MRCP UK EXAMINATIONS

NEUROLOGY

MONONEUROPATHIES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A “neuro check” includes all but the following:
A
Level of consciousness
B
pupillary checks
C
movemement and strength of extremities
D
patellar reflex
E
vital signs
Explanation: 

Detailed explanation-1: -The patellar reflex is a deep tendon reflex, mediated by the spinal nerves from the levels L2, L3, and L4 in the spinal cord, predominantly in the root L4.

Detailed explanation-2: -There are different types of reflexes, including a stretch reflex, Golgi tendon reflex, crossed extensor reflex, and a withdrawal reflex.

Detailed explanation-3: -A tap to the patellar tendon stretches the quadriceps muscle (1) resulting in activation of the muscle spindle (2). The afferent neuron of the muscle spindle, detecting stretch, sends a signal to the spinal cord (3) and synapses directly with a motor neuron (4) that causes the quadriceps muscle to contract (5).

There is 1 question to complete.