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Motor Disorders MCQs

Neurology · MBBS / Medicine · 27 practice questions

1. A young adult presents with progressive gait difficulty and spasticity. The clinician suspects a hereditary basis and wishes to examine family members. Which of the following conditions listed in the chapter is specifically noted as having a genetic basis?

  1. ACervical spondylosis
  2. BGuillain-Barré syndrome
  3. CAcute transverse myelitis
  4. DHereditary spastic paraparesis
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D. Hereditary spastic paraparesis The text states that some types of myopathy, motor neuron disease, peripheral neuropathy, spinocerebellar degenerations, and hereditary spastic paraparesis have a genetic basis.

2. A 60-year-old man has leg weakness and reports a distinct sensory level at the umbilicus, below which he has numbness. He has no cortical signs such as astereognosis or agraphesthesia. Where is the lesion most likely located?

  1. ANeuromuscular junction
  2. BCerebral cortex
  3. CPeripheral nerve
  4. DSpinal cord
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D. Spinal cord The text states that sensory loss below a particular segmental level on the trunk suggests a spinal cord lesion, whereas distal sensory changes in limbs favor peripheral nerve lesions.

3. Two patients present with progressive leg weakness due to myelopathy. Patient A has significant back pain accompanying the weakness, while Patient B has no pain at all. Based on this distinguishing feature, which statement is most accurate?

  1. APatient B's myelopathy is more likely due to a compressive lesion
  2. BPatient A's myelopathy is more likely due to a hereditary cause
  3. CPain is equally likely in metabolic and compressive myelopathies
  4. DPatient A's myelopathy is more likely due to a compressive lesion
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D. Patient A's myelopathy is more likely due to a compressive lesion The text states that pain preceding or accompanying myelopathy suggests a compressive lesion, while its absence favors a metabolic or hereditary basis.

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