NEUROLOGICAL PHYSICAL THERAPY

A disease that ends in degeneration of the basal ganglia and cerebral cortex.

• multiple sclerosis

• Myasthenia gravis

• Huntington’s disease

• Guillain-Barre syndrome

45-year-old male that comes to the clinic with a history of pain with tingling and numbness in the right hand with thumb, index and middle finger involvement that started 2 days ago while he was at work with no history of trauma. The patient describes the pain as “needles and pins”. The discomfort gets exacerbated as he does repetitive computer work and gets mildly relieved with handshaking and change of positions.

• Thoracic outlet syndrome

• Carpal tunnel syndrome

• Guyon's canal syndrome

• none of these

Which cranial nerves involves in Bulbar palsy:

• IX, X, XI and XII

• VI,VII,VIII,XII

• VIII,X,XI,XII

• VI, X, XI and XII

A Clinical staff is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?

• Cogwheel rigidity and loss of coordination

• Visual disturbances, including diplopia

• Ascending paralysis and loss of motor function

• Progressive weakness that is worse at the day’s end

Myasthenia gravis reflects a deficiency in communication by _______________ because receptors for this neurotransmitter have been destroyed.

• Dopamine

• Acetylcholine

• Norepinephrine

• GABA

What structures pass through Guyon’s canal (ulnar tunnel at the wrist)?

• Ulnar nerve, extensor carpi ulnaris (ECU), adductor pollicis

• Ulnar nerve, ulnar artery, ECU

• Ulnar nerve, ulnar artery

• Ulnar nerve, adductor pollicis, ulnar artery

Which of the following test confirms carpal tunnel syndrome?

• Adson test

• Wright’s test

• Phalen’s test

• Roos test

Following are the signs and symptoms of arterial thoracic outlet syndrome except:

• Weak or no pulse in the affected arm

• Cold fingers, hands or arms

• Blood clot in the upper area of your body

• Hand and arm pain

Which of the following would be most appropriate in testing for myasthenia gravis?

• Kernigs sign

  (Tensilon) test

•     Brudzinski’s sign

•    Hotpack test

•     A positive edrophonium

Which of the following type of MS is the most common one?

• Relapsing –Remitting 

•    Primary Progressive  

   

• Progressive Relapsing 

     

•   Secondary Progressive