NBS Neurology

Question 1

Charcot’s triad

Answer 1

Associated with cerebellum

Speech, intention tremor, nystagmus

Question 2

Test for cerebellum

Answer 2

Heel to shin
Diadochokinesia (dyssinergia)
Finger to nose (dysmetria)

Question 3

Cerebellum disease

Answer 3

MS
Alcoholism
Motor ataxia

Question 4

Cerebellum responsibility

Answer 4

Motor
Coordination
Speech
Gait

Question 5

Posterior column responsibility

Answer 5

Vibration (primary)
Sensory
2 point discrimination
Position

Question 6

Posterior column test

Answer 6

Rhomberg

2 point

Question 7

Posterior column disease

Answer 7

PLS
MS
Syphilis
Diabetes Melitus

Question 8

Charcot’s joint (Neurogenic Neurotrophic Joint) associated with which part of the brain and MC location

Answer 8

Post. Column

Ankle

Question 9

Extra pyramidal responsibility, test, disease

Answer 9

Resp: Postural
Test: Gait
Disease: Parkinson’s

Question 10

Lateral spinal thalamic - Pseudo charcot joint

Responsibility, test, disease

Answer 10

Resp: Sensory, pain temp
Test: Hot cold test tube
Dx: Syringomyelia

Question 11

Corticospinal/ Pyramidal Responsibility and test

Answer 11

Resp: Motor, voluntary
Test: Muscle test, DTR, mensuration

Question 12

Corticospinal/ Pyramidal dx

Answer 12

UMNL - myelopathy - before anterior cell

LMNL - ant. cell to periphery - radiculopathy and neuropathy

Question 13

Fasciculation in UMNL and LMNL

Answer 13

UMNL: Absent
LMNL: Present

Question 14

Superficial reflex in UMNL and LMNL

Answer 14

Absent in both

Question 15

LMNL characteristic

Answer 15

PNS, Unilateral (localized), Primary care

Question 16

UMNL characteristic (Pyramidal lesion)

Answer 16

CNS, Bilateral, Co-care

Question 17

In what pattern/ distribution is the loss of pain and temperature in lateral spinothalamic lesion?

Answer 17

Shawl distribution

Question 18

Young boys, muscle destruction, pseudohypertrophy, waddling gait, albuminuria, creatinuria, GOWER’S SIGN

Answer 18

Muscular dystrophy

Question 19

ALS involves…

Answer 19

UMNL
LMNL
Bulbar Palsy (breathing swallowing)

Question 20

ALS starts in

Answer 20

hands

Question 21

Autoimmune, myoneural junction, Intermittent (rest, nap helps), Tensilon test

Answer 21

Myasthenia Gravis

Question 22

Myasthenia gravis symptoms include

Answer 22

Diplopia, swallowing, fatigue, shoulders, head

Question 23

Non-progressive, motor disorder at birth due to anoxia, scissors gait,

Answer 23

Cerebral palsy

Question 24

Parkinsons AKA

Answer 24

Paralysis agitans

Question 25

No arm swing when walking, blank stare, oily --> associated with

Answer 25

Parkinson's

Question 26

Parkinson's tremor and gait

Answer 26

``` Resting tremor (pill rolling), Festinating gait - difficulty initiating gait ```

Question 27

5 Motor only neurological disease

Answer 27

``` Muscular dystrophy ALS Myasthenia Gravis Cerebral Palsy Parkinsons ```

Question 28

Rapidly ascending paralysis (post viral polyneuropathy), starts at the feet and deadly when it gets to the lungs, lethargic

Answer 28

``` Guillian Barre (Note Myasthenia gravis is top down affecting only the cranial muscles) ```

Question 29

Hemisectional of the spinal cord

Answer 29

Brown Sequard's

Question 30

Brown sequards cause loss of motor and paresthesia ipsi/contra and pain&temp ipsi/contra?

Answer 30

Motor&Paresthesia - Ipsi | Pain temp - Contra

Question 31

Calf weakness and sensory loss, steppage gait

Answer 31

Charcot Marie Tooth (peroneal disease)

Question 32

Foot drop due to loss of dorsiflexion, toes point down an scrape down while walking

Answer 32

Steppage gait

Question 33

Cord compression causes neurological symptoms in ... is it UMNL/LMNL

Answer 33

upper and lower extremity Myelopathy UMNL

Question 34

Cauda Equina is UMNL or LMNL and which level?

Answer 34

S2-S4 LMNL Bowel and Bladder control

Question 35

CVA (Hemiplegia) includes or spares forehead

Answer 35

Spares

Question 36

Fluid filled cavitation that expands and puts pressure on lateral spinothalamic tract. Cervical spine, pain and temp loss in shawl and capelike distribution

Answer 36

Syringomyelia

Question 37

Burning sensation on hands associated with

Answer 37

Syringomyelia

Question 38

Gastritis - pernicious anemia, paresthesia, weakness, pain and temperature loss, progressive neurological deficit, reticulocytosis (lots of big RBC)

Answer 38

PLS / Cobined system disease

Question 39

PLS test

Answer 39

Schilling's test

Question 40

Demyelination of the cord from plaque formation

Answer 40

MS

Question 41

Symptoms of MS

Answer 41

Diplopia, incontinence, exacerbation and remission, heat and humidity irritates it Note: MS associated with charcot's triad

Question 42

MS ortho test

Answer 42

Lhermitte

Question 43

MS tremor

Answer 43

Intention tremor

Question 44

MS tests

Answer 44

MRI CSF evaluation Eye exam

Question 45

TIA "refersal of blood flow", stenosis of subclavian. Overhead reaching cause dizziness

Answer 45

Subclavian steal

Question 46

Subclavian steal ddx

Answer 46

TOS

Question 47

Post trauma TIA

Answer 47

Wallenburg syndrome

Question 48

Rotate head quickly cause dizziness, post trauma, mimics meniere's

Answer 48

Barre Lieou

Question 49

Post trauma, fatiguable diziness, unpredictable

Answer 49

BPV (Benign Paroxysmal Positional Vertigo)

Question 50

Meniere's AKA

Answer 50

Endo-lyphatic-hydrops

Question 51

Meniere's symptoms

Answer 51

Tinnitus Vertigo Transient deafness

Question 52

Interruption of sympathetic to the face cause anhydrosis, ptosis, miosis

Answer 52

Horners

Question 53

Cause of Horner's

Answer 53

TOS Pancoast Syndrome Whiplash Birth

Question 54

Pancoast Syndrome

Answer 54

Bronchogenic Carcinoma Metastasis TOS (neuropathy) Horner's

Question 55

Gait AKA shuffling, mincing, propulsion. Associated with Parkinsons

Answer 55

Festination

Question 56

Aka Staggering. Associated with Cerebellum

Answer 56

Motor Ataxia

Question 57

Aka Slappage. Posterior column

Answer 57

Sensory ataxia

Question 58

Foot drop, toe drag, foot slap, tibialis anterior

Answer 58

Steppage - Charcot Marie tooth(L4)

Question 59

Lateral sway over the weight bearing leg

Answer 59

Gluteus medius lurch L5

Question 60

A-P Sway (leans back during mid stance)

Answer 60

Gluteus maximus lurch S1

Question 61

CVA, weak quads (unilateral)

Answer 61

Circumduction

Question 62

Muscular dystrophy, clumsy and weak

Answer 62

Waddling

Question 63

Cerebral palsy, adductor spasm

Answer 63

Scissors