A. umnl, lmnl & extrapyramidal MCQ 17+

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• Lesions in extrapyramidal system causes
  ক

  Muscle paralysis

  খ

  Lead pipe rigidity

  গ

  Abnormal gait

  ঘ

  Tremor at rest

  ঙ

  Muscle wasting
• The features of the extrapyramidallesion are
  ক

  Spasticity

  খ

  Rigidity

  গ

  Hypokinesia

  ঘ

  Loss of co-ordination

  ঙ

  Dysdiadochokinesia
• Extrapyramidal motor system lesion causes
  ক

  Resting tremor

  খ

  Muscle paralysis

  গ

  Chorea

  ঘ

  Nystagmus

  ঙ

  Muscle wasting
• Signs of upper motor neuron lesions are
  ক

  Weakness of limbs

  খ

  Extensor planter response

  গ

  Fasciculation

  ঘ

  Absent tendon reflexes

  ঙ

  Cog- wheel type of rigidity
• In UMN lesion
  ক

  Knee jerk exaggerated

  খ

  Extensor planter response

  গ

  Muscle rigidity absent

  ঘ

  Ankle jerk absent

  ঙ

  Intact muscle power
• Clinical features of Upper motor neuron lesion are
  ক

  No muscular atrophy

  খ

  Increased reflexes

  গ

  Upward plantar response

  ঘ

  Flaccid paralysis

  ঙ

  Visible fasciculation of muscles
• Ankle jerk will be absent in following
  ক

  Peripheral neuropathy

  খ

  Vitamin B12 deficiency [Davidson's/24th/Box-25.33/P-953]

  গ

  Stroke

  ঘ

  Epilepsy

  ঙ

  Spinal cord Lesion
• Lower motor neurons are present in
  ক

  Mid brain

  খ

  Pons

  গ

  Spinal Cord

  ঘ

  Cerebrum

  ঙ

  Cerebellum
• Signs of lower motor lesions include
  ক

  Flaccid paralysis

  খ

  Muscle wasting

  গ

  Fasciculation

  ঘ

  Increased tone

  ঙ

  Increased jerk
• T1 nerve root injury manifest with
  ক

  Horner's syndrome

  খ

  Weakness of small muscles of the hand

  গ

  Wrist drop

  ঘ

  Loss of elbow flexion

  ঙ

  Loss of sensation of medial border of forearm and medial two fingers
• The characteristics of upper motor neuron lesions are
  ক

  Spasticity

  খ

  Extensor planter response

  গ

  Absence of reflex response

  ঘ

  Muscle atrophy

  ঙ

  In-coordination
• Upper motor neuron lesion is associated with
  ক

  Positive Babiniski’s sign

  খ

  Loss of superficial reflex

  গ

  Flaccid paralysis

  ঘ

  Loss of deep reflexes

  ঙ

  Muscle wasting
• Extrapyramidal tract
  ক

  Exert tonic stimulatory effect on lower motor neuron

  খ

  Controls the tone

  গ

  posture and equilibrium

  ঘ

  Carries sense of vibration

  ঙ

  Controls movement of the eye

  চ

  Is also called corticospinal tract
• Feature/s of extrapyramidal syndrome is/are
  ক

  Presence of involuntary movements

  খ

  Spasticity

  গ

  Weakness of voluntary muscle

  ঘ

  Absent tendon reflex

  ঙ

  Positive babiniski sign
• Hypotonia with hyporeflexia are features of
  ক

  Guillaine Barre Syndrome

  খ

  Poliomyelitis

  গ

  Wilson's disease

  ঘ

  Late stage of transverse myelitis

  ঙ

  Myaesthenia graves