Contrast enhancement along the tentorial marginĬ. Increased T2 signal in a periventricular distributionī. An axial T1-weighted magnetic resonance image (MRI) is shown below. His wife has also commented that the right eye is “droopy looking.” The only remarkable recent history is that he was tackled a little hard while playing football the day before. A 42-year-old man notices that his right pupil is smaller than the left. Mild cogwheel rigidity on the left only with distractionģ. Bilateral upper motor neuron pattern of weaknessĭ. Lower motor neuron pattern of weakness on the leftĬ. Upper motor neuron pattern of weakness on the leftī. The most likely examination finding would be which of the following?Ī. He is very mildly bradykinetic on the left. On examination, a left hand tremor is evident when he is distracted. There have been no behavioral or language changes. There is no tremor in his right hand, and the lower extremities are not affected. ![]() He has no trouble holding a glass of water. ![]() The shaking does not impair his activities in any way. He can stop the shaking by looking at his hand and concentrating. He first noticed between 6 months and 1 year ago that when he is at rest, his left hand shakes. A 62-year-old right-handed man has “involuntary twitches” of his left hand. People with impaired position sense will usually fall if they simultaneously stand with their feet together and do which of the following?Ģ. On examination, it is found that joint proprioception is absent in his toes. He says that he frequently trips walking up stairs or on uneven surfaces. An 85-year-old man is being evaluated for gait difficulties. ![]() Neurology: PreTest™ Self-Assessment and Review, 8th Edition The Neurological Examination and Diagnostic Tests Questionsġ.
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