Ben Williams
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Neuromuscular Quiz on Upper and Lower Motor Neuron Lesions, created by Ben Williams on 19/08/2019.

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Upper and Lower Motor Neuron Lesions

Question 1 of 20

1

-- Underestimation of distance or range needed to accomplish a movement
-- Decrease in muscle tone
-- Generalized muscle weakness
-- Rhythmic, quick oscillatory, back-and-forth movement of the eyes
-- Movement performed in a sequence of component parts rather than as a single, smooth activity; decomposition
-- Inability to halt forceful movements after resistive stimulus removed; patient unable to stop sudden limb motion
-- Impaired ability to perform rapid alternating movements
-- Disorder of the motor component of speech articulation
-- Loss of ability to associate muscles together for complex movements
-- Overestimation of distance or range needed to accomplish a movement
-- Inability to judge the distance or range of a movement

Drag and drop to complete the text.

    Hypometria
    Hypotonia
    Asthenia
    Nystagmus
    Dyssynergia
    Rebound phenomenon
    Dysdiachokinesia
    Dysarthria
    Asynergia
    Hypermetria
    Dysmetria

Explanation

Question 2 of 20

1

Which of the following are examples of motor impairments caused by CEREBELLAR pathology?

Select one or more of the following:

  • Gait Ataxia

  • Dysarthria

  • Intention Tremor

  • Choreoathetosis

  • Akinesia

  • Nystagmus

  • Chorea

  • Rebound Phenomenon

  • Hyperkinesis

  • Asthenia

Explanation

Question 3 of 20

1

Which of the following are examples of motor impairments caused by CEREBELLAR pathology?

Select one or more of the following:

  • Dyssynergia

  • Intention Tremor

  • Bradykinesia

  • Dysdiachokinesia

  • Chorea

  • Gait Ataxia

  • Resting Tremor

  • Rebound Phenomenon

  • Dysmetria

  • Rigidity

Explanation

Question 4 of 20

1

Which of the following are examples of motor impairments caused by CEREBELLAR pathology?

Select one or more of the following:

  • Dysarthria

  • Dysdiachokinesia

  • Intention Tremor

  • Akinesia

  • Nystagmus

  • Rebound Phenomenon

  • Hemiballismus

  • Dystonia

  • Bradykinesia

  • Choreoathetosis

Explanation

Question 5 of 20

1

Which of the following are examples of motor impairments caused by BASAL GANGLIA pathology?

Select one or more of the following:

  • Dysarthria

  • Athetosis

  • Dysdiachokinesia

  • Bradykinesia

  • Dyssynergia

  • Dystonia

  • Akinesia

  • Hyperkinesis

  • Intention Tremor

  • Hemiballismus

Explanation

Question 6 of 20

1

Which of the following are examples of motor impairments caused by BASAL GANGLIA pathology?

Select one or more of the following:

  • Dystonia

  • Intention Tremor

  • Asthenia

  • Nystagmus

  • Rigidity

  • Dysdiachokinesia

  • Bradykinesia

  • Dysarthria

  • Dysmetria

  • Chorea

Explanation

Question 7 of 20

1

Which of the following are examples of motor impairments caused by BASAL GANGLIA pathology?

Select one or more of the following:

  • Hemiballismus

  • Rigidity

  • Dystonia

  • Hyperkinesis

  • Rebound Phenomenon

  • Choreoathetosis

  • Dysdiachokinesia

  • Athetosis

  • Gait Ataxia

  • Dysmetria

Explanation

Question 8 of 20

1

Select from the dropdown list to complete the text.

"A number of specific motor impairments that affect coordinated movement are associated with ( cerebellar, basal ganglia ) pathology. Many of these impairments either directly or indirectly influence the patient's ability to execute accurate, smooth, controlled movements." -O'Sullivan 6th ed.

Explanation

Question 9 of 20

1

Select from the dropdown list to complete the text.

"Patients with lesions of the ( basal ganglia, cerebellum ) typically demonstrate several characteristic motor deficits: 1.) poverty and slowness of movement, 2.) involuntary, extraneous movement, and 3.) alterations in posture and muscle tone." -O'Sullivan 6th ed.

Explanation

Question 10 of 20

1

Which of the following are characteristic impairments of UMN lesions?

Select one or more of the following:

  • Hypertonia

  • Velocity dependent changes in muscle tone

  • Hyperreflexia

  • Muscle Spasms

  • Hypotonia

  • Non-Velocity dependent (i.e. Velocity-Independent) changes in muscle tone

  • Hyporeflexia

  • Fasciculations

Explanation

Question 11 of 20

1

Which of the following are characteristic impairments of LMN lesions?

Select one or more of the following:

  • Hypertonia

  • Velocity dependent changes in muscle tone

  • Hyperreflexia

  • Muscle Spasms

  • Hypotonia

  • Non-Velocity dependent (i.e. Velocity-Independent) changes in muscle tone

  • Hyporeflexia

  • Fasciculations

Explanation

Question 12 of 20

1

Which of the following are characteristic impairments of LMN lesions?

Select one or more of the following:

  • Ipsilateral Weakness or Paralysis, in all cases.

  • Weakness and Paralysis are always focal.

  • Neurogenic Atrophy

  • Ipsilateral Weakness or Paralysis, in some cases, but not all.

  • Bilateral Weakness or Paralysis, in some cases, but not all.

  • Contralateral Weakness or Paralysis, in some cases, but not all.

  • Weakness and Paralysis are always distributed, never focal.

  • Wide-spread Disuse Atrophy

Explanation

Question 13 of 20

1

Which of the following are characteristic impairments of UMN lesions?

Select one or more of the following:

  • Ipsilateral Weakness or Paralysis, in some cases, but not all.

  • Bilateral Weakness or Paralysis, in some cases, but not all.

  • Contralateral Weakness or Paralysis, in some cases, but not all.

  • Weakness and Paralysis are always distributed, never focal.

  • Wide-spread Disuse Atrophy

  • Ipsilateral Weakness or Paralysis, in all cases.

  • Weakness and Paralysis are always focal.

  • Neurogenic Atrophy

Explanation

Question 14 of 20

1

Sensation may be impaired by lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

Question 15 of 20

1

Spasticity is common with lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

Question 16 of 20

1

Rigidity is common with lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

Question 17 of 20

1

Hyperreflexia is common with lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

Question 18 of 20

1

Hyporeflexia may occur with lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

Question 19 of 20

1

Disuse atrophy may occur with lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

Question 20 of 20

1

Involuntary movements are NOT likely to occur with lesions in which of the following locations?

Select one or more of the following:

  • Cerebral Cortex - Corticospinal Tracts

  • Basal Ganglia

  • Cerebellum

  • Spinal Cord

Explanation

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