Neurology (PANCE) Questions and Answers 100% Verified

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Neurology (PANCE) Questions and Answers 100% Verified History & Physical/Neurology A 73 year-old male presents to the clinic with his wife. His wife has noticed that he has developed a resting tre... mor in his right hand and a shuffling gait over the last year. What finding on physical examination would support your suspected diagnosis? A. Chorea B. Dystonia C. Masked facies D. Hyperreflexia ✔✔(u) A. See C for explanation. (u) B. See C for explanation. (c) C. The patient symptoms are consistent with Parkinsonism. Physical exam findings include masked facies, micrographia, decreased arm swing, and monotonous speech. (u) D. See C for explanation. History&Physical/Neurology A patient with an upper motor neuron lesion would exhibit which of the following findings? A. Fasciculations B. Areflexia C. Muscular atrophy D. Spasticity ✔✔(u) A. Fasciculations, areflexia and muscle atrophy are consistent with lower motor neuron lesions. (u) B. See A for explanations. (u) C. See A for explanation. (c) D. Spasticity is an upper motor neuron lesion finding. Diagnostic Studies/Neurology What test is the single most useful test in establishing the diagnosis of multiple sclerosis? A. Cerebral spinal fluid cell count and protein level B. Cerebral spinal fluid immunoglobulin studies C. Evoked potentials D. Magnetic Resonance Imaging ✔✔u) A. While cerebral spinal fluid cell count, protein levels, and immunoglobins may be abnormal they are not specific for multiple sclerosis. (u) B. See A for explanation. (u) C. Evoked potentials are most useful in the detection of subclinical involvement of neuropathways in MS, but does not establish the diagno [Show More]

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