NMS Dx Questions

Question 1

28 yo female wakes up no complaints, fatigue and weakness as day progresses cannot keep eyes open

Answer 1

Myasthenia gravis

Question 2

Weakness following exercise, hyperreflexia, low ext, 32 yo female

Answer 2

LMNL

MS

Question 3

Pharyngeal afferent/efferent?

Answer 3

IX

X

Question 4

67 yo male smoker dropping eye, constrict pupil no sweat on L face

Answer 4

Horner’s syndrome

Question 5

Shock like along face several times a day few seconds

Answer 5

Trigeminal neuralgia

Question 6

Efferent accomodation

Answer 6

3

Question 7

Direct and indirect light nerves

Answer 7

Afferent - 2

Efferent - 3

Question 8

Unilateral facial paralysis cannot wrinkle eyebrow

Answer 8

Bells palsy

If can wrinkle forehead = stroke

Question 9

Hoarseness, motor funciton to larynx

Answer 9

CN IX

Question 10

LMNL sign

Answer 10

Fasciculations

Question 11

Epiglottis and laryngeal sensory

Answer 11

Vagus nerve

Question 12

Wakes up neck pain head tilt to right can’t straighten c-spine

Answer 12

Torticollis

Question 13

Stick out tongue, deviates to L

Answer 13

Hypoglossal nerve lesion

Question 14

DTR hyperactivity with intermittent clonus

Answer 14

4+

Question 15

Babinski shows

Answer 15

Dorsiflexion large toe and splaying of remaining toes

Question 16

Foot drop lesion where

Answer 16

L4, 5 (first is disc, second is nerve)

Question 17

Intercostal neuralgia ortho to confirm

Answer 17

Schepelmann’s test

Question 18

Hypesthesia lateral forearm, brachioradialis weak, what nerve root is compressed

Answer 18

C6

Question 19

Triceps nerve and nerve root

Answer 19

Radial

C7

Question 20

Plantar reflex grade and testing what

Answer 20

2

L4

Question 21

UMNL or LMNL superficial reflexes will

Answer 21

Be absent

Question 22

UMNL finding present

Answer 22

Clonus

Question 23

Yergason evaluates

Answer 23

Shoulder

Question 24

UMNL type of paralysis, LMNL type

Answer 24

UMNL = spastic
LMNL = flaccid

Question 25

Full ROM against gravity, full resistance muscle grade

Answer 25

5/5

Question 26

Weak dorsiflexion 1st toe lesion what nerve root

Answer 26

L5 (L4 disc)

Question 27

Wrist lfexion weak, inability to touch thumb to forefinger

Answer 27

Median nerve

Question 28

T1 nerve root test location

Answer 28

Medial portion of the arm

Question 29

Decreased sensation 5th digit inability to adduct thumb

Answer 29

Ulnar nerve

Question 30

Dorsal and palmar interossei which nerve root

Answer 30

T1