Peripheral Neuropathy, Guillain-Barré Syndrome and Other Common Mononeuropathies

Description

Peripheral Neuropathy, Guillain-Barré Syndrome and Other Common Mononeuropathies lecture given on 18/09/2018
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson over 5 years ago
42
1

Resource summary

Question 1

Question
In terms of sensory fibres: [blank_start]Alpha Delta Fibres[blank_end] facilitate cold perception and pain [blank_start]C fibres[blank_end] facilitate warm perception and pain
Answer
  • Alpha Delta Fibres
  • C fibres

Question 2

Question
Using the diagram, match the symptoms to their fibre type: [blank_start]Large Motor Fibre[blank_end] - Weakness, unsteadiness and muscle wasting [blank_start]Large Sensory Fibre[blank_end] - Numbness, paraesthesia and unsteadiness [blank_start]Small Sensory Fibre[blank_end] - Pain and Dyesthesia [blank_start]Autonomic Fibre[blank_end] - Dizziness, Impotence, Nausea & Vomiting
Answer
  • Large Motor Fibre
  • Large Sensory Fibre
  • Small Sensory Fibre
  • Autonomic Fibre

Question 3

Question
[blank_start]Athetosis[blank_end]: Writhing movements, usually of the fingers, due to abnormal muscle contraction [blank_start]Pseudoathetosis[blank_end]: Writhing movements, usually of the fingers, due to a failure of the neural proprioceptive pathways to the brain
Answer
  • Chorea
  • Athetosis
  • Pseudoathetosis
  • Pseudochorea

Question 4

Question
[blank_start]High stepping[blank_end] gait is a condition whereby there is a loss of dorsiflexion when walking resulting in a foot drop and the patient having to lift their foot higher when taking a step to avoid dragging it along the floor.
Answer
  • High stepping

Question 5

Question
High stepping gait can occur due to damage to which nerve?
Answer
  • Superficial Fibular Nerve
  • Deep Fibular Nerve
  • Sural Nerve
  • Tibial Nerve

Question 6

Question
The graphs in the diagram show different responses to Nerve Conduction Studies. A: [blank_start]Normal Nerve Conduction[blank_end] B: [blank_start]Axonal Loss[blank_end] C: [blank_start]Demyelination[blank_end]
Answer
  • Normal Nerve Conduction
  • Axonal Loss
  • Demyelination

Question 7

Question
Guillain Barre Syndrome is an example of a [blank_start]demyelinating[blank_end] neuropathy
Answer
  • demyelinating
  • axonal loss

Question 8

Question
Guillain Barre Syndrome is an acute autoimmune condition whereby autoantibodies attack the [blank_start]myelin[blank_end] of the [blank_start]peripheral[blank_end] nerves
Answer
  • peripheral
  • central
  • myelin
  • soma
  • axons
  • dendrites

Question 9

Question
Guillain Barre patients progressively develop paraplegia, meaning that they have weakness/paralysis [blank_start]from the waist down[blank_end]
Answer
  • from the waist down
  • in the arms only
  • in the peripheries (hands & feet) only

Question 10

Question
Onset of Guillain Barre SYndrome is sometimes associated with infection, mainly by which organism?
Answer
  • Campylobacter
  • Staph Aureus
  • Staph Epidermidis
  • Enterococci
  • Strep Viridans
  • Pseudomonas Aeruginosa
  • Clostridium Botulinum

Question 11

Question
Typically, what symptom of Guillain Barre tends to present first in patients?
Answer
  • Tingling and/or pain in the fingers and toes
  • Nausea & Vomiting
  • Muscle weakness

Question 12

Question
Treatment of Guillain Barre Syndrome is typically by Immunoglobulin infusion
Answer
  • True
  • False

Question 13

Question
What is the most common type of hereditary neuropathy?
Answer
  • Charcot-Marie-Tooth disease Type I (HMSN Type I)
  • Charcot–Marie–Tooth disease Type II (HMSN Type II)
  • Dejerine–Sottas disease (HMSN Type III)
  • Refsum disease (HMSN Type IV)

Question 14

Question
Which four of the following symptoms commonly occur in patients with Charcot-Marie-Tooth disease?
Answer
  • Loss of sensory function in the legs (and occasionally arms)
  • Pain
  • Involuntary grinding of teeth
  • High arched foot
  • Nausea & vomiting
  • Incontinence
  • Diabetes insipidus
  • Paraplegia
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