NEUROLOGICAL EXAMINATION

Question 1

Patients who have expressive aphasia have a lesion in

the ____________.

Answer 1

dominant frontal lobe

Question 2

Patients who have alexia or dyslexia have a problem in

the _____________.

Answer 2

dominant occipital lobe

Question 3

Apraxia or inability to do common daily tasks like
washing the face, drinking, dressing up is due to a
_____________.

Answer 3

nondominant parietal lobe lesion

Question 4

Mental status abnormalities suggest a __________.

Answer 4

Cortical lesion

Question 5

Ammonia stimulates _____.

Answer 5

CN V

Question 6

Anosmia in BOTH nostrils:

Answer 6

Blocked nasal passage
Trauma
Ageing
Parkinson’s disease

Question 7

Unilateral anosmia:

Answer 7

Blocked nostril

Frontal brain lesion

Question 8

Corrected by pinhole:

Answer 8

Error of refraction

Question 9

Monocular Field Defects

Answer 9

Anterior to Optic

Chiasm

Question 10

Bitemporal Field Defects

Answer 10

Optic Chiasm

Question 11

Homonomous Field Defects

Answer 11

Behind optic chiasm

Question 12

Congruous homonomous field defects

Answer 12

Behind lateral geniculate bodies

Question 13

Lateral rectus is supplied by:

Answer 13

CN VI

Question 14

Superior oblique is supplied by:

Answer 14

CN IV

Question 15

BC > AC

Answer 15

Conductive

Question 16

AC > BC

Answer 16

Sensori-neural

Question 17

Deaf Ear

Answer 17

Conductive

Question 18

Good Ear

Answer 18

Sensori-neural

Question 19

Does not move at all

Answer 19

0/5

Question 20

Moves a little (flickers)

Answer 20

1/5

Question 21

Moves when gravity is eliminated

Answer 21

2/5

Question 22

Moves against gravity

Answer 22

3/5

Question 23

Moves against resistance but weak

Answer 23

4/5

Question 24

Normal

Answer 24

5/5

Question 25

One arm pronates and drifts downwards

Answer 25

Weakness

Question 26

Both arms drift downwards

Answer 26

Bilateral weakness

Question 27

Arm rises

Answer 27

suggests Cerebellar disease

Question 28

Fingers continuously move up and down

Answer 28

Deficit of joint position sense

Question 29

Increased tone (spasticity)

Answer 29

Upper motor neuron

Question 30

Increased reflexes + babinski

Answer 30

Upper motor neuron

Question 31

Decreased tone

Answer 31

Lower motor neuron

Question 32

Decreased absent reflexes wasting/fasciculation

Answer 32

Lower motor neuron

Question 33

C5

Answer 33

Elbow flexion | Biceps

Question 34

C6

Answer 34

``` Elbow flexion (semipronated) Brachioradialis ```

Question 35

C7

Answer 35

Wrist flexors Elbow extension Triceps

Question 36

C8

Answer 36

Finger flexors | No reflex

Question 37

T1

Answer 37

Small muscles of hand | No reflex

Question 38

L1, L2

Answer 38

Hip flexion | No reflex

Question 39

L3, L4

Answer 39

Knee extension | Knee reflex

Question 40

L5

Answer 40

Extension of great toe | No reflex

Question 41

S1

Answer 41

Hip extension, knee flexion, plantar flexion | Ankle reflex

Question 42

Absent fasciculation

Answer 42

Muscle diseases

Question 43

No babinski

Answer 43

Neuropathy | Muscle diseases

Question 44

Reflexes usually normal, occ. depressed

Answer 44

Muscle diseases

Question 45

+/- Sensory Abnormality

Answer 45

Neuropathy

Question 46

No Sensory Deficit

Answer 46

Muscle diseases

Question 47

Fasciculation

Answer 47

Neuropathy

Question 48

Intact CNS

Answer 48

Muscle diseases

Question 49

Atrophy

Answer 49

Neuropathy

Question 50

Proximal weakness >> Distal weakness, | usually symmetrical

Answer 50

Muscle diseases

Question 51

Hypo to Areflexia

Answer 51

Neuropathy

Question 52

Distal weakness >> Proximal weakness

Answer 52

Neuropathy

Question 53

Hypoactive

Answer 53

1

Question 54

Normal

Answer 54

2

Question 55

Hyperactive w/o | clonus

Answer 55

3

Question 56

Unsustained Clonus

Answer 56

4

Question 57

Sustained Clonus

Answer 57

5

Question 58

Pinprick

Answer 58

Spinothalamic tract

Question 59

Proprioception

Answer 59

Posterior column tract

Question 60

Touch sensation

Answer 60

Both tracts

Question 61

Ipsilateral cerebellar syndrome

Answer 61

Unilateral incoordination

Question 62

Midline cerebellar syndrome

Answer 62

Truncal & Gait Ataxia, without limb inco-ordination

Question 63

Spontaneous

Answer 63

4

Question 64

To speech

Answer 64

3

Question 65

To pain

Answer 65

2

Question 66

Orientated

Answer 66

5

Question 67

Confused

Answer 67

4

Question 68

Inappropriate

Answer 68

3

Question 69

Incomprehensible

Answer 69

2

Question 70

Obeying

Answer 70

6

Question 71

Localizing

Answer 71

5

Question 72

Withdrawal

Answer 72

4

Question 73

Flexion

Answer 73

3

Question 74

Extension

Answer 74

2

Question 75

Decerebrate

Answer 75

1

Question 76

Evaluation of the pupils

Answer 76

CN 2

Question 77

Evaluation of extraocular muscles

Answer 77

CN 3

Question 78

Corneal reflex testing

Answer 78

CN 5

Question 79

Gag reflex testing

Answer 79

CN 9, 10

Question 80

Ice calorics testing

Answer 80

CN 8

Question 81

Small unilateral

Answer 81

Normal

Question 82

Large bilateral supratentorial

Answer 82

Cheyne-stokes

Question 83

Large unilateral

Answer 83

Cheyne=stokes variant

Question 84

Large bilateral partial

Answer 84

Central neurogenic hyperventilation

Question 85

Large bilateral midpontine

Answer 85

Apneustic

Question 86

Large bilateral posterior fossa

Answer 86

Ataxic