ANSWERS RATED A+
✔✔Most common location of prostate cancer - ✔✔Posterior lobe
✔✔Westphal's sign - ✔✔Absence of any DTR especially patellar
Indicates LMN lesion
✔✔Jendrassik's maneuver - ✔✔Brings out reflex by cortical distraction
✔✔Ciliospinal reflex - ✔✔Pinch neck, eyes dilate
Cervical sympathetics
✔✔Oculocardiac reflex - ✔✔Press eye, heart slows
In V, out X
✔✔Carotid sinus reflex - ✔✔Press on carotid sinus, heart slows, BP decreases
In IX, out X
✔✔T1: dorsal interossei - ✔✔Finger abduction
✔✔T1: palmar interossei - ✔✔Finger adduction
✔✔Sx of meniere's dz - ✔✔Tinnitus
Transient deafness
Vertigo
✔✔Erb's palsy - ✔✔C5-C6 (birth trauma)
✔✔Wrist drop - ✔✔C7
Radial n.
✔✔Klumpke's paralysis - ✔✔C7-C8 (birth trauma)
✔✔Meralgia Paresthetica - ✔✔L1-L2
Lateral femoral cutaneous nerve
✔✔Foot drop - ✔✔L4-L5
✔✔Tarsal tunnel syndrome - ✔✔Medial plantar nerve
Branch of tibial n.
✔✔Ape hand - ✔✔Pronator teres entrapment (median n.)
, ✔✔Claw hand - ✔✔Tunnel of Guyon entrapment (ulnar n.)
✔✔Corticospinal tract (pyramidal) - ✔✔Voluntary motor
Lesion: UMN
✔✔Lateral spinothalamic tract - ✔✔P & T
✔✔Anterior spinothalamic tract - ✔✔Crude light touch
✔✔Vestibulospinal tract - ✔✔Balances reflexes
✔✔Rubrospinal tract - ✔✔Muscle tone and synergy
✔✔Dermatomes: nipple and belly button - ✔✔Nipple= T4
Belly button= T10
✔✔Brown sequard - ✔✔Ipsilateral spastic paralysis and loss of proprioception
Contralateral loss of pain and temperature
✔✔Gower's sign - ✔✔When arising from supine position, patient turns to prone position
then climbs up on themselves
Muscular dystrophy (Erb Duchenne)
✔✔Erb Duchenne S and S - ✔✔Recessive women are carriers
Pseudohypertrophy of the calves
3-7 yo
20 years life expectancy
Pot belly stance
Toe walking
Gower's sign
✔✔Fascioscapulohumeral MD - ✔✔Early adolescence
Weak facial muscles and shoulder girdle
Normal life expectancy
Drop foot possible
✔✔Limb Girdle MD - ✔✔Adult
Weak pelvic and shoulder girdle muscles
Mixed myopathic and neurogenic causes
✔✔Pes planus - ✔✔Flat foot
✔✔Pes cavus - ✔✔Rigid foot