Chapter 437

Question 1

Cognitive disturbance, movement disorders, seizures are white matter disease or gray matter disease?

Answer 1

Gray matter disease, or primary neuronal disease

Question 2

White matter disease produces what signs?

Answer 2

Long tract signs of the motor, sensory, visual, cerebellar pathways

Question 3

Electric shock like symptoms evoked by neck flexion

Answer 3

Lhermitte symptom

Question 4

Slowly advancing visual scotoma with luminous edges, typically seen in migraine

Answer 4

Fortification spectra

Question 5

These antibiotics may cause exacerbation of weakness such as in MG. They are known to cause ototoxicity and dizzines

Answer 5

Aminoglycosides

Question 6

Pseudotumor cerebri is caused by what vitamin?

Peripheral neuropathy is caused by what vitamin?

Answer 6

Vitamin A

Pyridoxine

Question 7

Most prevalent neurotoxin

Answer 7

Alcohol

Question 8

Walking test is done with a 25 ft distance. How many seconds is the normal value to finish the walk?

Answer 8

5-6 seconds

Question 9

Normal value for repetitive finger or toe tapping

Answer 9

20-25 taps / 5 seconds

Question 10

Aspect of orientation usually affected first in most neurological conditions

Answer 10

Orientation to Time

Question 11

Hearing test to differentiate air vs mastoid bone. Conduction

Answer 11

Rinne

Question 12

Hearing test using a 512 Hz tuning fork for lateralization

Answer 12

Weber test

Question 13

Type of motor tone seen in Parkinson

Answer 13

Cogwheel rigidity

Question 14

Muscle tone usually seen in LMN or peripheral nerve disease

Answer 14

Decreased tone

Question 15

Increased tone or spasticity may be seen in?

Answer 15

UMN, corticospinal tract lesion

Question 16

Rigidity as muscle tone is often seen in?

Rigidity is similar resistance in all angles

Answer 16

Extrapyramidal disease

Question 17

A. Biceps reflex
B. Brachioradialis reflex
C. Triceps reflex
D. Quadriceps reflex
E. Achilles reflex

Answer 17

A. C5, C6
B. C5, c6
C. C7, c8
D. L3, L4
E. S1, s2

Question 18

Maneuver to elicit reflex by contracting distal muscle groups

Answer 18

Jendrassik maneuver

Question 19

Reflex grading for clonus

Answer 19

Grade 4

Question 20

Babinski sign is UMN or LMN?

Answer 20

UMN

Question 21

Cremaster reflex is mediated by

Anal reflex is mediated by

Answer 21

L1, L2

S2, 3,4

Question 22

Primitive reflexes such as suck, root, grasp reflex are located in what lobe?

Answer 22

Frontal lobe

Question 23

Identification of objects by touch and manipulation alone is known as

Answer 23

Stereognosis

Question 24

Most important part of neurological examination

Answer 24

Gait