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Med Surg 2 > PRELIMS: Reviewer > Flashcards

PRELIMS: Reviewer Flashcards

1
Q

You explained to your clinical supervisor that your patient has an entrapment of the median nerve at the Ligament of Struthers based on:
a. Numbness at the volar aspect of the
lateral 3 ½ digits
b. Weakness of the thenar muscles
c. Negative Phalen’s test

A

c. Negative Phalen’s test

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2
Q

Found in 60% of patients with small cell cancer of the lungs

A

Eaton Lambert Syndrome

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3
Q

Toxic agent causing Lathyrism:

a. BOAA
b. BPA
c. BOOA
d. BOAA

A

d. BOAA

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4
Q

Froment’s sign indicates involvement of:

a. Median nerve
b. Radial nerve
c. Ulnar nerve

A

c. Ulnar nerve

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5
Q

Tremors in Parkinson’s are described as:

a. Resting tremor
b. Intention tremor
c. Pill-rolling tremor

A

c. Pill-rolling tremor

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6
Q

Medications for neuropathic pain in Diabetes Mellitus include:

a. Antidepressants
b. Anticonvulsants
c. Topical agents
d. ALL

A

d. ALL

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6
Q

Muscle weakness in Myasthenia Gravis includes:

a. Fluctuating weakness
b. Weakness that worsens with activity
c. Ocular muscle involvement
d. ALL

A

d. ALL

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7
Q

Cognitive function most affected in Multiple Sclerosis:

a. Language
b. Attention
c. Memory

A

c. Memory

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7
Q

Features associated with Devic type of Multiple Sclerosis:

a. Neither
b. Myelitis
c. Both

A

b. Myelitis

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7
Q

Not recommended in the early stages of Amyotrophic Lateral Sclerosis:

a. Range of motion exercises
b. Strenuous exercises
c. Breathing exercises

A

b. Strenuous exercises

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7
Q

Paralysis of both nicotinic and muscarinic cholinergic transmission on presynaptic terminals is seen in:

a. Spinal Cord Syndrome
b. Botulism
c. Eaton Lambert Syndrome

A

b. Botulism

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7
Q

Canal paralysis excludes:

a. Loss of taste
b. Facial paralysis
c. Hearing loss

A

c. Hearing loss

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8
Q

Plasmapheresis is recommended for:

a. Myasthenia Gravis
b. Guillain-Barré Syndrome
c. Both

A

c. Both

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8
Q

Cycling may help in the management of tremors in:

a. Parkinson’s disease
b. Huntington’s disease
c. Parkinson’s disease

A

c. Parkinson’s disease

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8
Q

Most severely affected muscles in Charcot-Marie-Tooth disease:

a. Distal muscles of the feet
b. Lower leg muscles
c. Hand muscles
d. ALL

A

d. ALL

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8
Q

Management in early stages of Phase I ALS excludes:

a. Light exercises
b. Splinting
c. Breathing exercises

A

b. Splinting

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9
Q

True of Paralytic polio:

a. Atrophy of muscles is reversible
b. Atrophy of muscles is permanent
c. Spasticity is common

A

b. Atrophy of muscles is permanent

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9
Q

Primary treatment for Alcoholic Neuropathy:

a. Pain management
b. Physical therapy
c. Cessation of alcohol

A

c. Cessation of alcohol

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9
Q

Negative phenomenon in Parkinson’s disease:

a. Tremor
b. Freezing phenomenon
c. Rigidity

A

b. Freezing phenomenon

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9
Q

Hallmark sign of Tourette Syndrome:

a. Seizures
b. Muscle spasms
c. Tics

A

c. Tics

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10
Q

Nerve commonly used for biopsy:

a. Median
b. Ulnar
c. Sural

A

c. Sural

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10
Q

Findings in favor of polio:

a. Symmetric weakness
b. Patchy asymmetric weakness
c. Spasticity

A

b. Patchy asymmetric weakness

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10
Q

Presumptive diagnosis of Parkinson’s is based on:

a. Seizures
b. Tremor, rigidity, bradykinesia
c. Spasticity

A

b. Tremor, rigidity, bradykinesia

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10
Q

Inaccessible to CT scan for imaging:

a. Posterior fossa
b. Spine
c. Frontal lobes

A

a. Posterior fossa

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10
Q

Dystonia-Parkinsonism of Lubag is inherited as:

a. Autosomal dominant
b. X-linked recessive trait
c. Neither

A

b. X-linked recessive trait

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11
Q

Medication inhibiting glutamate release and considered neuroprotective:

a. Baclofen
b. Riluzole
c. Gabapentin

A

b. Riluzole

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11
Q

Drug of choice for Bell’s Palsy:

a. Antivirals
b. NSAIDs
c. Corticosteroids

A

c. Corticosteroids

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11
Q

Test to validate a seizure:

a. CT scan
b. Electroencephalogram
c. MRI

A

b. Electroencephalogram

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11
Q

Hallmark of Post-polio Syndrome:

a. Sensory loss
b. New weakness
c. Hyperreflexia

A

b. New weakness

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12
Q

Suspected brain tumor imaging:

a. CT scan
b. MRI
c. X-ray

A

b. MRI

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12
Q

Pattern most likely to occur in patients whose onset of Multiple Sclerosis occurs after age 40:

a. Relapsing-remitting
b. Chronic progressive
c. Secondary progressive

A

b. Chronic progressive

12
Q

Entrapment of the suprascapular nerve causes wasting of:

a. Infraspinatus
b. Supraspinatus
c. Deltoid

A

b. Supraspinatus

12
Q

Bulbar paralysis refers to:

a. Diplopia
b. Dysphonia
c. All

A

c. All

12
Q

Obstetric palsy facts:

a. Klumpke’s has a worse prognosis since it involves root avulsion
b. Left plexus is more involved in Erb’s palsy
c. All

A

a. Klumpke’s has a worse prognosis since it involves root avulsion

12
Q

Features of Miller Fischer variant of Guillain-Barré Syndrome:

a. Areflexia, ataxia, ophthalmoplegia
b. Spasticity, hyperreflexia, diplopia
c. Tremor, atrophy, weakness

A

a. Areflexia, ataxia, ophthalmoplegia

12
Q

Preferred muscle for muscle biopsy:

a. Quadriceps
b. Deltoid
c. Gastrocnemius

A

b. Deltoid

12
Q

A 43 year old male with proximal limb weakness, dry mouth and obtunded muscle reflexes:

a. Eaton Lambert Syndrome
b. Myasthenia Gravis
c. Botulism

A

a. Eaton Lambert Syndrome

13
Q

The following are common complications of prolonged use of neuroleptics except:

a. Tardive Dyskinesia
b. Neuroleptic Malignant Syndrome
c. Acute Dystonia or Dyskinesia

A

c. Acute Dystonia or Dyskinesia

14
Q

To assess for cerebral aneurysms, you would recommend:

a. CT scan
b. MRI
c. Angiogram

A

c. Angiogram

14
Q

Most disabling feature of Parkinson’s Disease:

a. Tremor
b. Rigidity
c. Postural instability

A

c. Postural instability

14
Q

A lumbar tap is best done between which level?:

a. L1-L2
b. L3-L4
c. L4-L5

A

b. L3-L4

14
Q

EMG-NCV tests the following:

a. Neuromuscular Junction
b. All
c. Muscle

A

b. All

14
Q

Fulminant type of Multiple Sclerosis in children:

a. Relapsing-Remitting
b. Progressive-Relapsing
c. Schilder

A

c. Schilder

14
Q

A post synaptic abnormality:

a. Botulism
b. Myasthenia Gravis
c. Lambert-Eaton Syndrome

A

b. Myasthenia Gravis

15
Q

Titubation:

a. Horizontal oscillation of the head
b. Vertical oscillation of the head
c. Tremor of the hands

A

b. Vertical oscillation of the head

15
Q

Which of the following MRI findings is considered to be highly suspicious for Multiple Sclerosis:

a. > 3 lesions of 3 mm
b. > 3 lesions of 3 cm
c. At least 1 lesion of > 3 mm

A

c. At least 1 lesion of > 3 mm

15
Q

Asterixis, a type of tremor seen in patient with end stage renal disease is best evaluated by:

a. Asking patient to reach for an object
b. Measuring muscle strength
c. Observing gait

A

a. Asking patient to reach for an object

15
Q

Muscle Denervation is seen in:

a. Myasthenia Gravis
b. Lambert-Eaton Syndrome
c. ALS

A

c. ALS

15
Q

A 40 year old male complaining of eye pain and frontal headache associated with ataxia and tremors for one month’s duration sought your help. MRI showed areas of demyelination in the periventricular areas. This patient is classified as:

a. Definite Multiple Sclerosis
b. Possible Multiple Sclerosis (MS)
c. Clinically Isolated Syndrome

A

b. Possible Multiple Sclerosis (MS)

15
Q

The following are clinical criteria for the diagnosis of CIDP:

a. Distal weakness
b. Progressive course
c. All

A

c. All

15
Q

A 32 male was recently immunized with H-Flu vaccine and reported severe pain on his right shoulder and upper arm. He noted weakness of his shoulder and upper arm muscles after 2 days. Most likely this is:

a. Brachial Plexus Neuropathy
b. Parsonage Turner Syndrome
c. Radial Neuropathy

A

b. Parsonage Turner Syndrome

15
Q

Kayser-Fleischer Rings found in the iris is one of the most prominent features of what parkinson’s plus syndrome?:

a. Multiple System Atrophy
b. Progressive Supranuclear Palsy
c. Wilson’s Disease

A

c. Wilson’s Disease

15
Q

The following manifestations are associated with poor prognosis in patients with ALS:

a. Early onset of symptoms
b. Bulbar symptoms
c. Lack of respiratory involvement

A

b. Bulbar symptoms

16
Q

In classic Amyotrophic Lateral Sclerosis, the following motor neurons are affected EXCEPT:

a. Bulbar neurons
b. Corticospinal neurons
c. Onuf’s Nucleus

A

c. Onuf’s Nucleus

16
Q

Feature of Amyotrophic Lateral Sclerosis patient in the third stage of the disease:

a. All
b. Bedridden
c. Selective weakness in the ankles, wrists and hands

A

b. Bedridden

16
Q

Criteria for the diagnosis of Restless Leg Syndrome:

a. Presence of periodic limb movements
b. All
c. Relief with movement

A

b. All

16
Q

True of Amyotrophic Lateral Sclerosis:

a. Slowly progressive common familial disorder
b. Progressive disease with no known treatment
c. Affects only lower motor neurons

A

b. Progressive disease with no known treatment

16
Q

Features of Amyotrophic Lateral Sclerosis:

a. Upper motor neuron signs
b. Lower motor neuron signs
c. ALL

A

c. ALL

16
Q

True of the Marcus Gunn phenomenon:

a. Eyes close when the mouth opens
b. Eyes move with mouth opening
c. No eye movement

A

b. Eyes move with mouth opening

16
Q

Presence of Ach receptor antibody:

a. Lambert-Eaton Syndrome
b. Botulism
c. Myasthenia Gravis

A

c. Myasthenia Gravis

16
Q

Most frequently involved cranial nerve in GBS:

a. Trigeminal
b. Glossopharyngeal
c. Facial

A

c. Facial

17
Q

Myasthenic crisis occurs:

a. In the absence of respiratory muscle weakness
b. In the presence of respiratory muscle weakness
c. In the presence of oropharyngeal and respiratory muscle weakness

A

c. In the presence of oropharyngeal and respiratory muscle weakness

17
Q

Nerve roots are more vulnerable to injury because they are:

a. Supported by less collagen
b. Slack in position
c. Protected by perineural and epineural sheaths only

A

c. Protected by perineural and epineural sheaths only

17
Q

True of Tourette Syndrome:

a. Botulinum toxin provides a complete cure
b. Management includes behavioral therapy and medications
c. It is curable with surgery

A

b. Management includes behavioral therapy and medications

17
Q

You visited a friend who sustained multiple physical injuries from a vehicular accident. There was no verbal response when you called him. When the nurse came for suctioning, you noticed his eyes opening and his extremities go into extension. What is his Glasgow Coma Scale?:

a. 3
b. 8
c. 5

A

c. 5

17
Q

Most severe form of Guillain Barre Syndrome:

a. Acute Inflammatory Demyelinating Polyneuropathy
b. Acute Motor Axonal Neuropathy
c. Chronic Inflammatory Demyelinating Polyneuropathy

A

b. Acute Motor Axonal Neuropathy

17
Q

Diagnosis of Myasthenia Gravis rests on:

a. Demonstration of response to anti-cholinergic drugs
b. Electrophysiologic evidence of incremental response to repetitive stimulation
c. Demonstration of circulating antibodies to acetylcholine receptors

A

b. Electrophysiologic evidence of incremental response to repetitive stimulation

17
Q

True of Primary Lateral Sclerosis:

a. Rapidly progressive
b. Slowly progressive common familial disorder
c. Only affects lower motor neurons

A

b. Slowly progressive common familial disorder

17
Q

Meralgia Paresthetica presents with:

a. Numbness at the ipsilateral medial thigh
b. Numbness at the contralateral lateral thigh
c. Numbness at the ipsilateral lateral thigh

A

c. Numbness at the ipsilateral lateral thigh

17
Q

The (+) Doll’s Eye Maneuver and Bell’s reflex/phenomenon is seen in what Parkinson’s Plus syndrome?:

a. Multiple System Atrophy
b. Progressive Supranuclear Palsy
c. Striatonigral degeneration

A

b. Progressive Supranuclear Palsy

17
Q

Which type of movement disorder is characterized as slow sinuous, writhing movement of the trunk, wrist, fingers and ankles?:

a. Tremor
b. Chorea
c. Athetosis

A

c. Athetosis

17
Q

Best view to evaluate the intervertebral foramina of the cervical spine:

a. Lateral
b. AP
c. Oblique

A

b. AP

17
Q

Histopathological findings of concentric rings of inflammation and demyelination is seen in:

a. Multiple Sclerosis
b. Neuromyelitis Optica
c. Balo’s Disease

A

c. Balo’s Disease

18
Q
A
18
Q
A

Med Surg 2 (5 decks)

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