Gold's NMS Diagnosis Review (NBCE Part II
Boards)
QUESTIONS AND ANSWERS
Lost sense of smell? ...Answer Is...Anosmia
Distorted sense of smell? ...Answer Is...Parosmia
Deviation of one or both eyes? ...Answer Is...Strabismus
Eyelids droop due to weakness or paralysis of levator palpebrae? ...Answer Is...Ptosis
Innervates the Superior Oblique muscle of the eye and turns eye down and
in? ...Answer Is...CN IV Trochlear
Sensory nerve to face; provides the sensory afferent stimulus for corneal reflex (touch
cornea with cotton wisp and both eyes blink)? ...Answer Is...CN V Trigeminal
Provides the sensory afferent stimulus for the JAW JERK reflex? ...Answer Is...CN V
Trigeminal
General SENSATION to the anterior 2/3 of the tongue plus muscles of
mastication? ...Answer Is...CN V Trigeminal
Extreme sudden burning or shock like face pain that lasts anywhere from a few seconds
to as long as 2 minutes per episode, pain is typically felt on one side of jaw or
cheek? ...Answer Is...Trigeminal neuralgia
AKA for trigeminal neuralgia? ...Answer Is...Tic Douloureaux
Innervates the Lacteral Rectus muscle of the eye and turns eye outward from
nose? ...Answer Is...CN VI Abducens
TASTE to the anterior 2/3 of the tongue (sweet, sour and salty) plus muscles of facial
expression? ...Answer Is...CN VII Facial
Unilateral facial paralysis (LMNL) caused by trauma, virus or immune response that is
not permanent (here cannot wrinkle forehead, stroke victims will be able to)? ...Answer
Is...Bell's Palsy
AKA for Meniere's disease? ...Answer Is...Endolymphatic hydrops
,In performing the Barany Caloric test in the ear, WARM water causes nystagmus
where? ...Answer Is...Same side
The motor component of the Gag Reflex, the Uvula Reflex and the Carotid Reflex are
perfomed by CN X Vagus, which cranial nerve is responsible for the sensory
component? ...Answer Is...CN IX Glossopharyngeal
TASTE to the posterior 1/3 of the tongue (bitter)? ...Answer Is...CN IX
Glossopharyngeal
In testing the Uvular Reflex, the patient says Ahhh and the palate and uvula will deviate
to the __________ of lesion? ...Answer Is...Opposite side
Torticollis or wry neck involves a spasm of what muscle? ...Answer Is...SCM
In testing CN XII Hypoglossal, instruct patient to stick out tongue. If lesion exists, tongue
will deviate to? ...Answer Is...Side of lesion
Absence of any deep tendon reflex (DTR) especially patellar? ...Answer Is...Westphal's
sign
Test that brings out reflexes through the use of cortical distraction? ...Answer
Is...Jendrassik's maneuver
The motor component (blinking or tearing) associated with the Corneal reflex? ...Answer
Is...CN VII Facial
In the Cremasteric reflex stroke inner thigh of male and see ipsilateral rise in testes, in
Geigel's stroke the inner thigh of female and poupart's ligament contracts - SENSORY
nerve? ...Answer Is...Femoral
In the Cremasteric reflex stroke inner thigh of male and see ipsilateral rise in testes, in
Geigel's stroke the inner thigh of female and poupart's ligament contracts - MOTOR
nerve? ...Answer Is...Genitofemoral
Lesion of the brain and spinal cord prior to the anterior horn cells; results in spastic
paralysis, hyperactive DTRs, clonus and hypertonicity? ...Answer Is...UMNL
Lesion of the anterior horn cells out to the myoneural junction; results in flaccid paralysis
and atrophy, hypoactive DTRs, and fasciculations? ...Answer Is...LMNL
What type of reflexes are absent in both UMNLs and LMNLs? ...Answer Is...Visceral
organic
What visceral reflex (sensory from CN V and motor from CN X) causes heart rate to
slow by 10 beats per minute when eye is pressed upon? ...Answer Is...Oculocardiac
,Presence of pathological reflexes (i.e. Babinski, Chaddock, Oppenheim etc) indicate
what? ...Answer Is...UMNL
Stroke up lateral aspect of foot and medial to great toe? ...Answer Is...Babinski reflex
test
Stroke lateral malleolus to fifth toe - looking for Babinski like response or
hypersensitivity? ...Answer Is...Chaddock reflex test
Stroke down tibial crest to the ankle (SHIN) - looking for Babinski like response or
hypersensitivity? ...Answer Is...Oppenheim reflex test
Squeeze the calf below the knee - looking for Babinski like response or
hypersensitivity? ...Answer Is...Gordon's calf reflex test
Squeeze the Achilles tendon - looking for Babinski like response or
hypersensitivity? ...Answer Is...Schaefer reflex test
Tap the ball of the foot - looking for Babinski like response or hypersensitivity? ...Answer
Is...Rossolimo reflex test
Examiner extends middle finger and flicks the inferior tip under the nail bed - abnormal
response is jerk and/or splaying of other fingers? ...Answer Is...Hoffman reflex test
Examiner strokes the pisiform of the patient - abnormal response is flexion of wrist and
fingers? ...Answer Is...Gordon's finger test
Examiner strokes the distal ulnar side of forearm near wrist - abnormal response is wrist
flexion with extension and fanning of fingers? ...Answer Is...Chaddock's wrist
In Van Allen's scale of muscle grading - complete ROM against gravity with full
resistance? ...Answer Is...5
In Van Allen's scale of muscle grading - complete ROM against gravity only? ...Answer
Is...3
In Van Allen's scale of muscle grading - complete ROM with gravity
eliminated? ...Answer Is...2
In Van Allen's scale of muscle grading - evidence of slight contractility with no joint
motion? ...Answer Is...1
In Van Allen's scale of muscle grading - no evidence of contractility? ...Answer Is...0
, A glenohumeral dislocation can affect sensation of the lateral arm and inability to abduct
the arm if the ______________ nerve is affected? ...Answer Is...Axillary
Thumb ABduction? ...Answer Is...Radial nerve
Thumb ADduction? ...Answer Is...Ulnar nerve
Thumb pinch or opposition of the thumb? ...Answer Is...Median nerve
Muscle and nerve responsible for "flaring of scapula"? ...Answer Is...Rhomboids, dorsal
scapular
Nerve involved in Meralgia paresthetica (caused by external pressure, obesity and tight
jeans); burning pain over the pelvic brim and under the inguinal ligament? ...Answer
Is...Lateral femoral cutaneous
Pain that arises from structures derived from embryological derivatives (joint pain incl SI
and facets)? ...Answer Is...Scleratogenous
Pain along the sensory distribution of a nerve root? ...Answer Is...Dermatogenous
Pain along scleroderm of origination involving more than one kind of tissue (shared
pathway)? ...Answer Is...Referred
Site of pain referral from the LIVER? ...Answer Is...Right shoulder
Site of pain referral from the GALLBLADDER? ...Answer Is...Right inferior scapula
Site of pain referral from the PANCREAS? ...Answer Is...Spine at T10
Site of pain referral from HEART? ...Answer Is...Left shoulder and medial left arm
Site of pain referral from INTESTINES? ...Answer Is...Periumbilical
Site of pain referral from APPENDIX (early and late referrals)? ...Answer Is...Epigastric,
RLQ
Site of pain referral from KIDNEY? ...Answer Is...Flank
Site of pain referral from URETERS? ...Answer Is...Groin
Site of pain referral from BLADDER? ...Answer Is...Suprapubic area
Carpal tunnel syndrome is median nerve compression caused by trauma, obesity, fluid
retention, pregnancy, hypothyroidism, RA etc at what site? ...Answer Is...Under the
flexor retinaculum
Boards)
QUESTIONS AND ANSWERS
Lost sense of smell? ...Answer Is...Anosmia
Distorted sense of smell? ...Answer Is...Parosmia
Deviation of one or both eyes? ...Answer Is...Strabismus
Eyelids droop due to weakness or paralysis of levator palpebrae? ...Answer Is...Ptosis
Innervates the Superior Oblique muscle of the eye and turns eye down and
in? ...Answer Is...CN IV Trochlear
Sensory nerve to face; provides the sensory afferent stimulus for corneal reflex (touch
cornea with cotton wisp and both eyes blink)? ...Answer Is...CN V Trigeminal
Provides the sensory afferent stimulus for the JAW JERK reflex? ...Answer Is...CN V
Trigeminal
General SENSATION to the anterior 2/3 of the tongue plus muscles of
mastication? ...Answer Is...CN V Trigeminal
Extreme sudden burning or shock like face pain that lasts anywhere from a few seconds
to as long as 2 minutes per episode, pain is typically felt on one side of jaw or
cheek? ...Answer Is...Trigeminal neuralgia
AKA for trigeminal neuralgia? ...Answer Is...Tic Douloureaux
Innervates the Lacteral Rectus muscle of the eye and turns eye outward from
nose? ...Answer Is...CN VI Abducens
TASTE to the anterior 2/3 of the tongue (sweet, sour and salty) plus muscles of facial
expression? ...Answer Is...CN VII Facial
Unilateral facial paralysis (LMNL) caused by trauma, virus or immune response that is
not permanent (here cannot wrinkle forehead, stroke victims will be able to)? ...Answer
Is...Bell's Palsy
AKA for Meniere's disease? ...Answer Is...Endolymphatic hydrops
,In performing the Barany Caloric test in the ear, WARM water causes nystagmus
where? ...Answer Is...Same side
The motor component of the Gag Reflex, the Uvula Reflex and the Carotid Reflex are
perfomed by CN X Vagus, which cranial nerve is responsible for the sensory
component? ...Answer Is...CN IX Glossopharyngeal
TASTE to the posterior 1/3 of the tongue (bitter)? ...Answer Is...CN IX
Glossopharyngeal
In testing the Uvular Reflex, the patient says Ahhh and the palate and uvula will deviate
to the __________ of lesion? ...Answer Is...Opposite side
Torticollis or wry neck involves a spasm of what muscle? ...Answer Is...SCM
In testing CN XII Hypoglossal, instruct patient to stick out tongue. If lesion exists, tongue
will deviate to? ...Answer Is...Side of lesion
Absence of any deep tendon reflex (DTR) especially patellar? ...Answer Is...Westphal's
sign
Test that brings out reflexes through the use of cortical distraction? ...Answer
Is...Jendrassik's maneuver
The motor component (blinking or tearing) associated with the Corneal reflex? ...Answer
Is...CN VII Facial
In the Cremasteric reflex stroke inner thigh of male and see ipsilateral rise in testes, in
Geigel's stroke the inner thigh of female and poupart's ligament contracts - SENSORY
nerve? ...Answer Is...Femoral
In the Cremasteric reflex stroke inner thigh of male and see ipsilateral rise in testes, in
Geigel's stroke the inner thigh of female and poupart's ligament contracts - MOTOR
nerve? ...Answer Is...Genitofemoral
Lesion of the brain and spinal cord prior to the anterior horn cells; results in spastic
paralysis, hyperactive DTRs, clonus and hypertonicity? ...Answer Is...UMNL
Lesion of the anterior horn cells out to the myoneural junction; results in flaccid paralysis
and atrophy, hypoactive DTRs, and fasciculations? ...Answer Is...LMNL
What type of reflexes are absent in both UMNLs and LMNLs? ...Answer Is...Visceral
organic
What visceral reflex (sensory from CN V and motor from CN X) causes heart rate to
slow by 10 beats per minute when eye is pressed upon? ...Answer Is...Oculocardiac
,Presence of pathological reflexes (i.e. Babinski, Chaddock, Oppenheim etc) indicate
what? ...Answer Is...UMNL
Stroke up lateral aspect of foot and medial to great toe? ...Answer Is...Babinski reflex
test
Stroke lateral malleolus to fifth toe - looking for Babinski like response or
hypersensitivity? ...Answer Is...Chaddock reflex test
Stroke down tibial crest to the ankle (SHIN) - looking for Babinski like response or
hypersensitivity? ...Answer Is...Oppenheim reflex test
Squeeze the calf below the knee - looking for Babinski like response or
hypersensitivity? ...Answer Is...Gordon's calf reflex test
Squeeze the Achilles tendon - looking for Babinski like response or
hypersensitivity? ...Answer Is...Schaefer reflex test
Tap the ball of the foot - looking for Babinski like response or hypersensitivity? ...Answer
Is...Rossolimo reflex test
Examiner extends middle finger and flicks the inferior tip under the nail bed - abnormal
response is jerk and/or splaying of other fingers? ...Answer Is...Hoffman reflex test
Examiner strokes the pisiform of the patient - abnormal response is flexion of wrist and
fingers? ...Answer Is...Gordon's finger test
Examiner strokes the distal ulnar side of forearm near wrist - abnormal response is wrist
flexion with extension and fanning of fingers? ...Answer Is...Chaddock's wrist
In Van Allen's scale of muscle grading - complete ROM against gravity with full
resistance? ...Answer Is...5
In Van Allen's scale of muscle grading - complete ROM against gravity only? ...Answer
Is...3
In Van Allen's scale of muscle grading - complete ROM with gravity
eliminated? ...Answer Is...2
In Van Allen's scale of muscle grading - evidence of slight contractility with no joint
motion? ...Answer Is...1
In Van Allen's scale of muscle grading - no evidence of contractility? ...Answer Is...0
, A glenohumeral dislocation can affect sensation of the lateral arm and inability to abduct
the arm if the ______________ nerve is affected? ...Answer Is...Axillary
Thumb ABduction? ...Answer Is...Radial nerve
Thumb ADduction? ...Answer Is...Ulnar nerve
Thumb pinch or opposition of the thumb? ...Answer Is...Median nerve
Muscle and nerve responsible for "flaring of scapula"? ...Answer Is...Rhomboids, dorsal
scapular
Nerve involved in Meralgia paresthetica (caused by external pressure, obesity and tight
jeans); burning pain over the pelvic brim and under the inguinal ligament? ...Answer
Is...Lateral femoral cutaneous
Pain that arises from structures derived from embryological derivatives (joint pain incl SI
and facets)? ...Answer Is...Scleratogenous
Pain along the sensory distribution of a nerve root? ...Answer Is...Dermatogenous
Pain along scleroderm of origination involving more than one kind of tissue (shared
pathway)? ...Answer Is...Referred
Site of pain referral from the LIVER? ...Answer Is...Right shoulder
Site of pain referral from the GALLBLADDER? ...Answer Is...Right inferior scapula
Site of pain referral from the PANCREAS? ...Answer Is...Spine at T10
Site of pain referral from HEART? ...Answer Is...Left shoulder and medial left arm
Site of pain referral from INTESTINES? ...Answer Is...Periumbilical
Site of pain referral from APPENDIX (early and late referrals)? ...Answer Is...Epigastric,
RLQ
Site of pain referral from KIDNEY? ...Answer Is...Flank
Site of pain referral from URETERS? ...Answer Is...Groin
Site of pain referral from BLADDER? ...Answer Is...Suprapubic area
Carpal tunnel syndrome is median nerve compression caused by trauma, obesity, fluid
retention, pregnancy, hypothyroidism, RA etc at what site? ...Answer Is...Under the
flexor retinaculum
