Bates Ch 17 Neuro

Question 1

diabetic patients w/ small fiber neuropathy

Answer 1

sharp, burning, shooting foot pain

Question 2

diabetics with large fiber neuropathy

Answer 2

numbness and tingling or no sensation

Question 3

dull headache increased by coughing and sneezing, especially in the same location

Answer 3

mass lesions (brain tumors, abscesses)

Question 4

POUND mnemonic for migraines

Answer 4

Pulsatile
One day
Unilateral
Nausea
Disabling

Question 5

abrupt onset of motor and sensory deficits

Answer 5

TIA and stroke

Question 6

chronic, more gradual onset of weakness in lower extremities

Answer 6

metastatic cord lesions

lumbar disc disease

Question 7

myasthenia gravis symptoms

Answer 7

asymmetric proximal muscle weakness that gets worse w/ effort

bulbar symptoms (diplopia, ptosis, dysarthria, dysphagia)

Question 8

multiple patchy areas of sensory loss in different limbs

Answer 8

mononeuritis multiplex (seen in diabetes and RA)

Question 9

scoring for early prediction of stroke 2, 7, and 90 days after TIA

Answer 9

ABCD2

Age >60

Blood pressure >140/90

Clinical features of focal weakness or impaired speech w/o focal weakness

Duration at least 1 hour

Diabetes

Question 10

the MMSE is used for

Answer 10

dementia

Question 11

loss of smell - what neuro disease

Answer 11

parkinsons

Question 12

bulging and blurred margins of optic disc

Answer 12

papilledema

Question 13

pallor of optic disc

Answer 13

optic atrophy

Question 14

optic cup enlargement

Answer 14

glaucoma

Question 15

different diameter pupils is called

Answer 15

anisocoria

Question 16

ptosis

Answer 16

CN3 palsy

Horners syndrome

myasthenia gravis

Question 17

isolated facial sensory loss

Answer 17

trigeminal neuralgia

Question 18

blinking absent in lesions of CN

Answer 18

5 or 7

Question 19

vertigo w/ hearing loss and nystagmus

Answer 19

meniere’s disease

Question 20

tongue atrophy and fasciculations

Answer 20

ALS

polio

Question 21

paresis

Answer 21

weakness

Question 22

plegia

Answer 22

paralysis

Question 23

how to grade muscle strength

Answer 23

0-5 scale

Question 24

dysdiadochokinesis occurs in

Answer 24

cerebellar disease

Question 25

finger to nose tests

Answer 25

dysmetria

Question 26

can't walk on heel

Answer 26

corticospinal tract damage

Question 27

can't walk on toes

Answer 27

distal muscle weakness in legs

Question 28

difficulty standing with feet together with eyes open or closed

Answer 28

cerebellar ataxia

Question 29

pronator drift sensitive and specific for

Answer 29

corticospinal tract lesion in CL hemisphere

Question 30

stereognosis and 2 point discrimination tests

Answer 30

posterior columns

Question 31

grading reflexes

Answer 31

0 to 4+; 2+ is normal

Question 32

slowed relaxation of reflexes

Answer 32

hypothyroidism (especially in ankle reflex)

Question 33

Brudzinski's sign

Answer 33

when you flex the neck, the hips and knees flex too (inflammation of subarachnoid space from meningitis)

Question 34

Kernig's sign

Answer 34

pain and increased resistance to extending the knee (meningitis)

Question 35

straight leg raise tests for

Answer 35

herniated disc lumbosacral radiculopathy

Question 36

no response to caloric stimulation

Answer 36

brainstem injury