolysis and Anterior transposition of the nerve