tailieunhanh - Neurology 4 mrcp questions book - part 7

Viêm tủy ngang ở cấp T6. 3 - cột sống dây xuyên mục ở cột sống lưng. 4 - Viêm tắc động mạch cột sống trước ở cột sống lưng. 5 - Gun bắn bị thương ở ngựa cauda. Q31: Hemi phần của tủy sống, tất cả những phát hiện sau đây là đúng sự thật, ngoại trừ: | 4- Primary spinal tumors are the commonest causes. 5- CSF protein is usually very high. Q30 Paraplegia all of the followings are true causes except 1- Parasaggittal meningioma. 2- Transverse myelitis at T6 level. 3- Spinal cord trans-section at the dorsal spine. 4- Acute anterior spinal artery occlusion at the dorsal spine. 5- Gun shot injury at the cauda equine. Q31 Hemi section of the spinal cord all of the following findings are true except 1- ipsilateral up going toe at the side of the lesion. 2- Ipsilateral loss of vibration below the level of the lesion 3- Ipsilateral loss of pain and temperature sensations below the level of the lesion 4- Ipsilateral area of dysthesia on the trunk at the level of the lesion 5- Ipsilateral lower motor neuron lesion at the level of the lesion Q32 Syringomyelia all of the followings are true except 1- Muscle wasting is usually asymmetrical to start with in both upper limbs. 2- Trophic changes are prominent in full blown picture. 3- Dissociated sensory loss. 4- Tongue involvement indicates lower brain stem involvement. 5- Usually it has a very rapid progression. Q33 Dementias in general all of the followings are true except 1- Alzheimer s disease is the commonest cause. 2- Up to 20 of people above the age of 80 years have some form of dementing illness. 3- Viotmain B12 deficiency is a potentially reversible cause. 4- All patients will Down s syndrome will develop an Alzheimer s type dementia by the age of 40 years. 5- Prominent formed visual hallucinations are in favor of Picks type dementia. Q34 Causes of proximal symmetrical myopathy all of the followings are true except 1- Hypothyroidism. 2- Chronic alcoholism. 3- Cushing s disease. 4- Osteomalacia. 5- Diabetes mellitus. Q35 Duchenne muscular dystrophy all of the followings are true except 1- Usually presents between the ages of 3-5 years. 2- There may be enlargement of the calves. 3- The CPK is high even from birth. 4- The commonest cause of death is cardiac problems. 5- .