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7 Cards in this Set

  • Front
  • Back
(Rosens)
In regards to Neuromuscular disorders, which of the following is incorrect?
A. Lesions at the level of the brainstem produce unilateral weakness.
B. Lesions below the level of the brainstem usually causes unilateral weakness.
C. Lesions of the CNS / spinal cord result in UMN signs.
D. Bilateral weakness from lesions above the spinal cord tend to be associated with mental status change of cranial nerve involvement.
B. Lesions above the brainstem USUALLY cause unilateral weakness
(Rosen)
Which is incorrect regarding The Neuromuscular Unit ?
A. It has 4 components.
B. Myopathies involve the muscle
C. Myelopathies involve the Spinal cord.
D. Radiculopathies involve the peripheral nerves.
D. Radiculopathies involve the nerve roots
Neuropathies involve the peripheral nerves.
(Rosen)
Which of the following is incorrect regarding the History taking for Weakness?
A. A post infectious autoimmune process may be transverse myelitis or Guillain Barre Syndrome.
B. The Food History may suggest Botulism.
C. A cancer history may suggest metastatic tumour causing a compressive myopathy.
D. A Travel History may suggest Tick exposure.
C. Compressive myelopathy.
(Rosens)
In regards to Neuromuscular disease, which of the following is incorrect?
A. Any complaint of difficulty swallowing or breathing raises suspicion for a life threatening bulbar involvement.
B. A bedside test used to follow ventilatory status can be to count numbers upwards with one breath, and reassess serially.
C. 2/5 strength grading = moves against gravity, but unable to resist examiner.
D. 4/5 weakness = weak but able to resist examiner.
C. 2/5 = moves, but unable to resist gravity.
3/5 = moves against gravity, but unable to resist examiner.
(Rosens)
Which of the following is correct regarding Myelopathies?
A. They have UMN dysfunction
B. The presence of pain usually connotes a compressive lesion.
C. Causes of acute painful spinal cord lesions include transverse myelitis and spinal cord infarction.
D. Sensory findings usually define the lesion level.
C. Painless
(Rosens)
Which of the following is incorrect regarding Neuromuscular disease?
A. Weakness from a neuropathy is often noted proximally, then descends.
B. Disorders of the neuromuscular junction cause progressive motor fatigueability.
C. NMJ disorders should be considered in a patient who has generalised weakness with a cranial nerve defect.
D. Botulism causes a decrease in the amount of AcH released.
A. Distally, then ascends.
(Rosens)
Which Diagnostic studies can be utilised for investigating weakness.
Laboratory:
K +
Ca2+ and PO4
TFT - myopathy
CK - Myopathy
Urinalysis - myoglobinuria (rhabdomyolyis )

CSF: GBS /Transverse myelitis

MRI : acute myelopathy