Neuromuscular

Question 1

Loss of orientation, word finding difficulty, depression, poor judgment,
rigidity, slow movement, shuffling gait, difficulty with new learning/memorychanges/concentration

Answer 1

Alzheimer’s

Question 2

UMN: spasticity, clonus, incoordination, (+) Babinski
LMN: asymmetric weakness, fasciculation, cramping, atrophy

Answer 2

ALS

Question 3

Loss of upper extremity more than lower extremity, loss of motor functionand pain and temperature

Answer 3

Anterior cord syndrome

Question 4

Multiple contractures, joint dislocation, muscle atrophy, cylinder-shaped limbs with no definition/tone

Answer 4

Arthrogryposis multiplex congenital

Question 5

Sweating, dilated pupils, bradycardia, hypertension, blurred vision, high blood pressure

Answer 5

Autonomic dysreflexia

Question 6

Asymmetrical drooping of eyelid and mouth, drooling, dry eyes, can’t close eyelid due to weakness

Answer 6

Bell’s palsy

Question 7

Loss of ipsilateral vibratory/position sense and contralateral pain/temperature

Answer 7

Brown sequard syndrome

Question 8

Dysphagia, nasal regurgitations, slurred speech, choking, dysphonia,dysarthria, dysphasia

Answer 8

Bulbar palsy

Question 9

Paresthesia in digits 1-3 and ½ of 4 including finger tips, muscle weakness inthenar eminence and volar aspect of hand, poor grip strength, night pain

Answer 9

Carpal tunnel syndrome

Question 10

Flaccidity, areflexia, incontinence of bowel/bladder

Answer 10

Cauda equina syndrome

Question 11

Upper extremity loss more than lower extremity, motor loss more thansensory loss, damage to spinothalamic and corticospinal tracts

Answer 11

Central cord syndrome

Question 12

Abnormal muscle tone
Abnormal reflexes
I aspire dmobility

Answer 12

Cerebral palsy

Question 13

Paresthesia in digits 1-3 and ½ of 4 including finger tips, muscle weakness inthenar eminence and volar aspect of hand, poor grip strength, night pain

Answer 13

Carpal tunnel syndrome

Question 14

Flaccidity, areflexia, incontinence of bowel/bladder

Answer 14

Cauda equina syndrome

Question 15

Symmetrical weakness and sensory loss; can involve sensory, motor, and autonomic systems; paresthesia, muscle wasting, “stocking glove”,
orthostatic hypotension, pain

Answer 15

Diabetic neuropathy

Question 16

Mental retardation, hypotonia, hypermobility, flattened nose, narrow eyes, small mouth, scoliosis, flat feet, congenital heart disease, visual and hearing loss

Answer 16

Down syndrome

Question 17

Abnormal heart rate, breathing, sweating, pupil size, bladder function, GI motility, excess fatigue

Answer 17

Dysautonomia

Question 18

Sensory loss, paresthesia, pain, sensory usually less than motor loss,
progresses from lower extremities to upper extremities, may produce full quadriplegia and respiratory failure

Answer 18

GBS

Question 19

Choreic movement, dystonia, athetoid movement, ataxia, impaired gait,
posture and balance, difficulty with speech and swallowing, incontinence,tongue protrusion

Answer 19

Huntington’s disease

Question 20

Spasticity, fatigue, vision deficits, ataxia, incontinence, pain, cognitive deficits, paresthesia

Answer 20

Multiple sclerosis

Question 21

Festinating gait, shuffling, anterior lean, trunk flexion, decreased trunk rotation, essential tremor, rigidity, slow movement

Answer 21

Parkinson’s disease

Question 22

Paresthesia in the course of the root involved

Answer 22

Peripheral neuropathy

Question 23

Symptoms only occur if the infection gets into the blood stream

Answer 23

Poliomyelitis

Question 24

Loss of pain, proprioception, 2-pt discrimination, and stereognosis

Answer 24

Posterior cord syndrome

Question 25

Slow and progressive weakness, fatigue, muscle atrophy, pain, swallowing issues

Answer 25

Post polio syndrome

Question 26

Motor loss below level of defect, sensory loss, tethered cord syndrome, hydrocephalus, scoliosis, bowel & bladder dysfunction, learning disabilities

Answer 26

Spina bifida

Question 27

Confusion, agitation, motor impairment, swallowing/speaking issues

Answer 27

TBI

Question 28

Pain, paresthesia in the UE

Answer 28

TOS

Question 29

Brief paroxysms of neurogenic pain (stabbing/shooting) reoccurring frequently.

Answer 29

Trigemial neuralgia

Question 30

Decreased flexion, momentary head elevation with minimal forearm support, tracks a moving object, head usually to one side, reciprocal/symmetrical kicking, positive support and primary walking reflexes in supported standing, hands fisted with indwelling thumb most of time, neonatal reaching, alter, brightening expression.

Answer 30

1 month

Question 31

Head elevation to 45° in prone, in prone on elbows with elbows behind shoulders, head bobs in supported sitting, does not accept weight through lower extremities, responses to friendly handling.

Answer 31

2 months

Question 32

Prone on elbows, weight bearing on forearms, elbows in line with shoulders, head elevated to 90°, head in midline in supine, hands on chest, increased back extensionwith scapular add in supported sitting, takes some weight with toes curled in supported standing, coos, chuckles, optical and labyrinthine head-righting present.

Answer 32

3 months

Question 33

Rolls prone/supine to side, sits with support, no head lag in pull to sit, reaching with forearms pronated when trunk supported, ulnar-palmar grasp, laughs out loud.

Answer 33

4 months

Question 34

Rolls from prone to supine, weight shifts from one forearm to the other in prone, head control in supported sitting.

Answer 34

5 months

Question 35

Prone on hands, with elbows extended, weight shifts from hand to hand, rolls supineto prone, independent sitting, pulls to stand, bouncing.

Answer 35

6 months

Question 36

Can maintain quadruped, pivots on belly, moves body in circle while prone, pivots prone (prone extension) position, assumes sitting from quadruped, trunk rotation insitting, recognizes tone of voices, may show fear of strangers.

Answer 36

7 months

Question 37

Belly crawls, quadruped creeping, moves quadruped to sitting, side-sitting, pulls to stand through kneeling, cruises sideways, can stand alone. Radial digital grasp, radial palmar, 3 jaw chuck grasp and inferior pincer grasp with thumb and forefinger, can transfer objects from one hand to the other.

Answer 37

8 - 9 months

Question 38

Begins to walk unassisted, begins self-feeding, reaches with supination, neat pincergrasp, can release, build a tower of 2 cubes, searches for hidden toys, suspicious of strangers, plays patty cake and peekaboo, imitates

Answer 38

10 - 15 months

Question 39

Ascends stairs step to pattern, running more coordinated, jumps off bottom step, plays make believe

Answer 39

20 months

Question 40

``` Runs God supstairs foot over foot Active Restless Tantrums ```

Answer 40

2 years

Question 41

Stand on one foot briefly Jumps with 2 feet Kicks ball Understands sharing

Answer 41

3 years

Question 42

Hops on 1 foot several times Stands on tiptoes Throws ball overhand Relates to friends

Answer 42

4 years

Question 43

Skips Kicks ball well Dresses self

Answer 43

5 years