NMS ------45Q Flashcards
1.Which cranial nerve forms the afferent branch of the corneal reflex?
a. Oculomotor
b. Trigeminal
c. Facial
d. Vagus
b.Trigeminal
- Which cranial nerve forms the afferent branch of the corneal reflex?
a. Oculomotor
b. Trigeminal
c. Facial
d. Vagus
a. Oculomotor
3.The brachioradialis reflex is decreased due to a lesion of which of the following nerves?
a. Musculocutaneous
b. Radial
c. Trigeminal
d. Axillary
b.Radial
4.Which of the following is an indication of an upper motor neuron lesion?
a. Increased superficial reflexes
b. Reaction of degeneration
c. Clonus
d. Fasciculations
c.Clonus
5.When the examiner strokes down the tibia to the ankle, the patient dorsiflexes the great toe and splays the other toes. The name of test is ____.
a. Gordon’s
b. Chaddock’s
c. Oppenheim’s
d. Schaefer’s
c.Oppenheim’s
- A patient presents with a 3/5 muscle strength of the extensor carpi ulnaris and a 1+ brachioradialis reflex.Which of the following are additional clinical findings that would be seen in this case?
a. Decreased triceps strength
b. Increased superficial reflexes
c. Decreased sensation to the lateral forearm
d. Decreased sensation to the medial forearm
c.Decreased sensation to the lateral forearm
7.________ is performed by squeezing the calf while observing for dorsiflexion of the big toe and splaying of the other 4 toes.
a. Gordon’s
b. Homan’s
c. Thompson’s
d. Schaffer’s
a.Gordon’s
8.Which of the following nerves innervates the quadriceps muscle?
a. Obturator
b. Sciatic
c. Femoral
d. Saphenous
c.Femoral
- Following an injury to the lumbar spine the patient complained about pain into the lateral big toe and the 2nd,third and fourth toes.
Which disc is involved?
a. L3
b. L4
c. L5
d. S1
b.L4
- Incorrect use of crutches can result in impingement of which of the following nerves?a.Axillary
b. Musculocutaneous
c. Median
d. Radial
d.Radial
11.A 39 year old male presents with hip pain. He says the pain is worse when he is working as a police officer. When asked to point to the pain he points to the anterolateral portion of the thigh. What is the most likely problem?
a. Lumbar sprain/strain
b. Sciatica
c. Inguinal hernia
d. Meralgia Paresthetica
d.Meralgia Paresthetica
- A patient presents with complaints of numbness and tingling on the lateral aspect of the knee and lateral lower leg. Which of the following nerves is likely implicated given these findings?
a. Deep Fibular
b. Superficial Fibular
c. Medial Plantar
d. Sciatic
b.Superficial Fibular
13.Upon physical examination you ask the patient to approximate their flexed wrists together with the shoulders abducted and flexed to 90 degrees. As the patient performs this maneuver they experience tingling in the hand. Which of the following is indicated?
a. Axillary nerve lesion
b. Radial nerve lesion
c. Median nerve lesion
d. Ulnar nerve lesion
c.Median nerve lesion
- Which of the following phases of gait will have the majority of the weight while the tibia is past neutral?
a. Heel Strike
b. MidStance
c. Foot Flat
d. ToeOff
d.ToeOff
- A patient presents with obesity and hypothyroidism. She also complains of numbness and tingling in the lateral hand and fingers. Which of the following nerves is affected?
a. Median
b. Ulnar
c. Radial
d. Musculocutaneous
a.Median
- Anterior Compartment Syndrome usually affects the ____ nerve.
a. Deep peroneal
b. Common peroneal
c. Fibular
d. Medial plantar
a.Deep peroneal
- Examination of the patient indicates the inability to hold a piece of paper between the thumb and index finger. The name of this orthopedic test is ____ and it indicates ____ nerve impingement.
a. Froment’s; Median
b. Froment’s; Ulnar
c. Thumb pinch; Median
d. Thumb pinch; Ulnar
b.Froment’s; Ulnar
- Which of the following forms of arthritis will not present as sero negative?
a. Enteropathic
b. Reactive
c. Psoriatic
d. Rheumatoid
d.Rheumatoid
- Inability to determine the presence of pain and temperature is due to damage to which of the following tracts in the spinal cord?
a. Lateral spinothalamic tract
b. Ventral spinothalamic tract
c. Dorsal columns
d. Reticulospinal tract
a.Lateral spinothalamic tract
- A 27 year old female presents with diplopia, weakness of the legs, vertigo, and +4 DTR at the patella. She is most likely suffering from _____.
a. Multiple Sclerosis
b. Stroke
c. Myasthenia gravis
d. Amyotrophic lateral sclerosis
a.Multiple Sclerosis
- Weakened muscles most obvious at the end of the day are characteristic of which of the following conditions?
a. Multiple sclerosis
b. Amyotrophic lateral sclerosis
c. Myasthenia gravis
d. Brown Sequard Syndrome
c.Myasthenia gravis
- An inflammatory polyneuropathy of the peripheral nervous system following a recent illness is known as_______.
a. Poliomyelitis
b. Cauda Equina Syndrome
c. Central Disc Lesion
d. Guillain Barre Syndrome
d.Guillain Barre Syndrome
- A 9 year old child is brought to you because of dizziness. You note that she ambulates with a scissor gait and she also has athetoid hand movements. The most likely cause of this is _____.
a. Cerebral palsy
b. Muscular Dystrophy
c. Huntington’s chorea
d. Congenital hip dysplasia
a.Cerebral palsy
- Which condition should be investigated if a 10 yearold male presents with a wide based stance and pseudohypertrophy of the calves?
a. Diabetes Mellitus
b. Cerebral Palsy
c. Muscular Dystrophy
d. Anterior Compartment Syndrome
c.Muscular Dystrophy
- Which of the following disease processes will cause atrophy of the muscles in the lower/lateral portion of the leg?
a. Charcot Marie Tooth
b. Secondary Syphilis
c. Leprosy
d. Tabes Dorsalis
a.Charcot Marie Tooth
- The seated patient is asked to actively rotate the head and hyperextend the neck to the right and then to the left. A positive result would be _____ and the indication is _____.
a. Localized pain; cervical fracture
b. Dizziness; VBAI
c. Radicular pain; nerve root compression
d. Decreased pain; IVF encroachment
b.Dizziness; VBAI
- A gait in which the pelvis tilts down on the affected side during the swing phase describes which type of gait:
a. Trendelenburg
b. Ataxic
c. Propulsion
d. Scissor
a.Trendelenburg
- A _________ problem is indicated when a patient presents with instability during the stance phase of gait and walks with a wide base.
a. Cerebellar
b. Cortical
c. Myoneural junction
d. Lateral cell column
a.Cerebellar
9.A lack of sensation is present on the lateral forearm but the lateral hand sensation remains intact. What is indicated by these findings?
a. C6 nerve root lesion
b. C7 nerve root lesion
c. Musculocutaneous nerve lesion
d. Axillary nerve lesion
c.Musculocutaneous nerve lesion
30.A mother brings her child into your office for consultation. During the case history she tells you that the child has had multiple painless injuries to his forearms. What is indicated given these statements?
a. Muscular Dystrophy
b. Erb’s Palsy
c. Syringomyelia
d. Klumpke’s paralysis
c.Syringomyelia
31.While performing the straight leg raise test you note that your patient experiences pain in the first 10 degrees of hip flexion. Which of the following areas is affected given these findings?
a. Thoracic lesion
b. Lumbar lesion
c. Lumbosacral lesion
d. Sacroiliac lesion
d.Sacroiliac lesion
32.A male patient presents with rapid, short steps and also has trouble decelerating while ambulating. _______ is the gait observed.
a. Drunken
b. Festinating
c. Trendelenburg
d. Slappage
b.Festinating
3.A patient presents with complaints of recurring periorbital pain, lacrimation, and rhinorrhea is most likely to also state ______________.
a. “My mother had similar symptoms”
b. “Alcohol consumption makes my symptoms worse”
c. “Lying in a dark room helps”
d. “My pain lasts for 48 hours”
b.“Alcohol consumption makes my symptoms worse”
34.When you perform Beevor’s sign you note that the umbilicus moves superiorly. Which of the following is the location of the lesion in this case?
a. Unilateral T7T9
b. Bilateral T7T9
c. Unilateral T11T12
d. Bilateral T11T12
d.Bilateral T11T12
35.Which of the following is most characteristic of a pyramidal tract lesion?
a. Development of a festinating gait
b. Development of rotary nystagmus
c. Appearance of pathological reflexes
d. Generalized hyporeflexia
c.Appearance of pathological reflexes
36.Fixed adduction and internal rotation of the shoulder with pronation of the forearm and no sensory loss is most characteristic of ________.
a. Ulnar nerve entrapment
b. Bicycle rider’s neuropathy
c. Saturday night palsy
d. Erb’s palsy
d.Erb’s palsy
37.A 60 year old patient with lower lumbar central spinal canal stenosis is most likely to demonstrate ________.
a. Bilateral hyperreflexia of both the achilles and patellar reflexes and spasticity of the lower extremities
b. Increased symptoms while seated and frequent need to hyperextend the lumbar spine
c. Unilateral L5 dermatomal leg pain
d. Relief of pain when flexing forward
d.Relief of pain when flexing forward
38.Which of these tests will not reproduce sacroiliac pain?
a. Patrick’s test
b. Goldthwait’s test
c. Resisted hip abduction test
d. Lewin Gaenslen’s test
a.Patrick’s test
39.Upon orthopedic examination you ask the patient to lie supine on the table. You then flex the knee up and proceed to push posteriorly on the proximal tibia. Which of the following are you testing?
a. MCL
b. LCL
c. PCL
d. ACL
c.PCL
40.With the patient in the standing position, the patient is asked to flex forward and lumbar pain is experienced.The doctor stabilizes the ASIS’s bilaterally and the sacrum with one hip. With the pelvis stabilized the patient still has pain when flexing forward. Where is the problem?
a. Hip
b. SI joint
c. Viscerosomatic pain referral
d. Lumbar
d.Lumbar
- A 56 year old male patient presents with weakness in both hands and legs. There are no sensory findings. Hehas a +1 biceps reflex and a +4 patellar reflex. What is the most likely diagnosis?
a. Multiple sclerosis
b. Myasthenia gravis
c. Syringomyelia
d. Lou Gehrig’s disease
d. Lou Gehrig’s disease
- A positive Cozen’s test confirms the involvement of which of the following muscles?
a. Flexor carpi ulnaris
b. Extensor carpi radialis brevis
c. Flexor carpi radialis
d. Extensor carpi ulnaris
b. Extensor carpi radialis brevis
- Which of the following is likely to occur in a patient with multiple sclerosis?
a. Resting tremor
b. Bence Jones proteins
c. Reed Sternberg cells
d. Urinary incontinence
d. Urinary incontinence
- The ___ is the most common carpal bone involved in deQuervain’s disease?
a. Lunate
b. Scaphoid
c. Hamate
d. Pisiform
b. Scaphoid
5.Herniation of the L4 disc is most likely to cause weakness of the ________muscle.
a. Tibialis anterior
b. Peroneus brevis
c. Gastrocnemius
d. Extensor Hallicus Longus
d.Extensor Hallicus Longus
