Neuro Exam
Neuro exam questions
- 1.
General inspection involves:
- 2.
What are the tests for coordination?
- 3.
An upward drift of the arms with slow pronation of wrist and elbow indicates:
- A.
Upper motor neurone weakness
- B.
Cerebellar disease
- C.
Loss of proprioception
Correct Answer
B. Cerebellar diseaseExplanation
Upper motor neurone weakness - drift of affected limb(s) tends to be downwards. Drifting typically starts distally. May be slow pronation of the wrist and flexion of fingers and elbow.
Loss of proprioception is a searching movement, usually only affecting the fingers. Can be in any direction.Rate this question:
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- 4.
Which order of examination is recommended?
- A.
Sensation, Reflexes, Tone, Power, Coordination
- B.
Power, Tone, Reflexes, Sensation, Coordination
- C.
Coordination, Sensation, Power, Tone, Reflexes
- D.
Tone, Power, Reflexes, Coordination, Sensation
- E.
Tone, Power, Reflexes, Sensation, Coordination
Correct Answer
D. Tone, Power, Reflexes, Coordination, Sensation -
- 5.
What abnormality of tone is typically seen in Parkinson's disease?
- A.
Hypertonia
- B.
Myotonia
- C.
Hypotonia
- D.
Cogwheel rigidity
Correct Answer
D. Cogwheel rigidityExplanation
Hypertonia - upper motor neuron lesion
Myotonia - great increase in tone after active movementRate this question:
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- 6.
If muscle power is graded as a 3, what does this indicate?
- A.
Normal power
- B.
Movement is possible when gravity is excluded
- C.
Complete paralysis
- D.
Moderate movement against resistance
- E.
Movement is possible against gravity but not if any further resistance is added
Correct Answer
E. Movement is possible against gravity but not if any further resistance is addedExplanation
0: Complete paralysis (no movement)
1: Flicker of contraction possible
2: Movement is possible when gravity is excluded
3: Movement is possible against gravity but not if any further resistance is added.
4-: Slight movement against resistance.
4: Moderate movement against resistance.
4+: Submaximal movement against resistance.
5: Normal powerRate this question:
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- 7.
Shoulder abduction is:
- A.
Mostly deltoid and supraspinatus (C6, C7, C8)
- B.
Mostly petoralis major and latissimus dorsi (C5, C6)
- C.
Mostly deltoid and infraspinatus (C5, C6)
- D.
Mostly deltoid and supraspinatus (C5, C6)
- E.
Mostly petoralis major and latissimus dorsi (C7, C8)
Correct Answer
D. Mostly deltoid and supraspinatus (C5, C6) -
- 8.
Shoulder adduction is:
- A.
Mostly pectoralis major and latissimus dorsi (C6, C7, C8)
- B.
Mostly deltoid and latissimus dorsi (C5, C6)
- C.
Mostly latissimus dorsi and trapezius (C6, C7, C8)
- D.
Mostly deltoid and supraspinatus (C6, C7, C8)
- E.
Mostly pectoralis major and deltoid (C5, C6)
Correct Answer
A. Mostly pectoralis major and latissimus dorsi (C6, C7, C8) -
- 9.
Elbow extension is:
- A.
Triceps brachii (C7, C8)
- B.
Biceps brachii (C5, C6)
- C.
Triceps brachii (C5, C6)
- D.
Triceps brachii (C6, C7, C8)
- E.
Biceps brachii (C6, C7, C8)
Correct Answer
A. Triceps brachii (C7, C8) -
- 10.
Elbow flexion is:
- A.
Biceps brachii and brachialis (C6, C7, C8)
- B.
Biceps brachii and brachialis (C5, C6)
- C.
Biceps brachii (C6, C7, C8)
- D.
Triceps brachii (C6, C7, C8)
- E.
Triceps brachii (C7, C8)
Correct Answer
B. Biceps brachii and brachialis (C5, C6) -
- 11.
Wrist flexion and extension (respectively) are:
- A.
Flexor carpi group (C7, C8), Extensor carpi group (C7, C8)
- B.
Flexor carpi group (C6, C7), Extensor carpi ulnaris (C7, C8)
- C.
Flexor carpi ulnaris and radialis (C5, C6, C7), Extensor carpi ulnaris(C7, C8)
- D.
Flexor carpi ulnaris and radialis (C7, C8), Extensor carpi group (C6, C7)
- E.
Flexor carpi ulnaris and radialis (C6, C7), Extensor carpi group (C7, C8)
Correct Answer
E. Flexor carpi ulnaris and radialis (C6, C7), Extensor carpi group (C7, C8) -
- 12.
Finger extension and flexion are:
- A.
Extensor digitorum communis, extensor indicis, extensor digiti minimi (C6, C7), Flexor digitorum profundus and sublimis (C6, C7)
- B.
Extensor digitorum communis, extensor indicis, extensor digiti minimi (C8, T1), Flexor digitorum profundus and sublimis (C8, T1)
- C.
Extensor digitorum profundus, extensor indicis, extensor digiti minimi (C6, C7), Flexor digitorum profundus (C7, C8)
- D.
Extensor digitorum communis, extensor indicis, extensor digiti minimi (C7, C8), Flexor digitorum profundus and sublimis (C7, C8)
- E.
Extensor digitorum profundus, extensor indicis, extensor digiti minimi (C7, C8), Flexor digitorum profundus (C7, C8)
Correct Answer
D. Extensor digitorum communis, extensor indicis, extensor digiti minimi (C7, C8), Flexor digitorum profundus and sublimis (C7, C8) -
- 13.
Finger abduction and adduction:
- A.
Dorsal interossei (C7, C8), Palmar interossei (C7, C8)
- B.
Palmar interossei (C7, C8), Dorsal interossei (C7, C8)
- C.
Palmar interossei (C7, C8), Dorsal interossei (C8, T1)
- D.
Palmar interossei (C8, T1), Dorsal interossei (C8, T1)
- E.
Dorsal interossei (C8, T1), Palmar interossei (C8, T1)
Correct Answer
E. Dorsal interossei (C8, T1), Palmar interossei (C8, T1) -
- 14.
If a reflex is graded as +++, this indicates:
- A.
Absent reflex
- B.
Normal reflex
- C.
Increased, possibly normal reflex
- D.
Greatly increased, often associated with clonus
- E.
Present but reduced reflex
Correct Answer
C. Increased, possibly normal reflex -
- 15.
Biceps jerk, Triceps jerk, Brachioradialis jerk, finger jerks, correspond to:
- A.
(C5, C6), (C5, C6), (C7, C8), (C7)
- B.
(C5, C6), (C7, C8), (C5, C6), (C8)
- C.
(C5, C6), (C7, C8), (C7, C8), (C7)
- D.
(C7, C8), (C5, C6), (C7, C8), (C8)
- E.
(C5, C6), (C7, C8), (C7, C8), (T1)
Correct Answer
B. (C5, C6), (C7, C8), (C5, C6), (C8) -
- 16.
Pain and temperature are carried in the ...
Correct Answer
Spinothalamic pathway
Spinothalamic tract - 17.
The yellow distribution corresponds to:
- A.
Median nerve
- B.
Ulnar nerve
- C.
Radial nerve
- D.
Lateral cutaneous nerve
- E.
Medial cutaneous nerve
Correct Answer
A. Median nerveExplanation
Yellow - median nerve, Pink - radial nerve, Blue - ulnar nerve, Purple - medial cutaneous nerve, Green - lateral cutaneous nerve (from musculocutaneous nerve)Rate this question:
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- 18.
The blue region corresponds to:
- A.
Median nerve
- B.
Ulnar nerve
- C.
Radial nerve
- D.
Lateral cutaneous nerve
- E.
Medial cutaneous nerve
Correct Answer
B. Ulnar nerveExplanation
Yellow - median nerve, Pink - radial nerve, Blue - ulnar nerve, Purple - medial cutaneous nerve, Green - lateral cutaneous nerve (from musculocutaneous nerve)Rate this question:
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- 19.
A wrist drop is the characteristic deformity from injury to which nerve?
- A.
Median nerve
- B.
Radial nerve
- C.
Ulnar nerve
Correct Answer
B. Radial nerve -
- 20.
The medial nerve supplies:
- A.
Muscles on front of forearm (-1.5), all small muscles of hand
- B.
Muscles on back of forearm, flexor carpi ulnaris, flexor digitorum profundus (1/2)
- C.
Muscles on back of forearm, LOAF muscles of hand
- D.
Muscles on front of forearm(-1.5), LOAF muscles of hand
- E.
Muscles on back of forearm, all small muscles of hand
Correct Answer
D. Muscles on front of forearm(-1.5), LOAF muscles of hand -
- 21.
The ulnar nerve supplies all the small muscles of the hand and...
Correct Answer
flexor carpi ulnaris, ulnar half of flexor digitorum profundus
ulnar half of flexor digitorum profundus, flexor carpi ulnaris - 22.
Hip flexion is:
- A.
Psoas and iliacus (L2, L3)
- B.
Psoas and iliacus (L5, S1, S2)
Correct Answer
A. Psoas and iliacus (L2, L3) -
- 23.
Hip extension is:
- A.
Mostly gluteus maximus (L3, L4)
- B.
Mostly gluteus maximus (L5, S1, S2)
- C.
Mostly gluteus maximus (L2, L3)
Correct Answer
B. Mostly gluteus maximus (L5, S1, S2) -
- 24.
Hip abduction is:
- A.
Gluteus minimus and medius (L2, L3)
- B.
Gluteus minimus and medius, sartorius and TFL (L4, L5, S1)
- C.
Gluteus minimus and medius, sartorius and TFL (L3, L4)
- D.
Gluteus minimus and medius, sartorius and TFL (L5, S1)
Correct Answer
B. Gluteus minimus and medius, sartorius and TFL (L4, L5, S1) -
- 25.
Hip adduction is:
- A.
Adductors longus, brevis and magnus (L2, L3, L4)
- B.
Adductors longus, brevis and magnus (L4, L5)
- C.
Adductors longus, brevis and magnus (L5, S1)
Correct Answer
A. Adductors longus, brevis and magnus (L2, L3, L4) -
- 26.
Knee flexion and extension:
- A.
Hamstrings (L5, S1), Quadriceps femoris (L3, L4)
- B.
Hamstrings (L3, L4), Quadriceps femoris (L5, S1)
Correct Answer
A. Hamstrings (L5, S1), Quadriceps femoris (L3, L4) -
- 27.
Ankle plantarflexion and dorsiflexion:
- A.
Gastrocnemius, plantaris, soleus (L4, L5), tibialis anterior, extensor digitorum longus, extensor hallucis longus (S1, S2)
- B.
Gastrocnemius, plantaris, soleus (S1, S2), tibialis anterior, extensor digitorum longus, extensor hallucis longus (L4, L5)
- C.
Tibialis anterior, extensor digitorum longus, extensor hallucis longus (L4, L5), gastrocnemius, plantaris, soleus (S1, S2)
- D.
Tibialis anterior, extensor digitorum longus, extensor hallucis longus (S1, S2), gastrocnemius, plantaris, soleus (L4, L5)
Correct Answer
B. Gastrocnemius, plantaris, soleus (S1, S2), tibialis anterior, extensor digitorum longus, extensor hallucis longus (L4, L5) -
- 28.
Tarsal joint eversion and inversion:
- A.
Peroneus longus and brevis, extensor digitorum longus (L5, S1), Tibialis posterior, gastrocnemisu and hallucis longus (L5, S1)
- B.
Tibialis posterior, gastrocnemisu and hallucis longus (L5, S1), Peroneus longus and brevis, extensor digitorum longus (L5, S1)
- C.
Peroneus longus and brevis, extensor digitorum longus (L3, L4), Tibialis posterior, gastrocnemisu and hallucis longus (L3, L4)
- D.
Tibialis posterior, gastrocnemisu and hallucis longus (L3, L4), Peroneus longus and brevis, extensor digitorum longus (L3, L4)
Correct Answer
A. Peroneus longus and brevis, extensor digitorum longus (L5, S1), Tibialis posterior, gastrocnemisu and hallucis longus (L5, S1) -
- 29.
Knee jerk, Ankle jerk, Plantar reflex
- A.
(L2, L3), (S1, S2), (L5, S1, S2)
- B.
(L3, L4), (L5, S1), (S1, S2)
- C.
(L2, L3), (L5, S1), (S1, S2)
- D.
(L3, L4), (S1, S2), (L5, S1, S2)
Correct Answer
D. (L3, L4), (S1, S2), (L5, S1, S2) -
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Jan 10, 2013Quiz Edited by
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