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1. What is the treatment of choice in symptomatic myoclonus resulting
from a lesion of the cerebral cortex or spinal cord?
2. Does piracetam have a role in treatment of symptomatic myoclonus
resulting from lesion of the cerebral cortex or spinal cord?
Question 29
Is ankle clonus diagnostic of pyramidal tract lesion?
Question 30
Is pronator drift pathognomonic of a pyramidal tract lesion or does it
occur with any lesion of the motor system?
Question 31
Can proximal muscle weakness be more than that of the distal muscles in
cases of upper motor neurone lesions?
Question 32
In the absence of either myopathy or radiculopathy, could a pyramidal
tract lesion be diagnosed despite a distribution of weakness that is
proximal more than distal?
Question 33
Are brisk deep tendon reflexes, rather than hyperreflexia, pathognomonic
of pyramidal tract lesion?
Question 34
What is Wartenberg’s reflex (sign), and is it diagnostic of a pyramidal
tract lesion?
Question 35
Must an extensor plantar response be present in order to diagnose a
pyramidal tract lesion even in the presence of weakness of pyramidal
distribution and other pathological reflexes?
Question 36
Is it common to find Babinski’s sign positive in Todd’s paralysis?
Question 37
In a case of paraplegia owing to an upper motor neuron lesion, does the
ability of the patient to sit indicate intact thoracic segments?
Neurological disease 21
225
Question 38
Can the Brown–Séquard syndrome be diagnosed with pyramidal
weakness of one lower limb and hypoaesthesia of the other lower
limb but with no dissociative sensory loss of the hypoaesthetic limb?
Question 39
Buy Treatment For Rubral Tremors Discussion
Is there more than one method of demonstrating dysdiadochokinesia in
upper limbs?
Question 40
What is the difference between kinetic and intention tremors?
Question 41
What is the best treatment for rubral tremors besides treating the
aetiology?
Question 42
What is meant by ‘inversion of reflexes’? I have found this term in a few
membership exams.
Question 43
Is it possible for patients with posterior column lesions to be suffering
from allodynia, with pain on pressure to different musculoskeletal
points? Or is this more likely to be caused by fibromyalgia?
Question 44
How do the clinical success rates of gabapentin and carbamazepine
compare?
Question 45
What clinical tests can be done to determine dissociative sensory loss?
Question 46
What is the recommended dose of urograffin before performing contrastenhanced computed tomography? How far in advance should this be
administered before imaging when an intracerebral abscess or glial
tumour is suspected?
Question 47
How many urografin ampoules (76% concentration) should be
administered before a CT brain scan with contrast searching for a mass
lesion, and how many minutes before imaging should these be injected?
Question 48
1. What is the difference between fluid-attenuated inversion recovery
(FLAIR) and T2-weighted MRI scans?
21 Neurological disease
226
2. What is the advantage of magnetization transfer pulse over a FLAIR
MRI scan?
Question 49
Does lumbosacral MRI refer to lumbosacral spines or to lumbosacral cord
segments?
Question 50
Buy Treatment For Rubral Tremors Discussion
What type of painful stimuli can be applied in calculating the Glasgow
Coma Scale for both motor and eye-opening responses, and how should
these be applied?
Question 51
How can the Glasgow Coma Scale be assessed in a patient with receptive
or expressive aphasia?
Question 52
How common is it for someone suffering a transient ischaemic attack
(TIA) to totally lose consciousness? Also, what is the mechanism for
losing consciousness with a TIA?
Question 53
What should the management be for a stenosis in the carotid artery
causing transient ischaemic attack (TIA), and when is surgery
recommended?
Question 54
In a patient with central retinal artery branch occlusion with carotid
artery stenosis, what is the best management: warfarin, aspirin or carotid
endarterectomy?
Question 55
If a young patient who has suffered a stroke has a normal mental state,
would this exclude a cerebral venous occlusion as an aetiology?
Question 56
Does persistent hiccough following cerebrovascular ischaemic stroke
localize to the medulla or to any other site?
Question 57
By what mechanism is vertebrobasilar insufficiency associated with
circumoral numbness?
Question 58
Why does lateral medullary syndrome result in ipsilateral diplopia due
to cranial nerve VI?
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