Lecture Questions Flashcards
What is the most common cause of myelopathy in persons over 55? A. Trauma B. Tumor C. Degenerative Disease D. Vitamin Deficiency E. Multiple Sclerosis
.
A 41 year old female with a history of breast cancer develops subacute low back and bilateral lower extremity pain along with numbness in her groin, decreased urinary frequency and a recent episode of frank incontinence. Neuro exam show preserved reflexes, slightly diminished strength in most muscle groups, and perianal anesthesia. Straight cath yields 900cc of urine. What is the most likely diagnosis?
A. Parafalcine, frontal lobe metastasis
B. Transverse myelopathy of the distal cord
C. Epidural spina cord compression due to an L1
D. Cauda equina syndrome due to L4 metastasis
E. Lumbosacral spondylosis and radiculopathy
.
An EMG show spontaneous activity in the Tibialis anterior, extensor hallicus longus, gluteus medius, gastrocnemius, and low lumbar paraspinal muscles. Sensory nerve conduction is normal. Where is the lesion? A. Common peroneal nerve B. Tibial Nerve C. L4 Nerve Root D. L5 Nerve Root E. S1 Nerve Root
.
Which nerve, cord, and root innervate the triceps muscle? A. Axillary, posterior, and C7 B. Radial, Posterior and C7 C. Radial, Lateral and C7 D. Axillary, Lateral and C7 E. Axillary, Posterior and C6 F. Radial, Posterior and C6 G. Radial, Lateral and C6 H. Axillary, Lateral and C6
.
A patient presents with neck pain and infrequent radicular type pain. She notes intermittent hand numbness and you suspect she has cervical spondylosis. What exam findings would suggest CTS as opposed to radiculopathy (Select all that apply)?
A. Ill defined numbness in the hand and distal forearm, mostly in the thumb,index fingers and radial forearm
B. Numbness at the base of the thumb
C. Atrophy of the thenar muscle group
D. Numbness of the first three finger tips and a well defined transition to normal sensation half way across the 4th finger
E. Postive Phalen’s test
F. Negative Tinels test
G. Reduced Brachioradialis reflex
.
Which of the following is not associated with peripheral neuropathy? A. B12 Deficiency B. Folate Deficiency C. B6 Toxicity D. Vitamin E Deficiency E. B1 Deficiency
.
Which of the following statements regarding Herpes Zoster is false?
A. Acute Zoster is more likely in the elderly and immunocompromised
B. Both amitriptyline and acyclovir have been shown to decrease the incidence of PHN
C. Risk factors for PHN include rash severity, pain severity and age
D. PHN risk is increases in the immunocompromised
E. Spinal cord stimulation is considered an ineffective treatment for PHN
.
Which of the following is true regarding phantom limb pain?
A. It is more common than phantom limb sensation
B. Incidence is inversely proportional to duration of pain
C. It is mediated by both the peripheral and CNS
D. It is responsive to opioids
E. Regional anesthetics techniques do not decrease the incidence
.
Match the peripheral entrapment location/ syndrome with the nerve involved: A. Rucksack palsy B. Guyon's canal C. Notalgia Paresthetica D. Supinator Syndrome E. Anterior Interosseous Syndrome F. Cheralgia Paresthetica G. Meralgia Paresthetica H. Gonyalgia Paresthetica F. Tarsal Tunnel Syndrome H. Cross Leg Syndrome
- Common Peroneal
- Posterior Tibial
- Ulnar
- Median
- T2-6 Dorsal rami
- Long Thoracic
- Lateral Femoral cutaneous
- Saphenous Nerve (Branch)
- Radial
- Medial Antebrachial cutaneous of the arm
.
Which of the following statement is false?
A. Thalamic infarctions are mot common cause of Central Post Stroke Pain (CPSP)
B. Thalamic pain is also referred to as Dejerine- Roussy
C. Most CPSP Syndrome are due to cerebral infarction
D. Spinal Cord injury is more likely to lead to neuropathic pain than cerebral infarction
E. The VPL and VPM nuclei of the thalamus are the main relays for sensory input from the head and body, respectively.
.
