Neurological Findings

Question 1

Abulia (inability to make decisions)

Answer 1

stroke, damage to the basal ganglia

Question 2

Absent Corneal Reflex (no blink to puff of air on eye)

Answer 2

CN V (afferent) or CN VII (efferent) damage

Question 3

Agnosia (inability to recognize sight, sound or words)

Answer 3

Stroke, dementia or severe head injury

Question 4

Akinesthesia

Answer 4

loss of proprioception - dorsal column damage

Question 5

Anosmia (loss of sense of smell)

Answer 5

CN I damage

Question 6

Anascoria (unequal pupil size)

Answer 6

CN III, sympathetic or parasympathetic

Question 7

Aphasia (unable to express oneself with words)

Answer 7

damage to Broca’s speech area

Question 8

Apraxia (unable to perform learned movement)

Answer 8

cerebellar damage

Question 9

Asthenocoria (sluggish pupil light reflex Arroyo’s sign)

Answer 9

Addison’s Disease

Question 10

Ataxia (loss of balance)

Answer 10

Cerebellar, vestibular/dorsal column damage

Question 11

Athetosis (slow snake like movements)

Answer 11

damage to the putamen in the basal ganglia

Question 12

Babinski Sign Present (up going plantar response)

Answer 12

UMN lesion in lower limb

Question 13

Bielschowsky’s Sign (head tilt to the opposite side)

Answer 13

CN IV palsy (superior oblique muscle)

Question 14

Bitemporal Hemianopia (both temporal halves blind)

Answer 14

CN II damage at optic chiasm pituitary tumor

Question 15

Cape-like loss of pain and temperature sensation

Answer 15

syringomyelia

Question 16

Causalgia (burning pain after nerve injury)

Answer 16

complex regional pain syndrome

Question 17

Chorea (quick jerky involuntary movements)

Answer 17

Huntington’s Disease

Rheumatic Fever

Question 18

Claw Hand

Answer 18

Ulnar Nerve Damage

Klumpke’s Palsy

Question 19

Clumsiness in Fingers (can’t button a shirt)

Answer 19

cervical myelopathy

Question 20

Cushings Triad (High BP, low pulse, irregular respiration)

Answer 20

raised intracranial pressure

Question 21

Dysarthria and Disequilibrium (ataxia)

Answer 21

Cerebellar Damage

Question 22

Dysarthria (problem saying Kuh La Me properly)

Answer 22

Can’t say Kuh (CN X)
La (CN XII)
Me (CN V)

Question 23

Dysesthesia

Answer 23

abnormal sensation - neuropathies

Question 24

Flexion of Thumb after Flicking Middle Finger (+ Homan)

Answer 24

UMN lesion in upper limb

Question 25

Foot Drop (unable to dorsiflex the foot)

Answer 25

Peroneal nerve damage | Charcot Marie Tooth

Question 26

Froment's Sign (flexes thumb to grasp paper)

Answer 26

Ulnar nerve damage

Question 27

Homonymous Hemianopia (same halves on both sides)

Answer 27

damage to contralateral optic radiation

Question 28

Homonymous Hemianopia + macular sparing

Answer 28

damage to visual cortex

Question 29

Hyperacusis with ipsilateral facial weakness

Answer 29

Bells Palsy

Question 30

Hyperreflexia, Clunus and Spasticity

Answer 30

Upper Motor Neuron Lesion

Question 31

Hyporeflexia, Flaccidity and Atrophy

Answer 31

Lower Motor Neuron Lesion

Question 32

Loss of the anal reflex

Answer 32

S2, S3 and S4 spinal roots damage

Question 33

Loss of cremasteric reflex (no testis rise with thigh stroke)

Answer 33

L1-L2 nerve root damage

Question 34

Loss of the gag reflex

Answer 34

CN IX (afferent) or CN X (efferent) damage

Question 35

Loss of Stereognosis (recognize objects by feeling)

Answer 35

Dorsal Column Damage

Question 36

Kernig and Brudzinski Sign

Answer 36

meningitis or subarchnoid hemorrhage

Question 37

Mittelmeyer Test (march on the spot with eyes closed)

Answer 37

vestibular nerve damage (side turned to)

Question 38

Pill-rolling (resting) tremor

Answer 38

Parkinson's Disease

Question 39

Rigidity Decerebrate (upper limbs in extension)

Answer 39

Brainstem lesion below the red nucleus

Question 40

Rigidity Decorticare (upper limbs in flexion)

Answer 40

Brainstem lesion above the red nucleus

Question 41

Rigidity Clasp Knife

Answer 41

Upper Motor Neuron Lesion

Question 42

Scissors gait from birth

Answer 42

cerebral palsy

Question 43

Scanning speech, intention tremor and Nystagmus

Answer 43

multiple sclerosis

Question 44

Sign of the vindication (bishops blessing)

Answer 44

median nerve damage

Question 45

slow to relax deep tendon reflexes (woltman sign)

Answer 45

hypothroidism

Question 46

Synesthesia (perceiving sounds as different colors)

Answer 46

unknown | possible hereditary

Question 47

Titubation (nodding) not in time with the pulse

Answer 47

cerebellar disease

Question 48

Tongue deviates to one side

Answer 48

CN XII palsy on same side of deviation

Question 49

Tremor - intention

Answer 49

multiple sclerosis or cerebellar disease

Question 50

Tremor - postural (worse when arms are outstretched)

Answer 50

hyperthyroidism

Question 51

Tremo-resting (pill rolling)

Answer 51

Parkinson Disease

Question 52

LMN lesion in upper, UMN lesion in lower limbs

Answer 52

Cervical myelopathy

Question 53

UMN / LMN lesions in at least 3 limbs

Answer 53

Amyotrophic lateral sclerosis

Question 54

Unilateral facial palsy, can't to wrinkle forehead

Answer 54

Bell's Palsy

Question 55

Unilateral Facial Palsy, but able to wrinkle forehead

Answer 55

CVA

Question 56

Unilateral facial wekness and deafness

Answer 56

Acoustic Neuroma

Question 57

Uvula Deviates to One Side

Answer 57

CN X damage on the opposite side

Question 58

Unable to adduct the thumb

Answer 58

Ulnar Nerve Damage

Question 59

Unable to Extend the Thumb

Answer 59

Radial Nerve Damage

Question 60

Unable to Oppose the Thumb

Answer 60

median nerve damage

Question 61

Unable to shrug shoulder

Answer 61

CN XI palsy

Question 62

Winged Scapula

Answer 62

Long Thoracic Nerve Damage

Question 63

Wrist Drop

Answer 63

Radial Nerve Palsy | Lead Poisoning