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1. In polyneuropathy, the pathologic process does NOT
A. result in a mild reduction in motor conduction velocities
in nerve fiber degenerative neuropathies
B. result in marked reduction in motor conduction velocities
in nerve fiber demyelinating neuropathies
C. involve nerve fiber degeneration primarily, in ischemic
situations
D. involve segmental demyelination predominantly in
diabetes
E. none of the above
363. In beriberi
myocardial disease does not occur
polyneuritis does not occur
the blood pyruvate is decreased; thiamine is administered
A and B but not C
none of the above
–
Oe
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364. Refsum’s syndrome does NOT include
a chronic motor and sensory polyneuropathy
retinitis pigmentosa
deafness and cerebellar ataxia
peripheral nerve thickening by excessive collagen BS noneof the above
96
365.
366.
367.
368.
369.
Metabolic Diseases / 97
The cranial nerve most often involved in polyneuritis is the
> BOO
fifth
seventh
ninth
tenth
twelfth
The treatment of choice of subacute combined degeneration
is
Shel
oral folic acid
oral B,,
parenteral folic acid
parenteral B,,
none of the above
Hepatolenticular degeneration is treated with
mOOn>
. vitamin B,.2
anticholinesterases
high copper diet
penicillamine
none of the above
ep cane has been reported to help
Ges i
limit the development of the rete mirabile in ‘‘moyamoya’’ disease
in the retinal vascular changes of diabetics
in the proliferative retinal changes of diabetics
in the subhyaloid hemorrhages of diabetics
none of the above
Sickle cell anemia
m OO>
does not cause subarachnoid hemorrhage
can produce neurologic manifestations independent,
temporally, of the ‘‘crises’’
does not cause subdural hemorrhage
causes extension of marrow through the inner skull table
and therefore a hair-on-end appearance
symptoms afflict a large percentage of individuals whose
blood shows the typical anomaly
98 / Metabolic Diseases
370.
a ile
372.
SRE
374.
Most frequently reported with the use of contraceptive hormones are
A. temporal lobe phenomena
B. migraine and monocular diplopia
C. atypical facial pain
D. neuro-ocular disorders
E. dyskinesias, generally transient
In adult myxedema
> MOOR
slow speech occurs
peripheral neuropathy and myopathy are rare
myotonia does not occur
delirium is frequent
sudden coma is not uncommon
In adult myxedema
Om> ro
the CSF protein is normal
Kocher-Debre-Semelaigne syndrome is frequent
absence of alpha waves in the EEG has been reported
some laboratory abnormalities can be demonstrated even
after adequate therapy
low basal metabolic rate alone can make the diagnosis
In hyperthyroidism
aaa sree Pind
psychosis occurs
infrequent winking occurs but not impaired convergence
paresis of the trunk and extremities is found but not
familial periodic paralysis
weakness is greatly increased by small doses of curare
when myasthenia gravis is associated, the former almost
invariably precedes the latter
In thyrotoxic myopathy
A.
Sa
primarily the distal muscles of the extremities are
involved
areflexia is common
sensory abnormalities can often be found
occurrence is more common in females
none of the above
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