NEUROLOGICAL EXAMINATION Flashcards

1
Q

Patients who have expressive aphasia have a lesion in

the ____________.

A

dominant frontal lobe

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2
Q

Patients who have alexia or dyslexia have a problem in

the _____________.

A

dominant occipital lobe

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3
Q

Apraxia or inability to do common daily tasks like
washing the face, drinking, dressing up is due to a
_____________.

A

nondominant parietal lobe lesion

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4
Q

Mental status abnormalities suggest a __________.

A

Cortical lesion

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5
Q

Ammonia stimulates _____.

A

CN V

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6
Q

Anosmia in BOTH nostrils:

A

Blocked nasal passage
Trauma
Ageing
Parkinson’s disease

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7
Q

Unilateral anosmia:

A

Blocked nostril

Frontal brain lesion

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8
Q

Corrected by pinhole:

A

Error of refraction

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9
Q

Monocular Field Defects

A

Anterior to Optic

Chiasm

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10
Q

Bitemporal Field Defects

A

Optic Chiasm

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11
Q

Homonomous Field Defects

A

Behind optic chiasm

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12
Q

Congruous homonomous field defects

A

Behind lateral geniculate bodies

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13
Q

Lateral rectus is supplied by:

A

CN VI

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14
Q

Superior oblique is supplied by:

A

CN IV

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15
Q

BC > AC

A

Conductive

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16
Q

AC > BC

A

Sensori-neural

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17
Q

Deaf Ear

A

Conductive

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18
Q

Good Ear

A

Sensori-neural

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19
Q

Does not move at all

A

0/5

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20
Q

Moves a little (flickers)

A

1/5

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21
Q

Moves when gravity is eliminated

A

2/5

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22
Q

Moves against gravity

A

3/5

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23
Q

Moves against resistance but weak

A

4/5

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24
Q

Normal

A

5/5

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25
Q

One arm pronates and drifts downwards

A

Weakness

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26
Q

Both arms drift downwards

A

Bilateral weakness

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27
Q

Arm rises

A

suggests Cerebellar disease

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28
Q

Fingers continuously move up and down

A

Deficit of joint position sense

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29
Q

Increased tone (spasticity)

A

Upper motor neuron

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30
Q

Increased reflexes + babinski

A

Upper motor neuron

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31
Q

Decreased tone

A

Lower motor neuron

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32
Q

Decreased absent reflexes wasting/fasciculation

A

Lower motor neuron

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33
Q

C5

A

Elbow flexion

Biceps

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34
Q

C6

A
Elbow flexion (semipronated)
Brachioradialis
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35
Q

C7

A

Wrist flexors
Elbow extension
Triceps

36
Q

C8

A

Finger flexors

No reflex

37
Q

T1

A

Small muscles of hand

No reflex

38
Q

L1, L2

A

Hip flexion

No reflex

39
Q

L3, L4

A

Knee extension

Knee reflex

40
Q

L5

A

Extension of great toe

No reflex

41
Q

S1

A

Hip extension, knee flexion, plantar flexion

Ankle reflex

42
Q

Absent fasciculation

A

Muscle diseases

43
Q

No babinski

A

Neuropathy

Muscle diseases

44
Q

Reflexes usually normal, occ. depressed

A

Muscle diseases

45
Q

+/- Sensory Abnormality

A

Neuropathy

46
Q

No Sensory Deficit

A

Muscle diseases

47
Q

Fasciculation

A

Neuropathy

48
Q

Intact CNS

A

Muscle diseases

49
Q

Atrophy

A

Neuropathy

50
Q

Proximal weakness&raquo_space; Distal weakness,

usually symmetrical

A

Muscle diseases

51
Q

Hypo to Areflexia

A

Neuropathy

52
Q

Distal weakness&raquo_space; Proximal weakness

A

Neuropathy

53
Q

Hypoactive

A

1

54
Q

Normal

A

2

55
Q

Hyperactive w/o

clonus

A

3

56
Q

Unsustained Clonus

A

4

57
Q

Sustained Clonus

A

5

58
Q

Pinprick

A

Spinothalamic tract

59
Q

Proprioception

A

Posterior column tract

60
Q

Touch sensation

A

Both tracts

61
Q

Ipsilateral cerebellar syndrome

A

Unilateral incoordination

62
Q

Midline cerebellar syndrome

A

Truncal & Gait Ataxia, without limb inco-ordination

63
Q

Spontaneous

A

4

64
Q

To speech

A

3

65
Q

To pain

A

2

66
Q

Orientated

A

5

67
Q

Confused

A

4

68
Q

Inappropriate

A

3

69
Q

Incomprehensible

A

2

70
Q

Obeying

A

6

71
Q

Localizing

A

5

72
Q

Withdrawal

A

4

73
Q

Flexion

A

3

74
Q

Extension

A

2

75
Q

Decerebrate

A

1

76
Q

Evaluation of the pupils

A

CN 2

77
Q

Evaluation of extraocular muscles

A

CN 3

78
Q

Corneal reflex testing

A

CN 5

79
Q

Gag reflex testing

A

CN 9, 10

80
Q

Ice calorics testing

A

CN 8

81
Q

Small unilateral

A

Normal

82
Q

Large bilateral supratentorial

A

Cheyne-stokes

83
Q

Large unilateral

A

Cheyne=stokes variant

84
Q

Large bilateral partial

A

Central neurogenic hyperventilation

85
Q

Large bilateral midpontine

A

Apneustic

86
Q

Large bilateral posterior fossa

A

Ataxic