Neurophysiotherapy

Tea Topic 3mks 5mk 15

che s mks
r
Na
me
Dr CP State Write 1. A 4
Su the a year
mm outco note old
aiy me on child
a measu GMF k/c/o
res CS. dysto
used nic
in CP cereb
ral
palsy
visits
your
Physi
other
apy
OPD
. His
prese
nt
functi
onal
statu
s is
achie
ved
transi
tion
from
supin
e to
sitting
with
assist
ance
and
supp
orted
sitting
for
half
an
hour.
He
prese
nts
with
bilate
ral
plano
valgoi
d feet
.GMF
M
score
 in
Com
pone
nt
D( St
andin
g ) is
15/39
. Plan
a
short
&
long
term
mana
geme
nt for
him
while
enlisti
ng
the
outco
me
meas
ures
to be
used
&
Role
of
Ortho
sis
with
clinic
al
reaso
ning.
Enum Write
erate a
the note
types on
of GMF
Cerebr M
al scale
Palsy
(topog
raphic
al
classifi
cation)
1. List State
any 3 any 3
equip differ
ments ence
used s
to train betw
trunk een
control spast
in a ic
 spastic diple
diplegi gia
a. and
hypot
onic
CP
Head Explai 1.
injury- n in Disc
Menin brief uss
gitis, the Clinic
Encep two al
halitis, clinical Feat
Tetanu tests ures ,
s, SOL used Inves
to tigati
diagno ons
se a of
patient Teta
with nus.
menin
gitis
sState
the
differe
ntial
diagno
sis for
menin
gitis.

LMN- 1. State 1. A 4
SMA, Enum any 6 year
Spinal erate differ old
dyspra any 6 ntial child
phism, signs diagn k/c/o
SMA, and osis spina
Polio sympt for bifida
oms of polio visits
Hydro myeli your
cephal tis Physi
us. other
apy
OPD
. His
prese
nt
functi
onal
statu
s is
achie
ved
transi
tion
from
 supin
e to
sitting
with
assist
ance
and
supp
orted
sitting
for
half
an
hour.
He
prese
nts
with
bilate
ral
plano
valgoi
d feet
. Plan
a
short
&
long
term
mana
geme
nt for
him
while
enlisti
ng
the
outco
me
meas
ures
to be
used
&
Role
of
Ortho
sis
with
clinic
al
reaso
ning.
Enum
erate
any 6
clinical
feature
s of
poilio
 myeliti
s

DMD, 1. 1.
BMD Clas Discu
sify ss
the Clinic
vario al
us Featu
types res,
of Etiop
Musc athog
ular enesi
Dystr s,
ophie Inves
s. tigati
ons
of
Duch
enne’
s
Musc
ular
Dystr
ophy
and
add a
note
on
the
differ
entiat
ion
betw
een
DMD/
BMD.

Autism 1.
, Write
Downs a
, LD note
on
Autis
m
Spec
trum
Disor
 der.
1.
List
any 4
types
of
learni
ng
Disa
bilty.

Dr Adult Explai Expl

Am CNS n the ain
ruta Stroke classifi the
cation rib
of cage
Stroke mech
anics
in
post
strok
e
hemi
plegi
a
Mentio Expl A 50
n the 3 ain year
types the old
of man male
should age farme
er ment r by
compli of occu
cation inferi patio
s or n
associ shoul come
ated der s to
with sublu the
Post xatio opd
stroke n in with
hemipl post histor
egia strok y of
e post
hemi strok
plegi e
a hemi
pares
is ,
after
a left
Middl
e
cereb
ral
 artery
infarc
tion 3
mont
hs
ago.
Mentio Expl He
n the ain has a
observ the Volun
able struct tary
gait ural contr
deviati and ol of
ons in functi 3 in
post onal most
stroke impai move
hemip rmen ment
aresis ts s of
asso the
ciate shoul
d der
with and
Gait of the
devia lower
tions extre
in mities
post and a
strok Volun
e tary
hemi contr
parei ol of
s 2 in
move
ment
s of
wrist
and
hand.
Expla
in the
functi
onal
diagn
osis
and
mang
emen
t of
his
Uppe
r
extre
mities
functi
on
Mentio Expa
n the lin
feature the
s of appli
facial catio
weakn n of
ess in vario
post us
stroke neur
hemip other
aresis apeu
tic
skills
in
impr
oving
uppe
r
extre
mity
activt
y in
post
strok
e
hemi
pare
sis
Expl
ain
the
appli
catio
n of
feed
back
and
practi
ce
condi
tions
accor
ding
to the
moto
r
learni
ng
theor
y in
reha
bilitat
ion of
uppe
r
extre
mity
functi
on in
indivi
duals
with
parki
nson'
s
disea
se
A 65
year
old
Hous
ewife
is
admit
ted in
the
medi
cine
ward
with
left
hemi
pares
is
due
to an
Anteri
or
cereb
ral
artery
infarc
tion.
She
has
difficu
lty in
maint
ainin
g
dyna
mic
sitting
balan
ce
and
is
unabl
e to
stand
and
walk.
EXpl
ain
her
functi
onal
diagn
osis
and
mang
emen
t in
order
to
train
 the
Sit to
stand
transi
tion.
SOL Mentio
n the
diagno
stic
feature
s of
menin
gioma
s
Mentio
n the
Space
occup
ying
lesions
that
can be
found
in the
cerebe
llum

Parkin Explai Expl A 56

son's n the ain year
diseas feature the old
e s of gait male
dyston devia teach
ia and tions er by
athetoi in occu
sis Parki patio
nson' n
s come
disea s with
se comp
laints
of
slown
ess
of
move
mets
and
occas
ional
sens
e of
imab
alnce
while
trying
to
alter
 the
spee
d or
direct
ion
while
walki
ng.
He is
diagn
osed
with
Parki
nson'
s
disea
se
and
is in
the
hoen
and
yahr
level
3.
Give
functi
onal
diagn
osis
and
mang
emen
t for
this
case.
Cortic Mentio Expl
al, n the ain
cerebe impair the
llar, ments role
thalam of of
ic, Cogniti exter
brainst ve nal
em functio cues
n in in
individ impr
uals oving
with balan
parkin ce in
son's indivi
diseas duals
e with
Parki
nson'
s
disea
se
Mentio Expl
n the ain
impair the
ments hom
associ e
ated adap
with tation
speec s for
h and indivi
feedin duals
g in with
individ Parki
uals nson'
with s
parkin disea
son's se
diseas
e
A 72
year
old
femal
e is
broug
ht to
the
neuro
opd
with
comp
laints
of
sever
e loss
of
balnc
e and
slown
ess
of
move
ment
s.
She
is
diagn
osed
with
Parki
nson'
s
disea
se
Hoen
and
Yarh
level
4.
Expla
in the
functi
onal
diagn
 osis,
home
adapt
ation
s and
mana
geme
nt in
this
case

Cereb Explai Expl A 35

ellar n the ain year
disord feature the old
ers s of reas male
Vestib ons clerk
ulocer for by
ebellar gait occu
dysfun abno patio
ction rmalit n
ies in come
cere s with
bellar histor
disor y of
ders loss
of
balan
ce
after
the
excisi
on of
a
Cere
bello
ponti
ne
angle
tumo
ur.
On
exam
inatio
n, he
is
found
to
have
inten
sion
tremo
rs in
his
right
upper
extre
mity
and a
gaze
evok
 ed
nysta
gmus
.
Expla
in the
functi
onal
diagn
osis
for
this
case
and
mang
emen
t with
emph
asis
on
traini
ng
the
upper
extre
mity
skills
need
ed in
his
job.
Mentio Expl
n the ain
effect the
of functi
cerebe onal
llar impai
dysfun rmen
ction ts
on eye with
move resp
ments ect to
the
differ
ent
functi
onal
parts
of the
Cere
bellu
m
Explai
n the
role of
Frenke
l's
exerci
ses in
cerebe
llar
disord
ers
Mentio A 54
n the year
possibl old
e femal
speec e
h shop
abnor keep
malitie er by
s in occu
Cereb patio
ellar n
disord come
ers s with
histor
y of
loss
of
balan
ce
since
a
vascu
lar
accid
ent in
the
right
Cere
bellar
vermi
s and
latera
l
hemi
spher
e.
On
exam
inatio
n she
is
found
to
have
sever
e
ataxi
a.
Give
functi
onal
diagn
osis
and
mang
emen
t for
 this
case.

Facial Explai Expl

nerve n the ain
disord clinical the
er feature asse
s of ssme
facial nt
nerve and
injury deter
at the minat
level ion of
of the level
middle of
ear lesio
n in a
patie
nt
with
weak
ness
in the
right
half
of the
face
Explai
n the
feature
s of
facial
nerve
injury
when
the
lesion
is at
the
interna
l
acoust
ic
canal
Oromo
tor
trainin
g,
Vestib
ular
rehab
Mentio Expl
n the ain
phase the
s of man
feedin gem
g with ent of
respec orom
t to the otor
oromot functi
or on in
appara post
tus strok
e
hemi
pare
sis

Explai Expl
n the ain
vestib the
ulo- asse
occula ssme
r reflex nt of
occul
ar
functi
on in
an
indivi
dual
with
Vest
bular
disor
der
Mentio A 32
n any year
3 old
etiolog femal
ies e
that comp
lead to uter
unilate opera
ral tor by
vestib occu
ular patio
dysfun n
ction come
s with
histor
y of
loss
of
balan
ce to
the
right
side
on
turnin
g her
head
to the
right .
She
has
difficu
lty
maint
ainin
g her
balnc
e in
stand
ing
while
readi
ng
from
a
name
plate.
She
is
know
n to
have
sustai
ned a
head
injury
that
caus
ed a
damg
e to
the
perip
heral
vestib
ular
appar
atus
on
the
right
side.
Give
functi
onal
diagn
osis
for
this
case
and
mang
emen
t for
the
 same
.
Explai Expl
n the ain
feature the
s of man
Benign age
Paroxy ment
smal for
Positio Beni
nal gn
vertigo paro
xysm
al
positi
onal
vertig
o
Dr MS What State A 30
Ma is and year
nas Multipl expla old
i e in in femal
sclero detail e
sis? , the come
Explai symp s to
n the toms the
pathop of neuro
hysiolo MS. OPD
gy of with
MS. comp
laints
of
nysta
gmus
,
scan
ning
spee
ch,
intent
ion
tremo
r and
weak
ness
in all
4
extre
mities
. The
patie
nt
report
s
incre
asing
fatigu
e and
loss
of
 balan
ce
while
perfor
ming
basic
ADLs
. The
patie
nt
also
gives
a
histor
y of
frequ
ent
relap
ses
and
remis
sions
in her
symp
toms.
Expla
in the
functi
onal
diagn
osis
and
mana
geme
nt
with
short
term
and
long
term
goals
.
(5+5+
5)

Explai Expl
n the ain
four resto
major rative
diseas ,
e prev
course entati
s of ve
MS. and
comp
ensat
ory
interv
entio
 ns for
patie
nts
with
MS.
Write
a short
note
on
diagno
stic
criteria
for
MS.

Fredric - What -
ks are
ataxia the
signs
and
symp
toms
of
Fried
rich’s
Ataxi
a?
PNS Explai Expl A 28
n with ain year
reason skin old
ing the and femal
sensor foot e,
y care profe
sympt for ssion
oms of patie al
a nts tenni
patient with s
with diabe playe
Subac tes. r by
ute occu
Combi patio
ned n,
Degen come
eration s to
of the the
Spinal Neur
Cord. o
OPD
with
comp
laints
of
asce
nding
weak
ness
and
tinglin
g
numb
ness
in her
upper
and
lower
extre
mities
; and
gener
alised
fatigu
e.
The
patie
nt
has a
histor
y of
ICU
stay
due
to
respir
atory
muscl
e
involv
emen
t3
mont
hs
ago.
She
is
prese
ntly
unabl
e to
stand
and
walk
indep
ende
ntly
and
uses
a
walke
r.
Give
functi
onal
diagn
osis
and
mana
geme
nt
 with
short
term
and
long
term
goals
.
(4+5+
6).

State Expl A 45
the ain year
differe the old
nt neur male,
cause ologi truck
s of cal driver
Vitami manif by
n B12 estati occu
deficie ons patio
ncy. of n,
Suba prese
cute nts
Com with
bined comp
dege laints
nerat of
ion of burni
the ng
spina sens
l ation
cord. and
pain
in
both
the
lower
extre
mities
,
lower
limb
weak
ness,
difficu
lty
with
walki
ng,
and a
histor
y of
falls.
He
has a
histor
y of
daily
alcoh
ol
 cons
umpti
on for
the
past
20
years
. Give
Funct
ional
diagn
osis
and
mana
geme
nt
with
short
term
and
long
term
goals
.
(5+5+
5)
Explai Expl A 40
n the ain year
comm with old
on ratio femal
diagno nale, e,
stic the teach
feature progr er by
s of essiv occu
Guillai e patio
n- progr n
Barré am of come
syndro activ s to
me. e the
exerc Neur
ise o
throu OPD
gh with
the comp
vario laints
us of
stage weak
s of ness
GBS. and
tinglin
g
numb
ness
in her
lower
extre
mities
and
gener
alised
 fatigu
e.
She
was
treate
d for
havin
g
GBS
in
ICU 3
mont
hs
back.
She
is
prese
ntly
unabl
e to
stand
and
walk
indep
ende
ntly
and
uses
a
walke
r.
Give
functi
onal
diagn
osis
and
mana
geme
nt
with
short
term
and
long
term
goals
.
(4+5+
6)
Explai Expl A 70
n skin ain year
care the old
instruc path male
tions ophy know
for a siolo n
patient gy of case
with foot of
diabeti ulcer diabe
c form tes
neurop ation since
athy. in a past
patie 25
nt years
with comp
diabe lains
tic of
neur tinglin
opat g and
hy. numb
ness
in
both
his
lower
extre
mities
.
Muscl
e
powe
r is
grade
3++
at the
ankle
. He
has
reduc
ed
sens
ation
s on
both
his
soles.
EMG/
NCV
studi
es
show
demy
elinati
on in
both
lower
extre
mities
. Give
Funct
ional
diagn
osis
and
mana
geme
nt
with
short
term
 and
long
term
goals
.
(5+5+
5)
Explai Expl A 55
n the ain years
differe the old
ntial goals femal
diagno of e
sis for physi come
alcoho other s with
lic apy comp
neurop man laints
athy. age of
ment fatigu
for e,
alcoh decre
olic ased
neur sens
opat ation
hy. s in
her
palm
s and
soles
and
occas
ional
loss
of
balan
ce.
On
exam
inatio
n
Rho
mber
g’s
test is
positi
ve,
her
plant
ar
reflex
es
are
abse
nt
and
ankle
jerks
are
exag
gerat
ed.
 She
is
know
n to
have
sever
e
Vitam
in
B12
defici
ency.
Give
functi
onal
diagn
osis
and
mana
geme
nt
with
short
term
and
long
term
goals
.
(4+5+
6).
Explai Write A 28
n the a year
manag short old
ement note femal
of on e
respira clinic come
tory al s to
sympt pres the
oms of entati Neur
patient on of o
s with a OPD
GBS. patie with
nt painl
with ess
GBS. burns
in the
hand
s.
Exam
inatio
n
revea
ls
loss
of
tendo
n
reflex
es in
 the
upper
extre
mities
,
segm
ental
anae
sthesi
a
over
the
neck,
shoul
der
and
arms;
and
segm
ental
weak
ness
and
atrop
hy of
the
hand
s and
arms.
Expla
in the
functi
onal
diagn
osis
and
mana
geme
nt
with
short
term
and
long
term
goals
.
(4+5+
6)
Write Expl A9
a short ain year
note the old
on Physi male
Walleri other child
an apy come
Degen man s to
eration age the
. ment neuro
of OPD
patie with
nts comp
with lains
Syrin of
gomy muscl
elia. e
cram
ps in
the
leg
and
feet,
abnor
mal
shoe
wear,
difficu
lty in
runni
ng
and
difficu
lty in
perfor
ming
fine
motor
activit
ies.
Exam
inatio
n
revea
ls pes
cavus
,
wasti
ng
and
weak
ness
of the
intrin
sic
muscl
es of
the
feet,
peron
eal
muscl
es
and
intrin
sic
muscl
es of
the
hand.
Expla
in the
 functi
onal
diagn
osis
and
mana
geme
nt
with
short
term
and
long
term
goals
.
(4+5+
6)
State Expl
the ain
clinical the
feature Physi
s of other
patient apy
s with man
Peron age
eal ment
Muscu of
lar patie
Atroph nts
y. with
pero
neal
musc
ular
atrop
hy.
What Expl
is ain
syring the
omyeli physi
a? other
State apy
the man
classifi age
cation ment
of of
Syring Char
omyeli cot
a. Mari
e
Toot
h
disea
se.
Explai Expl
n the ain
classifi the
cation types
of of
 heredit perip
ary heral
motor nerv
and e
sensor tumo
y urs.
neurop State
athy. their
clinic
al
featu
res.
Enum
erate
the
viruse
s
respon
sible
for
infectiv
e
lesions
of
periph
eral
nerves
.
State
the
comm
on
cause
s of
metab
olic
periph
eral
neurop
athies.
Muscl State Expl
e the ain
diseas clinical the
e, feature physi
Myopa s of other
thies, Derma apy
tomyo man
sitis. age
ment
of a
patie
nt
with
Poly
myos
itis.
Fascio State
scapul the
ohume clinical
ral feature
dystro s of
phy, Polym
limb yositis.
girdle
What
are
myopa
thies?
State
the
differe
nt
types
of
myopa
thies.
State
the
clinical
feature
s of a
patient
with
Fascio
scapul
ohume
ral
muscu
lar
dystro
phy.
State
the
clinical
feature
s of
Limb
girdle
muscu
lar
dystro
phy.
Psych Define Defin A 38
o- chroni e year
smatic c pain. pain. old
pain What Expl femal
are the ain in e,
charac detail engin
teristic the eer
behavi subje by
ors in ctive occu
chroni and patio
c pain objec n,
syndro tive prese
me? dime nts
nsion with
s of pain
pain. in the
neck
and
low
back
since
15
years
. The
patie
nt
gives
a
histor
y of
takin
g
repea
ted
leave
from
work
and
lack
of
ability
to
perfor
m
day
to
day
activit
ies
due
to the
pain.
She
has
no
histor
y of
traum
a or
injury
,X
rays
and
MRI
scans
revea
l no
obser
vable
tissue
dama
ge.
State
the
functi
onal
diagn
osis,
 and
mana
geme
nt
with
short
term
and
long
term
goals
.
(5+5+
5)
Define Expl
acute, ain
persist the
ent psyc
and hoso
chroni cial
c pain. factor
s
asso
ciate
d
with
chro
nic
pain.
Enum Expl
erate ain in
Chara detail
cteristi , the
c man
Behavi age
ors in ment
Chroni of
c Pain Chro
Syndr nic
ome. Pain.
Write
a short
note
on
physiol
ogical
chang
es
occurri
ng
with
chroni
c pain.
Dr Spinal Enlist What What
Ris cord , sympt is do
hab Cauda oms of auto you
h equina cauda nomi mean
equina c by
syndro dysre the
me. flexia spinal
 ? cord
Desc injury
ribe patie
the nt’s
initiat neuro
ing logica
stimu l level
li and of
symp injury
toms ,
of motor
this level
syndr of
ome. injury
What , and
actio sens
n ory
woul level
d you of
take injury
if a ?
patie What
nt is the
expe ASIA
rienc impai
ed rment
an classi
onset ficatio
of n?
symp
toms
durin
ga
physi
cal
thera
py
treat
ment
?
Enlist Physi
sympt other
oms of apy
anteior man
cord age
syndro ment
me. for
spast
ic
bladd
er.

Head Enlist Expl A

injury three ain 26ye
charac the ar old
teristic inter chore
s of preta ograp
severe tion her
TBI. of had a
Glas road
gow traffic
coma accid
scale ent in
. the
highw
ay.
CT
scan
revea
led a
right
temp
oral
pariet
al
hemo
rhage
,a
left
pariet
al
hemo
rrhag
e,
diffus
e
edem
a and
multi
ple
contu
sions.
He
was
unco
nscio
us for
48
hours
of
injury
. Now
he
has
Glasg
ow
coma
score
9.
The
Patie
nt
react
s
specif
ically
but
incon
sisten
tly to
stimul
i.
Resp
onse
s are
direct
ly
relate
d to
the
type
of
stimul
us
prese
nted.
May
follow
simpl
e
com
mand
s
such
as
closin
g
eyes
or
sque
ezing
hand
in an
incon
sisten
t,
delay
ed
mann
er.
He
has
poor
volun
tary
contr
ol of
extre
mities
with
difficu
lty in
spee
ch
and
facial
 devia
tion.
Cate
goriz
e the
RLA
levell
s of
cogni
tive
functi
oning
.
Descr
ibe
the
functi
onal
diagn
osis.
Enlist
prec
autio
nary
meas
ures
in
reha
bilitat
ion of
acute
TBI.

Parapl Define Write A

egia spinal a 28ye
shock. short ar old
note male
on acco
ASIA untan
scale t had
. a
road
traffic
accid
ent
and
was
diagn
osed
with
spinal
cord
Injury
as
per
the
MRI
(C8-
T2).
Patie
nt
was
unabl
e to
move
his
trunk
and
lower
limb.
He
also
had
sens
ory
impai
rment
and
bladd
er
and
bowel
involv
emen
t. He
was
admit
ted in
the
hospi
tal for
20
days
wher
e he
under
went
Physi
other
apy.
Now
he is
visitin
g to
Physi
other
apy
OPD
for
furthe
r
rehab
ilitatio
n.
Identi
fy
 patie
nt's
probl
em in
terms
of
Direct
impai
rment
s,
Indire
ct
impai
rment
s,
Funct
ional
limitat
ions,
Activi
ty
restri
ctions
,Ident
ify 2
outco
me
meas
ures.
Menti
on
the
short
term
and
long
term.
Enlist Expl
clinical ain in
feature detail
s of man
Brown age
- ment
Sequa of
rd spast
syndro icity
mes. in
SCI.

SOL Enlist Identi A

syndro fy 30ye
mes of three ar old
spinal antici femal
cord pate e
tumor. d news
goals report
 and er
three had
expe extra
cted medu
outco llary
mes tumor
for at T2-
patie 6.
nt She
with under
spina went
l Deco
tumo mpre
rs. ssion
surge
ry
and
is on
radiot
herap
y.
menti
on in
detail
the
functi
onal
diagn
osis.
Descr
ibe
the
short-
and
long-
term
goals
with
detail
ed
mana
geme
nt.

MND 1. Whe Descr

Clinica n ibe
l desig the
feature ning clinic
s of an al
Primar exerc manif
y ise estati
lateral progr on of
sclero am ALS.
sis. for a Differ
 patie entiat
nt e
with amon
ALS, g
what impai
factor rment
s s
need assoc
to be iated
taken with
in upper
consi and
derat lower
ion? motor
neuro
n
patho
logy
and
bulba
r
patho
logy.
When
desig
ning
an
exerc
ise
progr
am
for a
patie
nt
with
ALS,
what
factor
s
need
to be
taken
in
consi
derati
on?
(5+5+
5)

Alzhei Mentio Menti A 65-

mer's n3 on year-
diseas major Stag old
e activity e retire
limitati wise d
ons in Physi servic
Alzhei other e
mer's apy man
diseas man comp
e. age lains
ment of
of difficu
Alzh lty in
eime drivin
r's ga
disea car
se. and
mana
ging
his
mone
y and
perso
nal
budg
et.
He
also
has
symp
toms
of
mild
mem
ory
loss,
confu
sion,
decre
ased
attent
ion
span,
decre
ased
physi
cal
activit
ies in
the
past
5
mont
hs.
Diagn
ose
the
case.
What
outco
me
meas
ure
shoul
d be
includ
ed.
 Devel
op a
plan
of
care.

Syrien Specia Form A

gomye l signs ulate 40ye
lia of three ar old
Menni interv labou
ngitis entio r
ns prese
with nts
one with
progr sudd
essio en
n that histor
could y of
be altere
used d
for sens
Tabe orium
s ,
Dors dysp
alis. hagia
,
dysar
thria,
hemi
pares
is
and
facial
weak
ness.
The
MRI
show
s
fronto
temp
oral
hyper
inten
sities.
The
CSF
protei
ns
are
mildly
eleva
ted
with
incre
ased
 lymp
hocyt
es.
Brain
Biops
y
revea
ls
necro
tising
areas
in the
brain
with
intran
uclea
r
eosin
ophili
c
inclus
ion
bodie
s.
Asse
ss
and
mana
ge
the
case.
menni Outco A 18
ngitis, me Enlist year
encep measu 3 old
halitis, res inves stude
tabes used tigato nt
dorsali for ry prese
s, Transv findin nted
transv erse gs of with
erse Myeliti ence symp
myeliti s. phalit toms
s is. of
fever,
malai
se,
sore
throat
and
drow
sines
s.
Also
has
extre
mities
stiffn
ess
and
positi
ve
 kerni
g'sign
. CSF
show
ed
raise
d
level
of
lymp
hocyt
es,
mono
cytes
and
protei
ns.
He is
unabl
e to
sit
witho
ut
supp
ort.
Evalu
ate
the
case
and
menti
on in
detail
the
short
and
long
terms
goal.
Role Sym A 30
of ptom year
Physio s of old
therap tabes softw
y in dors are
acute alis. engin
care of What eer
encep is admit
halitis. Char ted in
cots the
joint. ICU
with
comp
lains
of
acute
febril
e
illnes
s,
sever
e
back
pain
and
bladd
er
diste
nsion
progr
essin
g to
inabili
ty to
move
his
trunk
and
lower
limb.
CSF
show
s
incre
ase
in
protei
ns,
mono
nucle
ar
cells
and
lymp
hocyt
es.
MRI
show
s
recta
ngula
r
swoll
en
cord
at T4-
6.
Evalu
ate
the
case
in
detail
.
Menti
on
the
outco
me
meas
ures
 used.
Menti
on
the
differ
ential
diagn
osis
and
mana
geme
nt.
Explai A
n 45ye
Kernig ar old
s sign. femal
e
home
make
r had
a
gradu
al
histor
y of
lightni
ng
pain
in her
lower
limbs,
urinar
y
incon
tinen
ce
with
ataxi
a,
balan
ce
and
gait
distur
banc
e. On
exam
inatio
n
impai
red
vibrat
ory
and
joint
positi
on
sens
e in
feet's
 and
leg
with
good
musc
ular
stren
gth.
She
also
has a
past
histor
y of
syphil
is 20
years
back.
MRI
invest
igatio
n
show
ed
lessio
n in
the
poste
rior
colu
mn of
spinal
cord
at
T10
to
T12.
Evalu
ate
the
case
and
menti
on
the
clinic
al
and
functi
onal
Diagn
osis.
Acute
sympt
oms of
Transv
erse
Myeliti
s
Bladde Expl NA
 r ain in
trainin detail
g bladd
er
traini
ng.

Effect Mentio NA NA
of n any
Immob 5
ilisatio effects
n of
immob
ilizatio
n on
nervou
s
syste
m.
Dr. lepros Explai Expl 25
Tej y hand n ain year
ash clinical signif old
ree feature icanc hous
s e of ewife
followi splint treate
ng low s d for
media given lepro
n and in sy 2
high lepro years
ulnar sy back
nerve hand showi
palsy ng
in inabili
lepros ty to
y hold
objec
ts
and
sens
ory
loss
in
medi
an
and
ulnar
distri
butio
n ,giv
e
functi
onal
diagn
 osis
and
mana
geme
nt of
same
( 8+7
Enum Expl
erate ain
variou seco
s ndar
nerves y
involve comp
d in licati
lepros ons
y follo
wing
lepro
sy
Explai Expl
n claw ain
hand tend
on
transf
ers
done
follo
wing
medi
an
and
ulnar
nerv
e
palsy
in
lepro
sy
Expl
ain
goals
of
Physi
other
apeu
tic
man
age
ment
of
lepro
sy
hand