Past Exam Questions Flashcards
Clinical OF Charcot Marie Tooth
- weakness of foot and lower muscles
- foor deformities - pes Casus and hammertones
- lower leg take on an inverted champagne bottle apperance due to loss of muscle bulk
- weakness and muscle atrophy of hands - hard to do motor skills
- scoliosis - asymmetrical forces on axial spine during growth
- Pain ( MSK or neuropathic) / muscle cramping
obtaining informed consent for an intervention requires
(1) the diagnosis
(2) the nature and purpose of the proposed intervention;
(3) the probable risks and benefits associated with the intervention
(4)alternatives to the proposed intervention, including the risks and benefits associated with each option
(5) the consequencesof refusal or non-intervention.
Difference b/w consent and assent
consent - mental capacity - generally not paediatric population
Assent - seek to explain the childs willingness to undergo the medical intervention in a developmentally appropriate manner
how do you screen for deep infections?
use a blunt tipped instrument to detect sinus tracts
What procedure is the standard accepted for management of a non critical neuropathic and ischemic wound, prior to fitting a foot orthosis?
debridement of necrotic tissue
What location and type of sensation on physical examination has been found to be predictive of the ability for psychogenic vaginal lubricatio
Sensation to light touch (1 point) and pinprick (1 point) in the T11-L2 dermatomes (1 point) was found to be predictive of the ability for psychogenic vaginal lubrication
Cauda equina post injury ammenorhea
normal?
how long?
pregnancy?
- Yes (1 mark)
- Yes (1 mark) 4 -5 months post injury(1 mark)
- Yes (1 mark)
Is there a difference in prevalence between the incomplete and complete tetraplegic patients developing autonomic dysreflexia
AD is 3X (1 Mark) more prevalent in complete injury (
symptoms of mid line shift in MCA stroke
Further deterioration of the left MCA clinical findings
• Further decrease in level of consciousness
• Incontinence (probably was already there but could be worse)
• Unequal pupillary responses from the infratentorial herniation (not seen on these images
-only subfalcine herniation is present on the image
• Any of the triad of the Cushing response (bradycardia, hypertension and irregular breathing
from raised ICP)
right eye does not track to the left of midline and the left eye, looking left, has nystagmus.
inter nuclear ophthalmoplegia
right eye does not track to the left of midline and the left eye, looking left, has nystagmus. where is lesion
Left (1 point) medial pons at the Median Longitudinal Fasciculus
inter nuclear ophthalmoplegia seen in
Multiple sclerosis
stroke
What general type of neuropathy tends to occur early in the course of HIV?
Immune mediated. (1 Mark) Any two of
AIDP
Brachial Plexopathy
Multiple mono neuropathies
Vasculitic neuropathies
Cranial neuropathies
2 types of neuropathy that occur late in HIV
Those associated with opportunistic infections such as CMV, syphilis and zoster, malignancy and nutritional deficiency as well as side effects of drugs used to treat HIV.
Three criteria used to grade severity of TBI (ex. mild, mod, severe)
- Glasgow Coma Scale (GCS)
- Length/duration of Loss of Consciousness (LOC)
- Length/duration of Post-Traumatic Amnesia (PTA)
