Term
| Which Dr. Barlizo packet, need to know and differential among the diseases? |
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Definition
| MS, Cerebral palsy, poliomyelitis, peripheral neuropathy, charcot-Marie-Toothh, Dejerine Scottas Disease, Friedreeichs' ataxia, roussy levy syndrome, spinal dysraphism, refsum's disease, muscular dystrophy |
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Term
Which of the following disorder have the following characters:
weakness and secondary muscle contracture
most common sex linked inherited myopathy diagnosed early childhood
delayed milestones
confused with CP
Found in boys only |
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Definition
Muscular dystrophy
Dunchenne's |
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Term
Which of the following disorder have the following characters:
Calf muscle large and firm
Due to fatty conversion
Delayed walking
Trendelenburg gait
Grower's maneuver
No sensory deficits
Progressive muscle weakness
Cardiac involvement
Children usually wheelchair bound, early dealth due to pulmonary/cardiac disease |
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Definition
Muscular dystrophy
Dunchenne's |
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Term
Which of the following disorder have the following characters:
Failure of the mesoderm and neuroectoderm to fuse and form the neural tube
Spina bifida
Spina bifida occulta
Spina bifida cystica
Leg weakness
Equinovarus position of foot
Diminished DTR's, sensory loss feet
Associated with congenital abnormalities and mentally challenged |
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Definition
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Term
Which of the following disorder have the following characters:
Clinically manifests as a spastic deformity
Inherited autosomal dominant
No sensory component |
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Definition
| Hereditary Spastic Paraplegia |
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Term
Which of the following disorder have the following characters:
Caused by abnormal lipid metabolism
Accumulation of phytanic acid in the serum up to 50 times than normal
Associated findings
Peripheral muscle weakness, areflexia, dropfoot, pes cavus and claw toes |
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Definition
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Term
Which of the following disorder have the following characters:
similar to CMT
addition of an essential tremor, predominately expressed in the hands
Familial, slowly progressive, symmetrical neuromuscular disease
Areflexia, intrinsic pedal muscle atrophy, pes carvus, claw toes, clumsy gait, poor equilibrium and essential tremor
Severe alterations in nerve conduction and sensory dysfuntion |
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Definition
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Term
Which of the following disorder have the following characters:
Rare
Spinocerebellar degeneration causing hypertonicity and ataxia
Caused autosomal recessive inheritance
Onset childhood or adolescence
Hallmark: ataxia, cavus foot, claw toes, kyphoscoliosis
Weakness LE: anterior and lateral compartment
Imparied muscle co-cordinationn, sensory impairment function is progressive
Spinal cord and peripheral nerve degeneration
Loss of DTR, SOB, palpatations, heart disease
EMG, NCV, ECHO, glucose levels |
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Definition
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Term
Which of the following disorder have the following characters:
Most commoninherited sensorimotor symmetrical neuropathy
Begins late childhood
Slowly progressive
Autosomal dominant trait
Neurological deficits symmetrical
Progressive distal muscle wasting and weakness
Areflexia
Cavovarus deformity
Drop foot
Calf atrophy "stork leg" or "champagne bottle"
Steppage gait
Progressive atrophy of distal UE
Diminished sensation in stocking glove distribution
NCV delayed
Muscle weakness begins foot intrinsics |
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Definition
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Term
Which of the following disorder have the following characters:
Similar to CMT but more severe
Autosomal recessive or dominant
Progressive disease leading to severe disability
Onset early childhood to early adulthood
Distal weakness and sensory loos of primary the lower extremity, decreased DTR's
Peripheral nerves are enlarged and palpable due to "onion bulb" formaiton of the nerve
Nerve biopsy: concentric proliferation of Schwann cells around area of demyelination |
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Definition
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Term
| What is the diagnosis for Cerebral Palsy? |
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Definition
Based on delayed milesstones
History of low birth weight
Prematurity
Trauma, asphyxia |
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Term
Which conditions carried the following characters:
b/1 LE spasticity, scissoring gait, variable mental impairment |
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Definition
Cerebral Palsy
Spastic diplegia |
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Term
Which conditions carried the following characters:
severe b/1 UE/LE spasticity, severe interllectual impairment |
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Definition
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Term
Which conditions carried the following characters:
unilateral spastic hemiparesis, less severe mental impairment |
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Definition
| Spastic hemiplesia Cerebral palsy |
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Term
Which conditions associated lower extremity manifestations:
Drop foot: excessive strong Posterior muscle and weakness of dorsiflexors
Shortening gastrocsoleus muscle along with contracture of posterior capsule of the ankle and STJ and thickening of the neck of the talus, creates a fixed ankle equinus |
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Definition
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Term
Which conditions associated lower extremity manifestations:
Equinus deformity
Manifests as toe walking in younger child
Back heeled gait in older child
Equinovalgus deformity: diplegia (form of quadriplegia legs> arm) spasticity Peroneal/gastrocsoleus muscles
Equinovarus deformity: hemiplegia |
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Definition
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Term
Which of the following disorder have the following characters:
Anterior horn cells from a viral infection
Flaccid paralysis of those muscles innervated by those cells
Extent of paralysis variable based on number of muscle affected
Brainstem: respiratory muscles become paralyzed |
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Definition
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Term
Which of the following disorder have the following characters:
Paralyzed muscle is replaced by fibrous tissue
L2-S1, paralysis common LE
Arm involvement
Limb length discrepancies |
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Definition
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Term
Which conditions with the following transmission:
Fecal-hand-oral transmission, person to person
Virus is shed in oral secretions for several weeks, in feces for several months
Introduced into the household by children not yet toilet trained
Speads rapidly, can affect entire house hold in 4-5 days |
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Definition
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Term
Which of the following disorder have the following characters:
severe genu recurvatum
occurs to avoid collapse of the knee during stsnding due to weakness of the quadriceps
Ankle instability/drop foot results from weak anterior leg group muscles |
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Definition
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Term
Which of the following disorder have the following characters:
neuropathies combination of weakness along with numbness
Sometimes confused with myopathic disease since both result in varying degrees of weakness or absent reflexes |
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Definition
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Term
Which condition associate with:
anatomical: weakness distal m., gps DF/ intrinsics
Sensory: worse than motor loss
Atrophy: Calfs, hand, feet
DTR: diminished
Example: DM neuropathy, CMT, gullian barre |
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Definition
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Term
Which condition associate with:
Anatomical: weakness prox m. pelvic/pectoral gp
Sensory: Intact
Atrophy: Pseudoatrophy calfs fibrous tissue and fat replacing muscle
DTR: normal
Examples: muscular dystrophy |
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Definition
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Term
Which condition associate with:
Chronic immune demyelinating disease of the CNS
Characterized pathologically by plaques of inflammation, demyelination disseminated in different area of the CNS
Signs and symptoms depend on location of the lesions within brain and spinal cord
Spasticity: spastic paraparesis most common motor abnormality
Stiffness, cramps, weakness and motor fatigability
Flexor, extensor and adductor spasms occur with more severe dysfunction
Motor symptoms worsen with elevation in body temperature
Mechanism: variable conduction block in partially demylinated pathways |
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Definition
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Term
Which of the condition associate with sensory manifestations:
Numbness
paresthesia
Vertigo
Blurred vision
Diminished
Hearing |
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Definition
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Term
Which of the sensory associate with:
Posterior column
Dorsiflex and plantarflex 1st MPJ
Ask patient to identify position with eyes closed |
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Definition
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Term
Which of the sensory associate with:
Assesses lateral spinothalamic tract intergrity |
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Definition
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Term
WHich of the following reflexs showed:
Stroke lateral aspect of rom proximal to distal then across metatarsal heads
Fanning of the digits
Upper motor neuron lesion |
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Definition
| Babinskin sign-externsor-plantar sign-superficial reflexes |
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Term
WHich of the following reflexs showed:
Flexor withdrawal reflex should be elicited if a noxious stimulus is applied to the hallux
If the hallux extends towards the noxious stimuli, indicates a pyramidal tract lesion |
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Definition
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Term
| Paterllar deep tendon reflexes |
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Definition
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Term
| Achilles deep tendon reflexes |
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Definition
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Term
Which of sensory deficit show the following signs?
Inability to determine a simple object placed in the palm of a patient's hand with eyes closed or by pressing an object against the plantar aspect of the foot
May reflect parietal lobe lesion |
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Definition
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Term
Which of sensory deficit show the following signs?
the ability to distinguish between letters and numbers traced onto the palm of the hand with eyes closed |
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Definition
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Term
Which of sensory deficit show the following signs?
Anterior spinothalamic tracts and the posterior collumn
Cotton ball, monofilament, brush
Along dermatomes, distribution of a nerve |
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Definition
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Term
Which of sensory deficit show the following signs?
Posterior columns
tuning fork over bony prominences
Quantitatively using Biothesiometer |
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Definition
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