Somatisation / Functional Neurological Disorders

Question 1

Functional neurological disorders (FND) are symptoms affecting the neurological system that cannot be medically explained. What % of new neural referrals are due to FND?

1 - 1-2%
2 - 5-10%
3 - 25-40%
4 - >65%

Answer 1

2 - 5-10%

2nd most common reason for neurology referral and can affect ages 10-80

Question 2

Are functional neurological disorders (FND) more common in men or women?

Answer 2

• women

3:1 ratio

Question 3

Which of the following matches the definition of a factitious disorders, which is sometimes what Functional neurological disorders (FND) are described as?

1 - neurological symptoms not explained by medical tests
2 - falsified medical symptoms or signs to seek medical attention
3 - falsified medical symptoms for gain (insurance, reduced prison sentence)
4 - neuroligcal symptoms where symptoms don’t match results

Answer 3

2 - falsified medical symptoms or signs to seek medical attention

Question 4

Which of the following matches the definition of a malingering disorders, which is sometimes what functional neurological disorders (FND) are described as?

1 - neurological symptoms not explained by medical tests
2 - falsified medical symptoms or signs to seek medical attention
3 - falsified medical symptoms for gain (insurance, reduced prison sentence)
4 - neuroligcal symptoms where symptoms don’t match results

Answer 4

3 - falsified medical symptoms for gain (insurance, reduced prison sentence)

Question 5

Which of the following is NOT a functional neurological disorders (FND) type?

1 - Functional weakness
2 - Non-epileptic attacks/ seizures (aka psychogenic non-epileptic seizures among others)
3 - Functional sensory disturbance
4 - Functional vision loss
5 - Functional visual loss
6 - Functional movement disorders
7 - Functional cognitive problems

Answer 5

4 - Functional vision loss

Question 6

In functional neurological disorders (FND) do patients symptoms remain consistent throughout?

Answer 6

• no

Significant variability
- weak one minute and strong the next

Question 7

In functional neurological disorders (FND) is there any discrepancy in patients symptoms?

Answer 7

• yes

Patient may walk to the couch, but is then unable to lift their leg off the couch

Question 8

What is the name of the test where:

• patient is unable to push left/right foot heel into the bed
• upon lifting opposite foot off the bed against resistance the previously week heel push into the bed is strong

1 - trendelenburg test
2 - hoover test
3 - hoffmann’s sign
4 - heisenberg sign

Answer 8

2 - hoover test