Neurology True and False PMU 4th Year

1

In amyotrophic lateral sclerosis, no pelvic tank functions

1

Multiple sclerosis is a vascular disease of the central nervous system

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In case of damage to the right cerebellar hemisphere, patient staggers to the left

1

In subarachnoid haemorrhage no meningo-radicular syndrome is established irriation

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Parkinson's syndrome is manifested by static tremor, which is demonstrative, intensifies when moving

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Ataxia is observed in damage to the frontal lobe, cerebellum, VI cranial nerve and posterior columns of the spinal cord

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Myasthenia gravis is treated with atropine

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In bacterial meningitis, protein-cell dissociation is observed on examination of cerebrospinal fluid

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In motor aphasia, the patient does not understand speech but can speak without realising it

1

In dementias we find mild memory disorders that do not interfere with everyday patient activities

1

In polyneuropathy, simultaneous and symmetrical involvement of more is observed in peripheral nerves

1

In organic hemihypesthesia, the boundary between normal and impaired sensation is accurate in the middle line

1

Migraine, cluster and tension headaches are primary type of headaches

1

In Claude-Bernard-Horner syndrome we find ptosis, mydriasis and exophalmus

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In hemorrhagic strokes the treatment is carried out with antiplatelet and vasodilator medications

1

The treatment of multiple sclerosis outside the attack is carried out with corticosteroids

1

Dyskinesias and automatic disorders are early manifestations of Parkinson’s disease

1

In meningeal irritation syndrome, neck samples are positive rigidity, Kernig’s and Brudzinski’s symptoms

1

In myasthenia gravis, paresis and sensory disturbances are observed

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In case of injury to the neocerebellum, the patient staggers with open and closed eyes the opposite side of the injury

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In case of central damage to the facial nerve, paresis of the facial muscles is observed for whole half of the face on the same side

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In case of generalised tonic-clonic bed sores, we stir in the patients mouth so that we do not swallow the tongue and always apply Diazepam

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In case of missing knee reflex the damage may be in n. femoralis

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In the case of damage to the internal capsule on the left, left-sided hemiparesis is observed, hemihypesthesia and central damage to the 7th and 12th cranial nerves

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in Parkinson’s syndrome, bradykinesia, muscle rigidity and static are observed

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In central paralysis, muscle tone is reduced, there is muscle malnutrition and abdominal reflexes are preserved

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The pathways of the superficial and deep senses intersect in the medulla oblongata

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Epileptic seizures are a major manifestation of damage of the temporal lobe

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In complex partial seizures the consciousness of the patients is preserved

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A therapeutic approach to ischemic stroke is the use of antiplatelet agents

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The presence of pathological reflexes, hyperreflexia and spasticity are symptoms of damage to the central motor neuron

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Computed tomography is mandatory is in the diagnosis of multiple sclerosis

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Bell’s palsy is observed in damage to n. Trigeminus

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The Neri test is used when meningeal irritation is suspected

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In bacterial meningitis the level of protein in the cerebrospinal fluid is increased, and in sugar and chlorides may be reduced

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In bulbar paralysis the oral automatisms are positive and the pharyngeal reflex is reinforced

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N. glossopharyngeus is a mixed cranial nerve

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Areflexia for the Achilles reflex may be due damage n.tibilais

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In spinal cord injury at the level of cervical intumescence is observed urinary incontinence

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In polyneuropathy normal reflexes are weakened

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The cogwheel phenomenon occurs in parkinsons disease

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In transient ischemic attacks, focal neurological symptoms continue

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The reflexes of babinski’s group are extensor-tonic

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A positive Romberg test means that the patient staggers with his eyes open

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Sedative drugs are the drug of choice in treatment of myasthenic crisis

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Lateral amytrophic sclerosis is a disease in which the peripheral and central motor neuron

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A 55-year-old patient was admitted with complaints of tingling in the feet, which subsequently covered the palms as well. There were also difficulties in the movements of the lower extremities. Complaints begin 2 weeks after viral infection. From the neurological status we establish distal hypothesia for the 4 limbs as well as from weak dorsal and plantar flexion of the foot. When examining cerebrospinal fluid we find elevated protein and immunoglobulins., what is the most likely clinical diagnosis?

1

An 88-year-old patient with diabetes and hypertension was found in the morning by relatives on the ground, with immobile right limbs and unintelligible speech. When the neurological examination reveals a conjugated deviation of the head and eyes to the left, right hemiplegia, presence of Babinski on the right, as well as severe sensorimotor aphasia. Computed tomography shows evidence of hypodense zone in the left cerebellum hemisphere. What is the most likely clinical diagnosis?

1

A 60-year-old woman, after a viral infection, for about two months with prolonged walking gets tired faster. Over time this complaint has progressed, and has recently added difficulty swallowing. It is difficult for eater to swallow water. Her voice changed – became a nose. Lately her head has been tingling in the afternoon due to weakness for neck muscles. From the neurological status a pathological syndrome is established, muscle fatigue with mild ptosis, bilateral dysphonia, dysphagia, rhinolalia. Count to 10 takes 10 steps then gets tired and short of breath. Electromyography has data for decrement 59% what is the most likely clinical diagnosis?

1

A 60-year old woman with blood pressure is admitted to the emergency department with sudden severe headache, vomiting, facial distortion and weakness in the gums extremities. From the Neurological status we establish the right hemiplegia and lesion of facial nerve on the right buy central type. Computed tomography is visualised hyperdense zone in the left hemisphere. What is the most likely clinical diagnosis?

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Surgical treatment for cerebral aneurysm and subarachnoid haemorrhage is performed before the third or after the 20th day from the onset of bleeding

Quiz sobre Neurology True and False PMU 4th Year, criado por Med Student 123 em 13-06-2020.

Neurology True and False PMU 4th Year

In amyotrophic lateral sclerosis, no pelvic tank functions

Multiple sclerosis is a vascular disease of the central nervous system

In case of damage to the right cerebellar hemisphere, patient staggers to the left

In subarachnoid haemorrhage no meningo-radicular syndrome is established irriation

Parkinson's syndrome is manifested by static tremor, which is demonstrative, intensifies when moving

Ataxia is observed in damage to the frontal lobe, cerebellum, VI cranial nerve and posterior columns of the spinal cord

Myasthenia gravis is treated with atropine

In bacterial meningitis, protein-cell dissociation is observed on examination of cerebrospinal fluid

In motor aphasia, the patient does not understand speech but can speak without realising it

In dementias we find mild memory disorders that do not interfere with everyday patient activities

In polyneuropathy, simultaneous and symmetrical involvement of more is observed in peripheral nerves

In organic hemihypesthesia, the boundary between normal and impaired sensation is accurate in the middle line

Migraine, cluster and tension headaches are primary type of headaches

In Claude-Bernard-Horner syndrome we find ptosis, mydriasis and exophalmus

In hemorrhagic strokes the treatment is carried out with antiplatelet and vasodilator medications

The treatment of multiple sclerosis outside the attack is carried out with corticosteroids

Dyskinesias and automatic disorders are early manifestations of Parkinson’s disease

In meningeal irritation syndrome, neck samples are positive rigidity, Kernig’s and Brudzinski’s symptoms

In myasthenia gravis, paresis and sensory disturbances are observed

In case of injury to the neocerebellum, the patient staggers with open and closed eyes the opposite side of the injury