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[h] Neurology System Flashcards

[i] Master this session in just 5 minutes.

[q] What is the most likely diagnosis?

25 years old male who was involved in a fight at the bar and received a penetrating wound injury in his neck presenting with ipsilateral paralysis and loss of tactile, vibration, proprioception sense below level of lesion,  contralateral pain and temperature loss below level of lesion, and ipsilateral Horner syndrome?

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[q] What is the most likely diagnosis?

18 years old male patient presenting with Malaise, headache, fever, nausea, Flaccid paralysis, hypotonia, hyporeflexia, fasciculation, muscle atrophy + CSF Findings: ++ WBCs, slight increase of protein with no change in glucose level?

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[q] What is the most likely diagnosis?

2 years old child presenting with his mother with marked hypotonia (Floppy baby), tongue fasciculations, and delayed development of his developmental motor milestone?

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[q] What is the most likely diagnosis?

30 years old male presenting with sensory ataxia, Tabetic gait (the person’s feet slap the ground as they strike the floor due to loss of proprioception), the patient can keep his balance with eyes open but sways with the eye closed, Absence of DTRs, and the patients pupils reduce in size when the patient focuses on a near object, but do not constrict when exposed to bright light?

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[q] What is the most likely diagnosis?

24 years old patient presenting with flaccid paralysis, fasciculation, hyporeflexia of upper limb and spastic paralysis, hyperreflexia in lower limb without any sensory or bowel/bladder deficits?

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[q] What is the most likely diagnosis?

24 years old patient presenting with flaccid paralysis, fasciculation, hyporeflexia of upper limb and spastic paralysis, hyperreflexia in lower limb with loss of pain & temperature below level of the lesion although intact touch, vibration, and proprioception after aortic aneurysm repair surgery?

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[q] What is the most likely diagnosis?

27 years old female presenting with easy fatigability  sensory ataxia, spastic muscle weakness in lower limb, and impaired vibratory and proprioception sensation + lab findings shows : HB: 7.1 and MCV: 110, high homocystine and methymalony coA + peripheral blood smear shows hypersegmented neutrophils?

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[q] What is the most likely diagnosis?

28 years old female patient presenting with frequent burns in both of her hands while cooking or while picking up her cup of tea or coffee due to loss of pain and temperature in cape-like distribution (in the hands and forearm) + MRI of the patient is show below?

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[q] lumbar puncture is usually performed between ………….. to avoid injury of the spinal cord. The L4 vertebral body lies on a line drawn between the highest points of ……….., which can be visually identified and confirmed by palpation.

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[q] What is the most likely diagnosis?

30 years old male patient presenting with lower back pain with radicular pain radiating to both legs, Saddle anesthesia,  Motor weakness of both lower limb, Loss of ano-cutaneous reflex, and urinary incontinence + MRI showed disk herniation?

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[q] Sensory dermatome at the nipple is ………… and at the umbilicus is …………?

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