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INSTRUCTIONS READ EACH QUESTION GIVE IT YOUR BEST SHOT THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT ANSWER GO TO THE NEXT SLIDE OR SLIDES FOR CLUES GOOD.

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Presentation on theme: "INSTRUCTIONS READ EACH QUESTION GIVE IT YOUR BEST SHOT THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT ANSWER GO TO THE NEXT SLIDE OR SLIDES FOR CLUES GOOD."— Presentation transcript:

1 INSTRUCTIONS READ EACH QUESTION GIVE IT YOUR BEST SHOT THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT ANSWER GO TO THE NEXT SLIDE OR SLIDES FOR CLUES GOOD LUCK! Israel Alfonso. MD

2 1. THE MOST IMPORTANT COMPONENT OF THE NEUROLOGICAL EVALUATION IS: A. HISTORY B. PHYSICAL EXAMINATION C. EEG INTERPRETATION D. MRI INTERPRETATION

3 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

4 TIME THE PHYSICAL EXAMINATION REVEALS WHAT IS PRESENT AT THE TIME AND DURING (SHORT TIME) THE EXAMINATION. THE PHYSICAL EXAMINATION REVEALS MORE INFORMATION PER TIME UNIT THAN THE HISTORY BUT LESS OVER ALL INFORMATION. HISTORY REVEALS WHAT WAS PRESENT DURING A PROLONGED PERIOD OF TIME. PE (20%) VALUE % HISTORY (80%)

5 1. THE MOST IMPORTANT COMPONENT OF THE NEUROLOGICAL EVALUATION IS: A. HISTORY B. PHYSICAL EXAMINATION C. EEG INTERPRETATION D. MRI FINDINGS

6 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

7 2.MOST CHILDREN CONTRIBUTE TO THEIR OWN MEDICAL HISTORY BY: A MONTHS B MONTHS C. 2 YEARS D. 3-4 YEARS

8 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

9 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

10 OBSERVATION PLAYING REFLEX & REACTION COMMANDS & IMITATING NEUROLOGICAL EXAMINATION 0 1/41/23/ Y6 AGE THAT A CHILD STARTS CONTRIBUTING TO HIS OWN MEDICAL HISTORICAL

11 2.MOST CHILDREN CONTRIBUTE TO THEIR OWN MEDICAL HISTORY BY: A MONTHS B MONTHS C. 2 YEARS D. 3-4 YEARS

12 3.REGRESSION OVER A LONG TIME (MORE THAN 1 YEAR) MOST LIKELY INDICATES: A. A DEGENERATIVE DISORDER B. A TUMOR C. TRAUMA D. VASCULAR ACCIDENT

13 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

14 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

15 WHICH PATHOLOGICAL PROCESS IS MORE COMPATIBLE WITH THE CLINICAL COURSE ? SEIZURESVASCULAR DEMYELINATIONTRAUMA O & GLUCOSE TOXINS INBORN ERROR OF METABOLISM INFECTIOUS TUMOR DEGENERATIVE DEFICITDEFICIT 2 ♣♦♠ ♫ ♥♪♫♦♠♥ * ♦ ♣ ♠ ♥ ♪▼ ■ ■ * ■ 1 min1 d1 w1 mo1 y ♪♫■▼♫■▼ 1 h ♣♫♫

16 3.REGRESSION OVER A LONG TIME (MORE THAN 1 YEAR) MUST LIKELY INDICATES: A. A DEGENERATIVE DISORDER B. A TUMOR C. TRAUMA D. VASCULAR ACCIDENT

17 4. A 3 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. SHOWS LIKES AND DISLIKES

18 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

19 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

20 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

21 4. A 3 MONTHS OLD SHOULD BE EXPECTED (UPPER RANGE OF NORMAL) TO DO ALL OF THE FOLLOWING, EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. SHOWS LIKES AND DISLIKES

22 5. A 3 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. PLAY PAT-A-CAKE, PEEK-A-BOO

23 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

24 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

25 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

26 5. A 3 MONTHS OLD SHOULD BE EXPECTED (UPPER RANGE OF NORMAL) TO DO ALL OF THE FOLLOWING, EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. PLAY PAT-A-CAKE, PEEK-A-BOO

27 6. AN INFANT WHO IS ABLE TO SUPPORT WEIGHT ON FOREARMS, OPENS HANDS SPONTANEOUSLY, COOS AND LAUGHS, AND SMILES APPROPRIATELY BUT IS UNABLE TO TRANSFER OBJECTS OR SHOW LIKES AND DISLIKES SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

28 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

29 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

30 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

31 6. AN INFANT WHO IS ABLE TO SUPPORT WEIGHT ON FOREARMS, OPENS HANDS SPONTANEOUSLY, COOS AND LAUGHS, AND SMILES APPROPRIATELY BUT IS UNABLE TO TRANSFER OBJECTS OR TO SHOW LIKES AND DISLIKES SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

32 7. A 6 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. SIT MOMENTARILY B. TRANSFERS OBJECTS C. IMITATE SOUNDS D. SHOWS LIKES AND DISLIKES

33 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

34 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

35 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

36 7. A 6 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SIT MOMENTARILY B. TRANSFERS OBJECTS C. IMITATE SOUNDS D. SHOWS LIKES AND DISLIKES

37 8. AN INFANT WHO IS ABLE TO PULL TO STAND, USE PINCER GRASP, PLAY PAT-A- CAKE AND PEEK-A-BOO, IMITATES SOUNDS AND SMILE APPROPRIATELY BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

38 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

39 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

40 MA…PA PA… MA 9 MA…PA PA… MA GIVE TO MOMMY ! COME TO MOMMY ! MOMMY PAPA 12

41 8. AN INFANT WHO IS ABLE TO PULL TO STAND, USE PINCER GRASP, PLAY PAT-A- CAKE AND PEEK-A-BOO, IMITATES SOUNDS AND SMILE APPROPRIATELY BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

42 9. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO RUN SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

43 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

44 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

45 MA…PA PA… MA 9 MA…PA PA… MA GIVE TO MOMMY ! COME TO MOMMY ! MOMMY PAPA 12

46 9. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO RUN SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

47 10. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, COOS AND LAUGH, PLAY PAT-A-CAKE AND PEEK-A-BOO, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

48 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

49 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

50 MA…PA PA… MA 9 MA…PA PA… MA GIVE TO MAMMY ! COME TO MAMMY ! MAMMY PAPA 12

51 THE TRICK TO ANSWER A QUESTION REGARDING DEVELOPMENTAL AGE IS TO KNOW THOSE CARTOON BY HEART (THE SAME AS THE MULTIPLICATION TABLES). THE APPROACH TO DEVELOPMENTAL QUESTIONS IS TO LOOK FOR THE ACTIONS THAT THE INFANT CAN DO (IN THE QUESTION OR IN THE ANSWERS) AND WRITE BY THE SIDE OF EVERY ACTION THE APPROPRIATE AGE. IF YOU SEE AN ACTION THAT YOU CAN NOT AGE DISREGARD IT.

52 10. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, COOS AND LAUGH, PLAY PAT-A-CAKE AND PEEK-A-BOO, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

53 11. A 12 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SIT MOMENTARILY B. USE PINCER GRASP C. COME WHEN CALLED D. MIMIC ACTIONS OF OTHERS

54 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

55 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

56 GIVE TO MOMMY ! COME TO MAMMY ! MOMMY PAPA 12 MOMMY, PAPA, YES, NO, CAT, MILK 18

57 11. A 12 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SIT MOMENTARILY = 6 B. USE PINCER GRASP = 9 C. COME WHEN CALLED = 12 D. MIMIC ACTIONS OF OTHERS = 18

58 12. A 12 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. WALK WITH ONE HAND HELD B. RELEASE AN OBJECT ON COMMAND C. COME WHEN CALLED D. FEED FROM SPOON

59 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

60 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

61 GIVE TO MOMMY ! COME TO MOMMY ! MOMMY PAPA 12 MAMMY, PAPA, YES, NO, CAT, MILK 18

62 12. A 12 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. WALK WITH ONE HAND HELD = 12 B. RELEASE AN OBJECT ON COMMAND = 12 C. COME WHEN CALLED = 12 D. FEED FROM A SPOON = 18

63 13. A CHILD WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, WALK UPSTAIRS WITH ASSISTANCE BUT IS UNABLE TO BUILD A TOWER OF SIX BLOCKS IS: A. 12 MONTHS OF AGE B. 18 MONTHS OF AGE C. 24 MONTHS OF AGE D. 36 MONTHS OF AGE

64 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

65 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

66 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

67 GIVE TO MOMMY ! COME TO MOMMY ! MOMMY PAPA 12 MOMMY, PAPA, YES, NO, CAT, MILK 18

68 GIVE ME COOKY 24

69 UNABLE 13. A CHILD WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, WALK UPSTAIRS WITH ASSISTANCE BUT IS UNABLE TO BUILD A TOWER OF SIX BLOCKS IS: A. 12 MONTHS OF AGE B. 18 MONTHS OF AGE C. 24 MONTHS OF AGE D. 36 MONTHS OF AGE

70 13. AN CHILD WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, WALK UPSTAIRS WITH ASSISTANCE BUT IS UNABLE TO BUILD A TOWER OF SIX BLOCKS IS: A. 12 MONTHS OF AGE B. 18 MONTHS OF AGE C. 24 MONTHS OF AGE D. 36 MONTHS OF AGE

71 14. AN 18 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. WALK UPSTAIRS WITH ASSISTANCE B. RELEASE AN OBJECT ON COMMAND C. FEED WITH A SPOON D. BUILD A TOWER OF SIX BLOCKS

72 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

73 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

74 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

75 GIVE TO MOMMY ! COME TO MOMMY ! MOMMY PAPA 12 MOMMY, PAPA, YES, NO, CAT, MILK 18

76 GIVE ME COOKY 24

77 14. AN 18 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. WALK UPSTAIRS WITH ASSISTANCE = 18 B. RELEASE AN OBJECT ON COMMAND =12 C. FEED WITH A SPOON =18 D. BUILD A TOWER OF SIX BLOCKS = 24

78 15. A 24 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. RUN B. PLAY WITH OTHER CHILDREN C. HAVE 5 WORD SENTENCES D. BUILD A TOWER OF SIX BLOCKS

79 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

80 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

81 GIVE TO MAMMY ! COME TO MOMMY ! MOMMY PAPA 12 MOMMY, PAPA, YES, NO, CAT, MILK 18

82 GIVE ME COOKY 24

83 15. AN 24 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. RUN = 24 B. PLAY WITH OTHER CHILDREN = 24 C. HAVE 5 WORD SENTENCES = ? D. BUILD A TOWER OF SIX BLOCKS = 24 AT 24 MONTHS, A NORMAL CHILD IS EXPECTED TO MAKE 3 WORDS SENTENCES, HE MAY MAKE 5 WORD SENTENCES BUT HE DOES NOT HAVE TO, TO BE NORMAL

84 15. AN 24 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. RUN B. PLAY WITH OTHER CHILDREN C. HAVE 5 WORD SENTENCES D. BUILD A TOWER OF SIX BLOCKS

85 16. AT HOW MANY WEEKS OF CONCEPTIONAL SHOULD CONSISTENT PERIODS OF AROUSAL BE EXPECTED? A. 26 B. 28 C. 30 D. 32

86 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

87 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

88 ASCENDING RETICULAR ACTIVATING SYSTEM ARAS OUTPUT FIBERS ARAS INPUT FIBERS SPINAL CORD MEDULLA PONS MIDBRAIN BRAIN DIENCEPHALON CORTEX CEREBRAL AROUSAL SYSTEM W AROUSAL GA

89 16. AT HOW MANY WEEKS OF GESTATION SHOULD CONSISTENT PERIODS OF AROUSAL BE EXPECTED? A. 26 B. 28 C. 30 D. 32

90 17. THE POSTERIOR FONTANEL USUALLY CLOSES BY: A. 2 WEEKS B. 3 MONTHS C. 8 WEEKS D. 8 MONTHS

91 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

92 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

93 CORONAL METOPIC SQUAMOUS LAMBDOIDAL OCCIPITAL MASTOID POSTERIOR (6-8 W) ANTERIOR SPHENOIDAL SAGITTAL (9[18]24 M)

94 17. THE POSTERIOR FONTANEL USUALLY CLOSES BY: A. 2 WEEKS B. 3 MONTHS C. 8 WEEKS D. 8 MONTHS

95 18. THE AVERAGE TIME OF CLOSURE OF THE ANTERIOR FONTANEL IS: A. 12 MONTHS B. 24 MONTHS C. 18 MONTHS D. 8 MONTHS

96 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

97 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

98 CORONAL METOPIC SQUAMOUS LAMBDOID OCCIPITAL MASTOID POSTERIOR (6-8 W) ANTERIOR SPHENOIDAL SAGITTAL (9[18]24 M)

99 18. THE AVERAGE TIME OF CLOSURE OF THE ANTERIOR FONTANEL IS: A. 12 MONTHS B. 24 MONTHS C. 18 MONTHS D. 8 MONTHS

100 19. THE ANTERIOR FONTANEL MAY CLOSE IN A NORMAL PATIENT AS EARLY AS: A. 18 MONTHS B. 9 MONTHS C. 24 MONTHS D. 6 MONTHS

101 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

102 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

103 CORONAL METOPIC SQUAMOUS LAMBDOID OCCIPITAL MASTOID POSTERIOR (6-8 W) ANTERIOR SPHENOIDAL SAGITTAL (9[18]24 M)

104 19. THE ANTERIOR FONTANEL MAY CLOSE IN A NORMAL PATIENT AS EARLY AS: A. 18 MONTHS B. 9 MONTHS C. 24 MONTHS D. 6 MONTHS

105 20. VIGOROUS CRYING CAN NOT PRODUCE A BULGING FONTANEL IN A NORMAL INFANT. A. TRUE B. FALSE

106 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

107 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

108 NO CAUSE WAS FOUND IN THIS PATIENT * *

109 20. VIGOROUS CRYING CAN NOT PRODUCE A BULGING FONTANEL IN A NORMAL INFANT. A. TRUE B. FALSE

110 21. YOU HEAR A SOFT SYMMETRICAL HEAD BRUIT IN A FEBRILE 3 YEAR OLD. WHAT SHOULD YOU DO? A. SEND HIM FOR A NEUROLOGICAL EVALUATION B. SPINAL TAP C. AN MRI OF THE BRAIN WITH CONTRAST D. DO A CBC

111 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

112 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

113 NORMALANEMIA ICP AVM FEVER < 4 Y

114 21. YOU HEAR A SOFT SYMMETRICAL HEAD BRUIT IN A FEBRILE 3 YEAR OLD. WHAT SHOULD YOU DO? A. SEND HIM FOR A NEUROLOGICAL EVALUATION B. SPINAL TAP C. AN MRI OF THE BRAIN WITH CONTRAST D. DO A CBC

115 22. THE FOLLOWING ARE COMMON FINDINGS IN A 4 YEAR WITH PAPILLEDEMA EXCEPT: A. CONSTRICTION OF THE ARTERIOLES AROUND THE DISC B. INDISTINGUISHABLE NASAL OPTIC DISC EDGE AND NORMAL TEMPORAL OPTIC DISC EDGE C. PRESERVATION OF VISUAL ACUITY AND COLOR VISION D. ENLARGED BLIND SPOT

116 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

117 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

118 ICP = NORMAL ICP = ARTERIOLE INCREASE ICP PRODUCES THE CUSHING TRIAD (BRADYCARDIA, HYPERTENSION DUE TO ARTERIOLES CONSTRICTION, AND IRREGULAR RESPIRATION), THE RETINAL VASCULATURE ARE NOT IMMUNE. CAPILLARY THE TEMPORAL EDGE IS THE FIRST TO GO.

119 NORMAL EDGE NASAL TEMPORAL DISKMACULA RLL NASAL PAPILLEDEMA HEMORRHAGE IN PAPILLEDEMA THE TEMPORAL EDGE GOES FIRST

120 22. THE FOLLOWING ARE COMMON FINDINGS IN A 4 YEAR WITH PAPILLEDEMA, EXCEPT: A. CONSTRICTION OF THE ARTERIOLES AROUND THE DISC B. INDISTINGUISHABLE NASAL OPTIC DISC EDGE AND NORMAL TEMPORAL OPTIC DISC EDGE C. PRESERVATION OF VISUAL ACUITY AND COLOR VISION D. ENLARGED BLIND SPOT

121 23. WHAT IS THE % OF NORMAL FULL TERM NEONATES WITH RETINAL HEMORRHAGES DURING THE FIRST 2 WEEKS OF LIFE? A. 10 TO 20 B. 5 TO 10 C. 30 TO 40 D. 80 TO 90

122 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

123 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

124 IN NELSON’S 13 EDITION: 10%

125 23. WHAT IS THE % OF NORMAL FULL TERM NEONATES WITH RETINAL HEMORRHAGES DURING THE FIRST 2 WEEKS OF LIFE? A. 10 TO 20 B. 5 TO 10 C. 30 TO 40 (BUT LITTLE) D. 80 TO 90

126 24. YOU LOOK AT THE FUNDI OF A 4 WEEK OLD PATIENT, YOU SEE RETINAL HEMORRHAGES. WHAT SHOULD YOU DO? A. SEND TO THE OPHTHALMOLOGIST B. TELL THE MOTHER NOT TO WORRY C. GET A CBC D. ADMIT THE PATIENT

127 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

128 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

129 NORMAL FUNDUS DISC DYSPLASIA CHERRY RED SPOT HEMORRHAGE AICARDI SYNDROME INFECTION CALCIFICATION ABUSE, ABUSE !!

130 24. YOU LOOK AT THE FUNDI OF A 4 WEEK OLD FULL TERM PATIENT, YOU SEE RETINAL HEMORRHAGES. WHAT SHOULD YOU DO? A. SEND TO THE OPHTHALMOLOGIST B. TELL THE MOTHER NOT TO WORRY C. GET A CBC D. ADMIT THE PATIENT (THE USUAL BLEED IN NORMAL FULL TERM NEONATES DO NOT LAST FOR 1 MONTH)

131 25. YOU LOOK AT THE FUNDI OF A 5 YEAR OLD PATIENT, YOU SEE A MACULAR STAR. WHAT SHOULD YOU DO? A. SEND TO THE OPHTHALMOLOGIST B. TELL THE MOTHER NOT TO WORRY C. GET A CBC D. ADMIT THE PATIENT

132 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

133 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

134 MACULAR STAR (YELLOW LINES IRRADIATING FROM MACULA): LATE SIGN OF PAPILLEDEMA, IT IS DUE TO EDEMA WITHIN THE HENLE LAYER OF THE MACULA; IT MAY ALSO OCCUR WITH PAPILLITIS.

135 25. YOU LOOK AT THE FUNDI OF A 5 YEAR OLD PATIENT, YOU SEE A MACULAR STAR. WHAT SHOULD YOU DO? A. SEND TO THE OPHTHALMOLOGIST B. TELL THE MOTHER NOT TO WORRY C. GET A CBC D. ADMIT THE PATIENT

136 26. VISUAL FIXATION AND THE ABILITY TO FOLLOW A BRILLIANT TARGET ARE PRESENT BY: A. 40 WEEKS GA B. 32 WEEKS GA C. 30 WEEKS GA D. 36 WEEKS GA

137 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

138 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

139

140 26. VISUAL FIXATION AND THE ABILITY TO FOLLOW A BRILLIANT TARGET ARE PRESENT BY: A. 40 WEEKS GA B. 32 WEEKS GA C. 30 WEEKS GA D. 36 WEEKS GA

141 27. THE NORMAL ADULT VISUAL ACUITY IS REACHED BY: A. 9 MONTHS B. 6 MONTHS C. 12 MONTHS D. 18 MONTHS

142 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

143 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

144 BABBLES 6 20/20

145 27. THE NORMAL ADULT VISUAL ACUITY IS REACHED BY: A. 9 MONTHS B. 6 MONTHS C. 12 MONTHS D. 18 MONTHS

146 28.OBJECT RECOGNITION IS THE BASIS FOR WHICH OF THE FOLLOWING EYE CHARTS: A. E GAME CHART B. SNELLEN EYE CHART C. ALLEN EYE CHART D. ALL OF THE ABOVE

147 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

148 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

149 ALLEN EYE CHART

150 28. OBJECT RECOGNITION IS THE BASIS FOR WHICH OF THE FOLLOWING EYE CHARTS: A. E GAME CHART B. SNELLEN EYE CHART C. ALLEN EYE CHART D. ALL OF THE ABOVE

151 29. THE PUPILS MAY REACT TO LIGHT AS EARLY AS _____ WEEKS OF GESTATION. A. 28 TO 32 WEEKS B. 24 TO 26 WEEKS C. 26 TO 28 WEEKS D. 22 TO 24 WEEKS

152 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

153 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

154 W PUPIL REACT TO LIGHT GA NO SOMETIMESYES

155 29. THE PUPILS MAY REACT TO LIGHT AS EARLY AS _____ WEEKS OF GESTATION. A. 28 TO 32 WEEKS B. 24 TO 26 WEEKS C. 26 TO 28 WEEKS D. 22 TO 24 WEEKS

156 30. WHICH OF THE FOLLOWING IS NOT A SIGN OF HORNER SYNDROME? A. MIOSIS B. PTOSIS C. EXOPHTHALMUS D. IPSILATERAL ANIDROSIS OF THE FACE

157 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

158 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

159 PUPILLARY REACTIVITY TO LIGHT IS NORMAL PUPILLARY ASYMMETRY WORSE IN THE DARK EXTRAOCULAR MOVEMENTS ARE NORMAL PTOSIS OF THE LOWER EYELID (1-2 MM UP ) HETEROCHROMIA IF CONGENITAL HORNER SYNDROME PTOSIS MILD (UPPER EYE LID 2-3 MM DOWN; LOWER 1-2 MM UP), PRODUCING THE APPEARANCE OF ENOPHTHALMOS), MIOSIS ANHIDROSIS (IF 1 ST OR 2 ND NEURON AFFECTED, NOT IF 3 RD NEURON IS AFFECTED). OCULOSYMPATHETIC DISORDER CHARACTERISTICS OF HORNER SYNDROME

160 30. WHICH OF THE FOLLOWING IS NOT A SIGN OF HORNER SYNDROME? A. MIOSIS B. PTOSIS C. EXOPHTHALMUS D. IPSILATERAL ANHIDROSIS OF THE FACE

161 31. EYE DROPS HELP DISTINGUISH AMONG THE DIFFERENT TYPES OF HORNER SYNDROME? A. TRUE B. FALSE

162 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

163 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

164 = = 1% H AMP 2 NOREPINEPHRINE = DEAD # 3 # 2 # 1 NEURON # 1 # 2 # 3 EYE DROPS # 3

165 31. EYE DROPS HELP DISTINGUISH AMONG THE DIFFERENT TYPES OF HORNER SYNDROME? A. TRUE B. FALSE

166 32. WHICH OF THE FOLLOWING MUSCLE IS NOT INNERVATED BY THE OCULOMOTOR NERVE? A. LEVATOR PALPEBRAE SUPERIORIS B. MUSCLE OF MULLER C. MEDIAL RECTUS D. INFERIOR OBLIQUE

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169 LR SO MR IO SR SO IR LR CN III (OCULOMOTOR) CN VI (ABDUCENT) CN IV (TROCLEAR) III C7 LPS IO SRIRMR EYE MUSCLE INNERVATION sphincter

170 32. WHICH OF THE FOLLOWING MUSCLE IS NOT INNERVATED BY THE OCULOMOTOR NERVE? A. LEVATOR PALPEBRAE SUPERIORIS B. MUSCLE OF MULLER C. MEDIAL RECTUS D. INFERIOR OBLIQUE THE MUSCLES OF MULLER (UPPER AND LOWER EYELID) IS INNERVATED BY THE SYMPATHETIC SYSTEM.

171 33. WHICH OF THE FOLLOWING MUSCLE IS NOT INNERVATED BY THE OCULOMOTOR NERVE? A. LEVATOR PALPEBRAE SUPERIORIS B. INFERIOR RECTUS C. SUPERIOR RECTUS D. DILATOR OF THE PUPIL

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174 LR MR IO SR SO IR LR CN III (OCULOMOTOR) CN VI (ABDUCENT) CN IV (TROCLEAR) III C7 LPS IO SRIRMR EYE MUSCLE INNERVATION sphincter SO

175 33. WHICH OF THE FOLLOWING MUSCLE IS NOT INNERVATED BY THE OCULOMOTOR NERVE? A. LEVATOR PALPEBRAE SUPERIORIS B. INFERIOR RECTUS C. SUPERIOR RECTUS D. DILATOR OF THE PUPIL

176 34. WHICH NERVE PALSY PRODUCES AN UPWARD AND OUTWARD DEVIATION OF THE EYE? A. OCULOMOTOR NERVE B. TROCHLEAR NERVE C. ABDUCENS NERVE D. SYMPATHETIC NERVE

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179 MR IO SR SO IR LR CN VI (ABDUCENT) CN IV (TROCLEAR) CN III (OCULOMOTOR) III C7 LPS IO SRIRMR LPS SO LR

180 MR IO SR SO IR LR CN VI (ABDUCENT) CN IV (TROCLEAR) CN III (OCULOMOTOR) III C7 LPS IO SRIRMR SO LR LPS

181 MR IO SR SO IR LR CN VI (ABDUCENT) CN IV (TROCLEAR) CN III (OCULOMOTOR) III C7 LPS IO SRIRMR SO LR LPS

182 34. WHICH NERVE PALSY PRODUCES AN UPWARD AND OUTWARD DEVIATION OF THE EYE? A. OCULOMOTOR NERVE B. TROCHLEAR NERVE C. ABDUCENS NERVE D. SYMPATHETIC NERVE

183 35. INTERNUCLEAR OPHTHALMOPLEGIA IS DUE TO A LESION OF THE: A. VESTIBULAR NUCLEUS B. CRANIAL NERVE VIII C. MEDIAL LONGITUDINAL FASCICLE D. PARAPONTINE RETICULAR FORMATION

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186 CN III (MR) INTERNUCLEAR OPHTHALMOPLEGIA MLF PPRF CN III (MR) CN VI (LR) FIBERS FROM AREA 8

187 35. INTERNUCLEAR OPHTHALMOPLEGIA IS DUE TO A LESION OF THE: A. VESTIBULAR NUCLEUS B. CRANIAL NERVE VIII C. MEDIAL LONGITUDINAL FASCICLE D. PARAPONTINE RETICULAR FORMATION

188 36. ALL OF THE FOLLOWING ARE CHARACTERISTICS OF UNILATERAL INTERNUCLEAR OPHTHALMOPLEGIA EXCEPT: A. INABILITY TO LOOK IN WITH THE ADDUCTING EYE B. NYSTAGMUS IN THE ABDUCTING EYE C. NORMAL CONVERGENCE D. FIBROSIS OF THE LATERAL RECTUS MUSCLE

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191 MR IO SR SO IR LR LPS MR IO SR SO IR LR LPS CN III (MR) 1 2

192 36. ALL OF THE FOLLOWING ARE CHARACTERISTICS OF UNILATERAL INTERNUCLEAR OPHTHALMOPLEGIA, EXCEPT: A. INABILITY TO LOOK IN WITH THE ADDUCTING EYE B. NYSTAGMUS IN THE ABDUCTING EYE C. NORMAL CONVERGENCE ( IN CONVERGENCE THE SIGNAL FOR THE ADDUCTION EYE DOES NOT TRAVEL IN THE MLF) D. FIBROSIS OF THE LATERAL RECTUS MUSCLE (DUANE SYNDROME, THE ADDUCTING EYE NEVER GO IN)

193 37. WHICH OF THE FOLLOWING MUSCLE IS AFFECTED IN A PATIENT WITH INTERNAL OPHTHALMOPLEGIA? A. DILATOR OF THE PUPIL B. SPHINCTER OF THE PUPIL C. LEVATOR PALPEBRAE SUPERIORIS D. MUSCLE OF MULLER

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196 MIDBRAIN BRAIN PRETECTAL NUCLEUS EDINGER-WESTPHAL NUCLEUS CN III CILIARY GANGLION INTERNAL OPHTHALMOPLEGIA ONLY THE PUPIL !

197 ADIE’S TONIC PUPIL BETTER RESPONSE TO NEAR THAN LIGHT NORMAL CILIARY GANGLION LESION, LEADING TO ABERRANT OF SPHINCTER MUSCLE INNERVATION BY NEURONS INTENDED TO INNERVATE THE CILIARY MUSCLE TONIC * *

198 MR IO SR SO IR LR CN VI (ABDUCENT) CN IV (TROCLEAR) CN III (OCULOMOTOR) III C7 LPS IO SRIRMR LPS SO LR HUTCHINSON PUPIL SPHINCTER

199 ARGYLL ROBISON BETTER RESPONSE TO NEAR THAN LIGHT NORMAL MIDBRAIN PRETECTAL NUCLEUS EDINGER-WESTPHAL NUCLEUS PATHWAY FOR LIGHT PATHWAY FOR NEAR ACCOMMODATION

200 INTERNAL OPHTHALMOPLEGIA IS A CN III LESION THAT ONLY AFFECTS THE PUPIL, THERE ARE TWO INTERNAL OPHTHALMOPLEGIA SYNDROMES: (1) ADIE’S TONIC PUPIL AND (2) HUTCHINSON PUPIL ARGYLL ROBINSON PUPIL IS NOT CONSIDERED AN INTERNAL OPHTHALMOPLEGIA BECAUSE ALTHOUGH IT HAS POOR LIGHT REACTIVITY, IT IS NOT ASSOCIATED WITH CN III DYSFUNCTION

201 37. WHICH OF THE FOLLOWING MUSCLE IS AFFECTED IN A PATIENT WITH INTERNAL OPHTHALMOPLEGIA? A. DILATOR OF THE PUPIL B. SPHINCTER OF THE PUPIL C. LEVATOR PALPEBRAE SUPERIORIS D. MUSCLE OF MULLER

202 38. WHICH OF THE FOLLOWING MUSCLE IS NOT AFFECTED IN A PATIENT WITH EXTERNAL OPHTHALMOPLEGIA? A. MEDIAL RECTUS B. SPHINCTER OF THE PUPIL C. SUPERIOR OBLIQUE D. INFERIOR RECTUS

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205 MR IO SR SO IR LR CN VI (ABDUCENT) CN IV (TROCLEAR) CN III (OCULOMOTOR) III C7 LPS IO SRIRMR LPS SO LR

206 38. WHICH OF THE FOLLOWING MUSCLE IS NOT AFFECTED IN A PATIENT WITH EXTERNAL OPHTHALMOPLEGIA? A. MEDIAL RECTUS B. SPHINCTER OF THE PUPIL C. SUPERIOR OBLIQUE D. INFERIOR RECTUS EXTERNAL OPHTHALMOPLEGIA: PTOSIS AND PARALYSIS OF ALL EXTRAOCULAR EYE MUSCLES

207 39. VERTICAL NYSTAGMUS AND VERTICAL DISPLACEMENT OF THE EYE IS ALWAYS ABNORMAL. A. TRUE B. FALSE

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210

211 39. VERTICAL NYSTAGMUS AND VERTICAL DISPLACEMENT OF THE EYE IS ALWAYS ABNORMAL. A. TRUE B. FALSE

212 40. THE MOTOR FUNCTION OF THE TRIGEMINAL NERVE IS TESTED BY EXAMINATION OF THE FOLLOWING MUSCLES EXCEPT: A. MASSETERS (JAW JERK) B. PTERYGOID C. TEMPORALIS MUSCLE D. DEPRESSOR ANGULARIS ORIS

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215 ABSENCE OF THE DEPRESSOR NORMAL GENERAL EVALUATION NORMAL NEUROLOGICAL EVALUATION AFFECTED SIDE OF THE LIP IS INVERTED ANGULI ORIS (LEFT) LLRR

216 40. THE MOTOR FUNCTION OF THE TRIGEMINAL NERVE IS TESTED BY EXAMINATION OF THE FOLLOWING MUSCLES, EXCEPT: A. MASSETERS (JAW JERK) B. PTERYGOID C. TEMPORALIS MUSCLE D. DEPRESSOR ANGULARIS ORIS (THIS MUSCLE IS INNERVATED BY THE FACIAL NERVE)

217 41. AT WHAT AGE WILL AN INFANT START TO LOOK IN THE DIRECTION OF THE SOUND SOURCE? A. 3 MONTHS B. 6 MONTHS C. 9 MONTHS D. 18 MONTHS

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220 COOS LAUGHS 3

221 41. AT WHAT AGE WILL AN INFANT START TO LOOK IN THE DIRECTION OF THE SOUND SOURCE? A. 3 MONTHS B. 6 MONTHS C. 9 MONTHS D. 18 MONTHS

222 42. DOLL’S EYE MANEUVER DEMONSTRATES COMPLETE EYE MOVEMENTS AS EARLY AS: A. 22 WEEKS GA B. 25 WEEKS GA C. 33 WEEKS GA D. 35 WEEKS GA

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225 LEFT R C7 CN III (MR) CN VI CN VIII 5 15 D DOLL’S MANEUVERS BIRTH W 24 GA

226 42. DOLL’S EYE MANEUVER DEMONSTRATES COMPLETE EYE MOVEMENTS AS EARLY AS: A. 22 WEEKS B. 25 WEEKS C. 33 WEEKS D. 35 WEEKS

227 43. A RUPTURED TYMPANIC MEMBRANE IS A CONTRAINDICATION FOR CALORIC TESTING. A. TRUE B. FALSE

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230 LATERAL (HORIZONTAL) POSTERIOR: (VERTICAL) UTRICULE SUPERIOR: (ROTATORY) TYMPANIC MEMBRANE CN VII VESTIBULAR GANGLION CN VIII (VESTIBULAR) CN VIII (AUDITORY) DIRTY WATER (INFECTION)

231 43. A RUPTURED TYMPANIC MEMBRANE IS A CONTRAINDICATION FOR CALORIC TESTING. A. TRUE B. FALSE

232 44. THE PATIENT’S HEAD SHOULD BE ELEVATED ___ DEGREES FOR COLD CALORIC TESTING. A. 30 B. 60 C. 90 D. 120

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235 LATERAL (HORIZONTAL) POSTERIOR: (VERTICAL) UTRICULE SUPERIOR: (ROTATORY) TYMPANIC MEMBRANE CN VII VESTIBULAR GANGLION CN VIII (VESTIBULAR) CN VIII (AUDITORY)

236 A B B C LATERAL (HORIZONTAL) PATIENT LOOKING AT YOU PATIENT LOOKING TO HIS LEFT PATIENT FLAT IN BED

237 30 0 O O A 0 O O B PATIENT FLAT IN BEDPATIENT HEAD ELEVATED

238 44. THE PATIENT’S HEAD SHOULD BE ELEVATED ___ DEGREES FOR COLD CALORIC TESTING. A. 30 B. 60 C. 90 D. 120

239 45. A HOARSE VOICE AND A WEAK GAG MAYBE A SIGN OF CN ___ INJURY. A. IX B. X C. XII D. XIII

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242 GAG X IX XII C7 X IX XII b b b XX VOCAL CORD

243 45. A HORSE VOICE AND A WEAK GAG MAYBE A SIGN OF CN ___ INJURY. A. IX B. X C. XII D. XIII

244 46. WHICH OF THE FOLLOWING SET OF CRANIAL NERVES CAN BE INJURED BY ANOMALIES IN THE REGION OF THE FORAMEN MAGNUM? A. V, IX B. XI, X C. VIII, XII D. XI, XII

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247 PONS MEDULLA MIDBRAIN CERVICAL SPINE JUGULAR FORAMEN FORAMEN MAGNUM CN XI CN X CN IX CN XII FORAMEN MAGNUM SYNDROME JUGULAR FORAMEN SYNDROME

248 46. WHICH OF THE FOLLOWING SET OF CRANIAL NERVES CAN BE INJURED BY ANOMALIES IN THE REGION OF THE FORAMEN MAGNUM? A. V, IX B. XI, X C. VIII, XII D. XI, XII THE MOST FREQUENT ANOMALY IN THE REGION OF THE FORAMEN MAGNUM IS CHIARI TYPE I

249 47. CHILD COOPERATION FOR DIRECT MUSCLE TESTING IS USUALLY PRESENT BY? A. 6 MONTHS B. 1-2 YEARS C. 3-4 YEARS D. 2½ YEARS

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252 OBSERVATION PLAYING REFLEX & REACTION COMMANDS & IMITATING NEUROLOGICAL EXAMINATION 0 1/41/23/ Y6 AGE THAT A CHILD COOPERATES FOR DIRECT MUSCLE TESTING

253 47. CHILD COOPERATION FOR DIRECT MUSCLE TESTING IS USUALLY PRESENT BY? A. 6 MONTHS B. 1-2 YEARS C. 3-4 YEARS D. 2½ YEARS

254 48. THE USE OF THE HANDS TO CLIMB UP THE LEGS TO STAND UP IS CALLED? A. MELLER LOOP B. GOWERS SIGN C. BABINSKI SIGN D. LOUPE SIGN

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257 GOWERS SIGN

258 48. THE USE OF THE HANDS TO CLIMB UP THE LEGS TO STAND UP IS CALLED? A. MELLER LOOP B. GOWERS SIGN C. BABINSKI SIGN D. LOUPE SIGN

259 49. A MUSCLE THAT SHOWS ACTIVE MOVEMENT AGAINST GRAVITY BUT NOT AGAINST RESISTANCE, SHOULD BE GRADED? A. 2 B. 3 C. 4 D. 5

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262 2: ACTIVE MOVEMENTS, NO GRAVITY (G) 3: ACTIVE MOVEMENTS AGAINST G 4: MOVEMENT AGAINST RESISTANCE & G 5: NORMAL POWER 0: NO CONTRACTION 1: TRACE OF CONTRACTION

263 49. A MUSCLE THAT SHOWS ACTIVE MOVEMENT AGAINST GRAVITY BUT NOT AGAINST RESISTANCE, SHOULD BE GRADED? A. 2: ACTIVE MOVEMENTS, NO GRAVITY (G) B. 3: ACTIVE MOVEMENTS AGAINST G C. 4: MOVEMENT AGAINST RESISTANCE & G D. 5: NORMAL POWER

264 50. THE BEST MUSCLE TO SEE FASCICULATION IS THE _____. A. BICEPS B. QUADRICEPS C. TRICEPS D. TONGUE

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267 GAG X IX XII C7 X IX XII b b b IX V VII TASTEPAIN, TEMP & TOUCH NO SUBCUTANEOUS FAT

268 50. THE BEST MUSCLE TO SEE FASCICULATION IS THE _____. A. BICEPS B. QUADRICEPS C. TRICEPS D. TONGUE

269 51. MUSCLE TONE: THE DEGREE OF RESISTANCE OF A MUSCLE WHEN AN INDIVIDUAL JOINT IS MOVED PASSIVELY. A. TRUE B. FALSE

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272 MUSCLE TONE: THE DEGREE OF RESISTANCE OF A MUSCLE WHEN AN INDIVIDUAL JOINT IS MOVED PASSIVELY

273 51. MUSCLE TONE: THE DEGREE OF RESISTANCE OF A MUSCLE WHEN AN INDIVIDUAL JOINT IS MOVED PASSIVELY? A. TRUE B. FALSE

274 52. AT TERM, DURING THE SCARF TEST THE ELBOW NORMALLY REACHES THE MIDSTERNUM. A. TRUE B. FALSE

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277

278 SHOULDER JOINT BECOMES LESS ADDUCEABLE WITH TIME

279 52. AT TERM, THE ELBOW NORMALLY DOES REACH MIDSTERNUM DURING THE SCARF TEST. A. TRUE B. FALSE 40 SHOULDER JOINT BECOMES LESS ADDUCEABLE WITH TIME

280 53. TASTE OF THE ANTERIOR TWO THIRD OF THE TONGUE IS MEDIATED BY: A. CN IX B. CN V C. CN VII D. CN XII

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283 GAG X IX XII C7 X IX XII b b b IX V VII TASTEPAIN, TEMP & TOUCH

284 53. TASTE OF THE ANTERIOR TWO THIRD OF THE TONGUE IS MEDIATED BY: A. CN IX B. CN V C. CN VII D. CN XII

285 54. AT WHAT GESTATIONAL AGE DOES THE POPLITEAL ANGLE REACH 80 DEGREE? A. 24 WEEKS B. 32 WEEKS C. 34 WEEKS D. 40 WEEKS

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288

289 THE KNEE BECOMES LESS EXTENDABLE WITH TIME

290 54. AT WHAT GESTATIONAL AGE DOES THE POPLITEAL ANGLE REACH 80 DEGREE? A. 24 WEEKS B. 32 WEEKS C. 34 WEEKS D. 40 WEEKS

291 55. INITIAL RESISTANCE TO PASSIVE MOVEMENTS FOLLOWED BY A SUDDEN RELEASE (CLASP-KNIFE PHENOMENON). A. SPASTICITY B. CLONUS C. RIGIDITY D. OPISTHOTONOS

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294

295 55. INITIAL RESISTANCE TO PASSIVE MOVEMENTS FOLLOWED BY A SUDDEN RELEASE (CLASP-KNIFE PHENOMENON). A. SPASTICITY B. CLONUS C. RIGIDITY D. OPISTHOTONOS

296 56. A NORMAL NEONATE CAN HAVE 5 TO 10 BEATS OF CLONUS IN ONE FOOT AND NONE IN THE OTHER. A. TRUE B. FALSE

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299 UP TO 10 BEATS CAN BE NORMAL BUT THEY MUST BE SYMMETRICAL

300 56. A NORMAL NEONATE CAN HAVE 5 TO 10 BEATS OF CLONUS IN ONE FOOT AND NONE IN THE OTHER? A. TRUE B. FALSE

301 57. COGWHEEL RIGIDITY IS A SIGN OF? A. PYRAMIDAL TRACT DYSFUNCTION B. CEREBELLAR DYSFUNCTION C. BASAL GANGLIA DYSFUNCTION D. ANTERIOR HORN CELL DYSFUNCTION

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304 CAUDATE NUCLEUS PUTAMEN CLAUSTRUM GLOBUS PALLIDUS AMYGDALA LENTIFORM NUCLEUS CORPUS STRIATUM CAUDATE NUCLEUS +PUTAMEN = NEOSTRIATUM GLOBUS PALLIDUS = PALEOSTRIATUM (PALLIDUM) BASAL GANGLIA RIGIDITY (COGWHEEL) CHOREA & ATHETOSIS DYSTONIA BASAL GANGLIA

305 57. COGWHEEL RIGIDITY IS A SIGN OF? A. PYRAMIDAL TRACT DYSFUNCTION B. CEREBELLAR DYSFUNCTION C. BASAL GANGLIA DYSFUNCTION D. ANTERIOR HORN CELL DYSFUNCTION THE NUCLEI INCLUDED AS BEING PART OF THE BASAL GANGLIA CHANGES FROM BOOK TO BOOK

306 58. WHICH POSTURE WOULD BE EXPECTED IN A 28 WEEK CA INFANT? A. EXTENSION IN ALL EXTREMITIES B. LOWER EXTREMITIES FLEXION C. FLEXION IN ALL EXTREMITIES D. NONE OF THE ABOVE

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309

310 58. WHICH POSTURE WOULD BE EXPECTED IN A 28 WEEK CA INFANT? A. EXTENSION IN ALL EXTREMITIES B. LOWER EXTREMITIES FLEXION C. FLEXION IN ALL EXTREMITIES D. NONE OF THE ABOVE NOTE THAT THE NEONATE GOES FROM AN EXTENDED CREATURE TO A FLEXED CREATURE; AND THAT THE LEGS FLEX SOONER THAN THE ARMS

311 59. CEREBELLAR VERMIS DAMAGE PRODUCES: A. LIMB ATAXIA B. TRUNCAL ATAXIA C. INTENTIONAL LIMB TREMOR D. FINGER TO NOSE TEST ABNORMALITIES

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314 TRUNCAL ATAXIA TITUBATION NYSTAGMUS TORTICOLLIS VERTIGO LIMB ATAXIA STATIC TREMOR DYSARTHRIA DYSMETRIA DYSDIADOCHOKINESIS DYSRHYTHMOKINESIS KINETIC TREMOR NYSTAGMUS CEREBELLAR FINDINGS BROAD-BASED GAIT

315 59. CEREBELLAR VERMIS DAMAGE PRODUCES: A. LIMB ATAXIA B. TRUNCAL ATAXIA C. INTENTIONAL LIMB TREMOR D. FINGER TO NOSE TEST ABNORMALITIES

316 60. DAMAGE (TRANSECTION) OF THE BRAINSTEM ABOVE THE LEVEL OF THE SUPERIOR COLLICULI IS MOST LIKELY TO PRODUCE? A. OPISTHOTONUS B. DECORTICATE RIGIDITY C. DECEREBRATE RIGIDITY D. ALL OF THE ABOVE

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319 DECORTICATE RIGIDITY RED NUCLEUS

320 DECEREBRATE RIGIDITY SUPERIOR COLLICULI * * WILL DISAPPEAR IF DORSAL ROOT IS CUT RED NUCLEUS VESTIBULAR NUCLEUS

321 60. DAMAGE (TRANSECTION) OF THE BRAINSTEM ABOVE THE LEVEL OF THE SUPERIOR COLLICULI IS MOST LIKELY TO PRODUCE? A. OPISTHOTONUS (NOT RELATED TO ANATOMICAL SITE OF LESION) B. DECORTICATE RIGIDITY C. DECEREBRATE RIGIDITY D. ALL OF THE ABOVE

322 61. ALL OF THE FOLLOWING ARE SIGNS OF CEREBELLAR DYSFUNCTION, EXCEPT? A. DYSMETRIA B. ROMBERG SIGN C. REBOUND D. DYSDIADOCHOKINESIA

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325 TRANSIENT MUTISM MAY OCCUR AFTER EXTENSIVE CEREBELLAR SURGERY WITH BILATERAL MANIPULATION; DYSARTHRIA TRUNCAL ATAXIA INTENTIONAL TREMOR DYSDIADOCHOKINESIA DYSMETRIA REBOUND

326 61. ALL OF THE FOLLOWING ARE SIGNS OF CEREBELLAR DYSFUNCTION, EXCEPT? A. DYSMETRIA B. ROMBERG SIGN (SPINAL CORD OR SENSORY NERVE ABNORMALITY) C. REBOUND D. DYSDIADOCHOKINESIA

327 62. CHOREA IS CHARACTERIZED BY ALL OF THE FOLLOWING, EXCEPT: A. MILK MAID SIGN AND FLAPPING HANDS B. JUMPING JACK TONGUE C. HANG UP REFLEX D. TENDENCY TO SUPINATE THE EXTENDED ARM

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330 PRONATE THE EXTENDED ARM

331 62. CHOREA IS CHARACTERIZED BY ALL OF THE FOLLOWING, EXCEPT: A. MILK MAID SIGN AND FLAPPING HANDS B. JUMPING JACK TONGUE C. HANG UP REFLEX D. TENDENCY TO SUPINATE THE EXTENDED ARM TENDENCY TO PRONATE THE EXTENDED ARM

332 63. ALL THE FOLLOWING ARE SIGN OF BASAL GANGLIA DYSFUNCTION, EXCEPT A. COGWHEEL RIGIDITY B. CHOREA AND ATHETOSIS C. REBOUND D. DYSTONIA

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335 CAUDATE NUCLEUS PUTAMEN CLAUSTRUM GLOBUS PALLIDUS AMYGDALA LENTIFORM NUCLEUS CORPUS STRIATUM CAUDATE NUCLEUS +PUTAMEN = NEOSTRIATUM GLOBUS PALLIDUS = PALEOSTRIATUM (PALLIDUM) BASAL GANGLIA RIGIDITY (COGWHEEL) CHOREA & ATHETOSIS DYSTONIA BASAL GANGLIA

336 TRUNCAL ATAXIA INTENTIONAL TREMOR DYSDIADOCHOKINESIA DYSMETRIA REBOUND

337 63. ALL THE FOLLOWING ARE SIGN OF BASAL GANGLIA DYSFUNCTION, EXCEPT A. COGWHEEL RIGIDITY B. CHOREA AND ATHETOSIS C. REBOUND D. DYSTONIA

338 64. CROSS ADDUCTOR RESPONSE IS NORMAL UNTIL? A. 6-7 MONTHS B. 1-2 YEARS C. 3-4 YEARS D. 2 ½ YEARS

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341 GASTROCNEMIUS DTRs S 1-2 L 3-4 C 5-6 C C 5-6 SOLEUS QUADRICEPS BICEPS BRACHIORADIALIS TRICEPS Musculocu- Radial Femoral Tibial taneous UP TO 6-7 M

342 64. CROSS ADDUCTOR RESPONSE IS NORMAL UNTIL? A. 6-7 MONTHS B. 1-2 YEARS C. 3-4 YEARS D. 2 ½ YEARS

343 65. INCREASED DEEP TENDON REFLEXES ARE MORE LIKELY TO OCCUR WITH ____ DYSFUNCTION? A. MYONEURAL JUNCTION B. CEREBELLUM C. CEREBRAL D. NERVE

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346 DEEP TENDON REFLEXES

347 65. INCREASED DEEP TENDON REFLEXES ARE MORE LIKELY TO OCCUR WITH ____ DYSFUNCTION? A. MYONEURAL JUNCTION B. CEREBELLUM C. CEREBRAL D. NERVE

348 66. MOST INFANT SHOW INITIAL ____ OF THE GREAT TOE ON PLANTAR STIMULATION. A. FLEXION B. EXTENSION C. PRONATION D. SUPINATION

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351 INFANT BABINSKI SIGN

352 66. MOST INFANT SHOW INITIAL ____ OF THE GREAT TOE ON PLANTAR STIMULATION. A. FLEXION B. EXTENSION C. PRONATION D. SUPINATION

353 67. AN ASYMMETRICAL MORO REFLEX MAY SIGNIFY ALL OF THE FOLLOWING EXCEPT? A. FRACTURED CLAVICLE B. BRACHIAL PLEXUS INJURY C. HEMIPARESIS D. SPASTIC QUADRIPARESIS

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356 QUADRI-HEMI-PARA-MONO- DI- = BILATERAL (CORRESPONDING LIMB OR FACE -PLEGIA = PARALYSIS -PARESIS = WEAKNESS

357 67. AN ASYMMETRICAL MORO REFLEX MAY SIGNIFY ALL OF THE FOLLOWING EXCEPT? A. FRACTURE CLAVICLE (PAIN !) B. BRACHIAL PLEXUS INJURY C. HEMIPARESIS D. SPASTIC QUADRIPARESIS

358 68. PALMAR GRASP IS FIRST ELICITED BY ___ WEEKS OF GESTATION? A. 32 B. 28 C. 35 D. 40

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361 PALMAR GRASP REFLEX & NECK TRACTION RESPONSE

362 PALMAR GRASP REFLEX CHRONIC: DECREASED BILATERAL ACUTE: DECREASED UNILATERAL WEAKNESS FACILITATED BY SUCKING 30 M W GA ONSET FULLY

363 68. PALMAR GRASP IS FIRST ELICITED BY ___ WEEKS OF GESTATION? A. 32 B. 28 C. 35 D. 40

364 69. AN OBLIGATORY ASYMMETRICAL TONIC NECK RESPONSE IS NORMAL AT 1 MONTH OF AGE. A. TRUE B. FALSE

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367 ASYMMETRICAL TONIC NECK REFLEX * ABNORMAL IF OBLIGATORY W GA FULLY M BY EXAMINER

368 69. AN OBLIGATORY ASYMMETRICAL TONIC NECK RESPONSE IS NORMAL AT 1 MONTH OF AGE? A. TRUE B. FALSE

369 70. THE PARACHUTE REFLEX COULD BE PRESENT AS EARLY AS? A MONTHS B MONTHS C MONTHS D. 18 MONTHS

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372 PARACHUTE REFLEX 60M 12 FULLY 39

373 70. THE PARACHUTE REFLEX SHOULD BE PRESENT AS EARLY AS? A. 7-8 MONTHS B MONTHS C MONTHS D. 18 MONTHS

374 71. THE ROOTING REFLEX SHOULD BE FULLY ESTABLISHED AS EARLY AS? A. 32 WEEKS B. 34 WEEKS C. 36 WEEKS D. 38 WEEKS

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377 W GA FULLY 1 ROOTING REFLEX * FROM NELSON’S *

378 ROOTING REFLEX W CA % RESULTS IN FULL TERM (FT) MANEUVER FOR GLABELLA REFLEX AND ROOTING REFLEX * FROM S. SAINT-ANNE DARGASSIES AND OTHERS *

379 71. THE ROOTING REFLEX SHOULD BE PRESENT AS EARLY AS? A. 36 WEEKS B. 34 WEEKS C. 32 WEEKS D. 38 WEEKS

380 72. THE MORO REFLEX SHOULD DISAPPEAR BY? A. 7-8 MONTHS B. 5-6 MONTHS C MONTHS D. 18 MONTHS

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383 MORO EXTENSION REFLEX W GA FULLY M

384 72. THE MORO REFLEX SHOULD DISAPPEAR BY? A. 7-8 MONTHS B. 5-6 MONTHS C MONTHS D. 18 MONTHS

385 73. CHILD COOPERATION FOR FULL SENSORY TESTING IS USUALLY PRESENT BY? A. 4-5 YEARS B. 1-2 YEARS C. 2-4 YEARS D. 2 ½ YEARS

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388 OBSERVATION PLAYING REFLEX & REACTION COMMANDS & IMITATING NEUROLOGICAL EXAMINATION 0 1/41/23/ Y6 AGE THAT A CHILD COOPERATES FOR DIRECT SENSORY TESTING

389 73. CHILD COOPERATION FOR FULL SENSORY TESTING IS USUALLY PRESENT BY? A. 4-5 YEARS B. 1-2 YEARS C. 2-4 YEARS D. 2 ½ YEARS

390 74. CIRCUMDUCTION GAIT IS A SIGN OF? A. PARAPARESIS B. QUADRIPARESIS C. HEMIPARESIS D. UPPER ARM DIPLEGIA

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393 WEAKNESS CIRCUMDUCTION GAIT

394 74. CIRCUMDUCTION GAIT IS A SIGN OF? A. PARAPARESIS B. QUADRIPARESIS C. HEMIPARESIS D. UPPER ARM DIPLEGIA

395 75. A WADDLING GAIT IS DUE TO WEAKNESS OF THE: A. TRUNK MUSCLES B. PROXIMAL LOWER LIMB MUSCLES C. DISTAL LOWER LIMB MUSCLES D. FACIAL MUSCLES

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398 TRUNK MUSCLES (SCOLIOSIS) PROXIMAL LOWER LIMB MUSCLES (WADDLING) DISTAL LOWER LIMB MUSCLES (FOOT DROP) FACIAL MUSCLES (FACIAL DIPLEGIA) SIGNS DUE TO WEAKNESS

399 75. A WADDLING GAIT IS DUE TO WEAKNESS OF THE: A. TRUNK MUSCLES B. PROXIMAL LOWER LIMB MUSCLES C. DISTAL LOWER LIMB MUSCLES D. FACIAL MUSCLES

400 76. SCOLIOSIS MAY BE DUE TO WEAKNESS OF THE? A. TRUNK MUSCLES B. PROXIMAL LOWER LIMB MUSCLES C. DISTAL LOWER LIMB MUSCLES D. FACIAL MUSCLES

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403 TRUNK MUSCLES (SCOLIOSIS) PROXIMAL LOWER LIMB MUSCLES (WADDLING) DISTAL LOWER LIMB MUSCLES (FOOT DROP) FACIAL MUSCLES (FACIAL DIPLEGIA) SIGNS DUE TO WEAKNESS

404 76. SCOLIOSIS MAY BE DUE TO WEAKNESS OF THE? A. TRUNK MUSCLES B. PROXIMAL LOWER LIMB MUSCLES C. DISTAL LOWER LIMB MUSCLES D. FACIAL MUSCLES

405 77. PROXIMAL LOWER LIMB MUSCLES WEAKNESS MAY MANIFEST BY ALL OF THE POSSIBILITIES BELOW EXCEPT: A. DIFFICULTY CLIMBING STAIRS B. COMPENSATORY LORDOSIS C. GOWER SIGN D. FLAT FEET

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408 GOWER SIGN

409 77. PROXIMAL LOWER LIMB MUSCLES WEAKNESS MAY MANIFEST BY ALL OF THE ABOVE, EXCEPT: A. DIFFICULTY CLIMBING STAIRS B. COMPENSATORY LORDOSIS C. GOWER SIGN D. FLAT FEET

410 78. POOR HEEL TO TOE OR TANDEM WALKING OCCURS WITH: A. PROXIMAL WEAKNESS B. CEREBELLAR DISEASE C. BRAIN DISEASE D. ALL OF THE ABOVE

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413 TRUNCAL ATAXIA TITUBATION NYSTAGMUS TORTICOLLIS VERTIGO LIMB ATAXIA STATIC TREMOR DYSARTHRIA DYSMETRIA DYSDIADOCHOKINESIS DYSRHYTHMOKINESIS KINETIC TREMOR NYSTAGMUS CEREBELLAR FINDINGS BROAD-BASED GAIT MUTISM

414 78. POOR HEAL TO TOE OR TANDEM WALKING OCCURS WITH: A. PROXIMAL WEAKNESS B. CEREBELLAR DISEASE C. BRAIN DISEASE D. ALL OF THE ABOVE

415 79. A 9 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SIT MOMENTARILY B. USE PINCER GRASP C. COME WHEN CALLED D. PLAY PAT-A-CAKE

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418 COOS LAUGHS BABBLES 3 6 MA…PA PA… MA 9 MA…PA PA… MA

419 GIVE TO MOMMY ! COME TO MOMMY ! MOMMY PAPA 12 MAMMY, PAPA, YES, NO, CAT 18

420 79. A 9 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. SIT MOMENTARILY B. USE PINCER GRASP C. COME WHEN CALLED D. PLAY PAT-A-CAKE

421 80. AT WHAT AGE DO MOST CHILDREN START RIDING A TRICYCLE? A. 1 YEAR B. 2 YEARS C. 3 YEARS D. 4 YEARS

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424 GIVE ME COOKY 24

425

426 80. AT WHAT AGE DO MOST CHILDREN SART RIDING A TRICYCLE? A. 1 YEAR B. 2 YEARS C. 3 YEARS D. 4 YEARS

427 81. FEAR OF DARKNESS USUALLY STARTS BY : A. 1 YEAR B. 2 YEARS C. 3 YEARS D. 4 YEARS

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430 Loss support, noise Stranger, height Animal, masks Darkness Bodily harm Fantasy (ghost) Media events Reality (tests) Death Social performance Sexuality Separation TEENSTEENS Y

431 81. FEAR OF DARKNESS USUALLY STARTS BY : A. 1 YEAR B. 2 YEARS C. 3 YEARS D. 4 YEARS

432 82. AT WHAT AGE DO MOST CHILDREN START COPYING A TRIANGLE? A. 2 YEAR B. 3 YEARS C. 4 YEARS D. 5 YEARS

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435 ADAPTIVE BEHAVIOR * * MONTHS g 2g * CAN TELL BETWEEN

436 82. AT WHAT AGE DO MOST CHILDREN START COPPING A TRIANGLE : A. 2 YEAR B. 3 YEARS C. 4 YEARS D. 5 YEARS

437 83. AT WHAT AGE DO MOST CHILDREN START THROWING A BALL OVERHAND? A. 2 YEAR B. 3 YEARS C. 4 YEARS D. 5 YEARS

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440 48 60 RED BLUE GREEN YELLOW COUNTS TO 10 COUNTS TO 4

441 83. AT WHAT AGE DO MOST CHILDREN START THROWING A BALL OVERHAND: A. 3 YEAR B. 3 YEARS C. 4 YEARS D. 5 YEARS

442 84. A CHILD WHO IS ABLE TO OPEN HIS HANDS SPONTANEOUSLY, COOS AND LAUGHS, CLIMB AND TELL WHICH LINE IS LONGER, BUT IS UNABLE TO TELL WHICH OBJECT IS HEAVIER SHOULD BE: A. 5 YEARS B. 4 YEARS C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

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445 48 60 RED BLUE GREEN YELLOW COUNTS TO 10 COUNTS TO 4

446 ADAPTIVE BEHAVIOR * * MONTHS g 2g * CAN TELL BETWEEN

447 84. A CHILD WHO IS ABLE TO OPENS HIS HANDS SPONTANEOUSLY, COOS AND LAUGHS, CLIMBS AND TELL WHICH LINE IS LONGER, BUT IS UNABLE TO TELL WHICH OBJECT IS HEAVIER SHOULD BE: A. 5 YEARS B. 4 YEARS C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

448 85. A CHILD WHO IS ABLE TO OPEN HANDS SPONTANEOUSLY, COOS AND LAUGHS, CLIMB AND TELL WHICH LINE IS LONGER, BUT IS UNABLE TO NAME 4 COLORS PROBABLY IS: A. 5 YEARS B. 4 YEARS C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

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451 48 60 RED BLUE GREEN YELLOW COUNTS TO 10 COUNTS TO 4 TO THE TOILET ALONE

452 ADAPTIVE BEHAVIOR * * MONTHS g 2g * CAN TELL BETWEEN

453 85. A CHILD WHO IS ABLE TO OPEN HIS HANDS SPONTANEOUSLY, COOS AND LAUGHS, CLIMB AND TELL WHICH LINE IS LONGER, BUT IS UNABLE TO NAME 4 COLORS PROBABLY IS: A. 5 YEARS B. 4 YEARS C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

454 86. AT WHAT AGE DO MOST CHILDREN START TO REFER TO THEMSELVES BY NAME? A. 19 MONTHS B. 4 YEARS C. 2 YEARS D. 12 MONTHS

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457 12 M FIRST WORD EXPRESSIVE LANGUAGE COMBINES 2 WORDS JARGON (1 syllable) 6 M 19 M TO SELF BY NAME 24 M # COMBINES 3 WORDS2 ½ Y 3 ½ YCOMBINES 4 WORDS SMILE TO SPEECH1.5 M WORD

458 86. AT WHAT AGE DO MOST CHILDREN START TO REFER TO THEMSELVES BY NAME? A. 19 MONTHS B. 4 YEARS C. 2 YEARS D. 12 MONTHS

459 M % A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE ATNR: ASYMMETRICAL TONIC NECK RESPONSE PT 87. TEMPORAL PATTERN OF:

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462 M % MORO REFLEX ATNR SUPPORTING NECK-RIGHTING PARACHUTE DISAPPEARS AS PER ILLINGWORTH’S DISAPPEARS AS PER NELSON’S FROM K S HOLT ATNR: ASYMMETRICAL TONIC NECK RESPONSE

463 A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE 87. TEMPORAL PATTERN OF: M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE

464 88. TEMPORAL PATTERN OF: A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE

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467 M % MORO REFLEX ATNR SUPPORTING NECK-RIGHTING PARACHUTE DISAPPEARS AS PER ILLINGWORTH’S DISAPPEARS AS PER NELSON’S FROM K S HOLT ATNR: ASYMMETRICAL TONIC NECK RESPONSE

468 88. TEMPORAL PATTERN OF: A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE

469 M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE 89. TEMPORAL PATTERN OF: PT

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472 M % MORO REFLEX ATNR SUPPORTING NECK-RIGHTING PARACHUTE DISAPPEARS AS PER ILLINGWORTH’S DISAPPEARS AS PER NELSON’S FROM K S HOLT ATNR: ASYMMETRICAL TONIC NECK RESPONSE

473 A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE 89. TEMPORAL PATTERN OF: M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE PT

474 90. TEMPORAL PATTERN OF: M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE PT

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477 M % MORO REFLEX ATNR SUPPORTING NECK-RIGHTING PARACHUTE DISAPPEARS AS PER ILLINGWORTH’S DISAPPEARS AS PER NELSON’S FROM K S HOLT ATNR: ASYMMETRICAL TONIC NECK RESPONSE

478 90. TEMPORAL PATTERN OF: A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE PT

479 91. TEMPORAL PATTERN OF: M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE

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482 M % MORO REFLEX ATNR SUPPORTING NECK-RIGHTING PARACHUTE DISAPPEARS AS PER ILLINGWORTH’S DISAPPEARS AS PER NELSON’S FROM K S HOLT ATNR: ASYMMETRICAL TONIC NECK RESPONSE

483 91. TEMPORAL PATTERN OF: A. MORO REFLEX B. ATNR C. SUPPORTING D. NECK-RIGHTING E. PARACHUTE M % ATNR: ASYMMETRICAL TONIC NECK RESPONSE

484 92. THE HEAD CIRCUMFERENCE OF A TERM INFANT AT BIRTH USUALLY IS? A CMS B CMS C CMS D CMS

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487 M HEAD GROWTH CMS CMS TERM

488 92. THE HEAD CIRCUMFERENCE OF A TERM INFANT AT BIRTH USUALLY IS? A CMS B CMS C CMS D CMS

489 93. THE HEAD CIRCUMFERENCE OF A NORMAL TERM INFANT USUALLY GROWS __ FROM 6 MONTHS TO 1 YEAR? A. 9 CMS B. 5 CMS C. 12 CMS D. 1 CM

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492 M HEAD GROWTH CMS CMS TERM

493 93. THE HEAD CIRCUMFERENCE OF A NORMAL TERM INFANT AT GROWS __ FROM 6 MONTHS TO 1 YEAR? A. 9 CMS B. 5 CMS C. 12 CMS D. 1 CM

494 94. THE HEAD CIRCUMFERENCE OF A NORMAL PRETERM INFANT (CA: 30 WEEKS) USUALLY GROWS __ FROM 34 TO 40 WEEKS? A. 9 CMS B. 6 CMS C. 3 CMS D. 1 CM

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497 12W HEAD GROWTH /W CMS PRETERM UP TO 35 CMS BY 40 WEEKS

498 94. THE HEAD CIRCUMFERENCE OF A NORMAL PRETERM INFANT (GA: 30 WEEKS) USUALLY GROWS __ FROM 34 TO 40 WEEKS? A. 9 CMS B. 6 CMS C. 3 CMS D. 1 CM

499 95. THE HEAD CIRCUMFERENCE OF A NORMAL PRETERM INFANT (GA: 30 WEEKS) SHOULD GROW __ BY 32 WEEKS? A. 9 CMS B. 6 CMS C. 3 CMS D. 1 CM

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502 1240W HEAD GROWTH /W CMS PRETERM GA

503 95. THE HEAD CIRCUMFERENCE OF A NORMAL PRETERM INFANT (GA: 30 WEEKS) SHOULD GROW ABOUT __ BY 33 WEEKS? A. 9 CMS B. 6 CMS C. 3 CMS D. 1 CM

504 96. ALL OF THE FOLLOWING FEATURES CHARACTERIZE HYSTERICAL BLINDNESS, EXCEPT: A.NORMAL FUNDUSCOPIC EXAMINATION B. PRESERVATION OF PUPILLARY LIGHT RESPONSE C. LACK OF OPTOKINETIC NYSTAGMUS D. AN EMOTIONAL STATE REFERRED AS LA BELLE INDIFFÉRENCE

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507 NORMAL FUNDUS NORMAL NORMAL OPTOKINETIC NYSTAGMUS HYSTERICAL BLINDNESS CALM DESPITE THE STORM!

508 96. ALL OF THE FOLLOWING FEATURES CHARACTERIZE HYSTERICAL BLINDNESS, EXCEPT: A. NORMAL FUNDUSCOPIC EXAMINATION B. PRESERVATION OF PUPILLARY LIGHT RESPONSE C. LACK OF OPTOKINETIC NYSTAGMUS D. AN EMOTIONAL STATE REFERRED AS “LA BELLE INDIFFÉRENCE”

509 97. ALL OF THE FOLLOWING ARE FEATURES OF HYSTERICAL VISUAL FIELD DEFECTS, EXCEPT: A. CONCENTRIC B. TUNNEL VISION C. BILATERAL D. SIZE OF DEFECT INCREASE WITH DISTANCE

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512 HYSTERICAL VISUAL FIELD DEFECTS REAL VISUAL FIELD DEFECTS DO YOU SEE IT? YES! NO! TUNNEL VISION

513 97. ALL OF THE FOLLOWING ARE FEATURES OF HYSTERICAL VISUAL FIELD DEFECTS, EXCEPT: A. CONCENTRIC B. TUNNEL VISION C. BILATERAL D. SIZE OF DEFECT INCREASE WITH DISTANCE

514 98. A 5 YEAR OLD GIRL DEVELOPS DOUBLE VISION DURING A MATH EXAM. NEUROLOGICAL EXAMINATION IS NORMAL EXCEPT FOR SUSTAINED ADDUCTION OF BOTH EYES. THE MOST LIKELY DIAGNOSIS IS? A. DUANE SYNDROME B. AICARDI SYNDROME C. SPASM OF CONVERSION D. BLOBUS HYSTERICUS

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517 SPASM OF CONVERSION FAKENO FAKE

518 98. A 5 YEAR OLD GIRL DEVELOPS DOUBLE VISION DURING A MATH EXAM. NEUROLOGICAL EXAMINATION IS NORMAL EXCEPT FOR SUSTAINED ADDUCTION OF BOTH EYES. THE MOST LIKELY DIAGNOSIS IS? A. DUANE SYNDROME B. AICARDI SYNDROME C. SPASM OF CONVERSION D. BLOBUS HYSTERICUS

519 99. ALL OF THE FOLLOWING ARE FEATURES OF ASTASIA ABASIA EXCEPT A. BIZARRE GAIT B. EXQUISITE BALANCING ACTS C. INABILITY TO STAND D. ABNORMAL NEUROLOGICAL EXAM WHILE LYING DOWN

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522 FEATURES OF ASTASIA ABASIA BIZARRE GAIT EXQUISITE BALANCING ACTS INABILITY TO STAND

523 99. ALL OF THE FOLLOWING ARE FEATURES OF ASTASIA ABASIA, EXCEPT A. BIZARRE GAIT B. EXQUISITE BALANCING ACTS C. INABILITY TO STAND D. ABNORMAL NEUROLOGICAL EXAM WHILE LYING DOWN

524 100. WHICH OF THE FOLLOWING FINDINGS IS CONSISTENT WITH A HYSTERICAL PARALYSIS? A. BABINSKI SIGN B. HOOVER SIGN C. MACEWEN SIGN D. JACK SIGN

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527 NORMAL HEMIPLEGIA HYSTERICAL HEMIPLEGIA HOOVER SIGN YOUR HAND

528 100. WHICH OF THE FOLLOWING FINDINGS IS CONSISTENT WITH A HYSTERICAL PARALYSIS? A. BABINSKI SIGN B. HOOVER SIGN C. MACEWEN SIGN D. JACK SIGN

529 101. ALL OF THE FOLLOWING ARE SIGNS OF HYSTERICAL SENSORY LOSS EXCEPT: A. IF UNILATERAL ENDS EXACTLY AT THE MIDLINE B. A DISTINCT GLOVE DISTRIBUTION C. A DISTINCT STOCKING DISTRIBUTION D. A CONSISTENT BOUNDARY

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532 HYSTERICAL SENSORY LOSS NEUROLOGICAL SENSORY LOSS INCONSISTENT BOUNDARY CONSISTENT BOUNDARY

533 101. ALL OF THE FOLLOWING ARE SIGNS OF HYSTERICAL SENSORY LOSS, EXCEPT: A. IF UNILATERAL ENDS EXACTLY AT THE MIDLINE B. A DISTINCT GLOVE DISTRIBUTION C. A DISTINCT STOKING DISTRIBUTION D. A CONSISTENT BOUNDARY

534 102. THE TONGUE IS LARGE AND MAY PROTRUDE IN, ALL OF THE FOLLOWING EXCEPT: A. CRETINISM B. GLYCOGEN STORE DISEASE C. BECKWITH SYNDROME D. TRISOMY 21

535 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

536 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

537 LARGE TONGUE A. CRETINISM B. GLYCOGEN STORE DISEASE C. BECKWITH SYNDROME SMALL MOUTH D. TRISOMY 21 PROTRUDING TONGUE

538 102. THE TONGUE IS LARGE AND MAY PROTRUDE IN, ALL OF THE FOLLOWING EXCEPT: A. CRETINISM B. GLYCOGEN STORE DISEASE C. BECKWITH SYNDROME D. TRISOMY 21 (THE PROTRUDING TONGUE IN TRISOMY 21 IS DUE TO A SHALLOW OROPHARYNX)

539 103. A HOARSE CRY IS TYPICAL OF: A. INCREASED INTRACRANIAL PRESSURE B. WERDNIG-HOFFMANN DISEASE C. CRI-DU-CHAT SYNDROME D. CRETINISM

540 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

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542 INCREASED INTRACRANIAL PRESSURE (HIGH PITCH) WERDNIG-HOFFMANN DISEASE (FEEBLE) CRI-DU-CHAT SYNDROME (CAT-LIKE) CRETINISM (HOARSE) TYPICAL CRY

543 103. A HOARSE CRY IS TYPICAL OF: A. INCREASED INTRACRANIAL PRESSURE (HIGH PITCH) B. WERDNIG-HOFFMANN DISEASE (FEEBLE) C. CRI-DU-CHAT SYNDROME (CAT- LIKE) D. CRETINISM (HOARSE)

544 104. WHICH POSTURAL REFLEX IS PERFORMED BY FLEXING AND EXTENDING THE NECK WHILE HOLDING THE INFANT IN PRONE POSITION? A.ASYMMETRICAL TONIC NECK REFLEX (ATNR) B.NECK RIGHTING REFLEX C.LANDAU REFLEX D.PARACHUTE REFLEX

545 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

546 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

547 LANDAU REFLEX PARACHUTE REFLEX NECK RIGHTING REFLEX ATNR

548 104. WHICH POSTURAL REFLEX IS PERFORMED BY FLEXING AND EXTENDING THE NECK WHILE HOLDING THE INFANT IN PRONE POSITION? A.ASYMMETRICAL TONIC NECK REFLEX (ATNR) B.NECK RIGHTING REFLEX C.LANDAU REFLEX D.PARACHUTE REFLEX

549 105. SUCKING AND ROOTING REFLEXES MAY PERSIST IN AN ASLEEP INFANT UP TO 7 MONTHS. A.TRUE B.FALSE

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552

553 105. SUCKING AND ROOTING REFLEXES MAY PERSIST IN AN ASLEEP INFANT UP TO 7 MONTHS. A.TRUE B.FALSE

554 106. A COMPLETE MORO RESPONSE IS CONSISTENTLY PRESENT IN MORE THAN 75 % OF FULL TERM NEONATES. A.TRUE B.FALSE

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557 MORO EXTENSION REFLEX % % COMPLETE ONLY LIMITED ABDUCTION W GA FULLY M IN FULL TERM NEONATES

558 106. A COMPLETE MORO RESPONSE IS PRESENT IN MORE THAN 75 % OF FULL TERM NEONATES. A.TRUE B.FALSE

559 107. THE SIZE OF THE PUPIL IS INFLUENCE BY ALL OF THE FOLLOWING EXCEPT: A.CIRCULATING NOREPINEPHRINE B. LOCAL NOREPINEPHRINE C. LOCAL ACETYLCHOLINE D. CIRCULATING ACETYLCHOLINE

560 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

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562 CIRCULATING NOREPINEPHRINE HYPOTHALAMUS CENTER OF BUDGE SUPERIOR CERVICAL GANGLION FIRST NEURON SECOND NEURON THIRD NEURON OCULOSYMPATHETIC PATHWAY

563 107. THE SIZE OF THE PUPIL IS INFLUENCE BY ALL OF THE FOLLOWING, EXCEPT: A.CIRCULATING NOREPINEPHRINE B. LOCAL NOREPINEPHRINE C. LOCAL ACETYLCHOLINE D. CIRCULATING ACETYLCHOLINE

564 108. THE RECEPTORS IN THE PUPILLARY SPHINCTER ARE: A. MUSCARINIC B. NICOTINIC C. NOREPINEPHRINE D. NONE OF THE ABOVE

565 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

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567 Achetylcholine Muscarinic Sphincter PARASYMPATHETICSYMPATHETIC Norepinephrine (NE) Dilator OCULOMOTOR NERVE STIMULUS Receptor

568 108. THE RECEPTORS IN THE PUPILLARY SPHINCTER ARE: A.MUSCARINIC RECEPTORS B. NICOTINIC RECEPTORS C. NOREPINEPHRINE RECEPTORS D. NONE OF THE ABOVE

569 109. WHICH OF THE FOLLOWING GEOMETRICAL FIGURE WILL A CHILD DRAW FIRST: A. A CIRCLE B. A SQUARE C. A TRIANGLE D. A PENTAGON

570 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

571 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

572 ADAPTIVE BEHAVIOR * * MONTHS g 2g * CAN TELL BETWEEN

573 109. WHICH OF THE FOLLOWING SHAPES WILL A CHILD DRAW FIRST: A. CIRCLE B. SQUARE C. TRIANGLE D. PENTAGON

574 109. WHICH OF THE FOLLOWING A CHILD DO FIRST: A. DROP A SMALL PEBBLE IN BOTTLE B. TAKE A SMALL PEBBLE OUT OF A BOTTLE C. DRAW A SQUARE D. DRAW A TRIANGLE

575 SHOW ME THE QUESTION AGAIN GO TO THE NEXT QUESTION I WANT TO SEE A CLUE, ANYWAY

576 I WANT TO TRY AGAIN JUST GIVE ME THE ANSWER GIVE ME A CLUE

577 ADAPTIVE BEHAVIOR * * MONTHS g 2g * CAN TELL BETWEEN

578 109. WHICH OF THE FOLLOWING A CHILD DO FIRST: A. DROP A SMALL PEBBLE IN BOTTLE B. TAKE A SMALL PEBBLE OUT OF A BOTTLE C. DRAW A SQUARE D. DRAW A TRIANGLE

579 THE END


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