lezione 9

Which of these signs indicates a mild motor deficit in the upper limb during the Barré test (arms extended with palms facing upward)? (9). a) maintaining the position for at least 15" even with pronation. b) finger adduction. c) pronation. d) they are all signs of a mild deficit.

Diplopia is caused by: (9). a) lesion of the medial longitudinal fasciculus. b) lesion of an oculomotor nerve. c) lesion of the optic nerve. d) lesion of the pontine paramedian reticular formation.

For a good correlation between the neurological examination and the neuropsychological examination… (9). a) the neurological examination must follow the neuropsychological one. b) the neurological examination must be as close in time as possible to the neuropsychological one. c) it is essential to have an MRI of the patient. d) it is essential to have a CT scan of the patient.

The work of Laiacona et al. (1989) had a neuropsychological test battery aimed at defining at most… (9). a) an anatomical anatomo-functional syndrome. b) an anatomical or neurosurgical neuropsychological syndrome. c) a functional neuropsychological syndrome. d) none of the answers is correct.

Which tests were present in Perani et al.’s work on dementia that were not present in Fazio et al.’s work on amnesic patients, and why? (9). a) semantic memory tests in which patients with dementia should selectively fail. b) procedural memory tests in which patients with dementia should always be spared. c) phonological short-term memory tests in which amnesic patients should selectively fail. d) verbal episodic memory tests in which only amnesic patients should fail.

In the administration of single or double stimulus series in the standard neurological examination by Bisiach and colleagues, what does “homolateral” mean? (9). a) on the same side as the brain lesion. b) none of the answers is correct. c) on the same side as the examiner. d) on the same side as the most obvious deficit.

A deficit of pallesthesia (vibration sense) is caused by: (9). a) none of the answers is correct. b) lesion of the direct spinothalamic tract. c) lesion of the posterior columns. d) lesion of the crossed spinothalamic tract.

With what score is the absence of motor deficit in the upper limb rated in the abbreviated neurological examination according to Bisiach et al.? (9). a) two. b) one. c) three. d) zero.

A thermal sensitivity deficit… (9). a) may be dissociated by side from a tactile deficit. b) is not part of the brief neurological examination by Bisiach et al. c) all answers are correct. d) assesses the functionality of the spinothalamic tract.

A stereognostic tactile deficit… (9). a) all answers are correct. b) may be observed in right parietal lesions. c) may be observed in right hemispheric lesions. d) may be observed in a lesion of the S1 area of the contralateral hand.

What is the mildest visual deficit quantified with the abbreviated neurological examination according to Bisiach et al.? (9). a) a deficit in the macular region of the visual field. b) a deficit in the most peripheral parts of the field. c) extinction to double simultaneous stimulation. d) a quadrantanopia.

In a brief neurological examination, how is mental status assessed? (9). a) with the MODA. b) with the clinical interview. c) with the MMSE. d) with the MOCA.

Which tests are not included in the abbreviated neurological examination according to Bisiach et al.?(9). a) visual field tests. b) tactile sensitivity tests. c) strength tests. d) oculomotor tests.

What is the mildest elementary tactile sensory deficit demonstrable? (9). a) failure to perceive 40% of single contralateral stimuli. b) failure to perceive 60% of single contralateral stimuli. c) failure to perceive 50% of single contralateral stimuli. d) extinction to double simultaneous stimulation.

If the limb falls within 5 seconds in the Mingazzini test, what score is assigned to the patient? (9). a) one. b) three. c) zero. d) two.