a case with neurologic dysfunction..? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 08-25-2012
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,186
Threads: 119
Thanked 815 Times in 434 Posts
Reputation: 825
Send a message via Yahoo to venky2600
Post a case with neurologic dysfunction..?

q) a 70 yr old elderly male admitted to the hospital for quadriplegia since 2 days.....he has bilateral loss of proprioception and crude touch sensation and unable to command involuntary motor activites....finding suspicious about his father ,elder son of the pt. meets physician for further diagnosis...he states that his paternal uncle too had the same condition and died at 65 yrs....on explaing the condition of the pt., the physician explains that there will be two kinds of touch..fine touch and crude touch which travel in different pathways and with different receptors......what is the area of the body that slowly adapts for this sensation.?

a) axilla
b) face
c) scalp
d) palms and soles
e) thigh
f) groin
Reply With Quote Quick reply to this message
The above post was thanked by:
debs (08-26-2012)



  #2  
Old 08-25-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 370 Times in 224 Posts
Reputation: 380
Default

..what is the area of the body that slowly adapts for this sensation.?
What you mean by "this"
slowly adapt to fine or crude touch?
I think "fine touch"
Still not sure but i think
It would be C. Scalp
__________________
One day i will infect these microbes and they will search for "Anti-MEbiotic"....
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #3  
Old 08-25-2012
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 41
Threads: 1
Thanked 53 Times in 34 Posts
Reputation: 63
Default

Quote:
Originally Posted by koolkiller88 View Post
..what is the area of the body that slowly adapts for this sensation.?
What you mean by "this"
slowly adapt to fine or crude touch?
I think "fine touch"
Still not sure but i think
It would be C. Scalp
I think it is c) scalp too because Merkel's disks adapt slowly and senses crude touch
Reply With Quote Quick reply to this message
The above post was thanked by:
meanmr.mustard (09-02-2012)
  #4  
Old 08-25-2012
chux's Avatar
USMLE Forums Addict
 
Steps History: ---
Posts: 110
Threads: 4
Thanked 32 Times in 28 Posts
Reputation: 42
Send a message via AIM to chux
Search

C..Scalp..............
__________________
focus
Reply With Quote Quick reply to this message
  #5  
Old 08-26-2012
venky2600's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,186
Threads: 119
Thanked 815 Times in 434 Posts
Reputation: 825
Send a message via Yahoo to venky2600
Post c is correct

yes, the correct answer is c. scalp

merkel discs are slowly adapted touch receptors around hair follicles....palms and soles are fastly adapted( by meissners)> face> thigh> groin> axilla>scalp
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Old man with erectile dysfunction? kemoo USMLE Step 1 Forum 17 09-23-2016 03:41 AM
All the Important Neurologic Terms for your Step 1 Hope2Pass USMLE Step 1 Forum 0 05-01-2012 04:10 PM
Neurologic Cases Taking Time bharadw USMLE Step 2 CS Forum 1 04-19-2012 09:05 AM
Patient with Neurologic lesions and positive VDRL patelMD USMLE Step 1 Forum 7 05-10-2011 09:00 PM
Can you localize this neurologic lesion? harpreet virk USMLE Step 1 Forum 8 04-27-2011 04:31 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)