CLINICAL NEUROLOGY - Motor Disorders

Question 1

Abnormal findings would be found on what diagnostic test of patient who needs to brace hands against the floor and walk his hands up his leg to stand?

Answer 1

Electromyography (EMG)

Question 2

Area affected in spinal muscular atrophy?

Answer 2

Anterior horn cells

Question 3

Area of brain affected in young child

walking with a broad based lurching gait, moving side to side?

Answer 3

Cerebellum

Question 4

Diagnostic test that would be abnormal in a young child who gets up from ground by walking his hands up his legs, has a waddling gait, and has weak leg and arm strength with normal muscle mass?

Answer 4

EMG

Question 5

3 yo with motor weakness, what would be a characteristic of an UMN lesion?

Answer 5

Increased deep tendon reflexes

Question 6

Preschool age child presents with hand biting, episodes last seconds to minutes, can be distracted from biting, history of rhythmic movement of hands at 2 yo. Diagnosis?

Answer 6

Developmental coordination disorder

Question 7

Deep brain stimulation is recommended in what condition in adolescence?

Answer 7

Dystonia

Question 8

Effective way to assess muscle strength in a 3 yo child?

Answer 8

Ask child to move from floor to chair

Question 9

Multiple motor tics in 13 year old over the course of six months?

Answer 9

Provisional tic disorder

Question 10

Findings from 2015 meta-analysis of

placebo-controlled trials of stimulants and tic disorder association?

Answer 10

No association between worsening or new tic disorder

Question 11

Treatment for Tourette’s disorder when
tics unresponsive to meds or HRT,
continues into adulthood, and functionally debilitating?

Answer 11

Deep brain stimulation