[MCQ] Peripheral Neuropathy - Part 6

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Peripheral Neuropathy - Part 6

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Question 1

Systemic diseases associated with carpal tunnel syndrome include ?

A	Hypothyroidism
B	Rheumatoid arthritis
C	Diabetes mellitus
D	All of the above

Question 2

The root value of median nerve is ?

A	C5 - T1
B	C6 - T1
C	C7 - T1
D	C8, T1

Question 3

The root value of ulnar nerve is ?

A	C5 - T1
B	C6 - T1
C	C7 - T1
D	C8, T1

Question 4

The root value of radial nerve is ?

A	C5 - T1
B	C6 - T1
C	C7 - T1
D	C8, T1

Question 5

Which of the following nerve is involved if the site of lesion is ‘Cubital tunnel’ ?

A	Radial nerve
B	Ulnar nerve
C	Median nerve
D	All of the above

Question 5 Explanation:

Ulnar nerve passes through the condylar groove between the medial epicondyle and the olecranon. Ulnar neuropathy at the elbow is called ”Cubital Tunnel Syndrome”.

Question 6

Which of the following signs relate to diagnosis of a mononeuropathy ?

A	Tinel’s sign
B	Phalen’s sign
C	Froment sign
D	All of the above

Question 6 Explanation:

In carpal tunnel syndrome (CTS), sensation of tingling can be reproduced when a percussion hammer is tapped over wrist (Tinel’s sign) or wrist is flexed for 30 - 60 sec. (Phalen’s sign). Froment sign indicates thumb adductor weakness and consists of flexion of thumb at the interphalangeal joint when attempting to oppose the thumb against lateral border of the second digit. This is seen in cubital tunnel syndrome.

Question 7

Meralgia paresthetica relates best to ?

A	Radial Neuropathy
B	Lateral Femoral Cutaneous Neuropathy
C	Ulnar Neuropathy at the Elbow
D	Peroneal Neuropathy

Question 7 Explanation:

The neuropathy affecting lateral femoral cutaneous nerve is also known as meralgia paresthetica

Question 8

Which of the following is false for Brachial Plexus ?

A	Four roots
B	Three trunks
C	Two divisions per trunk
D	Three cords

Question 8 Explanation:

Brachial plexus is composed of five roots, three trunks (upper, middle, & lower), with two divisions (anterior & posterior) per trunk. Trunks divide into three cords (medial, lateral, & posterior).

Question 9

Parsonage-Turner syndrome relates best with ?

A	Brachial Plexus
B	Lumbosacral Plexus
C	Radiation-Induced Plexopathy
D	Peroneal Neuropathy

Question 9 Explanation:

Immune-mediated brachial plexus neuropathy (IBPN) is also called acute brachial plexitis, neuralgic amyotrophy and Parsonage - Turner syndrome

Question 10

Pain in immune-mediated brachial plexus neuropathy (IBPN) is at ?

A	Neck
B	Shoulder
C	Arm
D	Hand

Question 10 Explanation:

IBPN usually presents with an acute onset of severe pain in the shoulder region.

Question 11

Out of the following, which is most commonly involved in IBPN ?

A	Root
B	Trunk
C	Division
D	Cord

Question 11 Explanation:

Most common pattern of IBPN involves the upper trunk or a single or multiple mononeuropathies primarily involving the suprascapular, long thoracic, or axillary nerves.

Question 12

Which of the following surgical procedures is the most common cause of brachial plexopathy ?

A	Reduction of subluxated shoulder
B	Repair of fracture of neck of humerus
C	Median sternotomy
D	Repair of fracture of clavicle

Question 12 Explanation:

Most common surgical procedures associated with brachial plexopathy as a complication are those that involve median sternotomies.

Question 13

Which of the following is false about electrodiagnostic features of demyelination ?

A	Slowing of nerve conduction velocity (NCV)
B	Dispersion of evoked compound action potentials
C	Conduction block & prolongation of distal latencies
D	None of the above

Question 14

Mononeuropathy multiplex syndrome may be a manifestation of all except ?

A	Leprosy
B	Sarcoidosis
C	Syphilis
D	NeuroAIDS

Question 15

Example of motor neuronopathies include ?

A	Lower-motor form of amyotrophic lateral sclerosis
B	Poliomyelitis
C	Hereditary spinal muscular atrophies
D	All of the above

Question 16

Example of motor neuronopathies include ?

A	Lead intoxication
B	Dapsone intoxication
C	Porphyria
D	All of the above

Question 17

Peripheral neuropathy includes disorders of ? Harrison’s 17th

A	Peripheral nerves
B	Dorsal or ventral nerve roots
C	Dorsal root ganglia
D	All of the above

Question 17 Explanation:

Peripheral neuropathy includes disorders of peripheral nerves, dorsal or ventral nerve roots, dorsal root ganglia, brachial or lumbosacral plexus, cranial nerves (except I & II) & other sensory, motor, autonomic or mixed nerves.

Question 18

Electrodiagnostic studies (EDx) help to diagnose which of the following neuropathies ?

A	Axonal
B	Demyelinating
C	Neuronal
D	All of the above

Question 18 Explanation:

Electrodiagnostic studies help to classify neuropathy into either axonal, demyelinating or neuronal.

Question 19

Which of the following is false about peripheral neuropathy ?

A	Sensory symptoms precede motor symptoms
B	Small-fiber neuropathies present with paresthesias
C	Large-fiber neuropathies present as gait disturbance
D	None of the above

Question 20

Term ataxic-neuropathy is used for ?

A	Small-fiber sensory neuropathies
B	Large-fiber sensory neuropathies
C	Motor-predominant neuropathies
D	Autonomic neuropathies

Question 21

Which of the following is not a small-fiber sensory neuropathy ?

A	Amyloidosis
B	Lepromatous leprosy
C	HIV & antiretroviral therapy neuropathy
D	Friedreich’s ataxia

Question 22

Which of the following is not a large-fiber sensory neuropathy ?

A	Sjögren’s syndrome
B	Fabry’s disease
C	Cisplatin neuropathy
D	Pyridoxine toxicity

Question 23

Which of the following is a motor-predominant neuropathy ?

A	Acute intermittent porphyria
B	Diphtheritic neuropathy
C	Lead neuropathy
D	All of the above

Question 24

Which of the following is a neuronal neuropathy ?

A	Sjögren’s syndrome
B	Cisplatin toxicity
C	Pyridoxine toxicity
D	All of the above

Question 25

Which of the following is not a demyelinating neuropathy ?

A	Guillain-Barré syndrome
B	Multifocal motor neuropathy (MMN)
C	HIV neuropathy
D	Diphtheria neuropathy

Question 26

Which of the following is not a axonal neuropathy ?

A	Toxic
B	HIV
C	Charcot-Marie-Tooth 2 (CMT2)
D	All of the above

Question 26 Explanation:

Most toxic neuropathies are distal axonal degenerations. In HIV, length-dependent axonal degeneration of sensory fibers without nerve-fiber regeneration occurs.

Question 27

Which of the following is a acute onset neuropathy ?

A	Porphyria
B	Diphtheria
C	Guillain-Barré syndrome
D	All of the above

Question 28

Which of the following is a recurrent neuropathy ?

A	Porphyria
B	Refsum’s disease
C	Hereditary neuropathy with pressure palsies (HNPP)
D	All of the above

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See all quizzes of Peripheral Neuropathy here:

1 Systemic diseases associated with carpal tunnel syndrome
include ?
A. Hypothyroidism
B. Rheumatoid arthritis
C. Diabetes mellitus
D. All of the above
2 The root value of median nerve is ?
A. C5 – T1
B. C6 – T1
C. C7 – T1
D. C8, T1
3 The root value of ulnar nerve is ?
A. C5 – T1
B. C6 – T1
C. C7 – T1
D. C8, T1
4 The root value of radial nerve is ?
A. C5 – T1
B. C6 – T1
C. C7 – T1
D. C8, T1
5 Which of the following nerve is involved if the site of lesion is
‘Cubital tunnel’ ?
A. Radial nerve
B. Ulnar nerve
C. Median nerve
D. All of the above

6 Which of the following signs relate to diagnosis of a
mononeuropathy ?
A. Tinel’s sign
B. Phalen’s sign
C. Froment sign
D. All of the above

7 Meralgia paresthetica relates best to ?
A. Radial Neuropathy
B. Lateral Femoral Cutaneous Neuropathy
C. Ulnar Neuropathy at the Elbow
D. Peroneal Neuropathy

8 Which of the following is false for Brachial Plexus ?
A. Four roots
B. Three trunks
C. Two divisions per trunk
D. Three cords

9 Parsonage-Turner syndrome relates best with ?
A. Brachial Plexus
B. Lumbosacral Plexus
C. Radiation-Induced Plexopathy
D. Peroneal Neuropathy

10 Pain in immune-mediated brachial plexus neuropathy (IBPN) is
at ?
A. Neck
B. Shoulder
C. Arm
D. Hand

11 Out of the following, which is most commonly involved in
IBPN ?
A. Root
B. Trunk
C. Division
D. Cord

12 Which of the following surgical procedures is the most common
cause of brachial plexopathy ?
A. Reduction of subluxated shoulder
B. Repair of fracture of neck of humerus
C. Median sternotomy
D. Repair of fracture of clavicle

13 Which of the following is false about electrodiagnostic features of
demyelination ?
A. Slowing of nerve conduction velocity (NCV)
B. Dispersion of evoked compound action potentials
C. Conduction block & prolongation of distal latencies
D. None of the above
14 Mononeuropathy multiplex syndrome may be a manifestation of
all except ?
A. Leprosy
B. Sarcoidosis
C. Syphilis
D. NeuroAIDS
15 Example of motor neuronopathies include ?
A. Lower-motor form of amyotrophic lateral sclerosis
B. Poliomyelitis
C. Hereditary spinal muscular atrophies
D. All of the above
16 Example of motor neuronopathies include ?
A. Lead intoxication
B. Dapsone intoxication
C. Porphyria
D. All of the above
17 Peripheral neuropathy includes disorders of ?
A. Peripheral nerves
B. Dorsal or ventral nerve roots
C. Dorsal root ganglia
D. All of the above

18 Electrodiagnostic studies (EDx) help to diagnose which of the
following neuropathies ?
A. Axonal
B. Demyelinating
C. Neuronal
D. All of the above

19 Which of the following is false about peripheral neuropathy ?
A. Sensory symptoms precede motor symptoms
B. Small-fiber neuropathies present with paresthesias
C. Large-fiber neuropathies present as gait disturbance
D. None of the above
20 Term ataxic-neuropathy is used for ?
A. Small-fiber sensory neuropathies
B. Large-fiber sensory neuropathies
C. Motor-predominant neuropathies
D. Autonomic neuropathies
21 Which of the following is not a small-fiber sensory neuropathy ?
A. Amyloidosis
B. Lepromatous leprosy
C. HIV & antiretroviral therapy neuropathy
D. Friedreich’s ataxia
22 Which of the following is not a large-fiber sensory neuropathy ?
A. Sjögren’s syndrome
B. Fabry’s disease
C. Cisplatin neuropathy
D. Pyridoxine toxicity
23 Which of the following is a motor-predominant neuropathy ?
A. Acute intermittent porphyria
B. Diphtheritic neuropathy
C. Lead neuropathy
D. All of the above
24 Which of the following is a neuronal neuropathy ?
A. Sjögren’s syndrome
B. Cisplatin toxicity
C. Pyridoxine toxicity
D. All of the above
25 Which of the following is not a demyelinating neuropathy ?A. Guillain-Barré syndrome
B. Multifocal motor neuropathy (MMN)
C. HIV neuropathy
D. Diphtheria neuropathy
26 Which of the following is not a axonal neuropathy ?
A. Toxic
B. HIV
C. Charcot-Marie-Tooth 2 (CMT2)
D. All of the above

27 Which of the following is a acute onset neuropathy ?
A. Porphyria
B. Diphtheria
C. Guillain-Barré syndrome
D. All of the above
28 Which of the following is a recurrent neuropathy ?
A. Porphyria
B. Refsum’s disease
C. Hereditary neuropathy with pressure palsies (HNPP)
D. All of the above

Peripheral Neuropathy

[MCQ] Peripheral Neuropathy – Part 6

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Peripheral Neuropathy - Part 6

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