Strokes and Neurological examination

Question 1

If legs are affected what cerebral artery is occluded?

Answer 1

Anterior cerebral artery

Question 2

If face and arms are affected what cerebral artery is affected?

Answer 2

Middle cerebral artery

Question 3

What are symptoms of a posterior cerebral artery occlusion?

Answer 3

• Contralateral homonymous hemianopia

- Hemisensory loss and hemi-body pain (due to thalamic infarction)

Question 4

What does Romberg’s test test for?

Answer 4

Sensory ataxia (loss of proprioceptive or vestibular function, dorsal columns)

Question 5

UMNL pattern of weakness in power

Answer 5

• Extensors of arm are weak (arms are flexed)

- Flexors of hip are weak

Question 6

What are the nerve roots of the biceps reflex?

Answer 6

C5 (mostly) and C6

Question 7

What are the nerve roots for the brachioradialis reflex?

Answer 7

C5 + C6

Question 8

What is the alernative name for the brachioradialis reflex?

Answer 8

Supinator reflex

Question 9

What are the nerve roots of the triceps reflex?

Answer 9

C7 (mostly) + C6

Question 10

What are the nerve roots of the knee jerk (quadriceps) reflex?

Answer 10

L4 (mostly) + L3

Question 11

What does a pendular reflex suggest?

Answer 11

Cerebellar injury

Question 12

What are the nerve roots of the ankle jerk relfex?

Answer 12

S1 (gastrocnemius)

Question 13

What does a positive hoffman response (nail reflex thing) indicate?

Answer 13

UMN lesion of upper limb

Question 14

What is clonus suggestive of?

Answer 14

UMN lesion

Question 15

What is tandem gait?

Answer 15

Heel-toe

Question 16

Exaggerated rebound phenomenum is suggestive of what?

Answer 16

Spasticity (stroke in the cerebrum)

Question 17

Absence of rebound phenomenom is suggestive of what?

Answer 17

Cerebellar disease

Question 18

What is pronator drift suggestive of?

Answer 18

Indicates abnormal function of the corticospinal tract in the contralateral hemisphere