More Neuro Exam

Question 0

Weakness of segmental distribution 
Muscle atrophy 
Flaccidity 
Fasciculations 
Reduced or absent DTRs

Answer 0

Lower motor neuron

Question 1

Weakness of affected distribution 
Spasticity 
Hyperactive DTRs 
Clonus 
Babinski present

Answer 1

Upper motor neuron

Question 2

Lateral upper arm and shoulder sensory loss

Deltoid motor loss

Answer 2

C5 nerve root

Question 3

Dorsolateral arm, forearm, thumb sensory loss

Biceps and wrist extensor motor loss

Answer 3

C5 and C6 nerve roots

Question 4

Mid dorsal forearm, middle finger sensory loss

Triceps, wrist flexors, finger extensor motor loss

Answer 4

C7 nerve root

Question 5

Medial forearm ring and pinky finger sensory loss

HypoThenar eminence, interossi motor loss

Answer 5

C8 cervical root

Question 6

Triceps DTRs

Answer 6

C7 and C8 nerve roots

Question 7

Biceps and brachioradialus DTRs

Answer 7

C6 nerve root

Question 8

L3 nerve root lesion

Answer 8

Anterior thigh sensory
Iliospoas motor
Knee jerk DTR

Question 9

L4 nerve root lesion

Answer 9

Anterio-medial thigh to medial leg sensory
Quadriceps motor
Knee jerk DTR

Question 10

L5 nerve root lesion

Answer 10

Lateral and anterior calf sensory

Foot dorsiflexion motor

Question 11

S1 nerve root lesion

Answer 11

Posterior calf and heel sensory
Gastrocnemius plantar flexion motor
Achilles DTR

Question 12

Distal weakness
Diminished reflexes
Distal sensory loss

Answer 12

Nerve disease

Question 13

Weakness increased w/ effort
Normal reflexes
No sensory loss

Answer 13

Neuromuscular disease

Question 14

Proximal weakness
Normal to late reflexes
No sensory loss

Answer 14

Muscle disease

Question 15

Unilateral lesions ABOVE the medulla result in

Answer 15

Contralateral weakness

Question 16

Unilateral lesions BELOW the medulla result in

Answer 16

Ipsilateral weakness

Question 17

Sensory loss in first 3 digits
Motor loss of Thenar (abductor pollicis, opponens)
Nocturnal pain in forearm and first 3 digits

Answer 17

Median nerve compression

CTS

Question 18

Sensory loss 4th and 5th digits
Motor loss- HYPOTHENAR (abductor digiti minimi, first interossi)
Pain at 4th and 5th and tenderness at elbow

Answer 18

Ulnar entrapment

Question 19

Resting tremors

Answer 19

Disappears with movement

Seen with Parkinson’s

Question 20

Postural tremors

Answer 20

Appear when actively maintaining posture

Seen with benign familial tremor and hypothyroid

Question 21

Intention tremor

Answer 21

Appears when reaching for target

Seen with aging, cerebellar disease, and MS

Question 22

Rhythmic, repetitive bizarre movements of the face mouth jaw and tongue

Answer 22

Oral-facial dyskinesias

D/t psychotropic meds

Question 23

Unpredictable rapid jerky movements of face trunk and extremities

Answer 23

Chorea

Dance like

Question 24

Writhing, twisting movements if face trunk and extremities, slower than chorea

Answer 24

Athetosis Seen with CP

Question 25

Sudden rapid jerks faster than chorea

Answer 25

Myoclonus Seen with infxns, strokes, anoxia

Question 26

Upper extremity flexed LE extended Drags foot around

Answer 26

Spastic hemiparesis

Question 27

Foot drop Drag feet High knees Slap foot on floor

Answer 27

Steppage gait

Question 28

A/w loss of propioception in legs Unsteady wide gait Watch ground while walking A/w +Romberg

Answer 28

Sensory ataxia

Question 29

Staggering unsteady wise gait Increased difficulty with turns Unable to stand with eyes open or closed

Answer 29

Cerebellar ataxia

Question 30

Idiopathic degeneration of dopaminergic neurons in substantia nigra

Answer 30

Parkinson's

Question 31

``` Bradykinesia Cog-wheel rigidity Pill-rolling resting tremor Masked facies Dementia 30% ```

Answer 31

Parkinson's

Question 32

Parkinson's gait

Answer 32

Stooped Slow start Short shuffles Decreased arm swing