Quiz: Muscle Weakness gr 2

A patient walks like a marionette puppet, with dropped feet and limp hands. Reflexes are absent. What should be high on your differential diagnosis?

• Myopathy

• Upper motor neuron lesion

• Peripheral neuropathy

• Lambert-Eaton syndrome

Which of the following best indicates an upper motor neuron (UMN) lesion?

• A. Reflexes vanished like your motivation before finals week
  

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  B. Muscle atrophy so dramatic it deserves an Oscar
  

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  C. Babinski sign blooming like a flower in neurology exams 🌸
  

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  D. Fasciculations dancing like muscles doing a TikTok trend 💃

A patient presents with progressive weakness in both arms and legs, more pronounced in the proximal muscles than distal. Deep tendon reflexes are normal, and there is no sensory loss. What is the most likely pattern or underlying condition?

• NMJ disorder

• UMN lesion

• Myopathy

• Peripheral nerve lesion

Your patient suddenly can’t move both legs, can't feel where their pants end, and their bladder's on “freestyle mode.” What condition should make you yell “Call Neuro, STAT!” before coffee?

• Peripheral neuropathy

• Brainstem stroke

• Spinal cord lesion

• NMJ disorder

"Crossed face and body" is a clinical sign indicating a lesion in which part of the nervous system?

• Cortex

• Brainstem

• NMJ

• Muscle

During a routine check-up, a patient named Abigail is found to have absent reflexes and evident weakness in her limbs, but she can still feel sensations. The doctor is trying to determine the location of the lesion based on these symptoms. Where is the lesion?

• UMN

• Anterior horn cell

• NMJ

• Brainstem

Hannah is limping and can’t climb stairs, but her reflexes are still popping like popcorn—what’s most likely going on?

• UMN

• Spinal cord

• Myopathy

• Cerebellar lesion

A 6-year-old boy walks like a duck and uses his hands to push on his thighs to get up from the ground (Gower's sign). He has abnormally large calf muscles, and there is a family history of an older brother who died from heart failure at the age of 17. Question: What is the most likely disease?

• Becker muscular dystrophy

• Duchenne muscular dystrophy

• Polymyositis

• Spinal muscular atrophy

Nancy, a 25-year-old woman, presents with weakness and ptosis in the afternoon. Her reflexes are normal. What should we consider?

• MG

• Hypokalemia

• Muscular dystrophy

• Stroke

A 55-year-old man has experienced weakness in both thighs for 6 months. He finds it difficult to get up from a chair and can walk but cannot climb stairs. There are no rashes or numbness. He has been taking simvastatin for 2 years. Question: What is the most likely cause?

• Duchenne muscular dystrophy

• Hypokalemia

• Statin-induced myopathy

• ALS