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SPMM Clinical Examination - Question With Answers
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SPMM Clinical Examination - Question With Answers
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SPMM Clinical Examination - Question With AnswersHow long does cannabis stay in the urine? Right Ans - 3 days after
occasional use
4 weeks after high levels of daily use for a long time
How long does amphetamine, cocaine and morphine stay in the urine?
Right Ans - 48 hours
Cerebellar signs Right Ans - Ataxia
Hypotonia
Past pointing
Uncoordination
Dysdiadochokinesis
Dysrythmia
Dysarthria
Which artery lesion leads to akinetic mutism? Right Ans - Anterior cerebral
artery
Features of Argyl-Robertson pupil Right Ans - Normal accommodation
No light reflex
What is a non-invasive perfusion MRI that is used to quantify cerebral blood
flow? Right Ans - Arterial spin labelling
What are T1 MRI images useful for? Right Ans - Assessing normal brain
structure
How to elicit Asterixis Right Ans - Ask patient to extend both arms with the
wrists dorsiflexed and palms facing forwards with eyes closed
When is asterixis seen? Right Ans - Metabolic encephalopathies
Which phenomenon is used in fMRI to make inferences about brain activity?
Right Ans - Blood oxygen level dependent phenomenon (BOLD)
What causes acute porphyia? Right Ans - Drugs that increase urine
porphyrins in susceptible individuals with disordered haem metabolism
, Which drugs cause acute porphyia? Right Ans - Oestrogens
Diclofenac
Barbiturates
Benzos
Unilateral frontal lobe damage causes Right Ans - Contralateral spastic
hemiplegia
What tests are used to localise aphasia? Right Ans - Reading
Writing
Repetition
Fluency
Comprehension
Naming
What are frontal release signs? Right Ans - Rooting reflex
Glabellar tap
Snout reflex
Grasp reflex
Which technique can measure the extent of myelination at macroscopic level?
Right Ans - Diffusion tensor imaging
What are examples of functional neuroimaging? Right Ans - SPECT
PET
fMRI
EEG
NIRS
Triad of Balint syndrome Right Ans - Simultagnosia
Optic ataxia
Oculomotor ataxia
What is anomic aphasia? Right Ans - Struggle to name things
What lesions cause anomic aphasia? Right Ans - Dominant temporo-
parietal lesions
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