OCC OCC Neurological Assessment & Neuromuscular Medicine 2

Question 1

Carpal tunnel syndrome produces paresthesias in which sensory distribution?

Accepted Answer

Thumb, index, middle, and radial half of ring finger

Answer

All five digits equally

Answer

Ring and little finger only

Answer

Entire dorsum and palm of the hand

Question 2

The Romberg test primarily evaluates the integrity of which sensory pathway?

Accepted Answer

Posterior (dorsal) columns (proprioception/vibration)

Answer

Spinothalamic tract (pain/temperature)

Answer

Lateral corticospinal tract

Answer

Spinocerebellar tract

Question 3

Which combination of neurological signs is characteristic of amyotrophic lateral sclerosis (ALS)?

Accepted Answer

Both upper and lower motor neuron signs with no sensory deficits

Answer

Upper motor neuron signs only

Answer

Lower motor neuron signs only

Answer

Both motor and sensory deficits with preserved deep tendon reflexes

Question 4

A patient describes the sudden onset of 'the worst headache of my life.' Which diagnosis must be emergently excluded?

Accepted Answer

Subarachnoid hemorrhage

Answer

Migraine with aura

Answer

Cluster headache

Answer

Tension-type headache

Question 5

When applying OMT for cervicogenic or tension-type headache, which region is most commonly the primary treatment target?

Accepted Answer

Suboccipital and upper cervical region

Answer

Thoracic spine (T1-T4)

Answer

Lumbar spine (L1-L5)

Answer

Sacrum and pelvis only

Question 6

The classic gait of a patient with Parkinson's disease is best described as:

Accepted Answer

Shuffling gait with small steps and reduced arm swing

Answer

Wide-based, unsteady gait with lateral deviation

Answer

High-stepping gait with foot drop

Answer

Scissors gait with bilateral lower extremity spasticity

Question 7

Which electrophysiological finding best distinguishes a demyelinating neuropathy from an axonal neuropathy on nerve conduction studies?

Accepted Answer

Markedly slowed nerve conduction velocity

Answer

Reduced compound motor action potential amplitude

Answer

Increased insertional activity on needle EMG

Answer

Fibrillation potentials at rest