Neurology Q! - 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 11-24-2012
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 333
Threads: 162
Thanked 282 Times in 146 Posts
Reputation: 292
Question Neurology Q!

In examination of a 54-year-old man with stroke, the patient is asked to hold both arms fully extended at shoulder level in front of him, with the palms upwards while closing his eyes. The right forearm*pronates during the test. Which of the following parts of brain is mostly affected by stroke?

A- Left temporal lobe
B- Right temporal lobe
C- Left frontal lobe
D- Right frontal lobe
E- Left ventral nuclei of thalamus
F- Right ventral nuclei of thalamus
G- Left striatum
H- Right striatum
Reply With Quote Quick reply to this message
The above post was thanked by:
bendect (11-25-2012), Casandra (11-25-2012), MedicalExaminer (11-24-2012)



  #2  
Old 11-24-2012
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 791
Threads: 76
Thanked 673 Times in 317 Posts
Reputation: 691
Default

the test is PRONATOR DRIFT.....suggestive of UMN lesion....left frontal lobe.....
Reply With Quote Quick reply to this message
The above post was thanked by:
Evergreen (11-24-2012)
  #3  
Old 11-24-2012
koolkiller88's Avatar
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 864
Threads: 62
Thanked 373 Times in 224 Posts
Reputation: 383
Default

Quote:
Originally Posted by Evergreen View Post
In examination of a 54-year-old man with stroke, the patient is asked to hold both arms fully extended at shoulder level in front of him, with the palms upwards while closing his eyes. The right forearm*pronates during the test. Which of the following parts of brain is mostly affected by stroke?

A- Left temporal lobe
B- Right temporal lobe
C- Left frontal lobe
D- Right frontal lobe
E- Left ventral nuclei of thalamus
F- Right ventral nuclei of thalamus
G- Left striatum
H- Right striatum
Pronator drift- if positive indicates spasticity- UMN lesion
C- Left frontal lobe
__________________
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
 
  #4  
Old 11-25-2012
mutant's Avatar
USMLE Forums Addict
 
Steps History: Not yet
Posts: 142
Threads: 21
Thanked 82 Times in 54 Posts
Reputation: 92
Default

Yes, this is Pronator drift suggestive of UMN lesion.

C. Left Frontal Lobe
Reply With Quote Quick reply to this message
  #5  
Old 11-25-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,039
Threads: 189
Thanked 561 Times in 319 Posts
Reputation: 571
Default my answer :)

C- Left frontal lobe - I guess...
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
Neurology residency vs Neurology fellowship... mijan_cmc51 IMG Residency Match Forum 3 07-23-2012 10:04 AM
Neurology LoR Help Tgdel87 IMG Residency Match Forum 0 07-17-2012 10:53 PM
Neurology For CK add1 USMLE Step 2 CK Forum 1 02-05-2012 02:51 AM
Neurology Q ag2011n USMLE Step 2 CK Forum 3 09-08-2011 08:37 AM
neurology or IM rahul usmle General Topics Forum 3 05-28-2011 12:49 PM

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)