MCQ IN MEDICINE

MEDICINE MCQ

NEUROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The UMN sign hind leg and LMN sign four paretic anterior legs identify which spinal segment lesion.
A
C1C5
B
too much
C
rumble
D
For 4 hours
Explanation: 

Detailed explanation-1: -Clinical phenotypes of ALS can be grossly classified based on the level and anatomical area of motor neuron involvement and pattern of onset (Table 1). Typical, or “classical, ‘’ ALS involves simultaneous UMN and LMN signs and is usually fatal within 4 yr of onset.

Detailed explanation-2: -An upper motor neuron lesion is a lesion of the neural pathway above the anterior horn of the spinal cord or motor nuclei of the cranial nerves. A Lower motor neuron lesion is a lesion which affects nerve fibers traveling from the anterior horn of the spinal cord to the associated muscle(s).

Detailed explanation-3: -Causes of Coexistent UMN and LMN Weakness. Separate UMN and LMN lesions. Motor neurone disease (amyotrophic lateral sclerosis) Cervical myelopathy. Syringomyelia. 30-Jun-2019

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