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Y2 Physical Diagnosis > Neurology > Flashcards

Neurology Flashcards

1
Q

Gait ataxia and hypotonia will be seen in a patient with a lesion in the

A

Rostral vermis

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2
Q

Manifestation of vermian lesion:

A

a. Dysarthria
b. Scanning speech
c. Nystagmus
d. All

d. All

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3
Q

Manifestation of cerebellar dysfunction

A

a. Hypotonia
b. Decomposition of movement
c. Mild aesthenia
d. All

d. All

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4
Q

Test for arm dystaxia

A

a. Wrist tapping test
b​. Arm pulling test
c. Thigh patting test
d. all

d. All

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5
Q

True in a patient with cerebellar hemisphere infarct in the right:

A

a. Nystagmus
b. Limb ataxia
C. Dysmetria
d. all

d. All

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6
Q

Superficial sensation routinely examined

A

pain

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7
Q

Manifestation of polyneuropathy

A

a. Symetrical distal weakness

b. Areflexia

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8
Q

From medial to lateral (CTLS) segmented arrangement of fibers in the spinal cord is seen in the

A

b. Lateral cortico spinal

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9
Q

TRUE during testing of sensory function,

A

a. Usually done with patient’s eyes closed
b. Should compare cornified vs. Non cornified areas
c. Should examine symmetrical dermatomal area
d. All

ALL

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10
Q

Pinsandneedlessensation

A

Paresthesia

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11
Q

Bicepsreflexissubserved

A

C5-c6

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12
Q

Variationsofbabinski

A

Hoffman’s

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13
Q

Examinationofmotorfunction

A

a. Look for involuntary movements
b. Look for coordinated performance of
motor acts
c. Inspect muscle size
d. all

ALL

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14
Q

spastic gait

A

Narrow base of support

Leg externally rotated at the hip

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15
Q

Upper motor neuron paralysis:

A

a. Muscles affected in groups
b. Rigidity
c. Babinski
d. All

ALL

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16
Q

Fundoscopy

A

Cranial nerve from the supratentorial

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17
Q

Nystagmus

A

Cranial nerve from the midbrain

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18
Q

Say EGG

A

Cranial nerve from the medulla

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19
Q

Open mouth

A

Cranial nerve from the pons

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20
Q

Corneal blink reflex

A

Cranial nerve from the pons

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21
Q

A stoke patient can open his eyes, moans and flexes on painful stimulation has a Glasgow coma scale of:

A

C. 10/15

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22
Q

The main objective of doing deep tendon reflex is to:

A

A. Differentiate whether the lesion is UMN or LMN

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23
Q 
Babinski is not seen in:
A. Frontal lobe tumor 
B. Brainstem stroke
C. Spinal cord compression
D. Diabetic neuropathy
A

D

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24
Q

A high stepped, slapping gate is usually secondary to:

A

B. Posterior column

lesion

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25
Q

Paralysis of upward gaze is usually secondary to:

A

C. Pineal Lesion

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26
Q

Not a feature of metabolic encephalopathy
A. Pupils are equal and reactive
B. Severe mental status alteration
c. Common occurrence of movement abnormality
d. Presence of lateralizing sign

A

D

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27
Q

Fatigue with exercise is usually seen in:

A

Neuromuscular function disorder

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28
Q

A unilateral, dilated, non – reactive pupil in a comatose pate will indicate:

A

Temporal bone herniation

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29
Q

A patient complaining of weakness that he can only move his extremities against gravity is graded as:

A

3/5

30
Q

Mentalstatusexaminationisatestfortheintegrityof:

A

Cerebral cortex

31
Q

An optic chiasm lesion would cause:

A

Bitemporal Hemianopsia

32
Q 
Lesion in the cavernous sinus would involve the following cranial nerves, except:
A. CNIII 
B. CNIV
C. CNV
D.CNVI
A

C

33
Q

Weakness of knee extension is caused by a lesion of:

A

A. Femoral nerve

34
Q

Features of upper motor neuron, except:
A. Spastic
B. (+) Babinski
C. Atrophy

A

C

35
Q

Foot drop is secondary to a lesion in the:

A

Peroneal nerve

36
Q

The first cranial nerve to be affected by increased intracranial pressure is:

A

. CNVI

37
Q 
Signs of peripheral nerve lesion, except:
A. Atrophy 
B. Fasciculations
C. Spasticity
D. Hyporeflexia
A

C

38
Q 
Neurologic examination in a comatose patient includes the following, except:
A. Fundoscopy 
B. Pupillary light reflex 
C. Mental status examination
D. Cerebellar examination
A

D

39
Q

Signs and symptoms of myopathy includes the following, except:
A. Proximal weakness
B. Atrophy
C. Hyperreflexia

A

C

40
Q

The most reliable sign of UMN lesion:

A

C. (+) Babinski

41
Q

Presence of cheery red spots seen in the retina by fundoscopy is seen in:

A

A. Tay Sach’s disease

42
Q

Presence of café au lait spots seen in fundoscopy is secondary to

A

Von Recklinghausen’s disease

43
Q 
Ataxia is seen in the following lesions, except:
A. Dorsal column 
B. Cerebellum 
C. Spinocerebellar tract
D. none
A

D

44
Q 
Movement disorder associated with basal ganglia lesions, except:
A. Dysmetria 
B. dystonia 
C. Bradykinesia
D. Tremor
A

A

45
Q

In the lesion of the superior orbital fissure the following are true, except:
A. Weakness of the lateral movement of the eye
B. Weakness of the medial movement of the eye
C. Weakness of the superior and inferior movement of the eye
D. None of the above

A

D

46
Q

Neurologic examination is mandatory if the patient complains of:

  1. Loss of consciousness
  2. Weakness
  3. Urinary incontinence
  4. Dementia
A

all

47
Q
  1. Sensory examination includes the following:
  2. Crude touch
  3. Position
  4. Vibration
  5. Temperature
A

all

48
Q

Bitemporal hemianopsia is secondary to:

A

Pituitary adenoma

Uncal herniation

49
Q

The appearance of the following reflexes would indicate frontal lobe lesion:

  1. Palmomental
  2. Sucking
  3. Grasp
  4. Babinski
A

all

50
Q

Babinski could be present if you have lesions of the:

  1. Supratentorial
  2. Posterior fossa
  3. Spinal
  4. Anterior horn cell
A

1,2,3

51
Q

Neurologic examination in a comatose patient includes:

  1. Light reflex
  2. Fundoscopy
  3. Mental status
  4. Cerebellar exam
A

1,2,3

52
Q

Retinal hemorrhage could be seen in:

  1. Optic neuritis
  2. Malignant hypertension
  3. Cerebral infarction
  4. Raptured aneurysm
A

2,4

53
Q

Mental status examination includes:

  1. Level of consciousness
  2. Memory
  3. Mood
  4. Position
A

1,3

54
Q

Fundoscopy is valuable if you are entering:

  1. Increased intracranial pressure
  2. Demyelinating disorder
  3. Raptures aneurysm
  4. Cerebral infarction
A

1,3

55
Q

Signs and symptoms of myopathy

  1. Absent sensory changes
  2. Proximal weakness
  3. Atriphy
  4. Hyporeflexia
A

2,4

56
Q

Movement disorders associated with basal ganglia lesion

  1. Athetosis
  2. Ballismus
  3. Parkinson’s diseas
  4. Dystonia
A

1,2,3

57
Q

Small, pinpoint pupils are associated with:

  1. Amphetamines overdose
  2. Opiate overdose
  3. Uncal herniation
  4. Pontine lesion
A

2,4

58
Q

Large, dilated pupils are associated with:

  1. Cocaine use
  2. Heroine use
  3. Opiate overdose
  4. Amphetamine overdose
A

4

59
Q

Horner’s syndrome:

  1. Miosis
  2. Ptosis
  3. Facial anhydrosis
  4. Dilated pupils
A

all

60
Q

Melkensson syndrome

A

Scrotal tongue

61
Q

Phonation

A

CN 9

62
Q

Numbness of the face

A

CN 7

63
Q

Visual acuity

A

CN 2

64
Q

Clenching of teeth

A

CN 5

65
Q

Shoulder shrug

A

CN 11

66
Q

Tongue atrophy

A

CN 12

67
Q

Convergence

A

CN 3

68
Q

Pupillary light reflex

A

CN II – III

69
Q

Corneal reflex

A

CN V – VII

70
Q

Gag reflex

A

CN IX – X

Y2 Physical Diagnosis (2 decks)

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