Clinical Assessment Of The Neurological Patient

Question 1

What are the signs of a cerebellar lesion?

Answer 1

DANISH P
Dysdiadonchokinesia 
Ataxia
Nystagmus
Inattension tremor 
Slurred speech
Hypotonia 
Past pointing

Question 2

If a patient presents with signs which affect his left forearm and he has a decreased bicep reflex, where would you suspect the lesion to be and what is this termed as?

Answer 2

Spinal nerve root

Radiculopathy

Question 3

If a patient presented with bilateral leg weakness and clonus, where would you suspect the lesion to be and what is this termed as?

Answer 3

Spinal cord

Myelopathy

Question 4

Bitemporal hemianopia is caused by damage to what?

Answer 4

The optic chasm

Question 5

Homonymous hemianopia is caused by damage to what?

Answer 5

The optic radiations

Question 6

How can we localise where a lesion is in the brain?

Answer 6

Functional MRI

Diffuse tensor imaging (3D tactography)

Question 7

What is cushings response?

Answer 7

An autonomic response to raised ICP;

• increased BP
• decreased pulse
• decreased respiratory rate

(Increased bp, irregular breathing and bradycardia)

Question 8

What is the Munro Kelly doctrine?

Answer 8

Pressure volume relationship between intracranial volume of blood, csf and blood tissue and the cerebral perfusion pressure

Question 9

If pupils are bilateral, fixed and dilated, where is the problem?

Answer 9

Brainstem

Question 10

If the pupils are unilateral fixed and dilated, where is the problem?

Answer 10

CN III problem