Speech Flashcards
1
Q
Soft, indistinct and monotonous speech?
A
Parkinsons disease
2
Q
Difference between bulbar and pseudobulbar palsy?
A
Bulbar palsy is LMN, pseudobulbar is UMN of CN IX, X, and XII
3
Q
Nasal speech with spastic tongue and increased jaw jerk?
A
Pseudobulbar palsy
4
Q
Quiet/hoarse voice with absent jaw jerk?
A
Bulbar palsy
5
Q
Slurring of speech when fatigued?
A
Myasthenia gravis
6
Q
Management of myasthenia gravis? (4)
A
Anticholinesterase e.g. pyridostigmine
Immunosuppression e.g. steroids, AZT, MTX
Thymectomy
Plasmapheresis
7
Q
How does Lambert Eaton syndrome differ from MG?
A
Tendency to hyporeflexia; autonomic involvement is common
8
Q
Which cancer is Lambert Eaton syndrome associated with?
A
Small cell carcinoma of the lung
