Peripheral Nerve problems

Question 1

Which type of fibre if affected will result in reduced power?

Answer 1

Large fibre- motor

Question 2

Symptoms of large fibre-motor being affected

Answer 2

Weakness
Unsteadiness
wasting

Question 3

Symptoms of large fibre-sensory being affected

Answer 3

Numbness
Paraesthesia
Unsteadiness

Question 4

Symptoms of small fibre being affected

Answer 4

Pain

Dysesthesia

Question 5

Symptoms of autonomic nerve damaged

Answer 5

Dizziness
Impotence
Nausea and Vomiting

Question 6

Give a simple example of mononeuropathy

Answer 6

A pregnant lady with tingling in her hands

Question 7

3 types of peripheral neuropathy

Answer 7

Mononeuropathy
Mononeuritis multiplex
(Length dependent) Peripheral Neuropathy

Question 8

TRUE/FASLE

MS is a peripheral demyelinating problem

Answer 8

FALSE

it is a central demyelinating problem

Question 9

Example of an acute demyelinating disorder

Answer 9

GBS

Question 10

Example of 2 chronic demyelinating neuropathy

Answer 10

CIPD

Hereditary Sensory Motor Neuropathy

Question 11

TRUE/FASLE

In GBS there is a large increase in the number of white cells

Answer 11

FALSE- there is no white cells in the CSF

Question 12

TRUE/FALSE

In GBS they are often pain free until 2 weeks

Answer 12

FLASE- PAIN very common

Question 13

Treatment for GBS

Answer 13

Immunoglobulin IV

Plasma Exchange

Question 14

What are the clinical features of Hereditary sensory motor neuropathy

Answer 14

Champagne bottle deformity (wasted tibial muscle)
High arched foot
Clawing

Question 15

Rx if axonal (vasculitic)

Answer 15

Pulsed IV methylprednisolone + cyclophosphamide