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Neuropathies

মোট প্রশ্ন৩৬এই পাতা৩৬প্রতি পাতা১০০
ঘনত্ব
উত্তর
উত্তরিতবর্তমানপুনরায় দেখুনঅসম্পূর্ণ

Neuropathies

PrepBank · পাতা / · ৩৬ / ৩৬

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Bell’s palsy
  1. ক) Lower motor neuron lesion of 7th nerve palsy
  2. খ) Upper motor neuron lesion of 7th nerve palsy
  3. গ) Both of them
  4. ঘ) None of them
ব্যাখ্যা
Davidson 23rd; P-1082
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In Ankle reflex lost Nerve root involve is
  1. S1
  2. S2
  3. L4
  4. L5
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Nerve root involve in Supinator reflex
  1. C4
  2. C5
  3. C6
  4. C7
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Example of non coding repeat expansion disorder -
  1. Spinocerebellar ataxia
  2. Friedreich’s ataxia
  3. Spinobulbar muscular atrophy
  4. Huntington’s disease
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Which of the following nerve is commonly compressed due to MPS infiltration?
  1. Ulnar Nerve
  2. Median Nerve
  3. Radial Nerve
  4. Tibial Nerve
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Most common clinical signs found in symmetrical sensory polyneuropathy of diabetes ?
  1. ক) Diminished perception of vibration
  2. খ) Diminished perception of pain and temperature
  3. গ) Burning sensation of the feet
  4. ঘ) Extensor plantar response
ব্যাখ্যা
Reference: Davidson 23rd; P-758
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Campylobacter jejuni infection have been linked to
  1. ক) Gas gangrene
  2. খ) Myocarditis
  3. গ) GBS
  4. ঘ) Inflammatory bowel disease
ব্যাখ্যা
Explanation: Campylobacter species have been linked to GBS & post infectious reactive arthritis.
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Foot drop occur due to injury of
  1. Femoral N
  2. Sciatic N
  3. Common peroneal N
  4. Lat Cutaneous Nerve of Leg
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False localising signs affects _____ CN unilaterally
  1. 6
  2. 7
  3. 8
  4. 3
১০.
Which one is the initial test for peripheral neuropahty?
  1. ক) Glucose (fasting)
  2. খ) Nerve biopsy
  3. গ) Muscle biopsy
  4. ঘ) NCS
১১.
Nerve involved in carpal tunnel syndrome
  1. ক) Median
  2. খ) Ulnar
  3. গ) Radial
  4. ঘ) Common peroneal
১২.
Proprioceptive defects can cause an---- gait
  1. Myopathic
  2. Ataxic
  3. Foot drop
  4. Pyramidal gait
১৩.
Cavernous sinus not consist of ________CN
  1. 3rd
  2. 4th
  3. 5th
  4. 6th
ব্যাখ্যা
Extension of pituitary tumor into avernous sinus with subsequent compression of the 3rd, 4th or 6th  cranial nerve may cause diplopia and strabismus, but in anterior pituitary  tumours this is an unusual presentation.

Davidson 24th-695
১৪.
Carpal tunnel syndrome develops due to compression of which nerve?
  1. ক) Ulnar
  2. খ) Median
  3. গ) Radial
  4. ঘ) Common peroneal
ব্যাখ্যা
Reference: Davidson 23rd, Box-25.87
১৫.
One of the most common causes of facial weakness is Bell's palsy-a lower motor neuron lesion of the ---------- nerve,
  1. 6th
  2. 7th
  3. 9th
  4. 12th
১৬.
Clinical feature of cauda equina syndrome is-
  1. Paraesthesia
  2. Saddle anaesthesia
  3. Urinary incontinence
  4. Pain radiates beyond knee
১৭.
Which is not a feat of 3rd Nerve palsy?
  1. Dilated pupil
  2. Extraocular muscle palsy
  3. eye is typically ‘down and out
  4. None of the above
১৮.
Regarding Horner syndrome which is not correect ?
  1. ipsilateral carotid artery stroke
  2. Lack of sweating on opposite side
  3. Lack of sweating on affected side
  4. Ptosis is partial
১৯.
In small-muscle wasting that may indicate which nerve root damage?
  1. C1
  2. T1
  3. L1
  4. S1
ব্যাখ্যা
Finger clubbing is due to overgrowth of soft tissue in the terminal phalanx, which increases the lateral and longitudinal curvature of the nail (see Fig. 3.8), raising the nail bed off the underlying bone. It is palpable as a boggy fluctuation of the nail when pressure is applied just proximal to the nail 

The most common respiratory causes of clubbing are chronic suppurative lung disease (such as bronchiectasis), lung cancer and pulmonary fibrosis. An additional rare complication of lung cancer is hypertrophic pulmonary osteoarthropathy, in which painful, tender swelling of
the wrists and ankles accompanies pronounced finger clubbing. X-rays of the distal forearm and lower legs show subperiosteal
new bone formation overlying the cortex of the long bones.
Other important signs of respiratory disease in the hands include:
•     cyanosis
•     tar staining of fingers from tobacco use (Fig. 5.8)
•     small-muscle wasting (see Fig. 13.22), which may indicate
T1 root damage by an apical lung tumour
•     rarely, yellow–brown discoloration of nails in yellow nail
syndrome
২০.
Rubbing the buttock & thigh describes
  1. ক) Renal colic
  2. খ) Sciatica
  3. গ) PLID
  4. ঘ) Hip fracture
২১.
Which one is mixed cranial nerve?
  1. Optic
  2. Oculomotor
  3. Trigeminal
  4. Hypoglossal
ব্যাখ্যা
Sensory: 1, 2, 8
Motor: 3, 4, 6, 11, 12
Mixed: 5, 7, 9, 10
২২.
Feature of lower motor neuron lesion include-
  1. Increased deep tendon reflexes
  2. Extensor plantar response
  3. Clonus
  4. Fasciculation
২৩.
Which is not a typical feature of Cauda equina syndrome?
  1. ক) Difficulty with micturition
  2. খ) Urinary incontinence
  3. গ) Saddle anaesthesia
  4. ঘ) Gait disturbance
২৪.
Small pupil and partial ptosis is characteristic feature of
  1. 3rd nerve palsy
  2. Horner syndrome
  3. Myasthenia gravis
  4. Argyll Robertson pupil
২৫.
False localising sign of intracranial mass lesion is-
  1. Focal onset
  2. Dysphasia
  3. Unilateral 6th nerve palsy
  4. Papilloedema
২৬.
On general examination, Thenar wasting is associated with which of the following?
  1. ক) ulnar nerve lesion
  2. খ) median nerve lesion
  3. গ) indicates C8 lesion
  4. ঘ) indicates T1 lesion
ব্যাখ্যা

Explanation:
• Thenar wasting—indicates median nerve lesion.
• Hypothenar and other muscles wasting (except thenar)— indicates ulnar nerve lesion.
• On the dorsum—wasting with dorsal guttering (interossei) indicates ulnar nerve lesion.
• Generalized wasting—indicates C8 and T1 lesion.

২৭.
In CRPS For a positive diagnosis, the patient should report at least --------- symptom in at least ---------- out of the four categories
  1. 1,3
  2. 2,4
  3. 1,2
  4. 2,3
২৮.
MFS occur due to
  1. Anti GQ b1
  2. Anti GQ b2
  3. Anti GQ b3
  4. Anti GQ b4
২৯.
Which is a mixed CN?
  1. 1
  2. 2
  3. 8
  4. 10
৩০.
Characteristics of neuropathic pain in cancer is
  1. Light touch, pressure and temperature changes are painless
  2. No pain on pin-prick
  3. Spontaneous pain
  4. Skin feels normal
৩১.
Root value of ankle jerk
  1. L4
  2. L5
  3. S1
  4. S2
৩২.
Symptopms Evolving over months or years occur in
  1. Cerebral mass
  2. cervical spondylotic myelopathy
  3. Semyelination
  4. Infection
৩৩.
Clinical features of autonomic neuropathy excludes
  1. ক) Nocturnal diarrhoea
  2. খ) Delayed reflexes to light
  3. গ) Anhidrosis
  4. ঘ) Sinus tachycardia
ব্যাখ্যা
Reference: Davidson 23rd, Page: 760 , Box : 20.41
৩৪.
Not a feature of LMNL
  1. ক) Wasting
  2. খ) Extensor planter response
  3. গ) Fasciculation
  4. ঘ) Typically focal
৩৫.
What is the most evident symptom of myasthenia gravis?
  1. ক) Fatigable muscle weakness
  2. খ) Intermittent diplopia
  3. গ) Worsening of symptoms following exercise
  4. ঘ) Respiratory failure
ব্যাখ্যা
Reference: Davidson 23rd, Page: 1141
Explanation: The most evident symptom is fatigable muscle weakness. Worsening of symptoms towards the end of the day or following exercise is characteristic.
৩৬.
Example of non coding repeat expansion disease-
  1. Spinocerebellar ataxia
  2. Spinobulbar muscular atrophy
  3. Friedreich’s ataxia
  4. Huntington’s disease