Which of the following EMG/NCS findings can help predict prognosis? PSW in FDI, reduced CMAP in tibial, absent ulnar study, fasciculations in gastroc.
reduced CMAP amplitude
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25
How does Kennedy's disease ( SMA) differ from ALS on NCS testing?ย ย Kennedy's dz has reduced SNAP amplitude, Kennedy's affects mostly female, Kennedy's presents in children :
Kennedy's disease presents with low amplitude SNAPs due to DRG involvement
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20
Which of the following are NOT a usual electrodiagnostic fining in ALS?ย A. Tongue fasculation,B. PSW in thoracic paraspinals,C. absent right tibial motor NCS, D. absent left sural NCS
Absent left sural nerve
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Which variant of ALS presents initally with bulbar symptoms (Dysarthria, drooling, gagging, dysphagia, choking) and โhandkerchief signโ?
progressive bulbar palsy
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20
Which condition starts in one limb,ย spreads to adjacent myotomes and eventually spread to contralateral limb, then bulbar, and respiratory muscles?
ALS
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15
The anterior horn cells affect which of the following?ย A. Thought processing, B. sensation to the face and limbs, C. movements of the upper and lower extremities, D. Coordination and balance
movement of the extremities
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25
Which of the following is a characteristic of Multifocal motor neuropathy with conduction block? signficant muscle atrophy; upper and lower motor neuron affected; bulbar spared; reduced reflexes duction block?
Bulbar and sensory are spared
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20
Which is NOT a characteristic of an infant with Wernig- Hoffman disease? Alert expression; frog leg position; brisk reflexes; poor sucking
Brisk reflexes
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20
Which of following NOT a characteristic of post polio syndrome?ย ย A. Previous history of poliomyelitis,ย B.Partial to complete recovery of function, C. Stability for approximately 5 years, D. New onset of neuromuscular symptons
stability of 5 years (should be 15 years)
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10
Which motor neuron lesion (upper, lower, central) is affected by marked muscle wasting and atrophy, Flaccid hypotonic muscles, Diminished or absent DTRs, Muscle cramps Fasciculations
lOWER MOTOR NEURON LESION
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20
Which ALS Variant presents with Pure LMN symptoms, distal limb wasting and weakness, fasciculations, cramps, reduced reflexes in weak limbs long clinical course, slow progression to prox limb muscles. No sensory symptoms