Neuro

Question 1

What is Wernicke’s aphasia and where is the lesion?

Answer 1

Fluent aphasia - speak in jargon, fake words, insensible sentences. Comprehension is poor. Lesion in superior temporal gyrus.

Question 2

What is Broca’s aphasia and where is the lesion?

Answer 2

Difficulty getting words out, requires cues. Comprehension is good.
Frontal lobe of the dominant hemisphere.

Question 3

What are parkinson’s plus syndromes?

What are two PPs?

Answer 3

Diseases which present with parkinsonism and other neurological features, which are diagnostically different to idiopathic Parkinson’s disease.
Progressive supranuclear palsy
multiple systems atrophy

Question 4

what are the features of progressive supranuclear palsy?

Answer 4

parkinsonism
Impairment of vertical gaze, worse when looking down
falls
slurring of speech
cognitive impairment
poor response to L-dopa

Question 5

What are the features of multiple systems atrophy?

Answer 5

parkinsonism
autonomic dysfunction
   - erectile dysfunction (early)
   - postural hypotension
   - atonic bladder
cerebellar signs